The effects of a Multi-media Experiential Advance Care Planning (MEACP) training programme for nurses in the acute care settings: A cluster randomised controlled trial

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Publicat a:	Nurse Education in Practice vol. 86 (Jul 2025), p. 104428
Autor principal:	Chan, Carmen WH
Altres autors:	Ng, Nancy HY, Helen YL Chan, Kai Chow Choi, Chow, Ka Ming, Kwan, Cecilia WM, Robinson, Jackie, Tse, Mankei
Publicat:	Elsevier Limited
Matèries:	World Health Organization Hong Kong China China Intervention Theory of planned behavior Performance evaluation Experiential learning Health care Knowledge Decision making Hospitals Nurse led services Care plans Professionals Verbal communication Medical personnel Nurses Acute services Online tutorials Professional ethics Human subjects Skills Patients Advance directives Perceptions Professional training Planning Nursing care Preferences Design Palliative care Attitudes Systematic review Mass media effects Multimedia Training Software Decisions Groups Hospital wards Web Based Instruction Job Skills Randomized Controlled Trials Medical Services Effect Size Instructional Effectiveness Role Playing Decision Making Skills Research Assistants Control Groups Learning Processes Observation Hospices (Terminal Care) Correlation Ethics Program Effectiveness Educational Needs
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Resum:	Aim To explore the effects of a theory-based Multi-media Experiential Advance Care Planning (MEACP) training programme for nurses in acute care settings, which aims to improve their decision-support skills, attitudes towards advance care planning (ACP), knowledge of ACP and level of confidence in conducting ACP. Background Nurses in acute care settings are often less engaged in ACP discussions due to insufficient training and time constraints. Design A single -blinded, cluster randomised controlled trial with a repeated-measures, two-arm, parallel-group design was employed. Methods A total of 230 registered nurses were recruited from 23 acute care wards across eight public-funded hospitals. Participants were randomly assigned to either a control group (n = 112) or an intervention group (n = 118) at the ward level. Informed by the theory of planned behaviour and the experiential learning model, the MEACP programme included a 10-module mobile application (app) and a 2-hour nurse-led, face-to-face, skill-building workshop. Results The participants in the MEACP group showed significantly greater improvements in their decision-support skills (95 % CI:2.47–3.34, p < 0.001), knowledge of ACP (95 % CI: 0.7–1.61, p < 0.001) and confidence in conducting ACP (95 % CI: 0.37–0.79, p < 0.001) than the control group post-intervention. Conclusion The intervention has the potential to empower nurses with better decision-support skills and knowledge, which lay the groundwork for future efforts to promote ACP engagement in acute care settings.
ISSN:	1471-5953 1873-5223
DOI:	10.1016/j.nepr.2025.104428
Font:	Sociology Database