The Effect of Implementing a Spiritual Care Program Based on the Shalom Model on Moral Courage, Work Conscientiousness, and Organizational Commitment among Intensive Care Unit Nurses

Determining the effect of implementing a spiritual care program based on the Shalom model on moral courage, work conscience, and organizational commitment among intensive care unit nurses

A randomized,Single-blind, controlled clinical trial involving 74 participants

Nurses working in the intensive care units of teaching hospitals in Shahrekord who meet the eligibility criteria will be enrolled in the study after providing informed consent. Participants will be randomly allocated to the intervention and control groups using block randomization. Due to the educational nature of the intervention, blinding of the participants and intervention providers is not possible; however, data analysis will be performed by an analyst who is unaware of the group allocation.

Inclusion criteria: Nurses working in the intensive care units of Shahrekord teaching hospitals with at least 6 months of work experience.

The intervention group will receive a spiritual health program based on the Shalom model in eight weekly sessions, each lasting 45 minutes. The control group will receive routine care. Moral courage, work conscience, and organizational commitment will be assessed before the intervention, immediately after the intervention, and two months later.

Moral courage, work conscience, organizational commitment.

The unit of randomization in this study is the individual. After the entry of eligible individuals and obtaining informed consent, participants will be randomly assigned to two groups: the control group (A) and the intervention group (B). Allocation will be performed using block randomization with variable block sizes and with blocks of 4 and 6 participants. The random allocation sequence, including different and balanced combinations of A and B in each block, will be generated before the start of the study and will be used for all participants. For allocation concealment, each allocation will be recorded on a card, and the cards will be placed in completely sealed and opaque envelopes in the order of the random allocation sequence. The envelopes will be sequentially numbered and kept in a box. After each eligible participant enters the study, the ward nurse, who is unaware of the allocation sequence and the contents of the envelopes, will select the next numbered envelope and, after the individual’s definitive entry into the study, will open it; therefore, group allocation will not be predictable to the researcher and the participant until the envelope is opened. This process will continue until all participants have been allocated. The random blocks will be generated using Random Allocation Software (version 2.0).

Given the educational nature of the intervention, blinding of the participants and the investigator is not possible. However, to reduce bias, the questionnaires will be collected using anonymous coding, and the data will be analyzed by an individual who is unaware of the allocation of participants to the study groups. In addition, outcome assessments will be performed by an individual who is unaware of the participants’ group allocation.