A training needs analysis of admiral nurses to facilitate advance care planning in dementia

Abstract

Education of health and social care professionals is essential in preparation to confidently and effectively support families affected by dementia to undertake advance care planning. This article describes a training needs analysis of Admiral Nurses, dementia specialists, in facilitating advance care planning for future care. Methods: A questionnaire survey was completed by Admiral Nurses attending end-of-life care masterclasses in 2017 and 2018. Both quantitative (years registered as a nurse, years as an Admiral Nurse and subjective level of confidence in completing advance care plannings) and qualitative data (interventions perceived to increase confidence) were collected. Findings: There were 75 completed responses (two incomplete returns). There was no correlation between levels of confidence and years registered as a nurse. However, there was a small positive correlation between confidence and number of years as an Admiral Nurse ( r = 0.23; p < 0.05). Themes identified qualitatively to enhance practice were advanced communication skills, supervised practice, resources to frame conversations and a guide and template for advance care planning. Conclusion: Although Admiral Nurses are specialists in dementia, several educational initiatives could be employed to better enable them to support advance care planning for families affected by dementia. This training needs analysis is contributed towards developing an educational intervention for Admiral Nurses to improve advance care planning support.

How do Admiral Nurses and care home staff help people living with dementia and their family carers prepare for end‐of‐life?

“…Reluctance to have these conversations may also be due to the confidence of the healthcare professional. Another survey of Admiral Nurses indicated experience in ACP, resources to aid initiating ACP conversations and opportunities for supervised practice of completing ACPs would increase their confidence in this skill . Our findings from care homes indicate that discussions more commonly occurred with residents who had capacity than with family; however, the frequency in which residents have capacity was not elicited and may be uncommon.…”

End of Life Care and Advance Care Planning for People with Dementia: A Pilot Simulation Course for Healthcare Professionals

“…Advance care planning (ACP) is also essential in dementia care ( Harrison Dening, Scates, McGill, & De-Vries, 2019 ). ACP is a process of discussing how an individual would like to be cared for when they are no longer able to make such decisions.…”

Penerapan Training Need Analysis dalam Penyusunan Kurikulum Pelatihan Kompetensi Nursing Informatics Kepala Ruangan

“…Materimateri tersebut merupakan perpaduan antara nursing informatics competencies dan 5 fungsi manajemen kepala ruangan (Abd El Fattah, 2017;Jouparinejad et al, 2020;Marquis & Huston, 2017;Rahman, 2015;Robbins, 2017). Kurikulum pelatihan yang disusun berdasrkan TNA diidentifikasikan dapat secara efektif dan sesuai dengan kebutuhan pelatihan yang diharapkan (Harrison Dening, Scates, McGill, & De-Vries, 2019). Secara umum kuurikulum ini bertujuan agar kepala ruangan mampu menggunakan sistem informatika dalam menjalankan pengelolaan 5 fungsi manajemen.…”

“…TNA telah cukup lama digunakan lembaga pendidikan dan pelatihan di institusi pemerintah dalam efektifitas dan efisiensi kegiatan pendidikan dan pelatihan, TNA juga mengurangi potensi pelatihan yang tidak diperlukan (Zahid Iqbal & Khan Rashid, 2011). TNA sangat penting dalam menetapkan pengembangan pendidikan berkelanjutan perawat, juga merupakan proses dalam pengembangan organisasi yang berupaya mengidentifikasi kesenjangan (Harrison Dening et al, 2019). Kompetensi perawat akan meningkat dengan pelatihan yang efektif dan efesien, TNA merupakan tahapan awal yang harus dilakukan (Mulyaningsari, Juhariyah, & Surjadi, 2016 Pengukuran peningkatan kompetensi dapat melalui metode yang tersukur seperti pre dan post test.…”