Enhancing End-of-Life Care Competencies of New Graduate Nurses With an Interactive e-Book and Experiential Learning: A Mixed-Methods Study

Background: New graduate nurses often do not have adequate preparation for end-of-life care (EOLC). This study evaluated a blended program integrating an interactive e-book and experiential learning to improve EOLC knowledge, attitudes, learning satisfaction, and reflection. Method: This mixed-methods study included 65 new graduate nurses from a regional teaching hospital in Taiwan. The intervention comprised e-book self-learning followed by a simulated post-mortem care experiential activity. Quantitative outcomes were measured with structured questionnaires at five assessment points across two instructional phases. Qualitative data were obtained from reflective worksheets completed after experiential sessions ( n = 45) to explore learners' experiences and reflection. Results: Knowledge improved significantly, with greater gains after experiential learning. Attitude changes were modest, although experiential learning produced larger improvements than e-book self-learning and showed short-term effects. Satisfaction was high for both components. Qualitative reflections highlighted perspective-taking, respectful body care, family guidance, and enhanced competence with reduced fear. Conclusion: The digital–experiential model strengthened the competencies of new graduate nurses in EOLC. Integrating such training into routine in-service education with reinforcement and reflection may support high-quality, dignified EOLC.