Aug 2026· Journal of Continuing Education in the Health Professions· 0 citations· 28 references
Medicine
TL;DR
The findings suggest that targeted, interprofessional education may support the development of role identity and legitimacy for ACP among allied health professionals and generalist nurses.
Abstract
INTRODUCTION
The implementation of advance care planning (ACP) has traditionally been confined to medical officers and specialist nurses. This study evaluated the effect of a multimodal Advance Care Planning Education (ACPEd) program for allied health professionals and generalist nurses.
Methods
Conducted within a regional health service in Queensland, Australia, the study used a single-arm, explanatory sequential mixed methods design involving 30 participants completing a three-hour workshop, and a learning circle attended by 10 participants. Quantitative data were collected through preintervention and postintervention surveys assessing perceived confidence, knowledge, skills, and role legitimacy. Qualitative data from the learning circles explored changes in clinical practice and role identity.
Results
Significant improvements were observed in confidence, t (29) = -7.820, P= <.001; knowledge, t (27) = -12.87, P= <.001; and skills, t (29) = -6.814, P= <.001. There was no significant change in perceived health professional roles, t (26) = 2.182, P= .19, indicating a strong belief that all health professional groups have a role in ACP. Three overarching themes emerged: prioritizing ACP, recognizing role legitimacy, and evolving perspectives on engagement. Despite persistent barriers including time constraints and team dynamics, participants demonstrated increased capacity and intent to initiate ACP discussions, with the ACP Tracker a key facilitator for clinical care.
Discussion
The findings suggest that targeted, interprofessional education may support the development of role identity and legitimacy for ACP among allied health professionals and generalist nurses. The ACPEd program is a scalable model for embedding ACP into practice, with implications for policy and professional development.
The #Evidencer Project, self‐directed online training in EBP was well regarded for its accessibility, flexibility, and quality, but participants perceived it as insufficient as a standalone strategy for comprehensive EBP implementation.
A. J. Ramos-Morcillo, Serafín Fernández-Salazar, José Antonio Vera-Pérez et al.· Journal of Nursing Managemen...· 0 citations
The findings support the training module's potential to contribute meaningfully to clinical prevention education for pre-professional health students but underscore the need for the training module to be modified to enable scalability and sustained engagement across varied clinical contexts.
Emily Lehman, G. Healy, R. Forbes et al.· Health Education· 0 citations
It is demonstrated that a single, well-designed interprofessional simulation session can yield meaningful educational benefits, with potential downstream benefits for patient safety in critical-care environments.
Niall Brown, Samuel Wilson, Mathieu Figeys et al.· Health Education in Practice...· 0 citations
To develop and test the relevance of a program theory underpinning a continuing professional development (CPD) program designed to support primary care nurses in adopting evidence-based mental health assessment practices.
Primary care nurses play a key role in identifying and responding to mental health needs, yet often report limited confidence and support in conducting assessments. A CPD program grounded in reflective practice and clinical supervision was co-created to address these gaps. Program design included a program theory representing the selected training processes and their expected outcomes.
Theory-driven evaluation using relevancy testing with a mixed-methods approach.
Data collection included questionnaires based on the Ability, Motivation and Opportunity (AMO) framework at baseline, post-training, and 4–6 months follow-up; semi-structured interviews; observational field notes; and a logbook. Research team members analyzed qualitative data thematically and quantitative data descriptively.
Fourteen primary care nurses from two healthcare centres in Quebec participated (
n
= 13 completed). The program enhanced nurses’ ability (knowledge, skills), motivation (confidence and professional engagement), and perceived opportunities at the individual level. Participants reported integrating new practices, including systematic screening, goal-setting, and follow-up, indicating behavioural change. Results suggest reflective and clinical supervision mechanisms that may have explained these outcomes and that enrich the initial CPD program theory.
A CPD program integrating reflective practice and clinical supervision can strengthen conditions for evidence-based mental health assessment in primary care. Sustained practice change, however, requires alignment with organizational support processes.
Ariane Girard, M. Lemée, S. Lafontaine et al.· Frontiers in Health Services· 0 citations
Patient safety and the quality of treatment are significantly influenced by staff nurses' adherence to established clinical guidelines. In a secondary-level Department of Health (DOH)-retained public hospital in Zamboanga del Sur, Philippines, this explanatory sequential mixed-methods study examined training engagement and performance feedback as determinants of staff nurses' adherence to nursing protocols. The study used a sample of 229 eligible staff nurses using a descriptive-correlational and predictive design; 149 of them took part in the quantitative phase (65% response rate). After eight interviews, qualitative data saturation was reached, and two further interviews verified this. Jamovi software was used to analyze quantitative data in order to calculate multiple linear regression with bootstrapping, Spearman's rank correlation, and descriptive statistics. Using semi-structured in-depth interviews and a qualitative inquiry informed by the Appreciative Inquiry (AI) 4D Framework (Discover, Dream, Design, and Destiny), the next qualitative phase investigated nurses' peak operational practices and success-oriented behaviors. All subcategories had strong baseline levels of protocol compliance, performance feedback, and training engagement, according to quantitative studies. According to multiple linear regression, typical supervisory feedback channels need a deliberate structural makeover, even though training engagement serves as a main positive predictor of protocol compliance. Five key compliance facilitators were identified using qualitative theme analysis: (a) experiential and simulation-based learning; (b) peer collaboration and mentorship; (c) constructive and reflective feedback; (d) the methodical application of procedural checklists; and (e) supportive leadership. According to integrated findings, protocol compliance is an intricate operational procedure. Healthcare organizations need to shift from high-volume, punitive performance audits to focused, reflective developmental coaching in order to optimize frontline autonomy and self-efficacy. The study comes to the conclusion that, in settings with limited resources, maintaining a culture of patient safety and promoting compliance habits require ongoing training involvement and developmental feedback.
Mary Darline Denosca, Darven Clark Sarmiento, Andrea Tanudra et al.· International journal of res...· 0 citations
INTRODUCTION
Recruiting international registered nurses (RNs) is one solution health care systems employ to address nursing shortages; however, these nurses often encounter challenges. The purpose of this study was to explore international RNs' experiences at a large health system in the United States and identify strategies to effectively integrate these RNs into U.S. health care systems.
METHODS
A mixed-methods study design was used. Nurses involved in the health system's International RN Program, all of whom were from the Philippines, were invited to participate in a survey and interviews.
RESULTS
A total of 114 Filipino RNs completed the survey, and nine participated in interviews. Findings highlighted supportive workplace relationships, but challenges remained in community integration, orientation, and adapting to new clinical practices and communication styles.
DISCUSSION
Recommended strategies to support international RNs include extending orientation programs, providing refresher sessions, offering structured mentorship programs, and providing cultural adaptation programs.
Y. Wen, Qing Yang, Deborah H Allen et al.· Journal of Transcultural Nur...· 0 citations
