College of Nursing/The Research Institute for Hospice and Palliative Care, The Catholic University of Korea, Postal No. 06591, 222 Banpo-daero, Seocho-gu, Seoul, South Korea.
Department of Nursing, Suwon Women's University, Postal No.16632, 72 Onjeong-ro, Gwonseon-gu, Suwon-si, Gyeonggi-do, South Korea.
Nurse Educ Pract. 2023 Feb;67:103555. doi: 10.1016/j.nepr.2023.103555. Epub 2023 Jan 23.
This study aimed to assess how an advance care planning training program affected advanced practice nursing students' knowledge, confidence and perception of end-of-life care in South Korea.
Effective communication between healthcare providers, patients and their families is one of the most important components of quality end-of-life care. However, nurses in South Korea may feel uncomfortable helping patients and families with advance care planning because of the cultural taboo against talking about dying.
A mixed-method design was used with data obtained from self-administered questionnaires at the onset and end of the advance care planning training program and qualitative data from participant feedback after the program.
Data collected from 65 advanced practice nursing students who participated in advance care planning training programs in June-July 2020 and 2021, conducted as part of a graduate clinical practice course, were analyzed. Data were originally collected to examine students' course outcomes. A training program was provided to advanced practice nursing students to improve their knowledge, confidence and perception in advance care planning conversations with their patients. The program comprised three sessions: online lectures, face-to-face simulations and discussions on advance care planning and ethical issues. Changes in advance care planning knowledge, confidence in supporting patients' advance directives, perceived nursing roles in end-of-life treatment decisions and perception of a good death were examined before and after the training.
There were statistically significant increases in participants' advance care planning knowledge, confidence in supporting patients' advance directives and perception of the active role of nurses in patients' end-of-life treatment decisions after the training.
The results indicate the effects of training programs on advanced practice nursing students' knowledge, confidence and perception of advance care planning communication. They also provide evidence about what contents and methods can be helpful in developing end-of-life care training for advanced practice nursing students.
本研究旨在评估一项预先护理计划培训计划如何影响韩国高级实践护理学生对临终关怀的知识、信心和认知。
医疗保健提供者、患者及其家属之间的有效沟通是优质临终关怀的最重要组成部分之一。然而，由于韩国文化忌讳谈论死亡，护士可能会感到不舒服，无法帮助患者和家属进行预先护理计划。
本研究采用混合方法设计，在预先护理计划培训课程开始和结束时，通过自我管理问卷获得数据，并在课程结束后从参与者的反馈中获得定性数据。
对 2020 年 6 月至 7 月期间参加预先护理计划培训课程的 65 名高级实践护理学生的数据进行了分析，该课程是研究生临床实践课程的一部分。最初收集数据是为了检查学生的课程成果。为了提高学生在与患者进行预先护理计划对话方面的知识、信心和认知，为高级实践护理学生提供了一项培训计划。该计划包括三个部分：在线讲座、面对面模拟以及预先护理计划和伦理问题的讨论。在培训前后，检查了预先护理计划知识、支持患者预先指示的信心、临终治疗决策中护士感知角色以及对美好死亡的感知方面的变化。
培训后，参与者在预先护理计划知识、支持患者预先指示的信心以及对护士在患者临终治疗决策中积极角色的感知方面均有统计学上的显著提高。
结果表明培训计划对高级实践护理学生预先护理计划沟通的知识、信心和认知的影响。它们还提供了有关可以帮助为高级实践护理学生开发临终关怀培训的内容和方法的证据。
