AzTrials
AzTrials

Nurses' Perceptions of IntentionalityNCT05804110

The Effect of the Mindful Caring Education Program on Nurses' Intentionality

An observational study of Nurses' Perceptions of Intentionality and the Facilitators of Intentionality, run by Akdeniz University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Intentionality is defined as the property of being about or directed toward a subject, as inherent in conscious states, beliefs, or creations of the mind. In nursing science, intentionality has been conceptualized as a dynamic and evolutionary antecedent of transpersonal caring in the mutual healing process. Read more about this study

Who is it for?
Any age, women onlyHealthy volunteers can take part
What is being tested?
Mindful Caring Education Program
How many people
9 participants
Where
1 siteTurkey (Türkiye)
Study dates
29 Dec 2021to 28 Mar 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Nurses who care for adult patients in clinics.

Who may be able to join

  • At least 1 year of working experience in the clinic, willingness to participate in research.

Who cannot join

  • The exclusion criteria were that the participants wanted to quit at any research stage and did not complete the education program.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Akdeniz University

    Antalya, 07070

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Mindful Caring Education Program Based on Human Caring Theory on Nurses' Intentionality: An Action Research

Intentionality is defined as the property of being about or directed toward a subject, as inherent in conscious states, beliefs, or creations of the mind. In nursing science, intentionality has been conceptualized as a dynamic and evolutionary antecedent of transpersonal caring in the mutual healing process. Intentionality is an ongoing process of discovering the nurse's self, purpose, and mission in life. The nurse's intentionality is a dynamic concept that evolves continuously. The nurse's cultural and ethnic background, philosophical and religious beliefs, life experiences, capacity for reflection, and self-awareness influence intentionality development and expression. It is recommended that nurses be encouraged to foster self-care and seek mentors and those who will support intentional care and healing practices. Also, breathing techniques, meditation, mindfulness, and self-reflection are recommended exercises for developing intentionality. Mindfulness is one way to cultivate personal knowing, awareness, and intentionality to facilitate growth and development in a transpersonal caring relationship. However, no research has been found to increase the nurse's mindful awareness or improve intentionality in the caring relationship. In this context, this research aimed to evaluate the effectiveness of mindful caring education on nurses' intentionality.

Read the detailed description

Intentionality is defined as the property of being about or directed toward a subject, as inherent in conscious states, beliefs, or creations of the mind. In nursing science, intentionality has been conceptualized as a dynamic and evolutionary antecedent of transpersonal caring in the mutual healing process. Person experience stress, trauma, loss, and crisis in their lives in a caring relationship. These situations precipitate a need for healing. Intentionality enhances presence and brings a more profound strength and focus to each interaction. Authentic presence allows the nurse to hear the call. A nurse's goal and purposeful thought activate intentionality. The intentionality focuses on caring-healing consciousness. The nurse and person enter the caring moment. The nurse and the person enter a shared consciousness field.

Intentionality is an ongoing process of discovering the nurse's self, purpose, and mission in life. The nurse's intentionality is a dynamic concept that evolves continuously. The nurse's cultural and ethnic background, philosophical and religious beliefs, life experiences, capacity for reflection, and self-awareness influence intentionality development and expression. It is recommended that nurses be encouraged to foster self-care and seek mentors and those who will support intentional care and healing practices. Also, breathing techniques, meditation, mindfulness, and self-reflection are recommended exercises for developing intentionality. Mindfulness is one way to cultivate personal knowing, awareness, and intentionality to facilitate growth and development in a transpersonal caring relationship. Mindfulness is consistently paying attention to what is happening in the present moment. Mindfulness helps support full attention, deep understanding, and immediacy in caring practice. Practicing mindfulness, the nurse becomes fully available to see, understand, love, and care. Mindfulness facilitates attending to one's thoughts and actions in each moment to extend compassion to self, others, the world, and beyond.

Evidence shows that mindfulness-based interventions (MBI) help to reduce work-related stress, psychological distress, depression, burnout, and compassion fatigue. Also, MBI positively affects self-care awareness, emotion management, empathy satisfaction, professionals' receptivity, motivation, and responsiveness to others. However, no research has been found to increase the nurse's mindful awareness or improve intentionality in the caring relationship. The study aimed to explore nurses' perceptions of intentionality in caring relationships and the effectiveness of the mindful caring education program based on the Theory of Unitary Caring Science. In this context, the research questions are as follows:

Research Question 1. What are nurses' perceptions of intentionality in the caring relationship? Research Question 2. What are the facilitators of intentionality in the caring relationship? Research Question 3. What are the impediments to intentionality in the caring relationship? Research Question 4. Is a mindful caring education program effective in improving nurses' intentionality?

Being tested
Mindful Caring Education Program
Keywords
perceptions of intentionality, facilitators of intentionality, impediment to intentionality, mindful caring education program

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mindful Caring Education ProgramOther

    A four-session education plan was prepared under the nature of action research. The Theory of Unitary Caring Science is transferred to practice through Caritas processes. In this context, ten Caritas processes and caring-healing modalities (meditation, reflection, etc.) were used in the study. The pilot study was carried out with six nurses face-to-face. The education program was conducted on an online platform. Each education took approximately 2.30-3 hours. The evaluation process in action research is an essential part of the change.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The perception of intentionality in the caring relationship

    Since intentionality is a subjective phenomenon, one's feelings and thoughts should be analyzed with in-depth methods. For this purpose, individual interviews, observation, and vignettes were used as data collection methods. The questions in the data collection form to measure these variables are as follows:

    1. Semi-Structured Interview Questions Question 1. What does the concept of caring intentionality mean to you? Question 2. Do you have a caring story that has had a lasting impact on you? Could you share it with me?
    2. Field Notes: Encountered event/situation (place/time/person/dialogue/reactions): Observer's Comment:
    3. Vignettes

    Questions for vignettes are as follows:

    1. What did you think when you saw the patient?
    2. Can you describe how you felt when you saw the patient?
    3. What is the first situation/problem you want to solve when seeing the patient?
    4. What would you like to do for the patient's care?

    Measured: 3 month

  2. The facilitators of intentionality in the caring relationship

    Some factors facilitate intentionality in the caring relationship. These factors are seen in both the expressions and actions of the nurse. There is no objective measurement tool that can measure these factors. Therefore, this result is measured using semi-structured questions and field notes. The questions in the data collection form to measure these variables are as follows:

    1. Semi-Structured Interview Questions Question 1. Is there anything similar to your shared caring story facilitating your intentionality toward the patient? Could you share it with me?
    2. Field Notes

    Encountered event/situation (place/time/person/dialogue/reactions):

    Observer's Comment:

    Measured: 3 month

  3. The impediments to intentionality in the caring relationship

    Some factors hinder intentionality in the caring relationship. These factors are seen in both the expressions and actions of the nurse. There is no objective measurement tool that can measure these factors. Therefore, this result is measured using semi-structured questions and field notes. The questions in the data collection form to measure these variables are as follows:

    1. Semi-Structured Interview Questions Question: Is there anything similar to your shared caring story that hinders your intentionality toward the patient? Could you share it with me?
    2. Field Notes

    Encountered event/situation (place/time/person/dialogue/reactions):

    Observer's Comment:

    Measured: 3 month

  4. Effectiveness of mindful caring education program

    The effectiveness of the education program was evaluated using semi-structured interview questions, field notes, and vignettes. The same people filled out the same vignettes before and after the education sessions. The researchers criticized by comparing the responses given before and after the education program.

    1. Semi-Structured Interview Questions Question 1. What are your thoughts on a mindful caring education program?
    2. Field Notes Encountered event/situation (place/time/person/dialogue/reactions): Observer's Comment:
    3. Vignettes

    Questions for vignettes are as follows:

    1. What did you think when you saw the patient?
    2. Can you describe how you felt when you saw the patient?
    3. What is the first situation/problem you want to solve when seeing the patient?
    4. What would you like to do for the patient's care?

    Measured: 3 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2023
  2. Study start29 Dec 2021
  3. Primary completion13 Feb 2022
  4. Study completion28 Mar 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05804110
Sponsor's protocol ID
AkdenizF
Status last verified
Apr 2023
First submitted
23 Mar 2023
Last updated
7 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Aghebati N, Mohammadi E, Ahmadi F, Noaparast KB. Principle-based concept analysis: intentionality in holistic nursing theories. J Holist Nurs. 2015 Mar;33(1):68-83. doi: 10.1177/0898010114537402. Epub 2014 Jun 12.

    PubMed 24923274
  • Drick CA. Strengthening our awareness of presence through intentionality. Beginnings. 2014 Jun;34(3):22-4. No abstract available.

    PubMed 25163192
  • Dunn DJ. The intentionality of compassion energy. Holist Nurs Pract. 2009 Jul-Aug;23(4):222-9. doi: 10.1097/HNP.0b013e3181aecebb.

    PubMed 19574759
  • Watson J. Intentionality and caring-healing consciousness: a practice of transpersonal nursing. Holist Nurs Pract. 2002 Jul;16(4):12-9. doi: 10.1097/00004650-200207000-00005.

    PubMed 12060941
  • Zahourek RP. Intentionality in Healing--The Voices of Men in Nursing: A Grounded Theory Investigation. J Holist Nurs. 2015 Dec;33(4):308-23; quiz 324-5. doi: 10.1177/0898010115573665. Epub 2015 Mar 9.

    PubMed 25755275
  • Zahourek RP. Men in Nursing: Intention, Intentionality, Caring, and Healing: Emphasis on the Results of a Grounded Theory Study. Holist Nurs Pract. 2016 Sep-Oct;30(5):247-56. doi: 10.1097/HNP.0000000000000162.

    PubMed 27501206
  • Zahourek RP. Healing: through the lens of intentionality. Holist Nurs Pract. 2012 Jan-Feb;26(1):6-21. doi: 10.1097/HNP.0b013e31823bfe4c.

    PubMed 22157505
  • Zahourek RP. Theory: Intentionality the Matrix of Healing: A Theory Revised With Nonnurse Care Providers. J Holist Nurs. 2020 Sep;38(3):287-299. doi: 10.1177/0898010119892093. Epub 2019 Dec 9.

    PubMed 31815573
  • Deary L, Roche J, Plotkin K, Zahourek R. Intentionality and hatha yoga: an exploration of the theory of intentionality, the matrix of healing--a growth model. Holist Nurs Pract. 2011 Sep-Oct;25(5):246-53. doi: 10.1097/HNP.0b013e31822a02e0.

    PubMed 21832929
  • Zahourek RP. Intentionality: evolutionary development in healing: a grounded theory study for holistic nursing. J Holist Nurs. 2005 Mar;23(1):89-109. doi: 10.1177/0898010104272026.

    PubMed 15665270

Questions about this trial

What is this clinical trial studying?

An observational study of Nurses' Perceptions of Intentionality and the Facilitators of Intentionality, run by Akdeniz University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The perception of intentionality in the caring relationship (time frame: 3 month). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05804110, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Apr 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in