The Effect of End-of-Life Care Awareness Education on Knowledge, Attitudes, and Behaviors of Intensive Care Nurses: A Randomized Controlled Study

NCT05994430 | Unknown

• 1 other identifier: 20221401
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

This study was designed as a prospective randomized controlled study in order to evaluate the effect of end-of-life care awareness training to be given to intensive care nurses on the knowledge levels, attitudes, and behaviors of nurses. The study was conducted between May and July 2023 with 76 nurses working in the Anesthesia and Reanimation Intensive Care Unit, General Intensive Care Unit, and Cardiovascular Surgery Intensive Care Unit of Van Training and Research Hospital, who met the inclusion criteria. The hypotheses of this research: H1: End-of-life care awareness training increases the knowledge level of intensive care nurses about end-of-life care. H2: End-of-life care awareness training positively affects intensive care nurses' attitudes toward end-of-life care. H3: End-of-life care awareness training positively affects the behaviors of intensive care nurses towards end-of-life care. Nurses who completed their undergraduate education worked in intensive care for at least one year, actively continued their profession (no annual leave, report, etc.), and were willing and voluntary to participate in the study were included in the study. Nurses who had a palliative care nursing certificate, had received training on end-of-life care by participating in a training program such as ELNEC, and had not participated in the training program of the study for more than two sessions were not included in the study. At the beginning of the research, the pre-test forms/scales "Nurse Information Form", "End-of-Life Care Knowledge Test" and "Intensive Care Nurses' Attitudes and Behaviors Towards End-of-Life Care Scale" were administered to all nurses. After the pre-test application, the nurses were randomly included in the training and control groups. A randomization list generated by a computer-based random number sequence was used to determine which group the intensive care nurses would be in.

• The "End-of-Life Care Education Program in Intensive Care" prepared by the researchers in line with the End-of-Life Nursing Education-Intensive Care program was applied to the intensive care nurses in the training group. The training program was implemented online for 45-60 minutes one day a week for 4 weeks. The same forms/scales were repeated 4 weeks after the training.
• Intensive care nurses in the control group did not receive any intervention during the study. Similar to the training group, the same forms/scales were repeated 4 weeks after the training. After the study is completed, the same training program will be applied to the nurses in the control group.

Conditions

End-of-life Care

Keywords

end-of-life; knowledge; attitude; behaviour; intensive care unit nurse; awarnness

Outcome Measures

Primary Outcomes (2)

• The End-of-Life Care Knowledge Test

  It was prepared by the researcher to evaluate the knowledge levels of intensive care nurses in accordance with the content of the "End-of-Life Care Awareness Training Program".This test consists of 25 questions. The answers have 5 options and there is one correct answer for each question. Each correct answer is scored as 1 (one) point and each incorrect answer is scored as 0 (zero) points. The increase in the number of correct answers to the questions indicates an increase in the level of knowledge.

  It was used at baseline and 4 weeks (±3 days) after the training program.

• Attitudes and Behaviors of Intensive Care Nurses Towards End-of-Life Care Scale

  It evaluates attitudes towards end-of-life care with 10 questions and behaviors with 6 questions. An increase in the scale score indicates that nurses exhibit positive attitudes and behaviors.

  It was used at baseline and 4 weeks (±3 days) after the training program.

Study Arms (2)

Training Group

EXPERIMENTAL

The "End-of-Life Care Awareness Training Program in Intensive Care" prepared by the researchers in line with the End-of-Life Nursing Education-Intensive Care (ELNEC-Critical Care) program was applied to the intensive care nurses in the training group. The program was implemented online by determining a common day and time interval suitable for the working hours of the nurses. Half an hour before the training, nurses were reminded of the training topics of the relevant week, time, and Zoom link address via text message. 40-60 minutes one day a week for 4 weeks in the training program; Week 1: Introduction of the training program and palliative care nursing in intensive care Week 2: Pain management and management of other symptoms (respiratory, gastrointestinal, etc.) Week 3 Communication, cultural and spiritual issues Week 4: Loss, grief, mourning, and ethics were covered.

Other: End-of-life care awareness training in intensive care

Control Group

NO INTERVENTION

Intensive care nurses in the control group did not receive any intervention during the study. The nurses in this group continued to participate in routine in-service trainings. Similar to the training group, the post-test forms/scales "End-of-Life Care Knowledge Test and the Scale of Attitudes and Behaviors of Intensive Care Nurses Towards End-of-Life Care" were administered to the intensive care nurses in the control group in order to determine the changes in the levels of knowledge, attitudes and behaviors towards end-of-life care over time and to compare them with the training group.

Interventions

End-of-life care awareness training in intensive care OTHER

End-of-life care awareness training in intensive care

Training Group

Eligibility Criteria

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

You may qualify if:

• Completion of undergraduate education,
• Working in intensive care for at least one year,
• Actively continuing his/her profession (no annual leave, report, etc.)
• Willingness and voluntariness to participate in the research

You may not qualify if:

• To have a palliative care nursing certificate,
• Having received training on end-of-life care by participating in a training program such as ELNEC etc,
• Not having attended more than two sessions in the training program

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University Institute of Graduate Studies in Health Sciences

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Death; Behavior

Interventions

Critical Care

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assisstant of Professor

Study Record Dates

• First Submitted: August 9, 2023
• First Posted: August 16, 2023
• Study Start: May 1, 2023
• Primary Completion: July 30, 2023
• Study Completion: October 30, 2023
• Last Updated: August 16, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)