Efficacy of End-of-life Communication Strategies on Nurses in the Intensive Care Unit

NCT06211816 | Completed

• 1 other identifier: 000001
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

Burnout among healthcare workers is frequently reported, and one of the factors cited is the stress caused by end-of-life care. It has been reported that nursing staff experience decreased well-being as a result of being involved in end-of-life care, and this is also true in intensive care units. This decrease in well-being is said to lead to lower quality of care, poor communication with patients and their families, absenteeism, and high turnover. Although palliative care interventions such as education and communication tools have been reported to improve the well-being of healthcare professionals involved in end-of-life care, few reports have evaluated the association with burnout. We investigated whether communication-based palliative interventions in end-of-life care in intensive care units (ICUs) improve the risk of burnout among nurses working in ICUs.

Conditions

Palliative Care

Outcome Measures

Primary Outcomes (2)

• The Japanese Quality of Dying and Death (QODD) in ICU

  The Japanese Quality of Dying and Death (QODD) in ICU consists of six items, each of which is rated on a scale of 0 to 10, with higher scores indicating higher quality of death. It is based on the U.S. Intensive Care Unit version of the Quality of Dying and Death (ICU-QODD) and was adapted to Japanese culture, and its validation has been confirmed.

  Approximately one month

• The Japanese Burnout Scale

  The Japanese Burnout Scale consists of 17 items, each with a score of 1-5, with higher scores indicating stronger burnout symptoms. It assesses subjects' burnout symptoms and is based on the Massachusetts Burnout Inventory. The scale was developed for the Japanese culture based on the Massluck Burnout Inventory, and its validation has been verified.

  Approximately one month

Secondary Outcomes (3)

• The medical costs in ICU

  Approximately one month

• The length of ICU stay

  Approximately one month

• Mortality at ICU

  Approximately one month

Study Arms (1)

Nurse prior to intervention

OTHER

Other: communication strategy

Interventions

communication strategy OTHER

an intensive communication strategy on end-of-life practice was implemented, based on a framework developed by the International Delphi Conference.

Nurse prior to intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses working in our ICU

You may not qualify if:

• None

Sponsors & Collaborators

• Maebashi Red Cross Hospital: lead

Study Sites (1)

Maebashi Redcross hospital

Maebashi, Gunma, Japan

Location

Related Publications (2)

• Quenot JP, Rigaud JP, Prin S, Barbar S, Pavon A, Hamet M, Jacquiot N, Blettery B, Herve C, Charles PE, Moutel G. Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices. Intensive Care Med. 2012 Jan;38(1):55-61. doi: 10.1007/s00134-011-2413-z. Epub 2011 Nov 30.

  PMID: 22127481 BACKGROUND

• Kerckhoffs MC, Senekal J, van Dijk D, Artigas A, Butler J, Michalsen A, van Mol MMC, Moreno R, Pais da Silva F, Picetti E, Povoa P, Robertsen A, van Delden JJM. Framework to Support the Process of Decision-Making on Life-Sustaining Treatments in the ICU: Results of a Delphi Study. Crit Care Med. 2020 May;48(5):645-653. doi: 10.1097/CCM.0000000000004221.

  PMID: 32310619 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 7, 2023
• First Posted: January 18, 2024
• Study Start: September 1, 2022
• Primary Completion: November 1, 2023
• Study Completion: December 1, 2023
• Last Updated: January 18, 2024

Record last verified: 2024-01

Locations

JP (1)