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[Constructing an ACP Simulation-Situation Communication Training Program for Patients With Chronic Kidney Disease].
1MSN, RN, Lecturer, Department of Nursing, Tajen University, and Doctoral Student, College of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Za Zhi the Journal of Nursing
|June 3, 2016
Summary
Advance care planning (ACP) improves end-of-life care for chronic kidney disease (CKD) patients. Training medical staff in communication skills is crucial to increase ACP adoption rates.
Area of Science:
- Nephrology
- Medical Education
- Palliative Care
Context:
- Aging populations and lifestyle changes increase chronic kidney disease (CKD) risk.
- Taiwan faces the world's highest end-stage renal disease (ESRD) incidence and prevalence.
- Hemodialysis patients experience significant comorbidities and mortality risks.
Purpose:
- To address the low rates of advance care planning (ACP) signature among patients.
- To explore the challenges in ACP communication within the context of CKD.
- To propose a theory-based framework for developing ACP communication training programs.
Summary:
- This article presents a theoretical framework for an ACP communication training program for healthcare professionals.
- The framework integrates the simulation situation model, PREPARED model, and scaffolding theory.
- It aims to equip medical staff with essential communication skills to enhance ACP discussions.
Impact:
- Provides a scalable model for designing and implementing effective ACP communication training.
- Facilitates improved end-of-life care discussions for patients with chronic kidney disease.
- Offers a foundation for future research on the efficacy and feasibility of simulation-based ACP training.
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