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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| Publicado en: | Nurse Education in Practice vol. 86 (Jul 2025), p. 104428 |
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| Acceso en línea: | Citation/Abstract Full Text Full Text - PDF |
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| 001 | 3227289872 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 1471-5953 | ||
| 022 | |a 1873-5223 | ||
| 024 | 7 | |a 10.1016/j.nepr.2025.104428 |2 doi | |
| 035 | |a 3227289872 | ||
| 045 | 2 | |b d20250701 |b d20250731 | |
| 084 | |a 170342 |2 nlm | ||
| 100 | 1 | |a Chan, Carmen WH |u The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong | |
| 245 | 1 | |a 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 | |
| 260 | |b Elsevier Limited |c Jul 2025 | ||
| 513 | |a Evidence Based Healthcare Journal Article | ||
| 520 | 3 | |a 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. | |
| 610 | 4 | |a World Health Organization | |
| 651 | 4 | |a Hong Kong China | |
| 651 | 4 | |a China | |
| 653 | |a Intervention | ||
| 653 | |a Theory of planned behavior | ||
| 653 | |a Performance evaluation | ||
| 653 | |a Experiential learning | ||
| 653 | |a Health care | ||
| 653 | |a Knowledge | ||
| 653 | |a Decision making | ||
| 653 | |a Hospitals | ||
| 653 | |a Nurse led services | ||
| 653 | |a Care plans | ||
| 653 | |a Professionals | ||
| 653 | |a Verbal communication | ||
| 653 | |a Medical personnel | ||
| 653 | |a Nurses | ||
| 653 | |a Acute services | ||
| 653 | |a Online tutorials | ||
| 653 | |a Professional ethics | ||
| 653 | |a Human subjects | ||
| 653 | |a Skills | ||
| 653 | |a Patients | ||
| 653 | |a Advance directives | ||
| 653 | |a Perceptions | ||
| 653 | |a Professional training | ||
| 653 | |a Planning | ||
| 653 | |a Nursing care | ||
| 653 | |a Preferences | ||
| 653 | |a Design | ||
| 653 | |a Palliative care | ||
| 653 | |a Attitudes | ||
| 653 | |a Systematic review | ||
| 653 | |a Mass media effects | ||
| 653 | |a Multimedia | ||
| 653 | |a Training | ||
| 653 | |a Software | ||
| 653 | |a Decisions | ||
| 653 | |a Groups | ||
| 653 | |a Hospital wards | ||
| 653 | |a Web Based Instruction | ||
| 653 | |a Job Skills | ||
| 653 | |a Randomized Controlled Trials | ||
| 653 | |a Medical Services | ||
| 653 | |a Effect Size | ||
| 653 | |a Instructional Effectiveness | ||
| 653 | |a Role Playing | ||
| 653 | |a Decision Making Skills | ||
| 653 | |a Research Assistants | ||
| 653 | |a Control Groups | ||
| 653 | |a Learning Processes | ||
| 653 | |a Observation | ||
| 653 | |a Hospices (Terminal Care) | ||
| 653 | |a Correlation | ||
| 653 | |a Ethics | ||
| 653 | |a Program Effectiveness | ||
| 653 | |a Educational Needs | ||
| 700 | 1 | |a Ng, Nancy HY |u United Christian Hospital, Hong Kong | |
| 700 | 1 | |a Helen YL Chan |u The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong | |
| 700 | 1 | |a Kai Chow Choi |u The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong | |
| 700 | 1 | |a Chow, Ka Ming |u The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong | |
| 700 | 1 | |a Kwan, Cecilia WM |u Bradbury Hospice, Hong Kong | |
| 700 | 1 | |a Robinson, Jackie |u School of Nursing, University of Auckland, New Zealand | |
| 700 | 1 | |a Tse, Mankei |u The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong | |
| 773 | 0 | |t Nurse Education in Practice |g vol. 86 (Jul 2025), p. 104428 | |
| 786 | 0 | |d ProQuest |t Sociology Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3227289872/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3227289872/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3227289872/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch |