Ethics, Moral Distress
Conditions
Keywords
ethics, moral distress, intensive care nurses
Brief summary
The purpose of this study is a pre-test-post-test, randomized controlled experimental study with a control group, planned to examine the effect of motivational interviewing on ethical decision-making and moral distress levels in intensive care nurses.
Detailed description
The research was designed individually. The research will be conducted between 30 JANUARY 2025 and 27 FEBRUARY 2025, with Certificates working in the intensive care units of the Cumhuriyet University Faculty of Medicine in Sivas-Central province of Turkey and meeting the included criteria. The study will be carried out face to face after obtaining the necessary institutional permissions. At each stage of the research, the quantities will be taken into consideration, taking into account the inclusion criteria. They will be asked to fill out informed consent forms asking to explain the subject, purpose and method of receiving the study. Participants will be divided into intervention and control groups by simple randomization method. Participant Information Form, Ethical Dilemma Test in Nursing and Moral Distress Scale will be applied to both groups before the intervention. Data collection tools will be applied to the control group simultaneously with the intervention group. The picture of the implementation of the study will be recorded by the hospital management where appropriate and will be carried out in a private area. At the end of the intervention program, the Nursing Ethical Dilemma Test and Moral Distress Scale will be administered to both groups.
Interventions
BEHAVIORALmotivational interviewing
Motivational interviewing is a directive and client-centered approach used to elicit behavioral change by helping the client explore and resolve ambivalence. Motivational interviewing is a specific method of helping individuals understand their problems and take action for change. In this study, the motivational interview program created in line with the literature (Li et al, 2023; Miller and Rollnick, 2013; Çelik Örücü, 2020) consists of 5 sessions in total, one session per week. There are specific goals and objectives for each session.
Sponsors
Nevsehir Haci Bektas Veli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Masking description
There will be no blinding.Randomization will be done to avoid bias
Intervention model description
It is a pretest-posttest, randomized controlled experimental study with a control group.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Nurses working in Intensive Care Clinics who volunteer to participate in the study will be included.
Exclusion criteria
* Being diagnosed with any mental illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ethical decision making | 5 month | To reveal the moral problems frequently encountered in patient care; Drawing on her experiences with ethical problems in nursing practice, she developed six dilemmas specific to nursing practice. Principled Thinking demonstrates the importance given to considering moral principles when making moral decisions in nursing. Practical thinking, on the other hand, measures the importance that nurses give to environmental factors such as the number of patients, the number of available resources, institutional policies, the extent to which nurses perceive the support of the management, and physician control, in making decisions regarding ethical issues. The ID and PD scores obtained from each dilemma are added separately to determine the participant's total ID and PD scores. The lowest ID score that can be reached in the test is 18 and the highest ID score is 66. The lowest PD score that can be achieved is 6 and the highest PD score is 36. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Moral Distress | 5 month | Description: It was developed to evaluate the frequency and intensity of moral distress experienced by nurses working in intensive careThe scale consists of 21 items and consists of 2 dimensions: frequency (0-4) and intensity (0-4). The total score to be obtained from the scale is between 0-336, and an increase in the score indicates an increase in the level of moral distress. |
Countries
Turkey (Türkiye)
Outcome results
None listed