Clinical trial NCT05625906: Advance Care Planning Training for Nurses
Official title: The Effectiveness of a Multi-media Experiential Training Programme in Advance Care Planning for Nurses Working in Acute Care Settings
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Advance Care Planning
Keywords: Advance Care Planning
acute care settings
experiential learning
nurse training programme
Lead sponsor: Chinese University of Hong Kong
Sponsor class: OTHER
First posted: 2022-11-23
Enrollment: 234
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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.

Eligibility criteria: Inclusion Criteria:

* registered nurse with at least two years' clinical experience

Exclusion Criteria:

* had prior specialty training in Advance Care Planning communication.

Primary outcomes:
measure: Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
timeFrame: Baseline
measure: Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
timeFrame: immediate post-intervention
Secondary outcomes:
measure: Nurses' attitudes towards Advance Care Planning
timeFrame: Baseline
measure: Nurses' attitudes towards Advance Care Planning
timeFrame: immediate post-intervention
measure: Nurses' attitudes towards Advance Care Planning
timeFrame: 12 weeks post-intervention
measure: Nurses' knowledge of Advance Care Planning
timeFrame: Baseline
measure: Nurses' knowledge of Advance Care Planning
timeFrame: immediate post-intervention
measure: Nurses' knowledge of Advance Care Planning
timeFrame: 12 weeks post-intervention
measure: Nurses' knowledge of Advance Care Planning
timeFrame: 24 weeks post-intervention
measure: Nurses' level of confidence to conduct Advance Care Planning
timeFrame: Baseline
measure: Nurses' level of confidence to conduct Advance Care Planning
timeFrame: immediate post-intervention
measure: Nurses' level of confidence to conduct Advance Care Planning
timeFrame: 12 weeks post-intervention
measure: Nurses' level of confidence to conduct Advance Care Planning
timeFrame: 24 weeks post-intervention
measure: Nurses' satisfaction with the training programme
timeFrame: immediate post intervention
measure: Actual experience of Advance Care Planning in the last 12 weeks
timeFrame: Baseline
measure: Actual experience of Advance Care Planning in the last 12 weeks
timeFrame: 12 weeks post-intervention
measure: Actual experience of Advance Care Planning in the last 12 weeks
timeFrame: 24 weeks post-intervention
measure: Adherence to patients' expressed preference for care
timeFrame: 12 weeks post-intervention
measure: Adherence to patients' expressed preference for care
timeFrame: 24 weeks post-intervention
Other outcomes:
Locations:
city: Kwun Tong
country: Hong Kong
facility: United Christian Hospital
city: Mong Kok
country: Hong Kong
facility: Queen Elizabeth Hospital
city: Sha Tin
country: Hong Kong
facility: Prince of Wales Hospital
city: Shatin
country: Hong Kong
facility: Shatin cheshire home
city: Shatin
country: Hong Kong
facility: Shatin Hospital
city: Tseung Kwan O
country: Hong Kong
facility: Haven of Hope Hospital
city: Tuen Mun
country: Hong Kong
facility: Tuen Mun Hospital
city: Wong Chuk Hang
country: Hong Kong
facility: Grantham Hospital
Study officials:
affiliation: Chinese University of Hong Kong
name: Carmen Chan Yip Wing-han
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.