<?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>IRCT20230417057947N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-04-24</date_registration>
      <primary_sponsor>Artesh University of Medical Sciences</primary_sponsor>
      <public_title>effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and special care</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the educational effect of the conceptual model of death on anxiety and attitude to nurses in the emergency and critical care.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-01-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>64</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/69660</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, 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.</study_design>
      <phase>N/A</phase>
      <hc_freetext>death on anxiety.</hc_freetext>
      <i_freetext>Intervention 1: 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. Intervention 2: 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.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Its release schedule is not yet known

When:
Its release schedule is not yet known

To whom:
Its release schedule is not yet known

Conditions:
Its release schedule is not yet known

Where to obtain:
Its release schedule is not yet known

How to obtain:
Its release schedule is not yet known

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Seyed Amirhossein Pishgouei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823</address>
        <city>Zanjan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4519938934</zip>
        <telephone>+98 24 3353 5355</telephone>
        <email>behnamhiydari@yahoo.com</email>
        <affiliation>Artesh University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Seyed Amirhossein Pishgouei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823</address>
        <city>Zanjan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4519938934</zip>
        <telephone>+98 24 3353 5355</telephone>
        <email>behnamhiydari@yahoo.com</email>
        <affiliation>Artesh 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>
    </countries>
    <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).</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <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.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F41</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other anxiety disorders</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: 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.</i_keyword>
      <i_keyword>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.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>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.</prim_outcome>
      <prim_outcome>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).</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>Artesh University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-09-21</approval_date>
        <contact_name>Rsearch ethics committees of AJA university of Medical sciences</contact_name>
        <contact_address>Zanjan, Farhang Koi, Pamchal St., Rose Alley 12, Plot 1/1823 Zanjan Zanjan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
