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Building Nursing Home Staff Knowledge and Confidence in Communicating About Advance Care Planning
Hsiu-Hui Chen1, Hsiao-Yun Chang2, Pin-Hsuan Huang3
1Department of Nursing, Taoyuan Chang Gung Memorial Hospital.
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.
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