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Evaluating a motivational interviewing-based communication program for nurses in advance care planning: a
1Dongnam Health University Department of Paramedicine, 50 Cheoncheon-Ro 74Beon-Gil, Jangan-Gu, Suwon, Gyeonggi-Do, 16328, South Korea.
BMC Palliative Care
|June 3, 2026
Summary
A motivational interviewing program enhanced nurses' advance care planning communication skills, significantly improving their self-efficacy and confidence in end-of-life discussions. Further research is needed to confirm long-term effectiveness.
Area of Science:
- Nursing Education
- Healthcare Communication
- Advance Care Planning
Background:
- Nurses' limited communication skills and confidence hinder advance care planning (ACP).
- Motivational interviewing (MI) is an evidence-based approach for patient-centered decision-making.
- The application of MI in ACP training for nurses requires further exploration.
Purpose of the Study:
- To evaluate an MI-based ACP communication program for nurses.
- To assess the program's impact on nurses' knowledge, attitudes, self-efficacy, and confidence in ACP communication.
Main Methods:
- A quasi-experimental pretest-posttest design with a control group was used.
- The intervention group (18 nurses) received a 3-week MI-based ACP program.
- The control group (18 nurses) received standard care and informational materials.
Main Results:
- The intervention group showed significant improvements in communication self-efficacy and ACP communication confidence.
- No significant differences were found in end-of-life care knowledge or attitudes toward advance directives.
- The program partially enhanced nurses' ACP communication competencies.
Conclusions:
- Integrating MI principles into nursing training can improve ACP communication self-efficacy and confidence.
- The findings support the use of MI-based programs to enhance nurses' engagement in ACP.
- Larger studies with longitudinal follow-up are recommended to validate these results.
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