Effectiveness of Palliative Learning Model Based on Transformational Learning Theory on the Achievement of Nursing Student' Competency

Background: The problem faced by nursing students is the achievement of nursing students' competence which is found to be less than optimal. One of the obstacles identified as the cause is that the learning model applied is still using the traditional conventional model. Palliative care requires implementing a learning model that emphasizes authentic relationships. Therefore, it is necessary to implement learning that prioritizes authentic relationships. This study aims to see the effectiveness of the palliative learning model based on transformational learning theory to increase nursing students' competencies in palliative care. Method: The study was conducted quasi-experimental with a control group design. The total sample of 52 students for each group. The variables in this study were the TLT-based palliative learning module and nursing students' competencies. The instrument used was a TLT-based palliative learning module and Nursing Student Competency Achievement questionnaire. Data collection was carried out in September 2021-February 2022 online via media zoom, WhatsApp groups and Google forms, beginning with a pre-test in both groups. The intervention was carried out by implementing the teaching and learning process using TLT-based palliative learning and practicum modules for 14 meetings and conventional learning modules for the control group. The statistical test used Generalized Linear Models Repeated Measure (GLM-RM). This research has received ethical approval from the ethics committee. Results: The respondent's characteristic was at the age of 19 years, namely 30 (57.7%), women 45 (86.5%). The highest proportion of religion was Hinduism 47 (90.4%). The socio-cultural background was Balinese cultural background, which is 50 (96.5%). Most parents' occupations were self-employed, namely 18 (34.6%). The results showed an effect of applying the TLT-based palliative learning module on the achievement of nursing students' competence in palliative care (p=0.000). Conclusion: The application of the TLT-based palliative learning module has been proven to increase competency achievement for nursing students in palliative care. Learning media and competencies regarding palliative care can contribute to increasing the achievement of nursing students' competencies in palliative care.