<?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>IRCT20211207053324N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-01-11</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of narrative writing on job stress of nurses in intensive units</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of narrative writing on job stress of nurses working in intensive care units</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-01-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>66</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60502</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Samples are randomly divided into two groups of test and control using minimization software. The minimization software divides the samples into groups in such a way that there is at least a difference between them. Variables to be included in the software include age, gender, marital status, pregnancy, number of children, home care for the elderly, level of education, employment status, shift work, number of night shifts per month, number of shifts during the holidays, nurse ratio To the patient, Work experience, ICU work experience, employment in another hospital, overtime hours, history of chronic illness, job interest, body mass index and income level.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Nurses' job stress.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The intervention group first fills out the expanded Nursing Stress Scale questionnaire. After that, this group will be taught the correct method of narrative writing by holding a continuing education program called "Narrative Writing Webinar". In this webinar, various hypothetical scenarios of stressful conditions for nurses working in intensive care units are presented. The first scenario shows the example of narrative writing in practice and in the next scenarios, the intervention group practices narrative writing. The researcher then provides the intervention group with a white notebook and asks them to write down their feelings in this notebook at home, in a secluded room. In the first few pages of this notebook, guidance for narrative writing is provided. This guide includes job stress definition, narrative writing definition, narrative writing instructions, and examples of this type of writing. At least once a week for a month, 15 to 30 minutes at a time, people freely express their feelings about the deepest stressful experiences, the most difficult moments and behaviors in the intensive care unit. after one month, they deliver the notebook to the researcher. Individuals are reassured that only the pages of the notebook will be seen at the time of delivery and the notebook will be returned to them without reading the content. Immediately after the intervention and one month later, the expanded Nursing Stress Scale questionnaire will be completed by the intervention group Again. Intervention 2: Control group: Using the expanded questionnaire of the Nursing Stress Scale, the level of job stress of nurses in the control group is assessed at the beginning  of the study and after one month and two months later. In order to the control group benefit from the research after the study, the webinar on narrative writing for the control group is also conducted.</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 اطلاعات بیشتری وجود ندارد</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Marzieh sadat Jafari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 3, Negin Alley, Meraj street, Parvin street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8168693163</zip>
        <telephone>+98 31 3557 1320</telephone>
        <email>jafari1991@nm.mui.ac.ir</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Marzieh sadat Jafari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 3, Negin Alley, Meraj street, Parvin street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8168693163</zip>
        <telephone>+98 31 3557 1320</telephone>
        <email>jafari1991@nm.mui.ac.ir</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Nurses who have at least a bachelor's degree in nursing
Nurses who have been working in the ICU for at least the last 6 months</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Nurses who have managerial roles
Nurses who have experienced traumatic stress in the last 6 months
Nurses with psychological disorders
Nurses under psychiatric treatment
Nurses who have used medication related to psychiatric disorders in the past 6 months</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R46.6</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Undue concern and preoccupation with stressful events</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The intervention group first fills out the expanded Nursing Stress Scale questionnaire. After that, this group will be taught the correct method of narrative writing by holding a continuing education program called "Narrative Writing Webinar". In this webinar, various hypothetical scenarios of stressful conditions for nurses working in intensive care units are presented. The first scenario shows the example of narrative writing in practice and in the next scenarios, the intervention group practices narrative writing. The researcher then provides the intervention group with a white notebook and asks them to write down their feelings in this notebook at home, in a secluded room. In the first few pages of this notebook, guidance for narrative writing is provided. This guide includes job stress definition, narrative writing definition, narrative writing instructions, and examples of this type of writing. At least once a week for a month, 15 to 30 minutes at a time, people freely express their feelings about the deepest stressful experiences, the most difficult moments and behaviors in the intensive care unit. after one month, they deliver the notebook to the researcher. Individuals are reassured that only the pages of the notebook will be seen at the time of delivery and the notebook will be returned to them without reading the content. Immediately after the intervention and one month later, the expanded Nursing Stress Scale questionnaire will be completed by the intervention group Again.</i_keyword>
      <i_keyword>Control group: Using the expanded questionnaire of the Nursing Stress Scale, the level of job stress of nurses in the control group is assessed at the beginning  of the study and after one month and two months later. In order to the control group benefit from the research after the study, the webinar on narrative writing for the control group is also conducted.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Stress score in Expanded Nursing Stress Scale (ENSS). Timepoint: At the beginning of the study and 1 and 2 months after the start of the study. Method of measurement: Expanded Nursing Stress Scale (ENSS).</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>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-10-30</approval_date>
        <contact_name>Research Ethics Committee of Nursing, Rehabilitation and Management schools- Isfahan University of m</contact_name>
        <contact_address>Hezar Jerib St., Isfahan University of Medical Sciences and Health Services, Headquarters Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
