- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07774468
Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses
Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses: A Mixed Methods Study
The goal of this clinical trial is to evaluate whether the PEACE program can improve early career registered nurses' registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death, and self-efficacy in initiating advanced care planning conversations
This study aims to address the following research questions:
- Does the PEACE program improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations?
- What are the participants' experiences of participating in the PEACE program?
Researchers will compare participants who receive the PEACE program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
Participants will:
- Complete online questionnaires measuring attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
- Participate in a facilitator-led group discussion session about experiences of patients' deaths, coping with patients' death and dying, communications with patients and/or family members about death and dying, and discussing advance care planning with patients and/or family members (intervention group only).
- Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
- Complete follow-up surveys, including a 3-month follow-up assessing whether participants have engage with any patients and/or their family members in advance care planning conversations.
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: Darryl Ang, PhD
- Telefonní číslo: +65 65167792
- E-mail: darrylang@nus.edu.sg
Studijní místa
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Singapore, Singapur
- National University of Singapore
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Kontakt:
- Darryl Ang, PhD
- Telefonní číslo: +65 65167792
- E-mail: darrylang@nus.edu.sg
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-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Registered nurses within the first five years of practice
- Between the ages of 21 to 65 years
- Currently working in a healthcare setting in SIngapore
Exclusion Criteria:
- Participated in a similar death conversation program
- Received training in Advance Care Planning or Serious Illness Conversations
- Any self-reported history of mental health disorders (e.g., depression), or neurological disorders (e.g., brain tumors)
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
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Experimentální: Intervention Group - on site group discussions + online learning session
Participants in this arm will receive the two-session PEACE Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering:
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums. |
Online asynchronní výuková lekce s krátkými videi o ACP a diskusními fóry.
On site, facilitator-led group discussion lasting 2 hours, covering: 1) Experiences of patients' deaths; 2) Coping with patients' death and dying; 3) Communication with patients and/or family members about death and dying; 4) Discussing advance care planning with patients and/or family members
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Aktivní komparátor: Control Group - Only online learning session
Participants in this arm will only receive the online ACP education component, identical to Session 2 of the PEACE programme.
No facilitator-led group discussions are provided.
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Online asynchronní výuková lekce s krátkými videi o ACP a diskusními fóry.
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Frommelt Attitude Toward Care of the Dying Scale
Časové okno: Baseline
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A 30-item 5 point Likert scale.
Positive items are scored one (strongly disagree) to five (strongly agree).
Scores are reversed for negative items.
Possible scores can range from 30-150.
A higher score indicates a more positive attitude toward caring for this patient population.
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Baseline
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Frommelt Attitude Toward Care of the Dying Scale
Časové okno: Post-test (Immediately at end of 2-weeks intervention)
|
A 30-item 5 point Likert scale.
Positive items are scored one (strongly disagree) to five (strongly agree).
Scores are reversed for negative items.
Possible scores can range from 30-150.
A higher score indicates a more positive attitude toward caring for this patient population.
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Post-test (Immediately at end of 2-weeks intervention)
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Frommelt Attitude Toward Care of the Dying Scale
Časové okno: 3 months follow-up
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A 30-item 5 point Likert scale.
Positive items are scored one (strongly disagree) to five (strongly agree).
Scores are reversed for negative items.
Possible scores can range from 30-150.
A higher score indicates a more positive attitude toward caring for this patient population.
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3 months follow-up
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Palliative care self-efficacy scale
Časové okno: Baseline
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A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently).
Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
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Baseline
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Palliative care self-efficacy scale
Časové okno: Post-test (Immediately at end of 2-weeks intervention)
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A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently).
Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
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Post-test (Immediately at end of 2-weeks intervention)
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Palliative care self-efficacy scale
Časové okno: 3 months follow-up
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A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently).
Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
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3 months follow-up
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Advance Care Planning Self-Efficacy (ACP-SE) Scale
Časové okno: Baseline
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An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
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Baseline
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Advance Care Planning Self-Efficacy (ACP-SE) Scale
Časové okno: Post-test (Immediately at end of 2-weeks intervention)
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An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
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Post-test (Immediately at end of 2-weeks intervention)
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Advance Care Planning Self-Efficacy (ACP-SE) Scale
Časové okno: 3 months follow-up
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An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
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3 months follow-up
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End-of-life planning conversations
Časové okno: 3 months follow-up
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Self-reported number of conversations held with patients regarding Advance Care Planning
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3 months follow-up
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Spolupracovníci a vyšetřovatelé
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
- NUS-DERC-001647
- A-0010425-00-00 (Jiné číslo grantu/financování: National University of Singapore)
Informace o lécích a zařízeních, studijní dokumenty
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