{"title":"Building Nursing Home Staff Knowledge and Confidence in Communicating About Advance Care Planning.","authors":"Hsiu-Hui Chen, Hsiao-Yun Chang, Pin-Hsuan Huang, Hsiu-Ling Chiu","doi":"10.3928/00220124-20260211-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Advance care planning is essential in nursing homes to ensure end-of-life care aligns with residents' values, yet staff often lack the knowledge and confidence to lead these discussions.</p><p><strong>Method: </strong>This study evaluated an advance care planning training program for 37 nursing home staff in Taiwan using a participatory action research design. The 3-month intervention included lectures, videos, role-playing, and biweekly case discussions. Data were collected at four time points (T0-T3).</p><p><strong>Results: </strong>The program led to statistically significant, sustained improvements in advance care planning knowledge and communication confidence across all measurement points. Qualitative findings revealed two themes: enhanced readiness for advance care planning consultations and persistent barriers to implementation.</p><p><strong>Conclusion: </strong>Structured training in advance care planning can strengthen staff capacity for meaningful end-of-life discussions; however, ongoing education and case-based support remain essential to address contextual challenges and maintain communication competence.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"277-284"},"PeriodicalIF":1.2000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Continuing Education in Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00220124-20260211-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Advance care planning is essential in nursing homes to ensure end-of-life care aligns with residents' values, yet staff often lack the knowledge and confidence to lead these discussions.
Method: This study evaluated an advance care planning training program for 37 nursing home staff in Taiwan using a participatory action research design. The 3-month intervention included lectures, videos, role-playing, and biweekly case discussions. Data were collected at four time points (T0-T3).
Results: The program led to statistically significant, sustained improvements in advance care planning knowledge and communication confidence across all measurement points. Qualitative findings revealed two themes: enhanced readiness for advance care planning consultations and persistent barriers to implementation.
Conclusion: Structured training in advance care planning can strengthen staff capacity for meaningful end-of-life discussions; however, ongoing education and case-based support remain essential to address contextual challenges and maintain communication competence.
期刊介绍：
The Journal of Continuing Education in Nursing is a monthly peer-reviewed journal publishing original articles on continuing nursing education that are directed toward continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings, for over 50 years.
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