The Effectiveness of a Multi-media Experiential Training Programme in Advance Care Planning for Nurses Working in Acute Care Settings
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 230
- 试验地点
- 12
- 主要终点
- Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •registered nurse with at least two years' clinical experience
排除标准
- •had prior specialty training in Advance Care Planning communication.
研究组 & 干预措施
Intervention group
will receive a multi-media experiential training programme.
干预措施: Multi-media experiential training programme (Other)
control group
will NOT receive a multi-media experiential training programme
结局指标
主要结局
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
时间窗: 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.
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
时间窗: Baseline
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.
次要结局
- Nurses' knowledge of Advance Care Planning(24 weeks post-intervention)
- Actual experience of Advance Care Planning in the last 12 weeks(24 weeks post-intervention)
- Nurses' attitudes towards Advance Care Planning(12 weeks post-intervention)
- Nurses' level of confidence to conduct Advance Care Planning(24 weeks post-intervention)
- Nurses' satisfaction with the training programme(immediate post intervention)
- Adherence to patients' expressed preference for care(24 weeks post-intervention)
- Nurses' attitudes towards Advance Care Planning(Baseline)
- Nurses' attitudes towards Advance Care Planning(immediate post-intervention)
- Nurses' knowledge of Advance Care Planning(Baseline)
- Nurses' knowledge of Advance Care Planning(immediate post-intervention)
- Nurses' knowledge of Advance Care Planning(12 weeks post-intervention)
- Nurses' level of confidence to conduct Advance Care Planning(Baseline)
- Nurses' level of confidence to conduct Advance Care Planning(immediate post-intervention)
- Nurses' level of confidence to conduct Advance Care Planning(12 weeks post-intervention)
- Actual experience of Advance Care Planning in the last 12 weeks(Baseline)
- Actual experience of Advance Care Planning in the last 12 weeks(12 weeks post-intervention)
- Adherence to patients' expressed preference for care(12 weeks post-intervention)
研究者
Carmen Chan Yip Wing-han
Professor
Chinese University of Hong Kong