The goal of this cluster randomized controlled trial is to examine the effectiveness of a nurse-led advance care planning (ACP) intervention on improving ACP discussion uptake in residential care homes (RCHs). The main question it aims to answer is: The effectiveness of nurse-led advance care planning (ACP) interventions implemented on eligible residents in residential care homes on improving ACP discussion uptake in this population. Compared to participants in the control group who will only receive usual care with no ACP intervention, residents and their family members in the intervention group will be invited to attend the ICP meeting with ACP discussion. The ACP discussion will be guided by the established protocol, which was developed by the expert panel and delivered by trained nurses.
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Change from Baseline in Chart review at post-intervention
Timeframe: baseline and immediately after the intervention
Change from Baseline in Chart review at 1-year follow-up time point.
Timeframe: 1-year follow-up (i.e., 1 year after the launch of the ACP intervention)
Change from Baseline in Chart review at 2-year follow-up time point.
Timeframe: 2-year follow-up (i.e., 2 years after the launch of the ACP intervention at the RCH).