UMIN-CTR Clinical Trial
| Unique ID issued by UMIN | UMIN000058086 |
|---|---|
| Receipt number | R000066385 |
| Scientific Title | Factors Influencing Role Perceptions of Advance Care Planning(ACP) of Nurses working in hospital wards |
| Date of disclosure of the study information | 2025/06/05 |
| Last modified on | 2025/06/05 03:25:41 |
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Basic information
Public title
Factors Influencing Role Perceptions of Advance Care Planning(ACP) of Nurses working in hospital wards
Acronym
Factors Influencing Role Perceptions of Advance Care Planning(ACP) of Nurses working in hospital wards
Scientific Title
Factors Influencing Role Perceptions of Advance Care Planning(ACP) of Nurses working in hospital wards
Scientific Title:Acronym
Factors Influencing Role Perceptions of Advance Care Planning(ACP) of Nurses working in hospital wards
Region
| Japan |
Condition
Condition
cancer, non-cancer
Classification by specialty
| Nursing |
Classification by malignancy
Malignancy
Genomic information
NO
Objectives
Narrative objectives1
The aim of this study is to clarify the actual state of role recognition regarding ACP among ward nurses and the factors influencing it.
Basic objectives2
Others
Basic objectives -Others
Investigation of influencing factors through questionnaire surveys
Trial characteristics_1
Trial characteristics_2
Developmental phase
Assessment
Primary outcomes
Ward nurses' perception of their role in ACP, Perception of the importance of ACP for the target population, Perception of the importance of ACP in the ward, Difficulty of ACP, Background of the target population
Key secondary outcomes
Base
Study type
Observational
Study design
Basic design
Randomization
Randomization unit
Blinding
Control
Stratification
Dynamic allocation
Institution consideration
Blocking
Concealment
Intervention
No. of arms
Purpose of intervention
Type of intervention
Interventions/Control_1
Interventions/Control_2
Interventions/Control_3
Interventions/Control_4
Interventions/Control_5
Interventions/Control_6
Interventions/Control_7
Interventions/Control_8
Interventions/Control_9
Interventions/Control_10
Eligibility
Age-lower limit
| Not applicable |
Age-upper limit
| Not applicable |
Gender
Male and Female
Key inclusion criteria
Among the facilities in Prefecture A listed by the Japan Hospital Association, 13 facilities with 400 or more beds have nurses working in their wards.
Key exclusion criteria
Nurses working in pediatric, obstetrics, and psychiatric wards
Target sample size
1880
Research contact person
Name of lead principal investigator
| 1st name | Atsuko |
| Middle name | |
| Last name | Furuta |
Organization
University of Tsukuba
Division name
Graduate School of Comprehensive Human Science Doctoral & Master' s Program in Nursing Science
Zip code
305-0005
Address
1-1-1 Tennoudai, Tsukuba, Ibaraki, Japan
TEL
0298590503
s2330463@u.tsukuba.ac.jp
Public contact
Name of contact person
| 1st name | Atsuko |
| Middle name | |
| Last name | Furuta |
Organization
University of Tsukuba
Division name
Graduate School of Comprehensive Human Science Doctoral & Master' s Program in Nursing Science
Zip code
305-0005
Address
1-1-1 Tennoudai, Tsukuba, Ibaraki, Japan
TEL
0298590503
Homepage URL
s2330463@u.tsukuba.ac.jp
Sponsor or person
Institute
University of Tsukuba
Institute
Department
Personal name
Funding Source
Organization
University of Tsukuba
Organization
Division
Category of Funding Organization
Other
Nationality of Funding Organization
Other related organizations
Co-sponsor
Name of secondary funder(s)
IRB Contact (For public release)
Organization
Institute of Medicine, University of Tsukuba,
Address
Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575
Tel
029-853-8849
sien.igakuss@un.tsukuba.ac.jp
Secondary IDs
Secondary IDs
NO
Study ID_1
Org. issuing International ID_1
Study ID_2
Org. issuing International ID_2
IND to MHLW
Institutions
Institutions
Other administrative information
Date of disclosure of the study information
| 2025 | Year | 06 | Month | 05 | Day |
Related information
URL releasing protocol
none
Publication of results
Unpublished
Result
URL related to results and publications
none
Number of participants that the trial has enrolled
146
Results
The results of the descriptive statistics showed that ward nurses' role expectations from cancer patients and their families were higher than their role expectations from non-cancer patients and their families. Furthermore, the results of the multiple logistic regression analysis indicated that ward nurses' role recognition regarding ACP was influenced by recognition of the importance of ACP in the ward and presence or absence of ACP educators.
Results date posted
| 2025 | Year | 06 | Month | 05 | Day |
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics
We requested cooperation from 13 facilities and received cooperation from 10 facilities. We distributed explanatory documents to 1,380 subjects at the target facilities and received responses from 148 subjects. Excluding two subjects working in pediatrics, 146 subjects were included in the analysis.
Participant flow
We sent written requests for participation in the survey to the nursing directors of each facility, and once we got the go-ahead, we gave the info sheet to the people involved through the nursing department. We asked them to scan the QR code on the info sheet and fill out the survey. The survey was open for one month.
Adverse events
none
Outcome measures
1. Participant Background
Gender, age, years of clinical experience, hospital function, presence of ACP educators within the facility, number of times participating in ACP study sessions, years of experience in palliative care/hospice, and department were set. Additionally, referencing previous studies, the question item "Who do you feel should initiate ACP?" was added.
2. Ward Nurses' Perception of Their Role in ACP
Referencing the components of the nursing support scale for ACP in cancer patients developed by Tadashi et al., we added one item, "Conducting ACP education" and measured a total of 51 items. Following the definition of role perception for ward nurses in this study, we investigated the perceived roles expected to be practiced by "patients and their families" and "other healthcare professionals". Additionally, since ward nurses' role perceptions may differ between cancer patients and non-cancer patients, we surveyed "cancer patients and their families" and "non-cancer patients and their families" separately. Respondents were asked to indicate whether they felt that roles in practicing ACP were expected from "cancer patients and their families", "non-cancer patients and their families" and "other healthcare professionals" using a two-point scale.
3. Perception of the Importance of ACP
The scale developed by Nakazawa K, et al. was used to measure the recognition of the importance of ACP. ACP requires organizational efforts, and the recognition of ward nurses' roles in ACP may be related to the importance of ACP in their respective wards. In this study, both "recognition of the importance of ACP for the subject" and "importance of ACP in the ward" were considered as recognition of the importance of ACP, and each was measured using a 5-point Likert scale for 15 items.
4. Difficulty of ACP
We modified and used the "Palliative Care Difficulty Scale" developed by Nakazawa Y, et al. Additionally, regarding the time-related factors that have been identified as sources of difficulty in nurses' ACP practices, we added one item based on the "Beliefs About End-of-Life Scale" developed by Mori M, et al., and measured a total of 15 items using a 5-point Likert scale.
Plan to share IPD
IPD sharing Plan description
Progress
Recruitment status
Completed
Date of protocol fixation
| 2022 | Year | 10 | Month | 07 | Day |
Date of IRB
| 2022 | Year | 10 | Month | 07 | Day |
Anticipated trial start date
| 2022 | Year | 10 | Month | 07 | Day |
Last follow-up date
| 2022 | Year | 11 | Month | 09 | Day |
Date of closure to data entry
| 2022 | Year | 11 | Month | 09 | Day |
Date trial data considered complete
| 2022 | Year | 11 | Month | 09 | Day |
Date analysis concluded
| 2023 | Year | 01 | Month | 25 | Day |
Other
Other related information
Ward nurses play an important role in the process of ACP practice in patient decision-making. Nurses' recognition of their role in practicing ACP may influence ACP practice, but the actual situation and related factors are not yet clear. The purpose of this study was to investigate the actual state of nurses' role recognition regarding ACP and its associated factors among ward nurses. A questionnaire survey was conducted targeting ward nurses at 10 facilities within A Prefecture. Descriptive statistical results showed that ward nurses' role expectations from cancer patients and their families were higher than those from non-cancer patients and their families. Additionally, the results of multiple logistic regression analysis indicated that ward nurses' role perceptions regarding ACP were influenced by recognition of the importance of ACP in the ward and presence of ACP educators. To enhance ward nurses' role recognition regarding ACP, it was suggested that wards need to elevate awareness of the importance of ACP as an organizational norm, and that each healthcare institution should cultivate and deploy staff capable of providing ACP education.
Management information
Registered date
| 2025 | Year | 06 | Month | 05 | Day |
Last modified on
| 2025 | Year | 06 | Month | 05 | Day |
Link to view the page
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066385
