title: [Constructing an ACP Simulation-Situation Communication Training Program for Patients With Chronic Kidney Disease].
abstract: The aging population and changing lifestyles have lead to the increased general risk of chronic kidney disease. Taiwan currently has the highest incidence and prevalence of end-stage renal disease (ESRD) of any country or region in the world. Hemodialysis patients must endure comorbidities and face the uncertainties of death. The best way to achieve a good death is for patients to sign advance care planning (ACP). However, the key factors contributing to low ACP signature rates have been the lack of communication skills and related training among medical staffs. This article explores the dilemma of ACP using an example of chronic kidney disease (CKD) and proposes a theory-based approach to develop a theoretical framework for an ACP simulation-situation communication training program that integrates the simulation situation model, PREPARED model, and scaffolding theory. Readers may use this framework to design ACP simulation-situation communication training programs that conform to their own conditions and then test the effectiveness and feasibility of these programs in clinical settings.
authors.affiliation: MSN, RN, Lecturer, Department of Nursing, Tajen University, and Doctoral Student, College of Nursing, Kaohsiung Medical University, Taiwan, ROC.
authors.forename: Jui-O
authors.initials: JO
authors.lastname: Chen
authors.affiliation: PhD, RN, Professor, College of Nursing, Kaohsiung Medical University, Taiwan, ROC. chiuchu@kmu.edu.tw.
authors.forename: Chiu-Chu
authors.initials: CC
authors.lastname: Lin
mesh_terms: D032722:Advance Care Planning; D003142:Communication; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D000066908:Simulation Training
keywords: advance care planning; chronic kidney disease; communication; good death; simulation situation