Whose Line Is It Anyway? Undergraduate Nursing Simulation for Breaking Bad News.

ABSTRACT: Breaking bad news regarding health care traditionally falls within the scope of practice of the provider. However, now that lab and diagnostic results are uploaded directly to smart devices, patients often receive results before they can be explained. The nurse or nursing student may be the first person the patient sees after reading results and the first to respond to patient questions about bad news. This article describes a simulation where senior baccalaureate students utilize the SPIKES protocol to become better prepared to field questions and break bad news should they find themselves in this situation.

Creating a Primary Care Track in Prelicensure Nursing Education.

BACKGROUND: RNs practicing in primary care (PC) increase access to health care and contribute to better patient outcomes and cost savings, yet undergraduate nursing education traditionally focuses on disease-oriented care. This article describes a curricular track for infusing PC prelicensure programs. METHOD: PC content is threaded across four semesters with targeted assignments and clinical experiences. Providing clinical immersion experiences with practicing RNs as preceptors in community and PC settings is a key component of this initiative. RESULTS: Student feedback has been favorable. Students stated they gained insight to the role of RNs in PC through class assignments and clinical rotations. Graduating seniors were offered employment in PC settings where they completed their practicum clinical rotations. CONCLUSION: The PC track contributes to building a nursing workforce to meet health care demands and promote health equity. Nurse educators interested in infusing PC content throughout the curriculum can adapt this model for all student populations. [J Nurs Educ. 2023;62(3):171-174.].