Online Simulation in Palliative Care Education for Early-Career Nurses in Japan: A Pre-Post Exploratory Evaluation of Perceived Outcomes and Feasibility.

Scores improved significantly from baseline in Palliative Care Difficulties Scale scores for symptom alleviation ( p = 0.024, d = 0.41) and communication ( p = 0.002, d = 0.57).

Confidence in recognizing total pain ( p = 0.008, d = 0.63) and communication ( p = 0.011, d = 0.66) increased from baseline.

Qualitative findings indicated that most participants applied their learning in clinical practice.