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IRCT20260713070177N1 IRCT 2026-09-08 Shahre-kord University of Medical Sciences The Effect of Spirituality on Nurses’ Courage, Conscience, and Commitment 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 2026-09-06 anticipated 74 Complete https://irct.ir/trial/91732 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: 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), Blinding description: 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. N/A Nurses of intensive care units. Intervention 1: Intervention group : Nurses in the intervention group will receive a spiritual health program based on the Shalom model through virtual and face-to-face sessions in eight weekly 45-minute sessions. This program is designed based on the four dimensions of the Shalom model, including “self,” “others,” “God,” and “environment.”In the first and second sessions, the “self” dimension will be addressed, including topics such as sense of identity, self-awareness, happiness in life, inner peace, and meaning in life.In the third and fourth sessions, the “others” dimension will be presented, focusing on topics including love for others, forgiveness toward others, trust in others, respect, and kindness toward others.In the fifth and sixth sessions, the “God” dimension will be addressed, including topics such as personal relationship with God, the oneness of God, worship, peace with God, and prayer.In the seventh and eighth sessions, the “environment” dimension will be presented, including topics such as connection with the community, a sense of wonder toward a breathtaking view, unity with nature, harmony with the environment, and a sense of magic in the environment. Intervention 2: Control group: Nurses in the control group will receive routine care and will not receive any training based on the Shalom model during the study period. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Narges Rafiei
Saheb al-Zaman Street, Vardanjan, Chaharmahal and Bakhtiari Province, Iran.
Shahrekord Iran (Islamic Republic of) 8857115656 +98 38 3374 2971 nargesrafiei23023@gmail.com Shahre-kord University of Medical Sciences scientific Shirmohammad Davoudvand
School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Rahmatiyeh, Shahrekord, Chaharmahal and Bakhtiari Province, Iran.
Shahrekord Iran (Islamic Republic of) ۸۸۱۵۷۱۳۴۷۱ +98 38 3334 1219 shdavodvand@gmail.com Shahre-kord University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Employment as a nurse in the intensive care units (ICUs) of teaching hospitals affiliated with Shahrekord University of Medical Sciences.. Willingness to participate in the study and provision of written informed consent. Having at least 6 months of work experience in intensive care units (ICUs). no limit no limit Both participation in formal spiritual care education courses or workshops during the previous 6 months. Having disease or psychiatric disorder based on self-report. Z65.8 Other specified problems related to psychosocial circumstances Behavior Behavior Intervention group : Nurses in the intervention group will receive a spiritual health program based on the Shalom model through virtual and face-to-face sessions in eight weekly 45-minute sessions. This program is designed based on the four dimensions of the Shalom model, including “self,” “others,” “God,” and “environment.”In the first and second sessions, the “self” dimension will be addressed, including topics such as sense of identity, self-awareness, happiness in life, inner peace, and meaning in life.In the third and fourth sessions, the “others” dimension will be presented, focusing on topics including love for others, forgiveness toward others, trust in others, respect, and kindness toward others.In the fifth and sixth sessions, the “God” dimension will be addressed, including topics such as personal relationship with God, the oneness of God, worship, peace with God, and prayer.In the seventh and eighth sessions, the “environment” dimension will be presented, including topics such as connection with the community, a sense of wonder toward a breathtaking view, unity with nature, harmony with the environment, and a sense of magic in the environment. Control group: Nurses in the control group will receive routine care and will not receive any training based on the Shalom model during the study period. Moral courage of nurses. Timepoint: Measurement of moral courage before the intervention, immediately after completion of the intervention, and two months after completion of the intervention. Method of measurement: Sekerka et al.'s Moral Courage Questionnaire. Nurses' organizational commitment. Timepoint: Measurement of organizational commitment before the intervention, immediately after completion of the intervention, and two months after completion of the intervention. Method of measurement: Meyer and Allen's Organizational Commitment Questionnaire. Nurses' work conscience. Timepoint: Measurement of work conscience before the intervention, immediately after completion of the intervention, and two months after completion of the intervention. Method of measurement: Costa and McCrae's Work Conscience Questionnaire. Shahre-kord University of Medical Sciences Approved 2026-07-11 Ethics Committee of Shahrekord & Borujen School of Nursing & Midwifery & Shahrekord School of Health Shahrekord University of Medical Sciences, Central Headquarters, Ayatollah Kashani Blvd., Shahrekord, Chaharmahal and Bakhtiari Province, Iran Shahrekord Chahar-Mahal-va-Bakhtiari Iran (Islamic Republic of)