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Comparing the educational effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and critical care.

Protocol summary

Study aim
Comparing the educational effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and special care.
Design
The study groups include nurses working in the emergency and special care departments of Aja hospitals who have a history of caring for dying patients. This study has a control group, with parallel groups, without blinding, randomized, on 64 patients. A table of random numbers is used for randomization.
Settings and conduct
The place of study is selected Aja hospitals in Tehran. After the plan is approved, it prepares a list of hospitals and then selects the selected hospitals by random method. Then he divides these hospitals into two test and control groups by lottery method. those who meet the criteria for entering the study will be included in the study after obtaining written informed consent.
Participants/Inclusion and exclusion criteria
Inclusion: having at least a bachelor's degree, having a history of caring for dying patients, having no history of mental crisis based on self-report, exclusion criteria: It is unimpeded to withdraw from further cooperation in the research. If the subject's attitude and anxiety score is above 70%.
Intervention groups
Intervention group: In the test group, the researcher conducts 2 workshop sessions of 30-45 minutes in groups of 8-10 people with the content of model A8 with the method of sharing experiences. The first session: the pre-contemplation stage, thinking and preparation In the pre-contemplation stage, along with familiarization and introduction, questions are asked about the feelings towards death. The second session: the action stage, death as an acceptable process and facilitation Personal life experiences and psychological integration are taught. Educational content is given to the control group.
Main outcome variables
death on anxiety, death on attitude

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230417057947N1
Registration date: 2023-04-24, 1402/02/04
Registration timing: retrospective

Last update: 2023-04-24, 1402/02/04
Update count: 0
Registration date
2023-04-24, 1402/02/04
Registrant information
Name
Behnam Heidari
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 24 3353 5355
Email address
behnamhiydari@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-01-01, 1401/10/11
Expected recruitment end date
2023-01-14, 1401/10/24
Actual recruitment start date
2023-01-01, 1401/10/11
Actual recruitment end date
2023-01-14, 1401/10/24
Trial completion date
2023-01-14, 1401/10/24
Scientific title
Comparing the educational effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and critical care.
Public title
effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and special care
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Have at least a bachelor's degree in nursing or higher - Have at least 1 year of work experience in the emergency department - Checking the care of patients at the moment should be cautious. - Determining mental crisis, including the death of loved ones in the past 6 months, should not be based on self-report - Diagnosed with mental disorders and not taking psychotropic drugs (anti-anxiety, anti-depressants, mood stabilizers).
Exclusion criteria:
Refusal to continue cooperation in the research at any stage, the research units are excluded from the study If the subject's attitude and anxiety score is above 70%, he/she will be removed from the samples.
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 64
Actual sample size reached: 64
Randomization (investigator's opinion)
Randomized
Randomization description
First, the names of the selected hospitals are written on the lottery sheet, and then all the papers are poured into a bowl, and with the lottery method, the studied hospitals are divided into two test groups and one control group. In order to sample, in both the control and intervention groups, first a list of nurses working in the emergency and special care department of each selected hospital will be prepared and then based on the table of random numbers,The samples are selected from among these people and this work continues until the sample volume is completed.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Rsearch ethics committees of AJA university of Medical sciences
Street address
Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823
City
Zanjan
Province
Zanjan
Postal code
4519938934
Approval date
2022-09-21, 1401/06/30
Ethics committee reference number
IR.AJAUMS.REC.1401.110

Health conditions studied

1

Description of health condition studied
death on anxiety
ICD-10 code
F41
ICD-10 code description
Other anxiety disorders

Primary outcomes

1

Description
death on anxiety
Timepoint
Before the intervention, information will be collected from both groups by questionnaire, and after 14 days after the completion of the training workshops, information will be collected again with the same pre-test questionnaires.
Method of measurement
Templer Death Anxiety Questionnaire

2

Description
death on attitude
Timepoint
Before the intervention, information will be collected from both groups by questionnaire, and after 14 days after the completion of the training workshops, information will be collected again with the same pre-test questionnaires.
Method of measurement
Wang's 32-question standard questionnaire (1994)

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In the first session, while explaining the purpose of the research, the confidentiality of the information is explained and assured to the research units. The research units were assured that they can withdraw from this study if they do not want to. Before the intervention, information will be collected from both groups by questionnaire. Then, immediately and after 14 days after the completion of the training workshops, information is collected again with the same pre-test questionnaires. The first session: pre-thinking, thinking and preparation stageIn the pre-contemplation stage, along with familiarization and introduction, questions are asked about feelings towards death and positive concepts about death are expressed. It will also talk about why people try to escape death and breaking cultural taboos.In the thinking stage, information unknowns are determined and then based on that, information related to the needs assessment dimension is provided.In the preparation stage: release and freedom of expression of emotions are taught, and creation of opportunity to express opinions, acceptance of emotions and psychological training are taught in this regard.The second session: Action and change stageIn the action stage, death is promoted as an acceptable process and facilitated by the expression of personal life experiences and the creation of psychological integrity. Also, the determination of people's education attitude about death and support and help to strengthen positive attitudes is done in this stage.In the stage of change, searching for the concepts of life and talking about the meaningful concepts of life, setting life priorities, planning for life, reviewing life goals, strengthening forgiveness, sacrifice, non-attachment to material things and accepting divine providence and life after death are taught.
Category
Behavior

2

Description
Control group: In order to comply with ethics in the research, the educational content is also provided to the control group in the form of PowerPoint after the completion of the study.
Category
Behavior

Recruitment centers

1

Recruitment center
Name of recruitment center
AJA Selected hospitals in Tehran
Full name of responsible person
Behnam Heidari
Street address
1/1823, 12 Rose Alley, Pamchal St., Farhang Quay, Zanjan
City
Zanjan
Province
Zanjan
Postal code
4519938934
Phone
+98 936 733 9725
Email
behnamhiydari@yahoo.com

2

Recruitment center
Name of recruitment center
Besat Hospital - Tehran City
Full name of responsible person
Dr. Davood Faizi
Street address
Tehran city, Basij Highway, Se Rah Takhti, Hijrat St
City
Tehran
Province
Tehran
Postal code
4519938934
Phone
+98 936 733 9725
Email
behnamhiydari@yahoo.com

3

Recruitment center
Name of recruitment center
Tehran Family Hospital
Full name of responsible person
Dr. Mansoor Sheikh
Street address
Shariati St., in front of Shiraz Bahar St., Kaj St., behind Iran Cinema, family hospital, Tehran
City
Tehran
Province
Tehran
Postal code
4519938934
Phone
+98 21 7760 3076
Email
behnamhiydari@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Artesh University of Medical Sciences
Full name of responsible person
DR Zahra Farsi
Street address
1/1823, 12 Rose Alley, Pamchal St., Farhang Quay, Zanjan
City
Zanjan
Province
Zanjan
Postal code
4519938934
Phone
+98 936 733 9725
Email
behnamhiydari@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Artesh University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Artesh University of Medical Sciences
Full name of responsible person
Dr. Seyed Amirhossein Pishgouei
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nursery
Street address
Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823
City
Zanjan
Province
Zanjan
Postal code
4519938934
Phone
+98 24 3353 5355
Fax
Email
behnamhiydari@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Artesh University of Medical Sciences
Full name of responsible person
Dr. Seyed Amirhossein Pishgouei
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nursery
Street address
Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823
City
Zanjan
Province
Zanjan
Postal code
4519938934
Phone
+98 24 3353 5355
Fax
Email
behnamhiydari@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Artesh University of Medical Sciences
Full name of responsible person
Behnam Heidari
Position
Master of emergency nursing student
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823
City
Zanjan
Province
Zanjan
Postal code
4519938934
Phone
+98 24 3353 5355
Fax
Email
behnamhiydari@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
Its release schedule is not yet known
When the data will become available and for how long
Its release schedule is not yet known
To whom data/document is available
Its release schedule is not yet known
Under which criteria data/document could be used
Its release schedule is not yet known
From where data/document is obtainable
Its release schedule is not yet known
What processes are involved for a request to access data/document
Its release schedule is not yet known
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