ACP Simulation-based Communication Training Program for Nurses Discussing ACP With Chronic Kidney Disease Patients

Sponsor

Kaohsiung Medical University Chung-Ho Memorial Hospital (Other)

Overall Status

Completed

CT.gov ID

NCT04312295

Collaborator

(none)

Enrollment

Location

Arms

6.2

Actual Duration (Months)

15.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study was to evaluate the effects of ACP simulation-based communication training program (ACP-SCT program) for nurses to discuss ACP with chronic kidney disease patients

Condition or Disease	Intervention/Treatment	Phase
Chronic Kidney Diseases	Behavioral: ACP-SCT program	N/A

Detailed Description

The ACP-SCT program was including three stages, as follows Stage I: To discuss ACP knowledge and law Objective: Opportunity to share experiences, and develop a mutual understanding of the the challenge of ACPdiscussing with CKD patients.

Stage II: communication skills section and Feedback section Objective: 1. To provide a structured approach to managing ACP discussions. 2. Opportunity to practice communication skills in a safe environment 3. Opportunity to discuss their experiences of the training program, and reflect future on their own practice and experience.

Study Design

Study Type:

Interventional

Actual Enrollment :

96 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Supportive Care

Official Title:

The Effects of an ACP Simulation-based Communication Training Program for Nurses Discussing ACP With Chronic Kidney Disease Patients: A Longitudinal Study

Actual Study Start Date :

Sep 19, 2019

Actual Primary Completion Date :

Dec 26, 2019

Actual Study Completion Date :

Mar 26, 2020

Arms and Interventions

Arm	Intervention/Treatment
Experimental: ACP-SCT program The ACP simulation-based communication training (ACP-SCT)program was designed 12 hours (4hours/week) workshop for nephrology nurses.	Behavioral: ACP-SCT program The ACP-SCT program was designed to improve nurses' knowledge and competence in discussing ACP with Chronic Kidney Disease patients.
No Intervention: Without ACP-SCT program The control group only gives the ACP simulation-based communication training program handbook.

Arm

Intervention/Treatment

Experimental: ACP-SCT program

The ACP simulation-based communication training (ACP-SCT)program was designed 12 hours (4hours/week) workshop for nephrology nurses.

Behavioral: ACP-SCT program

The ACP-SCT program was designed to improve nurses' knowledge and competence in discussing ACP with Chronic Kidney Disease patients.

No Intervention: Without ACP-SCT program

The control group only gives the ACP simulation-based communication training program handbook.

Outcome Measures

Primary Outcome Measures

ACP Knowledge Scale [pretest (before training program), Immediate test (after training program), post-test (3 month after training program)]
To evaluate the change of knowledge score for nurses from start of training program to end of training program 3 month later. Nurses' knowledge of discussing ACP will measure using the ACP knowledge Scale developed for this study. This Scale consisting of 20 items; each item consisted of a statement for which a participant could answer ''Yes'' to give 1 point, ''No'' or ''don't know'' to get 0 point. A higher scores indicates more knowledge. Data will analysis using SPSS 22.0 statistical software. Descriptive statistics are calculating as frequencies with percentages and means with standard deviation. Generalized estimating equation (GEE) methods with exchangeable working covariance structure will use to examine group differences in ACP knowledge outcomes, adjusting for changes over time. The GEE provides unbiased estimates of intervention effects.
ACP Confidence Scale [pretest (before training program), Immediate test (after training program), post-test (3 month after training program)]
To evaluate the change of confidence score for nurses from start of training program to end of training program 3 month later. Nurses' self-confidence of communication skills in discussing ACP will measure using the ACP Confidence Scale developed for this study. The instrument consists of 12 items with response options from 0 (not confident at all) to 10(very confident), reflecting an individual's level of confident; higher scores indicates greater confidence. Data will analysis using SPSS 22.0 statistical software. Descriptive statistics are calculating as frequencies with percentages and means with standard deviation. Generalized estimating equation (GEE) methods with exchangeable working covariance structure will use to examine group differences in ACP confidence outcomes, adjusting for changes over time. The GEE provides unbiased estimates of intervention effects.

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Participants were nephrology nurses and worked at least one year

Exclusion Criteria:

Non-nephrology nurses

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Tajen University	Pingtung	Yanpu Township	Taiwan	90741

Sponsors and Collaborators

Kaohsiung Medical University Chung-Ho Memorial Hospital

Investigators

Principal Investigator: Jui-O Chen, Mater, Tajen University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Kaohsiung Medical University Chung-Ho Memorial Hospital

ClinicalTrials.gov Identifier:

NCT04312295

Other Study ID Numbers:

KMUHIRB-E(I)-20150279

First Posted:

Mar 18, 2020

Last Update Posted:

Sep 2, 2021

Last Verified:

Mar 1, 2020

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Kidney Diseases

Renal Insufficiency, Chronic

Study Results

No Results Posted as of Sep 2, 2021