Viewing Study NCT06425692



Ignite Creation Date: 2024-06-16 @ 11:47 AM
Last Modification Date: 2024-10-26 @ 3:30 PM
Study NCT ID: NCT06425692
Status: NOT_YET_RECRUITING
Last Update Posted: 2024-05-22
First Post: 2024-05-01

Brief Title: Work Package 3 Education for ICU Clinicians in Basic Palliative Care
Sponsor: Heinrich-Heine University Duesseldorf
Organization: Heinrich-Heine University Duesseldorf

Study Overview

Official Title: Enhancing Palliative Care in ICU EPIC - Work Package 3
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-05
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The EPIC project aims at sustainably improving palliative care for seriously ill patients and their families in ICUs To this aim an interdisciplinary consortium is working together to provide a new practical palliative care model using telemedicine The project is the first European intervention study on palliative care in the ICU using a systems- based approach with proactive patient identification checklist and blended learning designed to meet the specific needs of ICU staff

EPICs vision is to contribute to a change in awareness from a narrow focus on prolonging life to a more holistic approach to care

The development of blended learning for intensive care staff is the task of Work Package WP 3 The aim is to improve the attitude understanding and self-confidence of ICU staff Blended learning is to be developed and implemented for this purpose The aim is to teach the basics of palliative care on a cognitive affective and psychomotor level

Due to the international character of the project it is to be developed in English with subtitles in the local languages In addition a workshop with patient and family advisors will be conducted
Detailed Description: Background Around 10 of all deceased people in the population die after being admitted to an intensive care unit ICU These patients may have distressing symptoms and may receive more intensive life-prolonging treatment than they would have chosen themselves This can lead to family stress but also to mental distress among intensive care staff

The EPIC project aims at sustainably improving palliative care for seriously ill patients and their families in ICUs To this aim an interdisciplinary consortium is working together to provide a new practical palliative care model using telemedicine The project is the first European intervention study on palliative care in the ICU using a systems-based approach with proactive patient identification checklist and blended learning designed to meet the specific needs of ICU staff EPICs vision is to contribute to a change in awareness from a narrow focus on prolonging life to a more holistic approach of care

Objectives of Work Package WP 3 The aim is to improve the attitude understanding and self-confidence of ICU-staff Blended learning will be developed and implemented for this purpose The aim is to teach the basics of palliative care on a cognitive affective and psychomotor level Due to the international character of the project it is to be developed in English with subtitles in the local languages In addition a workshop with patient and family advisors should conducted

Development and implementation of blended learning

The blended learning program is to be completed by all ICU staff participating in the study during the crossover period of 4 weeks prior to the intervention The curriculum will be developed in close collaboration with another work package The main aim is to teach the standardized EPIC procedures using the following questions

1 Why is palliative care necessary
2 When to call for a specialist palliative care consultation
3 How to message palliative care
4 What are the critical elements of palliative care in the ICU

Participants first complete the eLearning programme This is made available to them via the data-secured open-source platform BeST Charite Participants will then take part in interactive online workshops moderated by the investigators involved in the study The workshop curriculum also focuses on communication skills training and open questions after the eLearning Two workshops of 90 minutes each will be offered to allow all ICU staff to participate In addition a pocket card for symptom assessment communication and care planning will be developed and handed out at each workshop

Evaluation of the impact of the training The evaluation of blended learning takes place at different times On one hand the validated CPD Response Questionnaire a 12-item questionnaire to assess the impact of CPD activities on changes in clinical behavioral intentions will be used CPD activities can be used as a way of indicating that new knowledge can lead to changes in practice

Which changes the investigators want to measure will become apparent during the development of the curriculum

The comparative self-assessment CSA gain is used to evaluate the specific learning effects in relation to the increase in knowledge attitudes and skills Here the participants assess their own increase in knowledge in the postthis assessment The information is assessed using German school grades 1 very good 6 unsatisfactory Subsequently the learning gain on the levels of attitude and knowledge can be calculated as CSA Gain MWpre-MWpostMwpre-1 x 100

The learning objectives will be based on the curriculum to be developed so the questionnaire will also be submitted as an amendment Both questionnaires will be made available to participants via a link andor QR code using SoSci Survey tool The CPD is to be surveyed before and after blended learning and after six months and the CSA gain after blended learning and also after six months

The questionnaires are available in English and will be translated back and forth according to the state of the art Reminders for the follow-up questionnaires will be sent to the participants by e-mail Results will be communicated to the investigators at other sites and used to update the curriculum after the intervention study has ended

Conducting and evaluation of the patients and family workshop A co-workshop will be held with patients and relatives to integrate their perspectives and needs in terms of skills and knowledge of professional caregivers This will then also be evaluated whereby the content to be developed will provide the items of the evaluation The evaluation is also collected as an online questionnaire via SoSci

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None