Exploring the impact of an aged-care train-the-trainer workshop on nurses in China: a mixed-methods pilot study

Introduction China's rapidly aging population presents significant challenges for aged-care services, highlighting the need for innovative and scalable training solutions for aged-care nurses. Train-the-trainer (TTT) model offers a sustainable approach to efficiently develop qualified trainers who can disseminate essential aged-care knowledge and skills, yet its effectiveness in this context remains underexplored. Aim This mixed-methods pilot study explored the impact of a three-day aged-care Train-the-trainer (TTT) workshop on 110 nurses in China, evaluating its effectiveness and feasibility. Methods A mixed-methods pilot study was conducted with 110 aged-care nurses who participated in a three-day TTT workshop. Participants completed post-training questionnaires assessing their satisfaction with the workshop and their perceptions of aged care. Qualitative data were collected through post-training interviews to explore participants' experiences and perspectives. Descriptive statistics and thematic analysis were used to analyse the data. Results Quantitative results indicated high levels of satisfaction with the TTT workshop (median score 52.5). Participants reported improved knowledge of aged care practices, communication skills, and confidence in their teaching abilities. Qualitative analysis identified three key themes: positive evaluation of the workshop (e.g., content and its practical relevance), challenges in aged care work (e.g., staffing shortages), and recommendations for enhancing training programs. Conclusion The findings suggest that the TTT approach is a feasible and potentially effective method for building capacity among aged-care nurses in China, fostering knowledge sharing and skill development. This pilot study underscores the potential of the TTT model to improve aged care education and supports its broader implementation in similar settings. Further research is needed to evaluate the long-term impact of the training program on clinical practice and patient outcomes.