Abstract
Background: End-of-life simulation is proposed as an educational method that prepares undergraduate nursing students for palliative care nursing practice. Method: An integrative literature review was undertaken to determine the effects of end-of-life simulation on nursing students’ competence, self-competence, and performance of palliative care and to identify evidence gaps. Results: Findings from 11 studies reviewed suggest that end-of-life simulation effectively develops palliative care nursing competence and self-competence, but there is a lack of evidence regarding performance. Conclusion: Further research is needed to evaluate simulation's impact on student performance in delivering end-of-life care to seriously ill patients.