Effectiveness of a Nurse-Led, Culturally Adapted Palliative and End-of-Life Training Program (N-PELTP) for Oncology Nurses: A Quasi-Experimental Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 189
- 试验地点
- 2
- 主要终点
- Attitude Toward Care of the Dying Score (Frommelt Attitude Toward Care of the Dying Scale, Form B; FATCOD-B)
研究概览
简要总结
This study evaluated a nurse-led, culturally adapted training program in palliative and end-of-life care (N-PELTP) for oncology nurses in Oman. Nurses in the intervention group received the structured training program, while a comparison group continued usual practice during the same period. Outcomes were assessed using questionnaires completed before and after the intervention to measure palliative care knowledge, attitudes toward caring for dying patients, self-reported palliative care practices, and communication-related outcomes. The goal of the study was to determine whether a culturally adapted educational program can improve oncology nurses' readiness to deliver palliative and end-of-life care.
详细描述
Palliative and end-of-life care requires skilled nursing communication, symptom management knowledge, and culturally sensitive approaches to care. In many settings, oncology nurses report variable preparation and limited training opportunities in palliative and end-of-life care. This quasi-experimental controlled pretest-posttest study assessed the effectiveness of a nurse-led, culturally adapted palliative and end-of-life training program (N-PELTP) implemented in oncology settings in Oman.
Eligible participants were registered oncology nurses providing direct patient care. The intervention group participated in a structured training program delivered over a defined period, while a comparable control group did not receive the training during the study period. Outcomes were assessed using validated tools at baseline (pre-intervention) and after completion of the intervention (post-intervention). The primary objective was to evaluate change in palliative care knowledge. Secondary objectives included changes in attitudes toward caring for dying patients, self-reported palliative care practices, and communication outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Registered nurses working in participating oncology/cancer care settings in Oman
- •Providing direct clinical care to patients with cancer
- •Employed at the study site during the study period and expected to remain for the duration of the intervention and follow-up assessments
- •Aged 18 years or older
- •Able to read and understand the study materials and questionnaires
- •Willing to participate and provide informed consent
排除标准
- •Nursing students, interns, or non-registered nursing staff
- •Nurses not providing direct patient care (e.g., administrative/managerial roles without bedside clinical duties)
- •Nurses on extended leave during the intervention or follow-up period (e.g., annual leave, sick leave, maternity leave)
- •Nurses who did not complete the baseline (pre-intervention) assessment
研究组 & 干预措施
N-PELTP Training Program
Participants received the nurse-led, culturally adapted palliative and end-of-life care training program (N-PELTP). Outcomes were assessed before and after the intervention using standardized questionnaires.
干预措施: N-PELTP Palliative and End-of-Life Training Program (Behavioral)
Control (Usual Practice)
Participants continued usual practice during the study period and did not receive the N-PELTP training during the intervention phase. Outcomes were assessed at the same time points as the intervention group.
结局指标
主要结局
Attitude Toward Care of the Dying Score (Frommelt Attitude Toward Care of the Dying Scale, Form B; FATCOD-B)
时间窗: Baseline (pre-intervention) and 2 weeks post-intervention
Total score on the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B), a 30-item instrument rated on a 5-point Likert scale. Total score range: 30 to 150. Higher scores indicate more positive attitudes toward caring for dying patients.
Palliative and End-of-Life Care Knowledge Score (Palliative and End-of-Life Care Knowledge Questionnaire; PEACE-Q)
时间窗: Baseline (pre-intervention) and immediately post-intervention
Total score on the Palliative and End-of-Life Care Knowledge Questionnaire (PEACE-Q), a 34-item true/false questionnaire. Total score range: 0 to 34. Higher scores indicate greater palliative/end-of-life care knowledge.
Palliative Care Self-Reported Practice Score (Palliative Care Self-Reported Practices Scale; PCPS)
时间窗: Baseline (pre-intervention) and 2 weeks post-intervention
Total score on the Palliative Care Self-Reported Practices Scale (PCPS), an 18-item scale rated from 1 (not at all) to 5 (always). Total score range: 18 to 90. Higher scores indicate more frequent palliative care practices.
Communication Practice Score (Communication Domain of PCPS)
时间窗: Baseline (pre-intervention) and 2 weeks post-intervention
Communication practice score derived from the communication domain of the Palliative Care Self-Reported Practices Scale (PCPS). Items are rated from 1 (not at all) to 5 (always). Domain score range: 1 to 5 when calculated as a mean item score. Higher scores indicate more frequent/better communication practices in palliative/end-of-life care contexts.
次要结局
未报告次要终点