Investigating the Impact of Ethical Decision-Making Training on the Moral Sensitivity and Reasoning of Nurses.

Evaluating the Effectiveness of Teaching Ethical Concepts Based on Kitchener's Ethical Decision-Making Model on the Moral Sensitivity and Reasoning of Emergency Nurses.

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20241010063325N1

Enrollment

Registered

2024-12-10

Start date

2025-02-19

Completion date

Unknown

Last updated

2025-01-08

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

Conditions

Condition 1: Moral sensitivity and reasoning. Condition 2: Ethical decision making. Unspecified behavioral syndromes associated with physiological disturbances and physical factors Puerperal psychosis

Interventions

Intervention 1: Intervention group:This group consists of 44 emergency nurses who will receive training on ethical concepts based on the steps of Kitchener's model, aimed at enhancing their ethical re

Eligibility

Sex/Gender

All

Age

22 Years to No maximum

Inclusion criteria

Inclusion criteria: Non-participation in ethics training workshops 3 months prior to entering the study Holding at least a bachelor's degree Willingness to participate in an ethics workshop Absence of mental health disorders in the past year according to self-report

Exclusion criteria

Exclusion criteria: do not satisfy to participate in all sessions all nurses who are not in fixed shifts

Design outcomes

Primary

Measure	Time frame
Moral sensitivity. Timepoint: Before starting the study, immediately and two months after the end of the study. Method of measurement: To measure moral sensitivity among nurses, the Moral Sensitivity Questionnaire (MSQ) developed by Lützén et al. will be utilized. This instrument, hereafter referred to as MSQ, is a validated and widely used tool for assessing moral sensitivity in various ethical situations encountered in the nursing profession. The MSQ, designed by Lützén and colleagues, examines different dimensions of moral sensitivity and evaluates nurses’ ability to identify and respond to ethical challenges in clinical settings. In other words, this instrument serves as a comprehensive measure of nurses’ awareness and responses to ethical issues.;Moral reasoning. Timepoint: Before starting the study, immediately and two months after the end of the study. Method of measurement: Standard Moral Reasoning Questionnaire (Rost et al. 1973).	—

Measure

Time frame

Moral sensitivity. Timepoint: Before starting the study, immediately and two months after the end of the study. Method of measurement: To measure moral sensitivity among nurses, the Moral Sensitivity Questionnaire (MSQ) developed by Lützén et al. will be utilized. This instrument, hereafter referred to as MSQ, is a validated and widely used tool for assessing moral sensitivity in various ethical situations encountered in the nursing profession. The MSQ, designed by Lützén and colleagues, examines different dimensions of moral sensitivity and evaluates nurses’ ability to identify and respond to ethical challenges in clinical settings. In other words, this instrument serves as a comprehensive measure of nurses’ awareness and responses to ethical issues.;Moral reasoning. Timepoint: Before starting the study, immediately and two months after the end of the study. Method of measurement: Standard Moral Reasoning Questionnaire (Rost et al. 1973).

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Secondary

Measure	Time frame
Reduce stress. Timepoint: Before and after and 2 months after intervention. Method of measurement: To measure the levels of depression, anxiety, and stress, the Depression Anxiety Stress Scales-21 (DASS-21) questionnaire was used. This instrument, hereafter referred to as DASS-21, is widely utilized for the assessment of these three psychological variables.;Improving the performance of nurses. Timepoint: before and after and 2 months after intervention. Method of measurement: To measure moral sensitivity among nurses, the Moral Sensitivity Questionnaire (MSQ) developed by Lützén et al. will be utilized. This instrument, hereafter referred to as MSQ, is a validated and widely used tool for assessing moral sensitivity in various ethical situations encountered in the nursing profession. The MSQ, designed by Lützén and colleagues, examines different dimensions of moral sensitivity and evaluates nurses’ ability to identify and respond to ethical challenges in clinical settings. In other words, this instrument serves as a comprehensive measure of nurses’ awareness and responses to ethical issues.	—

Measure

Time frame

Reduce stress. Timepoint: Before and after and 2 months after intervention. Method of measurement: To measure the levels of depression, anxiety, and stress, the Depression Anxiety Stress Scales-21 (DASS-21) questionnaire was used. This instrument, hereafter referred to as DASS-21, is widely utilized for the assessment of these three psychological variables.;Improving the performance of nurses. Timepoint: before and after and 2 months after intervention. Method of measurement: To measure moral sensitivity among nurses, the Moral Sensitivity Questionnaire (MSQ) developed by Lützén et al. will be utilized. This instrument, hereafter referred to as MSQ, is a validated and widely used tool for assessing moral sensitivity in various ethical situations encountered in the nursing profession. The MSQ, designed by Lützén and colleagues, examines different dimensions of moral sensitivity and evaluates nurses’ ability to identify and respond to ethical challenges in clinical settings. In other words, this instrument serves as a comprehensive measure of nurses’ awareness and responses to ethical issues.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactMitra Khoobi

Tarbiat Modares University, School of Medical Sciences

m.khoobi@modares.ac.ir+98 21 8288 3554

Outcome results

None listed

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