Abstract
The lack of knowledge of advance care planning and training of communication skills among nurses in Taiwan is one of the main reasons for the low rate of advance directive signing. However, there is no specific and effective solution to this problem. The purposes of this study were (1) to develop and pilot testing of an advance care planning simulation-based communication training program and (2) to evaluate the feasibility and acceptability of the program. This study was conducted in three phases. Phase 1: Developing an advance care planning simulation-based communication training program; Phase 2: Conducting a pilot test; Phase 3: Evaluating the feasibility and acceptability of the program. Twelve convenient participants from a medical center in central Taiwan were selected. The participants believed that team-based learning was beneficial for several reasons. First, it helped to clarify the participants’ understanding of advance care planning and improve their communication skills. Second, role-playing, as one of the components, was helpful for discovering their own shortcomings in communication skills while debriefing enabled them to identify their blind spots in the communication process. Finally, the reflection log documented their weekly performance so they were able to reflect upon their weekly performance, improve their performance, and become more confident. All twelve participants signed the consent form and completed the whole training program. The participants were satisfied with the program, affirming that the timing and content of the program were appropriate and that the expected learning outcomes could be achieved. According to participant feedback, the program was beneficial in improving their knowledge of advance care planning and confidence in communication. Thus, it is feasible and acceptable to introduce communication of advance care planning programs into the staff training protocols of healthcare organizations.
Clinical trial registration: NCT04312295.
Funder
Ministry of Science and Technology, Taiwan
Publisher
Public Library of Science (PLoS)
Reference35 articles.
1. Age and gender differences in the relationship between hepatitis C infection and all stages of Chronic kidney disease;WC Li;J Viral Hepat,2014
2. In good conscience-safely withholding dialysis in the elderly;I Dasgupta;Semin Dial,2009
3. Palliative care for dialysis patients: choose a day or hit the day?;CT Chao;Kidney and Dialysis,2014
4. Palliative medical care for elderly patients with severe renal failure;HB Tsai;Kidney and Dialysis,2011
5. Use of advance directives for nursing home residents in the emergency department;RM Weinick;Am J Hosp Palliat Care,2008
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