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Effects of an educational programme on shared decision-making among Korean nurses
1College of Nursing, Catholic University of Daegu, Daegu, Korea.
International Journal of Nursing Practice
|April 10, 2014
Summary
An educational program improved Korean nurses' moral sensitivity and attitudes toward shared decision-making in end-of-life care. The study highlights the program's effectiveness in enhancing nurses' ethical considerations and collaborative care approaches.
Area of Science:
- Nursing Education
- Bioethics
- Healthcare Decision-Making
Background:
- Shared decision-making (SDM) is crucial in end-of-life care, yet nurses' engagement and understanding can be limited.
- Moral sensitivity and attitudes towards SDM significantly influence the quality of patient care, particularly in critical situations.
- There is a need for effective educational interventions to enhance nurses' capacity for SDM in end-of-life care.
Purpose of the Study:
- To evaluate the impact of an educational program on shared decision-making (SDM).
- To assess changes in end-of-life care performance, moral sensitivity, and attitudes towards SDM among Korean nurses.
- To determine the effectiveness of SDM education in improving nurses' ethical decision-making and patient-centered care.
Main Methods:
- A quasi-experimental study with a non-equivalent control group pretest-posttest design was employed.
- Forty-one Korean nurses from two university hospitals participated, with 21 in the experimental group and 20 in the control group.
- Data were collected using questionnaires assessing end-of-life care performance, moral sensitivity, and attitudes towards SDM, analyzed with SPSS.
Main Results:
- The experimental group demonstrated significantly higher scores in moral sensitivity post-intervention compared to the control group.
- Nurses receiving the SDM educational program showed significantly improved attitudes towards shared decision-making.
- No significant difference was found in end-of-life care performance between the groups, suggesting a focus on ethical and attitudinal shifts.
Conclusions:
- The educational program on shared decision-making was effective in enhancing moral sensitivity among Korean nurses.
- The intervention positively influenced nurses' attitudes towards shared decision-making in end-of-life care.
- Targeted education can improve nurses' ethical awareness and readiness for collaborative decision-making in critical care settings.
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