Journal of Continuing Education in the Health Professions (01/08/21) Pearse, Wendy; Saxon, Robyn; Plowman, Greg; et al.
A systematic literature review of interventional studies of continuing education (CE) programs sought to characterize their application for advance care planning (ACP). The authors searched five electronic databases and manually searched reference lists. In all, 45 articles were selected. Participants — primarily medical, nursing, and social work staff, as well as students — reported the CE interventions improved their confidence, knowledge, and skills. Additionally, they said multimodal programs that used initial didactic teaching, role-playing simulation activities, and other tasks were the most effective at increasing ACP in medical records. As there was limited evidence of improved clinical outcomes, the researchers recommend additional research using rigorous methodological approaches. Possible methods of determining the "most appropriate and effective education resources," they add, include needs analyses and quality indicators.