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End-of-Life and Post-Mortem Care EducationNCT07737028

Web-Based End-of-Life and Post-Mortem Care Education for Nursing Students

A study testing Web-Based End-of-Life and Post-Mortem Care Education and Face-to-Face Case Discussion Sessions in people with End-of-Life and Post-Mortem Care Education, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to evaluate the effect of a web-based end-of-life and post-mortem care education program on nursing students' post-mortem self-efficacy, death literacy, and attitudes toward the principles of a dignified death. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Web-Based End-of-Life and Post-Mortem Care Education and Face-to-Face Case Discussion Sessions
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
1 siteTurkey (Türkiye)
Study dates
Feb 2027to Feb 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Fourth-year undergraduate nursing students enrolled at the Faculty of Health Sciences, Necmettin Erbakan University, during the 2026-2027 Spring semester.
  • Successful completion of the Fundamentals of Nursing, Medical Nursing, and Psychiatric and Mental Health Nursing courses.
  • Access to an internet-enabled device.
  • Willingness to participate and provide informed consent.

Who cannot join

  • Failure to complete at least one educational module.
  • Failure to complete the baseline, post-intervention, or follow-up assessments.
  • Withdrawal from the study at any time.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Gizem Nur Kati, PhD (c) contact

+905057185094

gizemnur.kati@erbakan.edu.tr

Turkey (Türkiye)1 site
  • Seydişehir Kamil Akkanat Faculty of Health Sciences, Necmettin Erbakan University

    Konya, Seydisehir, 42360

    Gizem Nur Kati, PhD(c), +905057185094, gizemnur.kati@erbakan.edu.tr

    Hilal Turkben Polat, Associate Professor

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Web-Based End-of-Life and Post-Mortem Care Education on Nursing Students' Post-Mortem Self-Efficacy, Death Literacy, and Attitudes Toward the Principles of a Dignified Death: A Randomized Controlled Trial

This study aims to evaluate the effect of a web-based end-of-life and post-mortem care education program on nursing students' post-mortem self-efficacy, death literacy, and attitudes toward the principles of a dignified death. Participants will receive educational content through an online learning platform, and the effectiveness of the program will be assessed using validated questionnaires administered before and after the intervention. The findings are expected to support the development of accessible, sustainable, and effective digital education programs that enhance nursing students' knowledge, skills, and attitudes related to end-of-life and post-mortem care.

Read the detailed description

This study is designed as a single-blind, parallel-group randomized controlled trial to evaluate the effectiveness of a web-based end-of-life and post-mortem care education program developed for undergraduate nursing students. The educational intervention has been developed as part of a doctoral dissertation and is based on current scientific evidence, international recommendations, and the End-of-Life Nursing Education Consortium (ELNEC) curriculum.

The intervention consists of eight structured online learning modules covering the fundamental concepts of end-of-life care, symptom management, recognition of the dying process, principles of a dignified death, post-mortem care practices, family support, spiritual care, and case-based learning. Each module is designed to be completed within approximately 10-15 minutes and includes narrated presentations, visual materials, flowcharts, decision trees, animations, and case-based learning activities. The educational videos will be delivered through a dedicated web-based learning platform that allows participants to access the content regardless of time and location. The platform will ensure sequential completion of the modules; participants will not be able to fast-forward videos or proceed to the next module without completing the current one.

Participants randomized to the intervention group will receive the web-based educational program through the online learning platform over a two-month period. Participants randomized to the control group will participate in three face-to-face case discussion sessions covering end-of-life and post-mortem care as specified in the study protocol. To minimize contamination between the study groups, participants in the control group will not have access to the web-based educational platform during the intervention period. After completion of data collection, the web-based educational materials will also be made available to participants in the control group.

Before implementation, the educational materials will undergo expert review to establish content validity. Subsequently, a pilot study will be conducted with nursing graduates to evaluate the usability of the web platform and the comprehensibility of the educational content. Feedback obtained during the pilot phase will be incorporated into the final version of the educational program before participant recruitment begins.

Participants will be allocated to the study groups using a computer-generated randomization procedure conducted by an independent researcher who is not involved in the implementation of the study. To ensure comparability between groups, randomization will be performed while considering participants' grade point averages. Because the educational intervention will be delivered by the principal investigator, investigator blinding will not be feasible. However, participants will not be informed of their group allocation, and the researchers responsible for outcome assessment, data coding, and statistical analyses will remain blinded to group assignment. The study will be conducted and reported in accordance with the CONSORT 2025 Statement: Updated Guideline for Reporting Randomized Trials.

The web-based education platform has been specifically designed for this study to provide flexible access to educational materials while enabling standardized delivery of the intervention. The platform includes secure individual user accounts, participant progress monitoring, reminder functions, and restricted access limited to enrolled participants. These features are intended to improve participant adherence and ensure consistent implementation of the educational intervention throughout the study.

Being tested
Web-Based End-of-Life and Post-Mortem Care Education, Face-to-Face Case Discussion Sessions
Keywords
End-of-Life Care, Post-Mortem Care, Nursing Students, Web-Based Education, Death Literacy, Dignified Death, Self-Efficacy
Medical subject headings
Death

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Web-Based End-of-Life and Post-Mortem Care EducationBehavioural

    Participants assigned to the experimental group will receive a web-based educational program consisting of eight structured online modules covering end-of-life and post-mortem care. The program is delivered through a dedicated web-based learning platform and includes narrated presentations, visual materials, case-based learning activities, and interactive educational resources. The intervention is designed to be completed over a two-month period, with sequential access to the modules to ensure completion of all educational content.

  • Face-to-Face Case Discussion SessionsBehavioural

    Participants assigned to the control group will participate in three face-to-face case discussion sessions focusing on end-of-life and post-mortem care according to the study protocol. During the intervention period, participants in the control group will not have access to the web-based educational platform. After completion of data collection, access to the web-based educational materials will be provided.

Study groups in NCT07737028
Study groupRoleWhat they receive
Experimental GroupExperimentalParticipants assigned to the experimental group will receive a web-based end-of-life and post-mortem care education program consisting of eight structured online modules delivered over a two-month period. The educational content is provided through a dedicated web-based learning platform that allows participants to access the modules asynchronously while ensuring sequential completion of all learning activities.
Receives: Behavioral: Web-Based End-of-Life and Post-Mortem Care Education
Control GroupActive comparatorParticipants assigned to the control group will participate in three face-to-face case discussion sessions covering end-of-life and post-mortem care topics according to the study protocol. Access to the web-based educational program will be withheld during the intervention period and will be provided after completion of data collection.
Receives: Behavioral: Face-to-Face Case Discussion Sessions

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-Mortem Self-Efficacy

    Change in nursing students' post-mortem self-efficacy will be measured using the End-of-Life and Post-Mortem Self-Efficacy Scale for Nursing Students. Total scores range from 0 to 100, with higher scores indicating greater self-efficacy in end-of-life and post-mortem care.

    Measured: Baseline, immediately after completion of the 2-month intervention (approximately 2 months), and 2-month follow-up (approximately 4 months from baseline).

Secondary outcomes (2)
  1. Death Literacy

    Change in nursing students' death literacy measured using the Death Literacy Index. Total scores range from 29 to 145, with higher scores indicating higher levels of death literacy.

    Measured: Baseline, immediately after completion of the 2-month intervention (approximately 2 months), and 2-month follow-up (approximately 4 months from baseline).

  2. Attitudes Toward the Principles of a Dignified Death

    Change in nursing students' attitudes toward the principles of a dignified death measured using the Attitudes Toward the Principles of a Dignified Death Scale. Total scores range from 12 to 60, with higher scores indicating greater endorsement of the principles of a dignified death.

    Measured: Baseline, immediately after completion of the 2-month intervention (approximately 2 months), and 2-month follow-up (approximately 4 months from baseline).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2026
  2. Study startFeb 2027 (estimated)
  3. Primary completionJun 2027 (estimated)
  4. Study completionFeb 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to either the intervention or the control group in a parallel-group design. The intervention group will receive a web-based end-of-life and post-mortem care education program, whereas the control group will participate in face-to-face case discussion sessions. Both groups will be followed concurrently, and outcomes will be compared between groups. Outcome assessors and data analysts will remain blinded to group allocation.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
74 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07737028
Sponsor's protocol ID
2026/1406
Status last verified
Aug 2026
First submitted
26 Jul 2026
Last updated
4 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Webster, T., Fial, A., Moore, P., Rajaram, S., Shope, R., & Davies, D. (2021). Building a robust e-learning module scorecard: The Nebraska e-learning scorecard (NEscore). Innovations in Health Sciences Education Journal. https://doi.org/10.32873/unmc.dc.ihsej.0001

  • Yoong SQ, Wang W, Seah ACW, Kumar N, Gan JON, Schmidt LT, Lin Y, Zhang H. Nursing students' experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis. Nurse Educ Pract. 2023 May;69:103625. doi: 10.1016/j.nepr.2023.103625. Epub 2023 Mar 28.

    PubMed 37004470
  • Xu GR, Yu WY. Mediating effect of meaning in life on death anxiety and attitude toward palliative care among undergraduate nursing students. BMC Palliat Care. 2024 Jun 5;23(1):139. doi: 10.1186/s12904-024-01472-w.

    PubMed 38840188
  • Wang W, Wu C, Bai D, Chen H, Cai M, Gao J, Hou C. A meta-analysis of nursing students' knowledge and attitudes about end-of-life care. Nurse Educ Today. 2022 Dec;119:105570. doi: 10.1016/j.nedt.2022.105570. Epub 2022 Sep 23.

    PubMed 36182790
  • Wang A, Nan F, Jin LS, Jin H. A SWOT Analysis of Death Literacy Education in Nursing: Implications for Hospice and Palliative Care in China. J Multidiscip Healthc. 2025 Nov 27;18:7749-7756. doi: 10.2147/JMDH.S559188. eCollection 2025.

    PubMed 41334159
  • Vanderspank-Wright B, Efstathiou N, Vandyk AD. Critical care nurses' experiences of withdrawal of treatment: A systematic review of qualitative evidence. Int J Nurs Stud. 2018 Jan;77:15-26. doi: 10.1016/j.ijnurstu.2017.09.012. Epub 2017 Sep 28.

    PubMed 29024808
  • Uzen Cura S. Nursing Students' Spiritual Orientations and Their Attitudes Toward the Principles of Dying with Dignity: A Sample from Turkey. J Relig Health. 2021 Feb;60(1):221-231. doi: 10.1007/s10943-020-01029-0.

    PubMed 32418151
  • Ustundag S, Durgu N, Cekic Y, Unver G. Visual perceptions of a good death: A mixed-methods study on the perceptions of nursing students in Turkey toward a good death. Nurse Educ Pract. 2025 Feb;83:104289. doi: 10.1016/j.nepr.2025.104289. Epub 2025 Feb 9.

    PubMed 39951904
  • United States. President's Commission for the Study of Ethical Problems in Medicine, & Behavioral Research. (1981). Defining death: A report on the medical, Legal and Ethical Issues in the Determination of Death. The Commission.

  • Shorey S, Chua C. Nurses and nursing students' experiences on pediatric end-of-life care and death: A qualitative systematic review. Nurse Educ Today. 2022 May;112:105332. doi: 10.1016/j.nedt.2022.105332. Epub 2022 Mar 18.

    PubMed 35334222
  • Semerci V, Sonmez Sari E, Seven A. Validity and Reliability of the Turkish Version of the Death Literacy Index. Omega (Westport). 2024 Feb;88(3):807-822. doi: 10.1177/00302228221144672. Epub 2022 Dec 12.

    PubMed 36510355
  • Rumalessin, U. T., & Vera, L. O. (2025). E-Learnıng Through Student Voıces: An Exploratory Study In Health Scıences Educatıon. Diklat Review: Jurnal manajemen pendidikan dan pelatihan, 9(1), 144-150.

  • Ruiz-Pellon N, Sarabia-Cobo C, Amo-Setien F, Fernandez-Pena R, Abajas R, Martin R, Ortego-Mate C. Experiences of nursing students participating in end-of-life education programs: A systematic review and qualitative metasynthesis. Nurse Educ Today. 2020 Jul;90:104442. doi: 10.1016/j.nedt.2020.104442. Epub 2020 Apr 19.

    PubMed 32353644
  • Ocalan S, Bilgin A, Altundal Duru H, Kovanci MS. End-of-life care preparedness program for senior nursing students in Turkiye: Effects on attitudes and self-efficacy in a randomized controlled trial. Nurse Educ Pract. 2026 Feb;91:104717. doi: 10.1016/j.nepr.2026.104717. Epub 2026 Jan 8.

    PubMed 41518927
  • Noonan, K., Horsfall, D., Leonard, R., & Rosenberg, J. (2016). Developing death literacy. Progress in Palliative Care, 24(1), 31-35. https://doi.org/10.1080/09699260.2015.1103498

Questions about this trial

What is this clinical trial studying?

A study testing Web-Based End-of-Life and Post-Mortem Care Education and Face-to-Face Case Discussion Sessions in people with End-of-Life and Post-Mortem Care Education, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 4 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Gizem Nur Kati, PhD (c) (+905057185094, gizemnur.kati@erbakan.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Post-Mortem Self-Efficacy (time frame: Baseline, immediately after completion of the 2-month intervention (approximately 2 months), and 2-month follow-up (approximately 4 months from baseline).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07737028, which also lists 41 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Aug 2026.

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