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

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-06-14 DOI:10.1016/j.nepr.2025.104428

Carmen W.H. Chan , Nancy H.Y. Ng , Helen Y.L. Chan , Kai Chow Choi , Ka Ming Chow , Cecilia W.M. Kwan , Jackie Robinson , Mankei Tse

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引用次数: 0

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.

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多媒体体验式提前护理计划（MEACP）培训计划对急症护理机构护士的影响：一项随机对照试验

目的探讨基于理论的多媒体体验式提前护理计划（MEACP）培训计划对急症护理护士的影响，旨在提高他们的决策支持技能、对提前护理计划（ACP）的态度、对提前护理计划的知识和实施提前护理计划的信心。由于培训不足和时间限制，急症护理机构的护士往往较少参与ACP讨论。设计采用单盲、集群随机对照试验，采用重复测量、双臂、平行组设计。方法从8家公立医院的23个急症病房招募注册护士230名。在病房水平上，参与者被随机分配到对照组（n = 112）或干预组（n = 118）。在计划行为理论和体验式学习模式的指导下，MEACP项目包括一个10个模块的移动应用程序（app）和一个由护士领导的2小时面对面技能培养讲习班。ResultsThe MEACP组的参与者显示明显能改善他们的决策支持技能(95 %置信区间:2.47—-3.34,p & lt; 0.001),ACP的知识(95 %置信区间:0.7—-1.61,p & lt; 0.001)和信心进行机场核心计划(95 %置信区间:0.37—-0.79,p & lt; 0.001)比对照组干预后。结论该干预措施有可能增强护士的决策支持技能和知识，为未来在急性护理环境中促进ACP参与奠定基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.