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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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Pubblicato in:Nurse Education in Practice vol. 86 (Jul 2025), p. 104428
Autore principale: Chan, Carmen WH
Altri autori: Ng, Nancy HY, Helen YL Chan, Kai Chow Choi, Chow, Ka Ming, Kwan, Cecilia WM, Robinson, Jackie, Tse, Mankei
Pubblicazione:
Elsevier Limited
Soggetti:
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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Abstract: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
Fonte:Sociology Database