EthicsNCT06792084
The Effect of Motivational Interviewing on Ethical Decision Making and Moral Distress
A study testing motivational interviewing in people with Ethics and Moral Distress, run by Nevsehir Haci Bektas Veli University at 1 site in Turkey (Türkiye).
Trial 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. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Ethics, Moral Distress
- What is being tested?
- motivational interviewing
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Feb 2025to 10 Jul 2025
- Phase
- Interventional
- 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
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Nurses working in Intensive Care Clinics who volunteer to participate in the study will be included.
Who cannot join
- Being diagnosed with any mental illness
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Cumhuriyet University Medical Faculty Hospital
Sivas, Center, 58140
About this study
Official title: The Effect of Motivational Interviewing on Ethical Decision Making and Moral Distress Levels in Intensive Care Nurses: Randomized Controlled Study
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.
Read the 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.
- Conditions
- Ethics, Moral Distress
- Being tested
- motivational interviewing
- Keywords
- ethics, moral distress, intensive care nurses
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
motivational interviewingBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| intervention group | Experimental | Participant Information Form, Nursing Ethical Dilemma Test and Moral Distress Scale will be applied to the intervention group to be included in the study before the intervention. Then, the motivational interview program will be implemented in 5 sessions in total, one session per week. At the end of the intervention program, nurses will be asked to fill out the Nursing Ethical Dilemma Test and the Moral Distress Scale. Receives: Behavioral: motivational interviewing |
| Control group | No intervention | No intervention will be applied to the control group to be included in the study. Participants will be asked to fill out the Participant Information Form, Ethical Dilemma Test in Nursing, and Moral Distress Scale forms before and after starting the intervention simultaneously with the intervention group. will be implemented. Then, the motivational interview program will be implemented in 5 sessions in total, one session per week. At the end of the intervention program, nurses will be asked to fill out the Nursing Ethical Dilemma Test and the Moral Distress Scale. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Ethical decision making
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.
Measured: 5 month
Secondary outcomes (1)
Moral Distress
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.
Measured: 5 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2025
- Study start1 Feb 2025
- Primary completion10 Mar 2025
- Study completion10 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EthicsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- It is a pretest-posttest, randomized controlled experimental study with a control group.
- Masking
- None (open label)
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nevsehir Haci Bektas Veli University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Semra seyhan Şahin, Nevsehir Haci Bektas Veli University
- Investigators
- SEMRA SEYHAN ŞAHİN, Dr., Study director, Nevsehir Haci Bektas Veli University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06792084
- Sponsor's protocol ID
- NEVU-NRS-SS-01
- Status last verified
- Jul 2025
- First submitted
- 19 Jan 2025
- Last updated
- 31 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Motivational Interviewing on Ethical Decision Making and Moral Distress Levels in Intensive Care Nurses: Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT06792084
- Acronym / sponsor ID
- NEVU-NRS-SS-01
- Conditions
- Ethics, Moral Distress
- Keywords
- ethics, moral distress, intensive care nurses
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Nevsehir Haci Bektas Veli UniversityUniversity, hospital or other
- Study start
- 1 Feb 2025 (actual)
- Primary completion
- 10 Mar 2025 (actual)
- Study completion
- 10 Jul 2025 (actual)
- First posted
- 24 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- It is a pretest-posttest, randomized controlled experimental study with a control group.
| Arm | Type | Receives |
|---|---|---|
| intervention group | Experimental | Behavioral: motivational interviewingParticipant Information Form, Nursing Ethical Dilemma Test and Moral Distress Scale will be applied to the intervention group to be included in the study before the intervention. Then, the motivational interview program will be implemented in 5 sessions in total, one session per week. At the end of the intervention program, nurses will be asked to fill out the Nursing Ethical Dilemma Test and the Moral Distress Scale. |
| Control group | No intervention | –No intervention will be applied to the control group to be included in the study. Participants will be asked to fill out the Participant Information Form, Ethical Dilemma Test in Nursing, and Moral Distress Scale forms before and after starting the intervention simultaneously with the intervention group. will be implemented. Then, the motivational interview program will be implemented in 5 sessions in total, one session per week. At the end of the intervention program, nurses will be asked to fill out the Nursing Ethical Dilemma Test and the Moral Distress Scale. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Nurses working in Intensive Care Clinics who volunteer to participate in the study will be included.
Key exclusion criteria (1 listed)
- Being diagnosed with any mental illness
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| motivational interviewingMotivational 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. | Behavioural | intervention group |
Primary outcome
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.
1 secondary outcome
Moral Distress
Time frame: 5 month
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
SEMRA SEYHAN ŞAHİN, Dr. study director
Nevsehir Haci Bektas Veli University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing motivational interviewing in people with Ethics and Moral Distress, run by Nevsehir Haci Bektas Veli 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 31 Jul 2025. 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?
Ethical decision making (time frame: 5 month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 31 Jul 2025.