A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care

In the context of an ageing population, many healthcare professionals have limited experience and confidence in having necessary advance care planning (ACP) conversations. We conducted nine half-day simulation sessions, using professional actors. One-hundred and thirty-two participants attended from...

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Published inClinical medicine (London, England) Vol. 22; no. 1; pp. 51 - 57
Main Authors Owen, Lucy, Steel, Anna, Goffe, Kristin, Pleming, Joanna, Sampson, Elizabeth L
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.01.2022
Royal College of Physicians
Subjects
Advance Care Planning
Advance directives
Communication
Computer Simulation
Confidence
Education
Family physicians
Feedback
frailty
Health Personnel
Hospitals
Humans
multidisciplinary
Original Research
Palliative care
Patient satisfaction
Physicians
Planning
Professional ethics
Professionals
Questionnaires
Secondary Care
Simulation
simulation teaching
Teaching
Verbal communication
United Kingdom > UK
England
frailty
multidisciplinary
palliative care
advance care planning
simulation teaching
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Summary:In the context of an ageing population, many healthcare professionals have limited experience and confidence in having necessary advance care planning (ACP) conversations. We conducted nine half-day simulation sessions, using professional actors. One-hundred and thirty-two participants attended from multidisciplinary backgrounds across primary and secondary care. Following the course, 90.2% felt confident or very confident initiating conversations, compared with 14.4% beforehand. Understanding of when ACP is appropriate also increased from 70% to 100%. Post-course, 98% of participants stated that they would be more likely to initiate an ACP. Three months later, 86% had a sustained change in practice. All participants said they would recommend this simulation course and multidisciplinary approach. Multidisciplinary simulation training is an effective way to teach ACP to doctors, nurses and allied healthcare professionals. The simulation was shown to improve participant understanding, confidence and reduce barriers to discussions, both immediately and 3 months later.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmed.2021-0240