E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad.

Abstract
Background: Palliative care is a rather concept that new in Iraq, there is no training intended for both health
care specialists and the overall public. The lack of education and training programs is the most important
barrier. Intermediate training is needed for individuals regularly at work with patients with life-threatening
diseases. The End-of-Life Nursing Education Consortium-Pediatric Palliative Care meant for nurses with
an interest in providing care for those children with a life-limiting disease or in the event of accidents and
unexpected passing.
Objective: The present paper is intended to evaluate the effect of a web-based course using the
Normalization Process Theory, which focuses attention on how complex interventions become routinely
embedded in practice and training of the sample academic nursesí staff in the application of the pediatric
palliative care in routine daily practice. It hypothesizes that nursesí specialists will help after passing the
training in providing palliative care for the pediatric population.
Methods: In a Multicenter, parallel, Pragmatic trial, five health care settings spread over a single city of
Babylon Province. Participants will be recruited and stratified to two strata (critical care units and noncritical
care units). In the experimental condition, the (n = 86 academic nursing staff) will be trained in the
application of the pediatric palliative care, for two weeks as web-based training course powered by Relais
platform through inviting the nurses to participate via email, or instant messaging instruct WhatsApp,
telegram, Viber account of participants to provide End of life care in addition to usual care to children and
adolescents with life-limiting conditions. In the control condition (n=86), continue usual care. The
program's effectiveness will be assessed at the level of nurses only. The statistical analyses will compare
the baseline assessment for each participant (before the intervention) with a post-intervention assessment
(after passing the training course). Moreover, a continuation assessment will occur three months after the
course end. As around numerous unidentified factors influencing the effect of the course training, a
progress evaluation to evaluate selection sample, application, and intervention value besides difficulties and
organizers to implementation will as well be present comprised in the study analysis. The staff of nursing
might not be the intervention blinded, nonetheless were blinded for the results.
Results: The study trial recruitment opened in July 2020. The first outcomes are predicted to be available in
December 2020.
Discussion: Study object to determine the training effect of the academic nurse staff of multicenter
departments units with a training course in the application of new pediatric palliative care. The study
strengths are the usual practice setting, the staff training, the readiness of staff to participate in the study,
and the random allocation to the intervention. Possible drawbacks may drop out because of staff of nursing
may well transfer to another department throughout the study period.

Key words: ELNEC-PPC, implementation, Iraq, life-limiting illnesses, pediatric palliative care, pragmatic trial, web-based training


 
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How to Cite this Article
Pubmed Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. J Cardiovasc. Dis. Res.. 2021; 12(4): 443-461. doi:10.31838/jcdr.2021.12.04.51


Web Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. http://www.jcdronline.org/?mno=94967 [Access: July 26, 2021]. doi:10.31838/jcdr.2021.12.04.51


AMA (American Medical Association) Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. J Cardiovasc. Dis. Res.. 2021; 12(4): 443-461. doi:10.31838/jcdr.2021.12.04.51



Vancouver/ICMJE Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. J Cardiovasc. Dis. Res.. (2021), [cited July 26, 2021]; 12(4): 443-461. doi:10.31838/jcdr.2021.12.04.51



Harvard Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad (2021) Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. J Cardiovasc. Dis. Res., 12 (4), 443-461. doi:10.31838/jcdr.2021.12.04.51



Turabian Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. 2021. Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. Journal of Cardiovascular Disease Research, 12 (4), 443-461. doi:10.31838/jcdr.2021.12.04.51



Chicago Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. "Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial." Journal of Cardiovascular Disease Research 12 (2021), 443-461. doi:10.31838/jcdr.2021.12.04.51



MLA (The Modern Language Association) Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad. "Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial." Journal of Cardiovascular Disease Research 12.4 (2021), 443-461. Print. doi:10.31838/jcdr.2021.12.04.51



APA (American Psychological Association) Style

Moustafa A. Al-Shammari, Amean A. Yasir, Nuhad M. Aldoori, Hussein J. Mohammad (2021) Using Normalization Process Theory to Evaluate Providing Pediatric Palliative Care at End-of-Life as Web-Based Training Intervention for Nurses: Study Protocol for a Randomized Controlled Trial. Journal of Cardiovascular Disease Research, 12 (4), 443-461. doi:10.31838/jcdr.2021.12.04.51





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