The effectiveness of simulation education program on shared decision-making attitudes among nurses in Taiwan
Shared 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 effectivene...
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| creator | Lin, Mei-Hsiang Lin, Shu-Chuan Lee, Yu-Hsia Wang, Pao-Yu Wu, Hon-Yen Hsu, Hsiu-Chin |
| description | Shared 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). We 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. The 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). Simulations 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. |
| doi_str_mv | 10.1371/journal.pone.0257902 |
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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). We 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. The 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). Simulations 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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0257902</identifier><identifier>PMID: 34582501</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Attitudes ; Biology and Life Sciences ; Cancer ; Clinical decision making ; Communication ; Community colleges ; Decision making ; Education ; End of life ; Evaluation ; Health aspects ; Health care facilities ; Health care policy ; Hospitals ; Internal medicine ; Learning ; Learning programs ; Medicine and Health Sciences ; Nurses ; Nursing ; Nursing education ; Palliative care ; Patient satisfaction ; People and Places ; Performance evaluation ; Preventive medicine ; Services ; Simulation ; Simulation methods ; Social Sciences ; Statistical analysis</subject><ispartof>PloS one, 2021-09, Vol.16 (9), p.e0257902-e0257902</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Lin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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). We 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. The 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). Simulations 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.</description><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Clinical decision making</subject><subject>Communication</subject><subject>Community colleges</subject><subject>Decision making</subject><subject>Education</subject><subject>End of life</subject><subject>Evaluation</subject><subject>Health aspects</subject><subject>Health care facilities</subject><subject>Health care policy</subject><subject>Hospitals</subject><subject>Internal medicine</subject><subject>Learning</subject><subject>Learning programs</subject><subject>Medicine and Health Sciences</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing education</subject><subject>Palliative care</subject><subject>Patient satisfaction</subject><subject>People and 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effectiveness of simulation education program on shared decision-making attitudes among nurses in Taiwan</title><author>Lin, Mei-Hsiang ; Lin, Shu-Chuan ; Lee, Yu-Hsia ; Wang, Pao-Yu ; Wu, Hon-Yen ; Hsu, Hsiu-Chin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-aee9fd3f6cad803298ce11b2ab8e8f32a94ca2d96aff3a90e2c3c50340cb64b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Attitudes</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Clinical decision making</topic><topic>Communication</topic><topic>Community colleges</topic><topic>Decision making</topic><topic>Education</topic><topic>End of life</topic><topic>Evaluation</topic><topic>Health aspects</topic><topic>Health care facilities</topic><topic>Health care policy</topic><topic>Hospitals</topic><topic>Internal medicine</topic><topic>Learning</topic><topic>Learning 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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). We 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. The 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). Simulations 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.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34582501</pmid><doi>10.1371/journal.pone.0257902</doi><tpages>e0257902</tpages><orcidid>https://orcid.org/0000-0002-4188-6413</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Attitudes Biology and Life Sciences Cancer Clinical decision making Communication Community colleges Decision making Education End of life Evaluation Health aspects Health care facilities Health care policy Hospitals Internal medicine Learning Learning programs Medicine and Health Sciences Nurses Nursing Nursing education Palliative care Patient satisfaction People and Places Performance evaluation Preventive medicine Services Simulation Simulation methods Social Sciences Statistical analysis |
| title | The effectiveness of simulation education program on shared decision-making attitudes among nurses in Taiwan |
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