Background
The signing rate for advance directives is only 1%, far below the aging population ratio. Promoting advance care planning consultations by nursing home staff is essential to ensure a good end-of-life experience, thereby creating a 3-win situation for patients, families, and society.

Objective
This study explores the impact of educational training on nursing home staff's knowledge of ACP and their communication confidence in ACP consultations.

Methods
This action research study employed convenience sampling to conduct ACP educational training from September 2023 to March 2024. The program included classroom teaching, videos, role-playing, discussions, and reflections. Data collection and analysis were conducted using the ACP Knowledge Scale and ACP Communication Confidence Scale with pre-tests, post-tests, and follow-up assessments at one and three months.

Results
The results of the two action research cycles, analyzed using GEE, showed statistically significant differences in time (Wald χ2=30.45, P=0.000) and group (Wald χ2=10.74, P=0.001). The training effectively improved nursing staff’s ACP knowledge and communication confidence. However, there was no significant difference between the two groups (Wald χ2=0.90, P=0.343).

Conclusion
Nursing home staff still face many challenges in ACP consultations. It is recommended to regularly conduct ACP in-service training and clinical case discussions to enhance their clinical care abilities and communication skills. This, in turn, can boost their confidence in discussing ACP with residents and their families during clinical care, thereby promoting a peaceful end-of-life care environment in nursing homes.

Authors:
Hsu Hui Chen, Chang Gung Memorial Hospital, Taoyuan Branch, Taiwan
Hsiao Yun Chang, Chang Gung University of Science and Technology, Taiwan

About the Presenter(s)
Chen Hsui Hui is a specialist nurse at Chang Gung Memorial Hospital, Taoyuan Branch, Taiwan.

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