Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses

Condition(s) studied

Investigational drug(s) / intervention(s)

Death Conversation: On site, facilitator-led group discussion lasting 2 hours, covering: 1) Experiences of patients' deaths; 2) Coping with patients' death and dying; 3) Communication with patients and/or family members about death and dying; 4) Discussing advance care planning with patients and/or family members

Online ACP Education: An online asynchronous learning session with short videos on ACP with discussion forums.

Study summary

The goal of this clinical trial is to evaluate whether the PEACE program can improve early career registered nurses' registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death, and self-efficacy in initiating advanced care planning conversations

This study aims to address the following research questions:

* Does the PEACE program improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations?
* What are the participants' experiences of participating in the PEACE program?

Researchers will compare participants who receive the PEACE program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.

Participants will:

* Complete online questionnaires measuring attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
* Participate in a facilitator-led group discussion session about experiences of patients' deaths, coping with patients' death and dying, communications with patients and/or family members about death and dying, and discussing advance care planning with patients and/or family members (intervention group only).
* Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
* Complete follow-up surveys, including a 3-month follow-up assessing whether participants have engage with any patients and/or their family members in advance care planning conversations.

Eligibility

Primary outcome measure(s)

• Advance Care Planning Self-Efficacy (ACP-SE) Scale — Baseline
  An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
• Advance Care Planning Self-Efficacy (ACP-SE) Scale — Post-test (Immediately at end of 2-weeks intervention)
  An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
• Advance Care Planning Self-Efficacy (ACP-SE) Scale — 3 months follow-up
  An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.

Trial sites (1)

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