Nurse-Led Culturally Adapted Palliative and End-of-Life Training for Oncology Nurses in Oman

NCT07460570 | Completed DMC

• 1 other identifier: N-PELTP-ON-OM-2025
• Study Type: interventional
• Target: 189
• Locations: 1 country
• Sites: 2

Brief Summary

This study evaluated a nurse-led, culturally adapted training program in palliative and end-of-life care (N-PELTP) for oncology nurses in Oman. Nurses in the intervention group received the structured training program, while a comparison group continued usual practice during the same period. Outcomes were assessed using questionnaires completed before and after the intervention to measure palliative care knowledge, attitudes toward caring for dying patients, self-reported palliative care practices, and communication-related outcomes. The goal of the study was to determine whether a culturally adapted educational program can improve oncology nurses' readiness to deliver palliative and end-of-life care.

Conditions

Neoplasms (Cancer / Tumors); Palliative Care; Terminal Care

Keywords

Palliative care; End-of-life care; Oncology nurses; Nurse education; Training program; Attitudes toward death and dying; Knowledge; Communication skills; Quasi-experimental; Oman

Outcome Measures

Primary Outcomes (4)

• Attitude Toward Care of the Dying Score (Frommelt Attitude Toward Care of the Dying Scale, Form B; FATCOD-B)

  Total score on the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B), a 30-item instrument rated on a 5-point Likert scale. Total score range: 30 to 150. Higher scores indicate more positive attitudes toward caring for dying patients.

  Baseline (pre-intervention) and 2 weeks post-intervention

• Palliative and End-of-Life Care Knowledge Score (Palliative and End-of-Life Care Knowledge Questionnaire; PEACE-Q)

  Total score on the Palliative and End-of-Life Care Knowledge Questionnaire (PEACE-Q), a 34-item true/false questionnaire. Total score range: 0 to 34. Higher scores indicate greater palliative/end-of-life care knowledge.

  Baseline (pre-intervention) and immediately post-intervention

• Palliative Care Self-Reported Practice Score (Palliative Care Self-Reported Practices Scale; PCPS)

  Total score on the Palliative Care Self-Reported Practices Scale (PCPS), an 18-item scale rated from 1 (not at all) to 5 (always). Total score range: 18 to 90. Higher scores indicate more frequent palliative care practices.

  Baseline (pre-intervention) and 2 weeks post-intervention

• Communication Practice Score (Communication Domain of PCPS)

  Communication practice score derived from the communication domain of the Palliative Care Self-Reported Practices Scale (PCPS). Items are rated from 1 (not at all) to 5 (always). Domain score range: 1 to 5 when calculated as a mean item score. Higher scores indicate more frequent/better communication practices in palliative/end-of-life care contexts.

  Baseline (pre-intervention) and 2 weeks post-intervention

Study Arms (2)

N-PELTP Training Program

EXPERIMENTAL

Participants received the nurse-led, culturally adapted palliative and end-of-life care training program (N-PELTP). Outcomes were assessed before and after the intervention using standardized questionnaires.

Behavioral: N-PELTP Palliative and End-of-Life Training Program

Control (Usual Practice)

NO INTERVENTION

Participants continued usual practice during the study period and did not receive the N-PELTP training during the intervention phase. Outcomes were assessed at the same time points as the intervention group.

Interventions

N-PELTP Palliative and End-of-Life Training Program BEHAVIORAL

A nurse-led, culturally adapted palliative and end-of-life care education and training program for oncology nurses (N-PELTP). The program was delivered in a structured format over a defined training period and covered core palliative and end-of-life care competencies, including communication and care planning. Outcomes were assessed using standardized questionnaires at baseline (pre-intervention) and after completion of the training (post-intervention

N-PELTP Training Program

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 participating oncology/cancer care settings in Oman
• Providing direct clinical care to patients with cancer
• Employed at the study site during the study period and expected to remain for the duration of the intervention and follow-up assessments
• Aged 18 years or older
• Able to read and understand the study materials and questionnaires
• Willing to participate and provide informed consent

You may not qualify if:

• Nursing students, interns, or non-registered nursing staff
• Nurses not providing direct patient care (e.g., administrative/managerial roles without bedside clinical duties)
• Nurses on extended leave during the intervention or follow-up period (e.g., annual leave, sick leave, maternity leave)
• Nurses who did not complete the baseline (pre-intervention) assessment

Sponsors & Collaborators

• Sultan Qaboos University: lead

Study Sites (2)

Royal Hospital

Muscat, PC123, Oman

Location

Sultan Qaboos Comprehensive Cancer Care and Research Centre (SQCCCRC), University Medical City

Muscat, PC123, Oman

Location

MeSH Terms

Conditions

Neoplasms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 1, 2026
• First Posted: March 10, 2026
• Study Start: April 1, 2025
• Primary Completion: July 5, 2025
• Study Completion: July 5, 2025
• Last Updated: March 10, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

OM (2)