Educational DIMENSIONThe Effectiveness of a Simulation Program to Enhance Readiness to Engage in Difficult Conversations in Clinical PracticeCoates, Jennifer DNP, MBA, ACNPC, ACNP-BCAuthor Information Jennifer Coates, DNP, MBA, ACNPC, ACNP-BC, is an assistant clinical professor in the College of Nursing and Health Professions. She received a BSN from The College of New Jersey, a MSN from the University of Pennsylvania, a MBA from Drexel’s Lebow College of Business and her DNP from Wilmington University. Coates is double board certified as an acute care nurse practitioner from both the American Nurses Credentialing Center (ANCC) and the American Association of Critical Care Nurses (AACN). She has practiced in the areas of medical cardiology, cardiac surgery and critical care. Prior to becoming a nurse practitioner, she worked as an RN in medical oncology, bone marrow transplant, various critical care settings and hospital administration. The author has disclosed that she has no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Address correspondence and reprint requests to: Jennifer Coates, DNP, MBA, ACNPC, ACNP-BC ([email protected]). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.dccnjournal.com). Dimensions of Critical Care Nursing: 9/10 2021 - Volume 40 - Issue 5 - p 275-279 doi: 10.1097/DCC.0000000000000489 Buy SDC Metrics Abstract Health care providers are often tasked with communicating difficult, emotionally charged news, including delivering an unwelcome diagnosis and planning end-of-life care. Patients and family members often cannot recall specifics of these conversations, although their perceptions of how information was communicated by health care providers impact not only their evaluation of the quality of care received, but also their abilities to cope with the communicated bad news. What can be done to better prepare novice clinicians to have these types of conversations? This quality improvement project used a simulation-based difficult conversation workshop given to adult-gerontology acute care nurse practitioner students in their final year of study. The workshop comprised both standardized patient actors and a structured communication curriculum. A pretest/posttest was conducted to show that this intervention was effective in increasing student confidence to facilitate difficult conversations in clinical practice. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.