Effects of an educational programme on shared decision‐making among Korean nurses

Abstract

This study was conducted to examine the effects of an educational programme on shared decision-making on end-of-life care performance, moral sensitivity and attitude towards shared decision-making among Korean nurses. A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Forty-one clinical nurses were recruited as participants from two different university hospitals located in Daegu, Korea. Twenty nurses in the control group received no intervention, and 21 nurses in the experimental group received the educational programme on shared decision-making. Data were collected with a questionnaire covering end-of-life care performance, moral sensitivity and attitude towards shared decision-making. Analysis of the data was done with the chi-square test, t-test and Fisher's exact test using SPSS/Win 17.0 (SPSS, Inc., Chicago, IL, USA). The experimental group showed significantly higher scores in moral sensitivity and attitude towards shared decision-making after the intervention compared with the control group. This study suggests that the educational programme on shared decision-making was effective in increasing the moral sensitivity and attitude towards shared decision-making among Korean nurses.

A systematic review of the effects of advance care planning facilitators training programs

“…The sample in each study varied from 16 to 278, with five [19, 20, 22, 24, 25] including more than 100 participants. Five studies were conducted in the US [17, 20, 22, 25, 26], two in Australia [19, 24], one in the UK [18], one in Canada [23] and one in Korea [21]. The majority of participants were nurses, physicians and medical students.…”

“…The majority of participants were nurses, physicians and medical students. The participants in three studies were recruited from hospitals [19, 23, 24], in three from internal medicine units [17, 18, 25] including renal medicine [18], in two from critical care units [21, 26] and in another two from students undergoing the usual medical curriculum [20, 22].…”

“…or low-intervention group2. High-intervention group reported more improved perceived skills and comfort and experience with discussing the DPAHC and end-of-life issues.Jo, 2015 [21]To examine the effects of an educational program on shared decision-making on EOL care performance, moral sensitivity and attitude towards shared decision-making among Korean nursesQuasi-experimental study with a non-equivalent control group pretest-posttest design41 ICU nurses in Korea.1. Intervention group: educational programme on shared decision-making for 60 min per session, twice a week for 4 weeks2.…”

“…Advanced technology, such as audio-visual materials [17, 19, 20, 22], online tutorials [23] and interactive patient e-simulation [19], were also used. Regarding the training content, the majority focused on ACP communication skills [17, 21, 25, 26] and the needs and experience of patient in the ACP process [17, 18, 22]. Intensity of the intervention varied from 75-min values-based ACP educational session (Lum et al [22]) to 2–3 h seminar /workshop (Greenberg et al [20]), Detering et al [19]), 8 h (Jo and An [21], Smith [25]), 2 days training (Alexander et al [17], Bristowe et al [18], Seal [24]) over a duration of 4 to 8 weeks (Jo and An [21], Murray et al [23], Wilson et al [26]).…”

Programa educativo sobre registro da pressão arterial em serviço hospitalar de emergência: um estudo de intervenção

“…A elaboração de estratégias educativas capazes de desenvolver competências e atitudes voltadas ao raciocínio crítico diante de situações complexas têm demonstrado benefícios na tomada de decisão em enfermagem, uma vez que a resolução de problemas depende não só de conhecimentos embasados em preceitos teóricos, mas também na experiência profissional (OLIVER et al, 1999;WAHL;THOMPSON, 2013;AL-DOSSARY et al, 2014;FACCO et al, 2015;JO;MADDOX, 2016MADDOX, , 2016MORRIS, 2016). Estudo realizado por Johnson (2011), com o objetivo de avaliar os fatores de influência sobre o registro de parâmetros vitais em uma unidade de emergência, demonstrou que tanto as alterações nos valores de PA quanto nos demais sinais vitais não são registradas devidamente, ora devido ao aumento na demanda por atendimento médico, ora devido as negligências durante a avaliação das condições de saúde do paciente ou na tomada de decisão clínica (JOHNSON, 2011;JOHNSON et al, 2017).…”