NCT07503535

Brief Summary

Nursing students frequently encounter dying patients during clinical placements with limited preparation, leading to negative attitudes toward end-of-life care, death anxiety, and risk of compassion fatigue. Simulation-based education offers a safe environment for experiential learning in palliative care, yet most existing programs do not integrate mindfulness components to address the psychological demands of this setting. Mindfulness-based interventions have shown promise in improving self-compassion and reducing burnout in healthcare professionals, but evidence among undergraduate nursing students remains limited. This study aims to evaluate the effects of a Mindful Simulation Training (MST) program on compassion, palliative care knowledge, attitudes toward end-of-life care, and professional quality of life among undergraduate nursing students.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
182

participants targeted

Target at P75+ for not_applicable

Timeline
24mo left

Started Mar 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress10%
Mar 2026Jun 2028

Study Start

First participant enrolled

March 2, 2026

Completed
23 days until next milestone

First Submitted

Initial submission to the registry

March 25, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 31, 2026

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2028

Last Updated

March 31, 2026

Status Verified

March 1, 2026

Enrollment Period

1.8 years

First QC Date

March 25, 2026

Last Update Submit

March 25, 2026

Conditions

Undergraduate Nursing Students

Outcome Measures

Primary Outcomes (1)

  • Compassion

    Compassionate Engagement and Action Scales (CEAS) measures three themes of compassion: 1) Self-compassion; 2) Compassion for others; 3) Compassion from others. Each scale consists of 13 items to measure different elements in compassion engagement and action which will be rated on a 10-point Likert scale from 1 (never) to 10 (always)

    Baseline, 4 weeks, and 8 weeks after baseline

Secondary Outcomes (3)

  • Attitude towards Palliative Care

    Baseline, 4 weeks, and 8 weeks after baseline

  • Knowledge in Palliative Care

    Baseline, 4weeks, and 8 weeks after baseline

  • Professional Quality of Life

    Baseline, 4 weeks, and 8 weeks after baseline

Study Arms (3)

Mindful Simulation Training (MST)

EXPERIMENTAL

The intervention consists of one session of a 60-min face-to-face mindfulness induction workshop, three sessions of weekly self-paced mindfulness practice, and one session of a 60-min simulation workshop.

Behavioral: Mindfulness-based interventionBehavioral: Simulation-based learning

Traditional Simulation Training (TST)

ACTIVE COMPARATOR

The participants will attend one session of a 60-min simulation workshop and receive the mindfulness materials upon completion of the 2-month study period.

Behavioral: Simulation-based learning

Waitlist Control (WC)

NO INTERVENTION

The wait-list control group will continue with usual learning activities and receive the mindful simulation training upon completion of the 2-month study period.

Interventions

Mindfulness-based interventionBEHAVIORAL

The face-to-face mindfulness induction workshop will be delivered by a certified mindfulness instructor. The mindfulness interventions, including the tools and informal practice. Paper handouts regarding the mindfulness techniques and informal practice will be given to participants to facilitate the learning and self-paced practice.

Mindful Simulation Training (MST)
Simulation-based learningBEHAVIORAL

The simulation scenario will consist of 3 components, including pre-briefing, simulation activity, and debriefing.

Mindful Simulation Training (MST)Traditional Simulation Training (TST)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Nursing students aged 18 or above
  • Currently studying a full-time nursing program in Hong Kong
  • Regardless of the study year, e.g., Year 1 to Year 5
  • Able to comprehend English and Cantonese
  • Able to use electronic devices to complete an online survey
  • Have enrolled or studied in the prerequisite course provides baseline knowledge in palliative care training

You may not qualify if:

  • Nursing students who are under 18
  • Have been regularly practicing instructor-led mindfulness interventions once a week or more during the past 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hong Kong Metropolitan University

Hong Kong, Hong Kong

Location

Study Officials

  • Jojo Yan Yan Kwok, PhD

    The 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
Lecturer

Study Record Dates

First Submitted

March 25, 2026

First Posted

March 31, 2026

Study Start

March 2, 2026

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

June 1, 2028

Last Updated

March 31, 2026

Record last verified: 2026-03

Locations

HK(1)