- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica 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.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Darryl Ang, PhD
- Numero di telefono: +65 65167792
- Email: darrylang@nus.edu.sg
Luoghi di studio
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Singapore, Singapore
- National University of Singapore
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Contatto:
- Darryl Ang, PhD
- Numero di telefono: +65 65167792
- Email: darrylang@nus.edu.sg
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
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)
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: 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. |
Una sessione di apprendimento asincrona online con brevi video sulla pianificazione anticipata delle cure e forum di discussione.
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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Comparatore attivo: 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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Una sessione di apprendimento asincrona online con brevi video sulla pianificazione anticipata delle cure e forum di discussione.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Frommelt Attitude Toward Care of the Dying Scale
Lasso di tempo: Baseline
|
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.
|
Baseline
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Frommelt Attitude Toward Care of the Dying Scale
Lasso di tempo: 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.
|
Post-test (Immediately at end of 2-weeks intervention)
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Frommelt Attitude Toward Care of the Dying Scale
Lasso di tempo: 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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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Palliative care self-efficacy scale
Lasso di tempo: 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
Lasso di tempo: Post-test (Immediately at end of 2-weeks intervention)
|
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.
|
Post-test (Immediately at end of 2-weeks intervention)
|
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Palliative care self-efficacy scale
Lasso di tempo: 3 months follow-up
|
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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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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Collaboratori e investigatori
Sponsor
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Inizio studio (Stimato)
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Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
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Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- NUS-DERC-001647
- A-0010425-00-00 (Altro numero di sovvenzione/finanziamento: National University of Singapore)
Informazioni su farmaci e dispositivi, documenti di studio
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