End-of-life care at home is increasingly important, but many home-visit nursing agencies struggle with how to educate staff effectively. In particular, managers are often responsible for teaching end-of-life care while also managing daily operations, and they may lack structured educational support.
We developed a one-hour online lecture-based training program for managers of home-visit nursing agencies, focusing on how to provide end-of-life care education within their workplaces. The program combined three elements: sharing common challenges faced by staff, learning educational methods based on established educational theories, and discussing practical teaching approaches using real case scenarios.
To evaluate the effectiveness of this program, we conducted a randomized controlled trial. A total of 120 visiting nurses were recruited and randomly assigned to either an intervention group or a control group. Knowledge and attitudes toward end-of-life care education were assessed before and after the intervention.
The results showed that managers who participated in the training demonstrated significantly higher knowledge about workplace-based end-of-life care education and more positive attitudes toward educational methods compared with those in the control group. These findings suggest that short, theory-informed online training can strengthen managers’ capacity to support end-of-life care education in home-visit nursing agencies.
