Author:
Goto Yuko,Miura Hisayuki,Yamaguchi Yasuhiro,Onishi Joji
Abstract
Abstract
Background
We developed a novel training program for health care professionals that incorporated shared decision making (SDM) skills training into an advance care planning (ACP) training course, the first in Japan. This study aimed to assess the training program’s impact on health care professionals’ knowledge, skill, attitudes, and confidence to initiate ACP.
Methods
Using the novel Japanese educational program, we evaluated the effect of 8-month programs conducted eight community training sites of professionals who can practice ACP in a local area in Aichi Prefecture (the Aichi ACP Project). SDM skills training was provided during the workshops conducted in the ACP training course, and the participants’ satisfaction and understanding of the training were assessed. After the completion of two workshops, information on SDM skill results from the training and submitted assignments were collected anonymously from the training sites.
Result
A total of 404 participants completed all education programs. After the first workshop, at least 95% of trainees stated that they were satisfied with the training and that it was useful for ACP practice. The evaluation of the results between the first and second workshops indicated improvement in SDM skills on some items of the SDM measures. In the second workshop, at least 90% of participants submitted implementation reports, and after the second workshop, a survey of confidence in ACP practice was administered, with responses indicating improvement. There were high levels of interest in education related to the ACP practices of oneself and others.
Conclusions
This educational program can be an effective for developing professionals who can practice ACP with SDM skills.
Publisher
Springer Science and Business Media LLC
Reference45 articles.
1. Health and Welfare Bureau for the Elderly, Ministry of Health, Labour and Welfare of Japan. Changes in the percentage of the population over age 65. Long-term care insurance system of Japan. https://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/dl/ltcisj_e.pdf. Accessed 21 Apr 2022.
2. Goswami P. Advance care planning and end-of-life communications: practical tips for oncology advanced practitioners. J Adv Pract Oncol. 2021;12:89–95.
3. Owen L, Steel A. Advance care planning: what do patients want? Br J Hosp Med (Lond). 2019;80:263–7.
4. Chiarchiaro J, Buddadhumaruk P, Arnold RM, White DB. Prior advance care planning is associated with less decisional conflict among surrogates for critically ill patients. Ann Am Thorac Soc. 2015;12:1528–33.
5. Department of Health and Social Care -GO.UK. End of life care Strategy: promoting high quality care for adults at the end of their life. https://www.gov.uk/government/publications/end-of-life-care-strategy-promoting-high-quality-care-for-adults-at-the-end-of-their-life. Accessed 21 Apr 2022.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献