{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:58:34Z","timestamp":1790114314706,"version":"4.0.1"},"reference-count":110,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background\/objectives<\/jats:title>\n                    <jats:p>Current reforms in higher education emphasize the need for active student engagement as a key element of competency-based learning. Within nursing education, simulation-based learning experiences (SBLE) provide an effective pedagogical strategy to integrate practical and emotional skills, especially in palliative care contexts. This study aimed to implement and evaluate a comprehensive simulation-based educational program designed to enhance nursing students\u2019 coping with death, reduce burnout, and improve communication skills, thereby fostering compassionate and emotionally competent care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A program evaluation design with a one-group pretest\u2013posttest educational intervention was employed in accordance with the TREND statement. Participants were second-year undergraduate nursing students. Baseline measures assessed fear of death and emotional intelligence. The intervention included pre-briefing sessions on death, burnout, and communication with terminal patients, followed by simulation and debriefing phases. Outcomes included students\u2019 coping capacity with death, burnout levels (emotional exhaustion, cynicism, and self-efficacy), communication skills in clinical interactions, and satisfaction with SBLE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Before the intervention, students exhibited moderate to high levels of fear of death, particularly concerning others\u2019 death, and adequate emotional intelligence levels. Post-intervention results showed statistically significant improvements in coping with death (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), reductions in emotional exhaustion and cynicism, and increased self-efficacy. Communication skills improved notably, supported by both instructor evaluations and student self-assessments. Overall satisfaction with the SBLE was high.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simulation-based learning effectively enhances nursing students\u2019 emotional preparedness, coping capacity, and communication competence while reducing burnout. These outcomes support the integration of SBLE into nursing curricula to foster compassionate, resilient, and skilled professionals in end-of-life and emotionally demanding care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1828226","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:39:52Z","timestamp":1782797992000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementing and evaluating a comprehensive simulation-based program to enhance nursing students\u2019 coping with death, burnout, and communication skills"],"prefix":"10.3389","volume":"17","author":[{"given":"Miguel \u00c1ngel","family":"Mart\u00edn-Parrilla","sequence":"first","affiliation":[{"name":"Departamento de Enfermer\u00eda, Centro Universitario de Plasencia, Universidad de Extremadura","place":["Plasencia, Spain"]},{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia","family":"Dur\u00e1n-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]},{"name":"Departamento de Enfermer\u00eda, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Nadal-Delgado","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]},{"name":"Hospital Universitario de Badajoz, Asociaci\u00f3n Oncol\u00f3gica Extreme\u00f1a (AOEX)","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casimiro Ferm\u00edn","family":"L\u00f3pez-Jurado","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]},{"name":"Departamento de Enfermer\u00eda, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Palomo-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda, Centro Universitario de Plasencia, Universidad de Extremadura","place":["Plasencia, Spain"]},{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macarena C.","family":"C\u00e1ceres","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Traslacional Biom\u00e9dica y Sociosanitaria (CTS064)","place":["Badajoz, Spain"]},{"name":"Instituto Universitario de Investigaci\u00f3n Biosanitaria de Extremadura (INUBE)","place":["Badajoz, Spain"]},{"name":"Departamento de Enfermer\u00eda, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/S41077-023-00258-Z","article-title":"A scoping review of emotions and related constructs in simulation-based education research articles","volume":"8","author":"Ahn","year":"2023","journal-title":"Adv. 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Sci."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/J.NEDT.2018.05.018","article-title":"Promoting emotional intelligence and resilience in undergraduate nursing students: An integrative review","volume":"68","author":"Cleary","year":"2018","journal-title":"Nurse Educ. Today"},{"key":"ref9002","doi-asserted-by":"publisher","first-page":"e071203","DOI":"10.1136\/bmjopen-2022-071203","article-title":"Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review","volume":"13","author":"Cohen","year":"2023","journal-title":"BMJ Open"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"45","DOI":"10.3390\/NURSREP15020045","article-title":"Promoting self-efficacy of nursing students in academic integrity through a digital serious game: a pre\/post-test study","volume":"15","author":"Creighton","year":"2025","journal-title":"Nurs. 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Educ. Technol."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1611923","DOI":"10.3389\/FPSYG.2025.1611923","article-title":"Psychometric properties of the TMMS-24 emotional intelligence scale in Peruvian University students","volume":"16","author":"Fern\u00e1ndez-Berrocal","year":"2025","journal-title":"Front. Psychol."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"103175","DOI":"10.1016\/J.NEPR.2021.103175","article-title":"Fear of death and its relationship to resilience in nursing students: a longitudinal study","volume":"55","author":"Fern\u00e1ndez-Mart\u00ednez","year":"2021","journal-title":"Nurse Educ. Pract."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"106361","DOI":"10.1016\/J.NEDT.2024.106361","article-title":"Internationalization at home program significantly increases the self-efficacy of nursing students: A pre-post study","volume":"143","author":"Galan-Lominchar","year":"2024","journal-title":"Nurse Educ. 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Nurs."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1186\/S12912-026-04645-5","article-title":"Comparative effectiveness of case-based versus simulation-based communication training: evidence from a quasi-experimental study in oncology nursing education","volume":"2026","author":"Guo","year":"2026","journal-title":"BMC Nurs."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/S12904-024-01386-7","article-title":"Validation of the Collett-Lester fear of death scale in occupational therapy students: psychometric testing and implications for palliative care education","volume":"23","author":"Guti\u00e9rrez-S\u00e1nchez","year":"2024","journal-title":"BMC Palliat. Care"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"170","DOI":"10.4103\/JEHP.JEHP_1366_23","article-title":"Impact of emotional intelligence on academic burnout among master students in pedagogy of nursing sciences and health techniques in Morocco, 2019: a cross-sectional study","volume":"13","author":"Harrafa","year":"2024","journal-title":"J. Educ. Health Promot."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1037\/BUL0000450","article-title":"Fadeout and persistence of intervention impacts on social-emotional and cognitive skills in children and adolescents: A meta-analytic review of randomized controlled trials","volume":"150","author":"Hart","year":"2024","journal-title":"Psychol. Bull."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1186\/S12912-025-03338-9","article-title":"Enhancing emotional intelligence and mental well-being for stress management in nursing education \u2013 a qualitative study","volume":"24","author":"Haver","year":"2025","journal-title":"BMC Nurs."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e12480","DOI":"10.1111\/NUP.12480","article-title":"Self-appropriation in nurse engagement: facilitating the development of expert nurses using Benner and Lonergan","volume":"25","author":"Healy","year":"2024","journal-title":"Nurs. Philos."},{"key":"ref9001","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1177\/15404153241229686","article-title":"Fear of Death in Colombian Nursing Students","volume":"22","author":"Hern\u00e1ndez-Gamboa","year":"2024","journal-title":"Hispanic Health Care Intern."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21615\/cesp.9.1.1","article-title":"Validaci\u00f3n del cuestionario Maslach Burnout Inventory-Student Survey (MBI-SS) en contexto acad\u00e9mico colombiano","volume":"9","author":"Hederich-Mart\u00ednez","year":"2016","journal-title":"Rev. CES Psicol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"161","DOI":"10.15257\/EHQUIDAD.2024.0007","article-title":"The influence of meaning in life and social support on resilience in Argentina, Colombia, Spain and Indonesia","author":"Hern\u00e1ndez","year":"2024","journal-title":"Ehquidad Rev. Int. Polit. Bienestar Trab. Soc."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1399","DOI":"10.1186\/S12909-024-06401-2","article-title":"Medical students\u2019 perspectives of reflection for their professional development","volume":"24","author":"Heydari","year":"2024","journal-title":"BMC Med. Educ."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"103560","DOI":"10.1016\/J.NEPR.2023.103560","article-title":"Effects of video-recorded role-play and guided reflection on nursing student empathy, caring behavior and competence: a two-group pretest-posttest study","volume":"67","author":"Huang","year":"2023","journal-title":"Nurse Educ. Pract."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"101519","DOI":"10.1016\/j.ecns.2024.101519","article-title":"Impact of simulation design elements on undergraduate nursing education: a systematic review","volume":"89","author":"Jackson","year":"2024","journal-title":"Clin. Simul. Nurs."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1111\/MONO.12296","article-title":"More than just convenient: the scientific merits of homogeneous convenience samples","volume":"82","author":"Jager","year":"2017","journal-title":"Monogr. Soc. Res. Child Dev."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"3178","DOI":"10.3390\/NURSREP14040231","article-title":"Nursing students\u2019 satisfaction with clinical simulation: a cross-sectional observational study","volume":"14","author":"Jim\u00e9nez-\u00c1lvarez","year":"2024","journal-title":"Nurs. Rep."},{"key":"ref47","volume-title":"R\u00fabrica de desempe\u00f1o de habilidades de comunicaci\u00f3n","author":"Juli\u00e1-Sanchis","year":"2023"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1186\/S40359-021-00593-8","article-title":"Emotional intelligence: predictor of employees\u2019 wellbeing, quality of patient care, and psychological empowerment","volume":"9","author":"Karimi","year":"2021","journal-title":"BMC Psychol."},{"key":"ref49","doi-asserted-by":"crossref","DOI":"10.4324\/9781003182122","volume-title":"Death, Society, and Human Experience","author":"Kastenbaum","year":"2024"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"e0339674","DOI":"10.1371\/JOURNAL.PONE.0339674","article-title":"Patient death and nurses\u2019 coping strategies: perception of nurses at a tertiary referral hospital in Kenya","volume":"21","author":"Kiarie","year":"2026","journal-title":"PLoS One"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.1089\/JPM.2024.025","article-title":"Effects of a simulation-based care after-death mentoring program for new nurses: augmented reality end-of-life experience","volume":"27","author":"Kim","year":"2024","journal-title":"J. Palliat. Med."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/S12912-026-04342-3","article-title":"Curriculum\/program development in nursing education: a systematic review","volume":"25","author":"K\u00fc\u00e7\u00fck Y\u00fcceyurt","year":"2026","journal-title":"BMC Nurs."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1186\/S12912-021-00684-2","article-title":"A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward","volume":"20","author":"Kwame","year":"2021","journal-title":"BMC Nurs."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.12968\/BJON.2024.0387","article-title":"Shaping professional nursing practice using Benner\u2019s novice to expert theory","volume":"34","author":"Lamichhane","year":"2025","journal-title":"Br. J. Nurs."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"103559","DOI":"10.1016\/J.NEPR.2023.103559","article-title":"Development and psychometric testing of the non-technical skills scale in medical and surgical hospital units for nursing students","volume":"67","author":"Leal-Costa","year":"2023","journal-title":"Nurse Educ. Pract."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"e10536","DOI":"10.1002\/AET2.10536","article-title":"Retention of critical procedural skills after simulation training: a systematic review","volume":"5","author":"Legoux","year":"2021","journal-title":"AEM Educ. Train."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/J.NEDT.2017.04.001","article-title":"Emotional intelligence and affective events in nurse education: A narrative review","volume":"53","author":"Lewis","year":"2017","journal-title":"Nurse Educ. 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