Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Debra Anderson

Clinical Mentor

Ms. Tracy Rexford

Committee Member

Dr. Melanie Hardin-Pierce

Committee Member

Dr. Jennifer Dent


Purpose: The purpose of this project is to compare self-efficacy and confidence levels among a cohort of newly graduated nurses (defined as nurses who have had no nursing experience and are participating in a new graduate nursing residency) who will participate in an EOL simulation with another cohort of nurses who have been practicing for a year or more, but have not participated in an end-of-life simulation.

Methods: The study included two parts. The first portion included a pre and post-test evaluation of an end-of-life (EOL) simulation intervention with newly graduated nurses (Group One, n= 22), as part of their new graduate residency program. The second portion of the study included a survey of a cohort of nurses (Group Two, n=12) who had been in practice for no more than a year, but had not been exposed to an EOL simulation intervention. The Palliative Care Evaluation Tool Kit was adapted and used for this project. The data was then compared between the two groups, in terms of self-efficacy and confidence levels regarding EOL care.

Results: There were no statistically significant differences between Groups One and Two, in regards to race, gender, and degree earned. Mean scores among Group One participants increased from pre- test to post- test in all eleven areas that were surveyed in regards to self-efficacy and confidence levels; however, only eight of the eleven areas were statistically significant (p

Conclusion: An EOL simulation intervention was successful in improving self-efficacy and confidence levels among newly graduated nurses, in regards to views about EOL and death and dying. Additionally, mean scores for all areas surveyed, in terms of self-efficacy and confidence, increased among the intervention group.