Integrating Advance Care Planning into End-of-Life Education: Nursing Students' Reflections on Advance Health Care Directive and Five Wishes Assignments.
Background/Objectives: End-of-life care is a vital part of nursing education that has been overlooked until recent years. Advance care planning should be incorporated into the prelicensure nursing curriculum to build student nurses' confidence in aiding patients and families with their preferred fut...
| Publicado en: | Nursing Reports Vol. 15; no. 8; pp. 270 - 280 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187615768&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187615768 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Aug2025 vid: 15 iid: 8 pid: 97109 pub: MDPI artinfo: ui: 187615768 187615768 187615768 10.3390/nursrep15080270 187615768 ppf: 270 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Integrating Advance Care Planning into End-of-Life Education: Nursing Students' Reflections on Advance Health Care Directive and Five Wishes Assignments. aug: au: Doan, Therese Brennan, Sumiyo affil: School of Nursing, San Francisco State University, San Francisco, CA 94132, USA sug: subj: Advance Care Planning Education Terminal Care Education Students, Nursing Psychosocial Factors Reflection Advance Directives Licensure, Nursing Experiential Learning Student Attitudes Evaluation Education, Nursing Human Male Female Adult Middle Age Confidence Nurse-Patient Relations Professional-Family Relations Exploratory Research Patient Advocacy Theory-Practice Relationship Questionnaires Professional Autonomy Descriptive Research Open-Ended Questionnaires Decision Making, Clinical Conversation Curriculum Teaching Methods Self-Awareness Professional Competence Patient Centered Care Convenience Sample United States Survey Research Chronic Disease Therapy Palliative Care Nursing Disease Management Education Hospice Care Communication Cultural Competence Ethics, Nursing Emotions Perception Thematic Analysis Nursing Role Documentation Empowerment Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background/Objectives: End-of-life care is a vital part of nursing education that has been overlooked until recent years. Advance care planning should be incorporated into the prelicensure nursing curriculum to build student nurses' confidence in aiding patients and families with their preferred future care plans. Advance care planning tools, such as the Advance Health Care Directive (AHCD) and Five Wishes, provide experiential learning opportunities that bridge theoretical knowledge with real-world patient advocacy. In this study, students were asked to complete either the AHCD or Five Wishes document as though planning for their own end-of-life care, encouraging personal reflection and professional insight. Embedding these assignments into nursing education strengthens students' confidence in facilitating end-of-life discussions. This study applied Kolb's experiential learning theory, including concrete experience, reflective observation, abstract conceptualization, and active experimentation, to explore student nurses' perspectives on the Advance Health Care Directive and Five Wishes assignments, as well as their understanding of end-of-life care. Methods: This study used an exploratory–descriptive qualitative design featuring one open-ended question to collect students' views on the assignments. Results: The final sample comprised 67 prelicensure student nurses from Bachelor of Science and Entry-Level Master's programs. The Advance Health Care Directive and/or Five Wishes assignment enhanced students' understanding of end-of-life decision-making. Conclusions: It is essential to complete the assignment and immerse oneself in an end-of-life situation to grasp patients' perspectives and concerns regarding when to engage in difficult conversations with their patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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