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IRCT20261023071528N1 IRCT 2026-10-26 Yazd University of Medical Sciences Investigating the Impact of Time Management Training on Time Management Competency and Missed Nursing Care Among Nurses in Intensive Care Units Investigating the Impact of Time Management Training on Time Management Competency and Missed Nursing Care Among Nurses in Intensive Care Units 2026-11-22 anticipated 60 Pending https://irct.ir/trial/94314 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance, Randomization description: Cluster randomization, Blinding description: This research is a randomized controlled trial (RCT) with a follow-up period, designed to determine the impact of time management training on time management competence and the incidence of missed nursing care among nurses working in four intensive care units (ICUs) at Shahid Rahnamoon Hospital in Yazd. The unit of randomization is the intensive care unit; the four units will be organized into two matched pairs, and within each pair, one unit will be randomly assigned to the intervention group and the other to the control group—resulting in two units in the intervention group and two units in the control group. Outcomes will be assessed at the individual nurse level. Given the educational nature of the intervention, blinding the instructor and the participants is not feasible; however, the outcome assessor and the statistician will remain blinded to group allocation to the extent possible. N/A Time Management Competency and Missed Nursing Care. Intervention group: The educational intervention in this study consists of a time management training program tailored for nurses working in intensive care units (ICUs). The objective of this intervention is to enhance time management competence, improve the ability to prioritize patient care, reduce time wastage, better organize shift activities, and help minimize the omission or delay of essential care. Given the high-stress and unpredictable nature of the ICU, this training is designed to enable nurses to utilize their available time more effectively, even amidst critical situations and the constraints of the clinical environment. While this intervention is not a substitute for structural changes—such as increasing staffing levels or reducing workload—it serves as an educational and behavioral intervention aimed at strengthening nurses' skills in prioritizing and planning patient care.The training program will be conducted as a 4-hour in-person session, delivered in small groups of approximately 10 participants (totaling 4 sessions). There will be an interval of 3 to 7 days between sessions. The timing of each session will be coordinated with head nurses to ensure that participants can attend during their breaks between shifts or outside of critical care delivery hours, thereby ensuring that unit staffing coverage remains unaffected. Attendance will be recorded for every session; if a participant misses a session, an equivalent make-up session will be provided prior to the post-test. Individuals who fail to complete the make-up session will be classified as dropouts according to the study's attrition criteria. The training content will cover fundamental time management concepts, common causes of time wastage, care prioritization, the Eisenhower Matrix, the "time blocking" technique, clinical scenario exercises, and group discussions regarding barriers to implementing time management within the ICU setting. In the Eisenhower Matrix training module, nursing tasks are categorized into four groups based on two criteria: "importance" and "urgency." Urgent and important activities are those requiring immediate action, where any delay could lead to serious consequences for the patient—such as responding to acute changes in a patient's condition, resuscitation, monitoring critically ill patients, and the timely administration of vital medications. Important but non-urgent activities encompass care tasks that, while not requiring immediate attention, could cause future complications if delayed or omitted; examples include timely documentation, assessing the risk of pressure ulcers, planning preventive care, reviewing medical orders, and educating patients or their families. Urgent but less important activities are tasks that require a response but can be managed through scheduling adjustments or, where appropriate, delegated to others. Finally, non-urgent and less important activities are tasks that can waste time during a busy shift and should be minimized as much as possible.In the "Time Blocking" module, nurses practice scheduling key shift activities into specific time slots. Participants are presented with a clinical scenario from an intensive care unit (ICU) and must prioritize and schedule tasks—such as shift handovers, initial patient assessments, administration of critical medications, documentation, routine care, preventive measures, responding to patient requests, and following up on medical interventions. Subsequently, the schedules proposed by the groups are reviewed, and their feasibility within the actual environment of an intensive care unit is discussed. In this section, it will be emphasized that scheduling in the intensive care unit must be flexible; in the event of emergencies—such as hemodynamic instability, respiratory distress, or the need for immediate intervention—priorities must be reassessed.. Yes - There is a plan to make this available What will be shared: Only a portion of the data—such as information regarding the primary outcome or similar elements—can be shared. When: Access period begins 6 months after the publication of results. To whom: PUBLIC Conditions: PUBLIC Where to obtain: UNIVERSITY of Nursing, Yazd University of Medical Sciences How to obtain: Review of the request by the researcher and the supervisor Comments:
public HOSSEIN NAZMIAH
DANESHGAH BLV
YAZD Iran (Islamic Republic of) 0000000000 +98 35 3824 1751 Hossin.nazmiah@gmail.com Yazd University of Medical Sciences scientific HOSSEIN NAZMIAH
DANESHGAH BLV
YAZD Iran (Islamic Republic of) 0000000000 +98 35 3425 1759 srsh1252@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Employment as a nurse in one of the four intensive care units at Shahid Rahnamoun Hospital in Yazd. Having at least 6 months of work experience in an intensive care unit 22 years no limit Both Other Intervention group: The educational intervention in this study consists of a time management training program tailored for nurses working in intensive care units (ICUs). The objective of this intervention is to enhance time management competence, improve the ability to prioritize patient care, reduce time wastage, better organize shift activities, and help minimize the omission or delay of essential care. Given the high-stress and unpredictable nature of the ICU, this training is designed to enable nurses to utilize their available time more effectively, even amidst critical situations and the constraints of the clinical environment. While this intervention is not a substitute for structural changes—such as increasing staffing levels or reducing workload—it serves as an educational and behavioral intervention aimed at strengthening nurses' skills in prioritizing and planning patient care.The training program will be conducted as a 4-hour in-person session, delivered in small groups of approximately 10 participants (totaling 4 sessions). There will be an interval of 3 to 7 days between sessions. The timing of each session will be coordinated with head nurses to ensure that participants can attend during their breaks between shifts or outside of critical care delivery hours, thereby ensuring that unit staffing coverage remains unaffected. Attendance will be recorded for every session; if a participant misses a session, an equivalent make-up session will be provided prior to the post-test. Individuals who fail to complete the make-up session will be classified as dropouts according to the study's attrition criteria. The training content will cover fundamental time management concepts, common causes of time wastage, care prioritization, the Eisenhower Matrix, the "time blocking" technique, clinical scenario exercises, and group discussions regarding barriers to implementing time management within the ICU setting. In the Eisenhower Matrix training module, nursing tasks are categorized into four groups based on two criteria: "importance" and "urgency." Urgent and important activities are those requiring immediate action, where any delay could lead to serious consequences for the patient—such as responding to acute changes in a patient's condition, resuscitation, monitoring critically ill patients, and the timely administration of vital medications. Important but non-urgent activities encompass care tasks that, while not requiring immediate attention, could cause future complications if delayed or omitted; examples include timely documentation, assessing the risk of pressure ulcers, planning preventive care, reviewing medical orders, and educating patients or their families. Urgent but less important activities are tasks that require a response but can be managed through scheduling adjustments or, where appropriate, delegated to others. Finally, non-urgent and less important activities are tasks that can waste time during a busy shift and should be minimized as much as possible.In the "Time Blocking" module, nurses practice scheduling key shift activities into specific time slots. Participants are presented with a clinical scenario from an intensive care unit (ICU) and must prioritize and schedule tasks—such as shift handovers, initial patient assessments, administration of critical medications, documentation, routine care, preventive measures, responding to patient requests, and following up on medical interventions. Subsequently, the schedules proposed by the groups are reviewed, and their feasibility within the actual environment of an intensive care unit is discussed. In this section, it will be emphasized that scheduling in the intensive care unit must be flexible; in the event of emergencies—such as hemodynamic instability, respiratory distress, or the need for immediate intervention—priorities must be reassessed. The Extent of Missed Nursing Care. Timepoint: Before the intervention, then immediately after, then 14 days and 60 days after the intervention. Method of measurement: Time Management Competency Scale for Clinical Nurses. Time Management Competency. Timepoint: Before the intervention, immediately after it, and 14 and 60 days after the intervention. Method of measurement: Time Management Competency Scale for Clinical Nurses. Yazd University of Medical Sciences Approved 2026-10-18 Ethics committee of yazd University of Medical Sciences daneshgah blv yazd Yazd Iran (Islamic Republic of)