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Evaluation of the Empowerment System for Nurses’ Ethical Reasoning in the Care of Patients with Decreased Levels of Consciousness Admitted to the Intensive Care Unit Based on the ADDIE Instructional Design Model

Evaluation of the Empowerment System for Nurses’ Ethical Reasoning in the Care of Patients with Decreased Levels of Consciousness Admitted to the Intensive Care Unit Based on the ADDIE Instructional Design Model

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
IRCT
Registry ID
IRCT20140531017920N4
Enrollment
60
Registered
2025-11-09
Start date
2026-03-01
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decreased level of consciousness.

Interventions

Intervention 1: Intervention group: Participants in the intervention group will receive the ethical reasoning empowerment system based on the ADDIE instructional design model. This includes a structur

Sponsors

Esfahan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Willingness to participate in the study Having work experience as a nurse in an intensive care unit Iranian nationalit

Exclusion criteria

Exclusion criteria: Unwillingness to continue participation at any stage of the study

Design outcomes

Primary

MeasureTime frame
Nurses’ moral reasoning. Timepoint: ? Before and after the intervention. Method of measurement: The variable of nurses’ ethical reasoning will be measured using the Nursing Dilemma Test (NDT). This instrument consists of two parts:Part I: Demographic information questionnaire;Part II: A questionnaire containing six scenarios representing common ethical dilemmas in nursing care (such as caring for a newborn with severe anomalies, administering mandatory medications, patient requests for euthanasia, medication errors, and an unaware adult patient with a terminal illness, etc.). Each scenario includes six questions based on different ethical viewpoints, and scoring is performed according to the respondent’s prioritization of answers. The maximum score for each scenario is 11, and the total possible score for the entire questionnaire is 66. Higher scores indicate a higher level of ethical reasoning ability.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactShahla mohamadirizi

Esfahan University of Medical Sciences

Mohamadirizi@nm.mui.ac.ir+98 31 3668 0048

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026