Effects of a Web-Based End-of-Life Care Education Program Using the ARCS Model for Nursing Home Nurses: A Quasi-Experimental Study.

Purpose: End-of-life care is a multifaceted and holistic domain of nursing practice, and strengthening the competencies of nursing home nurses has become increasingly important in the context of a rapidly aging global population. This study aimed to apply the attention, relevance, confidence, and sa...

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Published in:Journal of Fundamental Nursing Science Vol. 33; no. 1; pp. 39 - 48
Main Authors: Lee, Ye-Na, Kim, Dayeong, Choi, Young-Rim, Kwon, Dai-Young, Chang, Sung Ok
Format: clinical trial research tables/charts Journal Article
Published: Korean Academy of Fundamentals of Nursing Feb2026
Online Access:View this record in EBSCOhost
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      dt: Feb2026
      vid: 33
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      pub: Korean Academy of Fundamentals of Nursing
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        10.7739/jkafn.2026.33.1.39
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        atl: Effects of a Web-Based End-of-Life Care Education Program Using the ARCS Model for Nursing Home Nurses: A Quasi-Experimental Study.
      aug:
        au:
          Lee, Ye-Na
          Kim, Dayeong
          Choi, Young-Rim
          Kwon, Dai-Young
          Chang, Sung Ok
        affil: Assistant Professor, Department of Nursing, The University of Suwon, Hwaseong, Korea
      sug:
        subj:
          Terminal Care Education
          Nursing Homes
          Nurses Education
          Clinical Competence Evaluation
          Motivation Evaluation
          Education, Nursing, Continuing
          Computer-Assisted Instruction
          Models, Educational
          Program Evaluation
          Outcomes of Education
          South Korea
          Human
          Female
          Male
          Adult
          Middle Age
          Quasi-Experimental Studies
          Clinical Trials
          Comparative Studies
          Pretest-Posttest Control Group Design
          Education, Non-Traditional
          Attention
          Confidence
          Personal Satisfaction
          Learning
          Semi-Structured Interview
          Descriptive Statistics
          Course Content
          Multicenter Studies
          Single-Blind Studies
          Online Education
          Power Analysis
          Convenience Sample
          Questionnaires
          Summated Rating Scaling
          Data Analysis Software
          Chi Square Test
          Fisher's Exact Test
          T-Tests
          Paired T-Tests
          Analysis of Covariance
          Snowball Sample
          Scales
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: End-of-life care is a multifaceted and holistic domain of nursing practice, and strengthening the competencies of nursing home nurses has become increasingly important in the context of a rapidly aging global population. This study aimed to apply the attention, relevance, confidence, and satisfaction (ARCS) model to a web-based end-of-life care education program and to evaluate its effects on learning motivation and end-of-life care competency among nursing home nurses. Methods: The education program was developed using the analysis, design, development, implementation, and evaluation (ADDIE) model. In Phase 1, needs and learner analyses were conducted through interviews with 20 nursing home nurses to inform the development of the educational content. In Phase 2, the effectiveness of the program was evaluated using a multisite, single-blind, quasi-experimental design. A total of 60 nursing home nurses were recruited and assigned to two groups. The experimental group received a web-based end-of-life care education program grounded in the ARCS model, whereas the control group received text-based online education. Results: The analysis demonstrated that all components of learning motivation and end-of-life care competency showed significantly greater improvement in the experimental group than in the control group. Conclusion: These findings support the effectiveness of ARCS-based instructional design in continuing education for nursing home nurses, particularly in addressing the growing demand for high-quality end-of-life care in aging societies.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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