The Effect of Motivational Interviewing on Ethical Decision Making and Moral Distress

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.

Completed

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Key information

Conditions

Ethics Moral Distress

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Cumhuriyet University Medical Faculty Hospital

Sivas, Center, 58140, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Motivational Interviewing

Behavioral

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.

Primary outcomes

Ethical decision making

Time frame: 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 outcomes

Moral Distress

Time frame: 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.

Sponsors and collaborators

Lead sponsor

Nevsehir Haci Bektas Veli University

Other

Registry information

Official study title

The Effect of Motivational Interviewing on Ethical Decision Making and Moral Distress Levels in Intensive Care Nurses: Randomized Controlled Study

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2025
First posted: Jan 24, 2025
Registry last updated: Jul 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed