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The effects of a Multi-media Experiential Advance Care Planning (MEACP) training programme for nurses in the acute
Carmen W H Chan1, Nancy H Y Ng2, Helen Y L Chan1
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
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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