Effects of a Web-Based End-of-Life Care Education Program Using the ARCS Model for Nursing Home Nurses: A Quasi-Experimental Study

Purpose: End-of-life care is a multifaceted and holistic domain of nursing practice, and strengthening the competencies of nursing home nurses has become increasingly important in the context of a rapidly aging global population. This study aimed to apply the attention, relevance, confidence, and satisfaction (ARCS) model to a web-based end-of-life care education program and to evaluate its effects on learning motivation and end-of-life care competency among nursing home nurses.Methods: The education program was developed using the analysis, design, development, implementation, and evaluation (ADDIE) model. In Phase 1, needs and learner analyses were conducted through interviews with 20 nursing home nurses to inform the development of the educational content. In Phase 2, the effectiveness of the program was evaluated using a multisite, single-blind, quasi-experimental design. A total of 60 nursing home nurses were recruited and assigned to two groups. The experimental group received a web-based end-of-life care education program grounded in the ARCS model, whereas the control group received text-based online education.Results: The analysis demonstrated that all components of learning motivation and end-of-life care competency showed significantly greater improvement in the experimental group than in the control group.Conclusion: These findings support the effectiveness of ARCS-based instructional design in continuing education for nursing home nurses, particularly in addressing the growing demand for high-quality end-of-life care in aging societies.