Pre-course, n=132 | Immediately post-course, n=132 | 3 months post-course, n=59 | ||
---|---|---|---|---|
Prior training in ACP, % | Yes | 28 | n/a | n/a |
No | 72 | n/a | n/a | |
Confidence in initiating ACP (from 1=poor to 5=very good) | Mean | 2.8 | 4.1 | 3.8 |
Median | 3 | 4 | 4 | |
Understanding of when ACP is appropriate (timing), % | Yes | 70 | 100 | 100 |
No | 25 | 0 | 0 | |
Unanswered | 5 | 0 | 0 | |
Main barriers to ACP, % | Worries about upsetting patients/families | 65 | 24 | 25 |
Not enough time | 55 | 56 | 45 | |
Not feeling confident | 47 | 12 | 15 | |
Not feeling it is appropriate | 26 | 13 | 17 | |
Other | 12 | 11 | 19 | |
Lack of opportunity | 0 | 0 | 31 | |
Frequency of ACP conversations, % | At least weekly | 24 | n/a | 24 |
Monthly | 24 | n/a | 34 | |
Every few months | 30 | n/a | 25 | |
Yearly or less | 17 | n/a | 9 | |
Other | 5 | n/a | 8 | |
Whose responsibility did they think it is to have these conversations, % | GP | 10 | n/a | n/a |
Consultant | 8 | n/a | n/a | |
Junior doctor | 6 | n/a | n/a | |
Nurse | 0.8 | n/a | n/a | |
Any of these | 88 | n/a | n/a | |
Other | 2 | n/a | n/a | |
Unanswered | 0.8 | n/a | n/a | |
Had there been a change in their practice following this training, % | Yes | n/a | 98 | 86 |
No | n/a | 1.5 | 14 | |
Unanswered | n/a | 0.5 | 0 | |
Would they recommend simulation to teach ACP, % | Yes | n/a | 100 | 100 |
No | n/a | 0 | 0 | |
Would they recommend the MDT approach to this ACP simulation, % | Yes | n/a | 100 | 100 |
No | n/a | 0 | 0 |
ACP = advance care planning; GP = general practitioner; MDT = multidisciplinary team.