Advanced Care Planning (ACP), Death Anxiety, Death Attitude (Implicit/Explicit), End of Life Care
Conditions
Keywords
Death Conversation, Death Anxiety, Advance Care Planning, Death Attitude
Brief summary
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.
Interventions
BEHAVIORALDeath Conversation
On site, facilitator-led group discussion lasting 2 hours, covering: 1) Experiences of patients' deaths; 2) Coping with patients' death and dying; 3) Communication with patients and/or family members about death and dying; 4) Discussing advance care planning with patients and/or family members
BEHAVIORALOnline ACP Education
An online asynchronous learning session with short videos on ACP with discussion forums.
Sponsors
National University of Singapore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* 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
Exclusion criteria
* 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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frommelt Attitude Toward Care of the Dying Scale | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Palliative care self-efficacy scale | Baseline | A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently). Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics. |
| Advance Care Planning Self-Efficacy (ACP-SE) Scale | 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. |
| End-of-life planning conversations | 3 months follow-up | Self-reported number of conversations held with patients regarding Advance Care Planning |
Countries
Singapore
Contacts
CONTACTDarryl Ang, PhD
Outcome results
None listed