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.
研究概览
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Darryl Ang, PhD
- 电话号码:+65 65167792
- 邮箱:darrylang@nus.edu.sg
学习地点
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Singapore、新加坡
- National University of Singapore
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接触:
- Darryl Ang, PhD
- 电话号码:+65 65167792
- 邮箱:darrylang@nus.edu.sg
-
-
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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)
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的: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. |
一个包含关于预先护理规划(ACP)短视频和讨论论坛的在线异步学习课程。
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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有源比较器: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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一个包含关于预先护理规划(ACP)短视频和讨论论坛的在线异步学习课程。
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Frommelt Attitude Toward Care of the Dying Scale
大体时间: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
大体时间:Post-test (Immediately at end of 2-weeks intervention)
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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.
|
Post-test (Immediately at end of 2-weeks intervention)
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Frommelt Attitude Toward Care of the Dying Scale
大体时间:3 months follow-up
|
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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Palliative care self-efficacy scale
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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.
|
Post-test (Immediately at end of 2-weeks intervention)
|
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Advance Care Planning Self-Efficacy (ACP-SE) Scale
大体时间:3 months follow-up
|
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.
|
3 months follow-up
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End-of-life planning conversations
大体时间: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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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