Advance Care Planning Training for Nurses

NCT ID: NCT05625906

Last Updated: 2024-11-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

234 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-15

Study Completion Date

2025-12-31

Brief Summary

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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

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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.

Conditions

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Advance Care Planning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intervention group

will receive a multi-media experiential training programme.

Group Type EXPERIMENTAL

Multi-media experiential training programme

Intervention Type OTHER

1. Webpage and mobile applications of training material on ACP, to be offered four weeks before the workshop
2. A three-hour multimedia workshop (8-10 nurses per group) including enhanced lectures and a role play encounter with standardised patients. Immediate feedback on their quality of decision support skills will be given. The workshops will be delivered by an experienced advance practice nurse with a palliative care specialty.
3. Writing a reflective journal after the role play with standardised patients

control group

will NOT receive a multi-media experiential training programme

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Multi-media experiential training programme

1. Webpage and mobile applications of training material on ACP, to be offered four weeks before the workshop
2. A three-hour multimedia workshop (8-10 nurses per group) including enhanced lectures and a role play encounter with standardised patients. Immediate feedback on their quality of decision support skills will be given. The workshops will be delivered by an experienced advance practice nurse with a palliative care specialty.
3. Writing a reflective journal after the role play with standardised patients

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* registered nurse with at least two years' clinical experience

Exclusion Criteria

* had prior specialty training in Advance Care Planning communication.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Carmen Chan Yip Wing-han

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Carmen Chan Yip Wing-han

Role: PRINCIPAL_INVESTIGATOR

Chinese University of Hong Kong

Locations

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United Christian Hospital

Kwun Tong, , Hong Kong

Site Status RECRUITING

Queen Elizabeth Hospital

Mong Kok, , Hong Kong

Site Status RECRUITING

Prince of Wales Hospital

Shatin, , Hong Kong

Site Status RECRUITING

Shatin cheshire home

Shatin, , Hong Kong

Site Status RECRUITING

Shatin Hospital

Shatin, , Hong Kong

Site Status RECRUITING

Haven of Hope Hospital

Tseung Kwan O, , Hong Kong

Site Status RECRUITING

Tuen Mun Hospital

Tuenmen, , Hong Kong

Site Status RECRUITING

Grantham Hospital

Wong Chuk Hang, , Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Mandy MK Tse

Role: CONTACT

852-39433019

Vivian Wu

Role: CONTACT

852-39431244

Facility Contacts

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Ying Tung Chan

Role: primary

2379 9611

Lok Yan Ng

Role: primary

35052601

Ka Fai Mr Wong

Role: primary

35052601

Kwok

Role: primary

2636 7288

Fion HUI

Role: primary

39197623

Patty Lui

Role: primary

2703 8000

Red Chan

Role: primary

2468 5111

Wendy

Role: primary

2518 2111

References

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Putman-Casdorph H, Drenning C, Richards S, Messenger K. Advance directives: evaluation of nurses' knowledge, attitude, confidence, and experience. J Nurs Care Qual. 2009 Jul-Sep;24(3):250-6. doi: 10.1097/NCQ.0b013e318194fd69.

Reference Type BACKGROUND
PMID: 19525766 (View on PubMed)

Siu MW, Cheung TY, Chiu MM, Kwok TY, Choi WL, Lo TK, Ting WM, Yu PH, Cheung CY, Wong JG, Shua SE. The preparedness of Hong Kong medical students towards advance directives and end-of-life issues. East Asian Arch Psychiatry. 2010 Dec;20(4):155-62.

Reference Type BACKGROUND
PMID: 22348923 (View on PubMed)

So WKW, Kwong ANL, Chen JMT, Chan JCY, Law BMH, Sit JWH, Chan CWH. A Theory-Based and Culturally Aligned Training Program on Breast and Cervical Cancer Prevention for South Asian Community Health Workers: A Feasibility Study. Cancer Nurs. 2019 Mar/Apr;42(2):E20-E30. doi: 10.1097/NCC.0000000000000543.

Reference Type BACKGROUND
PMID: 28945633 (View on PubMed)

Other Identifiers

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2018.610

Identifier Type: -

Identifier Source: org_study_id

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