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CTRI Number  CTRI/2025/10/096123 [Registered on: 16/10/2025] Trial Registered Prospectively
Last Modified On: 15/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Percieved communication barriers among nurses and patients in palliative care settings 
Scientific Title of Study   An exploratory study on perceived nurse- patient communication barriers among nurses and patients in palliative care settings of selected hospitals in Udupi district, Karnataka. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sherap Palmu Wangchuk Bhutia 
Designation  PG Student 
Affiliation  Manipal Academy of Higher Education 
Address  Room number 402, Department of Medical Surgical Nursing, Manipal College of Nursing, MAHE, Madhav Nagar, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  7679123667  
Fax    
Email  sherrap10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anil Raj A 
Designation  Assistant Professor 
Affiliation  Manipal Academy of Higher Education 
Address  Department of Medical Surgical Nursing, Manipal College of Nursing, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  7411892986  
Fax    
Email  anil.raj@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Sushmitha Ramona Karkada 
Designation  Assistant Professor - Senior Scale 
Affiliation  Manipal Academy of Higher Education 
Address  Department of Obstetrical and Gynaecological Nursing, Manipal College of Nursing, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9964144224  
Fax    
Email  sushmitha.karkada@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital, MAHE, Manipal Udupi district, Karnataka, 576104, India 
 
Primary Sponsor  
Name  Manipal Academy of Higher Education 
Address  Manipal Academy of Higher Education, Madhav Nagar, Manipal, Karnataka, 576104. 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shreya Suresh Nair  Kasturba Medical College Hospital, Manipal  Kasturba Medical College Hospital, department of palliative care.
Udupi
KARNATAKA 
8976001201

shreya.n@manipal.edu 
Dr Vishal Shanbhag  Kasturba Medical College Hospital, Manipal  Kasturba Medical College Hospital, department of critical care.
Udupi
KARNATAKA 
9901960496

vishal.shanbhag@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Participants working as staff nurses in palliative care settings in selected hospitals 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms, (2) ICD-10 Condition: E00-E89||Endocrine, nutritional and metabolic diseases, (3) ICD-10 Condition: G00-G99||Diseases of the nervous system, (4) ICD-10 Condition: D50-D89||Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, (5) ICD-10 Condition: I00-I99||Diseases of the circulatory system, (6) ICD-10 Condition: N00-N99||Diseases of the genitourinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Nurses working in palliative care, who have experience working in palliative care settings for more than 3 months and give consent to participate in the study.

Patients above the age of 18 who are receiving palliative care, gives consent to participate in the study and can read and comprehend instructions and answer questions on thier own accord  
 
ExclusionCriteria 
Details  Nurses who are not full-time employees of the selected palliative care settings

Patients with cognitive impairments, poor GCS/sedated, hearing and language impairment, intubated or with tracheostomy. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Perceived nurse-patient communication barriers among nurses and patients in palliative care settings  At baseline and three months before the intervention, at three months, six months and one year after the intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Nurses perceived communication barriers with palliative care patients  At baseline & three months before the intervention, at three months, six months & one year after the intervention 
Patients perceived communication barriers with nurses.  At baseline & three months before the intervention, at three months, six months & one year after the intervention 
 
Target Sample Size   Total Sample Size="482"
Sample Size from India="482" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study will help explore and identify barriers that can hinder effective nurse- patient communication in palliative care settings. By finding the issues nurses perceive to communicate with the patient and why patients might hesitate to communicate their needs to their nurses, we can provide strategies and recommendations to overcome these barriers. This study further aims to emphasise the need for communication training programs to nurses who are catered to manage the complexities involved in palliative care.

The selected sample will be asked for verbal and written consent along with a participant information sheet to participate in the study, explaining the assurance that no harm will be done to the participants involved in the study, their personal identity will not be disclosed and the data

collected will be kept confidential. The investigator will use self-prepared tools, Social Demographic Pro-forma  and Perceived Communication Barrier Assessment Questionnaire to collect the data.


The hypothesis for this study is that, there will be an association between communication barriers and selected demographic variables in nurses providing palliative care and patients receiving palliatiative care in palliative care settings.


 
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