Advance Care Planning Training for Nurses

NCT05625906 | Completed

• 1 other identifier: 2018.610
• Study Type: interventional
• Target: 230
• Locations: 1 country
• Sites: 8

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.

Conditions

Advance Care Planning

Keywords

Advance Care Planning; acute care settings; experiential learning; nurse training programme

Outcome Measures

Primary Outcomes (2)

• Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)

  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.

  Baseline

• Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)

  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.

  immediate post-intervention

Secondary Outcomes (17)

• Nurses' attitudes towards Advance Care Planning

  Baseline

• Nurses' attitudes towards Advance Care Planning

  immediate post-intervention

• Nurses' attitudes towards Advance Care Planning

  12 weeks post-intervention

• Nurses' knowledge of Advance Care Planning

  Baseline

• Nurses' knowledge of Advance Care Planning

  immediate post-intervention

Study Arms (2)

Intervention group

EXPERIMENTAL

will receive a multi-media experiential training programme.

Other: Multi-media experiential training programme

control group

NO INTERVENTION

will NOT receive a multi-media experiential training programme

Interventions

Multi-media experiential training programme 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

Intervention group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• registered nurse with at least two years' clinical experience

You may not qualify if:

• had prior specialty training in Advance Care Planning communication.

Sponsors & Collaborators

• Chinese University of Hong Kong: lead

Study Sites (8)

United Christian Hospital

Kwun Tong, Hong Kong

Location

Queen Elizabeth Hospital

Mong Kok, Hong Kong

Location

Prince of Wales Hospital

Shatin, Hong Kong

Location

Shatin cheshire home

Shatin, Hong Kong

Location

Shatin Hospital

Shatin, Hong Kong

Location

Haven of Hope Hospital

Tseung Kwan O, Hong Kong

Location

Tuen Mun Hospital

Tuenmen, Hong Kong

Location

Grantham Hospital

Wong Chuk Hang, Hong Kong

Location

Related Publications (3)

• 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.

  PMID: 19525766 BACKGROUND

• 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.

  PMID: 22348923 BACKGROUND

• 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.

  PMID: 28945633 BACKGROUND

Study Officials

• Carmen Chan Yip Wing-han

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 6, 2022
• First Posted: November 23, 2022
• Study Start: January 1, 2023
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: April 14, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

HK (8)