Advance Care Planning Training for Nurses

Not Applicable

Recruiting

• Conditions: Advance Care Planning
• Interventions: Other: Multi-media experiential training programme

• Registration Number: NCT05625906
• Lead Sponsor: Chinese University of Hong Kong

Brief Summary

The aims of this study are to examine the effectiveness of a multi-media experiential training programme in advance care planning (ACP) for nursing staff in acute care settings. The main questions it aims to answer are:

* can the programme enhance nurses' decision-support skills

* can the programme strengthen nurses' knowledge and confidence, and improve their attitude toward ACP?

Researchers will compare the participants in the intervention group (receive training programme) with those who are in the control group (receive no intervention) to evaluate the effectiveness of the programme.

Detailed Description

The study adopts a cluster randomised controlled trial with 12 weeks (T2) and 24 weeks (T3) follow-ups. A total of 234 eligible nurses working in 26 acute care hospital wards will be randomised at ward level in a 1:1 ratio into either control or intervention arms. Guided by the Theory of Planned Behaviour, we will conduct path analysis to assess the role of nurses' knowledge, attitudes and confidence on the nurses' skill performance on decision support after the intervention.

Study Timeline

• Study First Submitted: 2022-11-06
• Study First Submitted QC: 2022-11-20
• Study First Posted: 2022-11-23
• Study Start: 2023-05-15
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-31
• Last Update Posted: 2024-11-01
• Primary Completion: 2025-06
• Study Completion: 2025-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 234

Inclusion Criteria

• registered nurse with at least two years' clinical experience

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Exclusion Criteria

• had prior specialty training in Advance Care Planning communication.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Multi-media experiential training programme	will receive a multi-media experiential training programme.

Primary Outcome Measures

Name	Time	Method
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)	immediate post-intervention	DSAT10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction.

Secondary Outcome Measures

Name	Time	Method
Nurses' knowledge of Advance Care Planning	24 weeks post-intervention	Knowledge of advance care planning and advance directives will be assessed by a 10-item true / false questionnaire which is developed taking reference with Siu et al. and Yee et al. The knowledge test will be validated by an expert panel including academics and clinicians.
Actual experience of Advance Care Planning in the last 12 weeks	24 weeks post-intervention	Actual experience in ACP discussion will be measured by this question: "How many times have you participated in ACP discussion with your patients in the last 12 weeks?" In addition, documentation of the ACP discussion in the last 12 weeks will be retrieved from patients' medical records.
Nurses' attitudes towards Advance Care Planning	12 weeks post-intervention	Nurses' attitudes towards ACP will be measured by nine five-point Likert scale items with 1=strongly disagree and 5= strongly agree. Higher scores indicate a more positive attitude. The scale was developed and validated by Putman-Casdorph et al . The nine items cover topics such as the perceived helpfulness of ACP, and worries about the legal consequences of limiting treatment.
Nurses' level of confidence to conduct Advance Care Planning	24 weeks post-intervention	Nurses' level of confidence to conduct ACP will be measured by a single item five-point Likert scale with 1= not confident at all to 5 = extremely confident .
Nurses' satisfaction with the training programme	immediate post intervention	Nurses' satisfaction with the training programme will be assessed by an eight-item five-point Likert scale with 1=strongly disagree and 5= strongly agree at post-test only. Higher scores indicate higher satisfaction. The scale is developed with reference to So et al. and has been validated by an expert panel including academics and clinicians.
Adherence to patients' expressed preference for care	24 weeks post-intervention	measured by this question: Please circle the following to describe health care professionals' adherence to patients' expressed preference for care :

Trial Locations

Locations (8)

Haven of Hope Hospital; 🇭🇰 Tseung Kwan O, Hong Kong

United Christian Hospital; 🇭🇰 Kwun Tong, Hong Kong

Tuen Mun Hospital; 🇭🇰 Tuen Mun, Hong Kong

Grantham Hospital; 🇭🇰 Wong Chuk Hang, Hong Kong

Prince of Wales Hospital; 🇭🇰 Sha Tin, Hong Kong

Queen Elizabeth Hospital; 🇭🇰 Mong Kok, Hong Kong

Shatin cheshire home; 🇭🇰 Shatin, Hong Kong

Shatin Hospital; 🇭🇰 Shatin, Hong Kong