<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20220927056047N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-05-02</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Impact of Spiritual Care Education on Nurses’ Spiritual Well Being and Clinical Competence</public_title>
      <acronym></acronym>
      <scientific_title>Impact of Spiritual Care Education on Nurses’ Spiritual Well Being and Clinical Competence</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-03-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>120</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/89352</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Participants were randomly assigned in a 1:1 ratio to either the intervention group (n = 60) or the control group (n = 60) using block randomization with a block size of four, generated by Random Allocation Software (version 2.0). The allocation sequence was concealed in opaque, sequentially numbered envelopes, which were opened by a research assistant at the time of each participant’s enrollment. To minimize contamination bias, participants in the control group were recruited first and completed both the pretest and posttest assessments before recruitment of the intervention group began. This approach helped prevent the exchange of information between groups. Furthermore, outcome data were collected by a separate research assistant who was blinded to group allocation, ensuring unbiased data collection, Blinding description: Due to the educational nature of the intervention, blinding of participants and intervention providers was not feasible. However, to minimize selection and assessment bias, allocation concealment was implemented and both the outcome assessor and the data analyst were blinded to group assignment. In addition, to reduce the risk of contamination between groups, participants in the control group were recruited first and completed both the pre‑test and post‑test assessments. Recruitment of the intervention group began only after completion of the control group assessments to prevent potential information exchange between groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Spiritual well‑being. Condition 2: Clinical competence.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Participants in this group did not receive any educational intervention related to spiritual care during the study period. After completion of the study, the educational materials were also provided to this group. Intervention 2: Intervention group: Participants received a spiritual care educational workshop conducted at the Spiritual Care Center of Shooshtari Hospital. The program consisted of four weekly sessions over one month, each lasting approximately 3–4 hours, facilitated by two nursing faculty members experienced in spiritual care education. Each session included a brief lecture on key concepts of spiritual care in nursing followed by interactive learning activities such as small‑group discussions, scenario analysis, and guided reflective dialogue. Clinical scenarios were discussed in small groups using the Gibbs reflective cycle (description, feelings, evaluation, analysis, conclusion, and action plan) to promote reflection on the spiritual aspects of patient care and appropriate nursing responses. Attendance was monitored to ensure that participants received the full intervention.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is After the completion of the study, if necessary, the coded data will be published along with the article.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mehrvash Hemati</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hazrat Fatemeh (PBUH) School of Nursing and Midwifery, Namazi Square, Zand Street</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>713451978</zip>
        <telephone>+98 71 3647 4254</telephone>
        <email>mehrvashhemati@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Naval Heydari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hazrat Fatemeh (PBUH) School of Nursing and Midwifery, Namazi Square, Zand Street</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>713451978</zip>
        <telephone>+98 71 3647 4254</telephone>
        <email>heydari_n@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Willingness to participate in the study
Holding at least a bachelor’s degree in nursing
Having at least one year of clinical experience
Being actively employed in clinical wards during the study period</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of diagnosed psychiatric disorders or taking psychiatric medications (based on self-report).
Experiencing severe grief or a major emotional crisis in the past 6 months.
Planning for long-term leave, maternity leave, or transfer to another center within the next 3 months.
Employment in non-clinical departments (e.g., administrative, support, or purely educational units).</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: Participants in this group did not receive any educational intervention related to spiritual care during the study period. After completion of the study, the educational materials were also provided to this group.</i_keyword>
      <i_keyword>Intervention group: Participants received a spiritual care educational workshop conducted at the Spiritual Care Center of Shooshtari Hospital. The program consisted of four weekly sessions over one month, each lasting approximately 3–4 hours, facilitated by two nursing faculty members experienced in spiritual care education. Each session included a brief lecture on key concepts of spiritual care in nursing followed by interactive learning activities such as small‑group discussions, scenario analysis, and guided reflective dialogue. Clinical scenarios were discussed in small groups using the Gibbs reflective cycle (description, feelings, evaluation, analysis, conclusion, and action plan) to promote reflection on the spiritual aspects of patient care and appropriate nursing responses. Attendance was monitored to ensure that participants received the full intervention.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Spiritual well‑being. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Spiritual Well‑Being Scale (Paloutzian &amp; Ellison).</prim_outcome>
      <prim_outcome>Clinical competence. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Clinical Competence Questionnaire for Registered Nurses (CIRN).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-10-07</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences, Shiraz, Iran</contact_name>
        <contact_address>The central building of Shiraz University of Medical Sciences, Zand Ave., Shiraz, Iran Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
