Abstract
BackgroundShared decision-making (SDM) is significantly associated with promoting the quality of end-of-life (EOL). The attitude of nurses toward the end of life can affect EOL care, but there are few SDM-related clinical learning programs focused on EOL. In this study, therefore, we evaluated the effectiveness of an EOL-simulation education program on attitudes toward SDM among nurses, using an objective structured clinical examination (OSCE).MethodsWe used a quasi-experimental study design to evaluate nurses working at a medical center in Taiwan. We recruited 100 nurses and assigned them to an experimental group (n = 50) and a control group (n = 50). The experimental group received the SDM attitude (SDMA) cultivation program, and the control group did not. After the intervention, all participants were examined in an OSCE to assess the efficacy of their learning. A p value of.05 was considered statistically significant.ResultsThe average score of the experimental group was higher than that of the control group in the dimensions “empathic communication” and “mastery learning”, but these differences were not significant. SDMA score is significantly and positively correlated with SDMA global score, standardized patient survey (SPS) score, and SPS global score (r = .92, .56, and .50, respectively; p < .01).ConclusionsSimulations concerning EOL care that incorporate SDM components would be effective for training clinical nurses. This study can serve as a reference for nursing-administration managers who may consider designing SDM-related education programs to improve the quality of clinical nursing care.
Highlights
Owing to increases in life expectancy, as well as rates of cancer and other noncommunicable diseases, the demand for end-of-life (EOL) palliative care is expected to double over the 20 years [1]
Simulations concerning EOL care that incorporate Shared decision-making (SDM) components would be effective for training clinical nurses
This study can serve as a reference for nursing-administration managers who may consider designing SDM-related education programs to improve the quality of clinical nursing care
Summary
Owing to increases in life expectancy, as well as rates of cancer and other noncommunicable diseases, the demand for end-of-life (EOL) palliative care is expected to double over the 20 years [1]. The process of shared decision-making (SDM) may help patients receiving EOL care to better achieve their wishes [2]. An observational study has revealed that patients who had died in the ICU, it was found that the processes of SDM has been significant association with quality of dying care [3]. Attitude influences actions and behaviors; a nurse’s attitude may affect their communication with palliative-care and terminally ill patients [6,7]. Shared decision-making (SDM) is significantly associated with promoting the quality of endof-life (EOL). The attitude of nurses toward the end of life can affect EOL care, but there are few SDM-related clinical learning programs focused on EOL. We evaluated the effectiveness of an EOL-simulation education program on attitudes toward SDM among nurses, using an objective structured clinical examination (OSCE)
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