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

July 28, 2025 updated by: Semra seyhan Şahin, Nevsehir Haci Bektas Veli University

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Actual)

53

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
    • Center
      • Si̇vas, Center, Turkey, 58140
        • Cumhuriyet University Medical Faculty Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: intervention group
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
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.
No Intervention: Control group
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 the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
5 month

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
5 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Nevsehir Haci Bektas Veli University

Investigators

  • Study Director: SEMRA SEYHAN ŞAHİN, Dr., Nevsehir Haci Bektas Veli University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 1, 2025

Primary Completion (Actual)

March 10, 2025

Study Completion (Actual)

July 10, 2025

Study Registration Dates

First Submitted

January 19, 2025

First Submitted That Met QC Criteria

January 19, 2025

First Posted (Actual)

January 24, 2025

Study Record Updates

Last Update Posted (Actual)

July 31, 2025

Last Update Submitted That Met QC Criteria

July 28, 2025

Last Verified

July 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • NEVU-NRS-SS-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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