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

NCT06792084 | Completed

• 1 other identifier: NEVU-NRS-SS-01
• Study Type: interventional
• Target: 53
• Locations: 1 country
• Sites: 1

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.

Conditions

Ethics; Moral Distress

Keywords

ethics; moral distress; intensive care nurses

Outcome Measures

Primary Outcomes (1)

• 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.

  5 month

Secondary Outcomes (1)

• Moral Distress

  5 month

Study Arms (2)

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.

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.

Interventions

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.

intervention group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Nurses working in Intensive Care Clinics who volunteer to participate in the study will be included.

You may not qualify if:

• Being diagnosed with any mental illness

Sponsors & Collaborators

• Nevsehir Haci Bektas Veli University: lead

Study Sites (1)

Cumhuriyet University Medical Faculty Hospital

Sivas, Center, 58140, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Motivational Interviewing

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• SEMRA SEYHAN ŞAHİN, Dr.

  Nevsehir Haci Bektas Veli University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: There will be no blinding.Randomization will be done to avoid bias
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RESEARCH ASSISTANT DR

Model Details: It is a pretest-posttest, randomized controlled experimental study with a control group.

Study Record Dates

• First Submitted: January 19, 2025
• First Posted: January 24, 2025
• Study Start: February 1, 2025
• Primary Completion: March 10, 2025
• Study Completion: July 10, 2025
• Last Updated: July 31, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)