Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses: A Mixed Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Advance Care Planning Self-Efficacy (ACP-SE) Scale
研究概览
简要总结
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.
研究设计
- 研究类型
- 干预性
- 分配方式
- 随机
- 干预模型
- 平行分组
- 主要目的
- 预防
- 盲法
- 开放（无盲法）
入排标准
- 年龄范围
- 21 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 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
排除标准
- 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)
研究组 & 干预措施
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:
- Experiences of death and dying
- Coping with death and dying.
- Communication about death and dying
- Discussing Advance Care Planning (ACP).
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.
干预措施: Death Conversation (Behavioral)
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:
- Experiences of death and dying
- Coping with death and dying.
- Communication about death and dying
- Discussing Advance Care Planning (ACP).
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.
干预措施: Online ACP Education (Behavioral)
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.
干预措施: Online ACP Education (Behavioral)
结局指标
主要结局
Advance Care Planning Self-Efficacy (ACP-SE) Scale
时间窗: Baseline
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.
Advance Care Planning Self-Efficacy (ACP-SE) Scale
时间窗: Post-test (Immediately at end of 2-weeks intervention)
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.
Advance Care Planning Self-Efficacy (ACP-SE) Scale
时间窗: 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.
Frommelt Attitude Toward Care of the Dying Scale
时间窗: 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.
Frommelt Attitude Toward Care of the Dying Scale
时间窗: 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.
Frommelt Attitude Toward Care of the Dying Scale
时间窗: 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.
次要结局
- Frommelt Attitude Toward Care of the Dying Scale(Baseline)
- Frommelt Attitude Toward Care of the Dying Scale(Post-test (Immediately at end of 2-weeks intervention))
- Frommelt Attitude Toward Care of the Dying Scale(3 months follow-up)
- Palliative care self-efficacy scale(Baseline)
- Palliative care self-efficacy scale(Post-test (Immediately at end of 2-weeks intervention))
- Palliative care self-efficacy scale(3 months follow-up)
- Advance Care Planning Self-Efficacy (ACP-SE) Scale(Baseline)
- Advance Care Planning Self-Efficacy (ACP-SE) Scale(Post-test (Immediately at end of 2-weeks intervention))
- Advance Care Planning Self-Efficacy (ACP-SE) Scale(3 months follow-up)
- End-of-life planning conversations(3 months follow-up)
研究者
研究点 (1)
标识符
- NCT 编号
- NCT07774468
- 其他研究编号
- NUS-DERC-001647, A-0010425-00-00
日期
- 首次提交
- (上个月)
- 首次发布
- (上个月)
- 主要完成日期
- (明年)
- 研究完成日期
- (明年)
- 最近核实
- (2个月前)
- 最近更新
- (前天)
监管与共享
- FDA 监管药物
- 否
- FDA 监管器械
- 否
- 是否有结果
- 否