<?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>IRCT20251028067797N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-01-15</date_registration>
      <primary_sponsor>Islamic Azad University</primary_sponsor>
      <public_title>The effect of spiritual-religious education program on emotional exhaustion of nurses</public_title>
      <acronym></acronym>
      <scientific_title>The effect of spiritual-religious education program on emotional exhaustion of nurses</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-01-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/87162</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: After identifying nurses who met the study eligibility criteria and completing the final list of participants, the process of allocating random samples into two groups of intervention and control groups will be conducted using Random Allocation software. A random sequence will be created to allocate samples to two Intervention and Control groups with blocks of four Including 2 participants in the Intervention group and 2 participants in the Control group through a permutation block using the random allocation software.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Emotional exhaustion of clinical nurses.</hc_freetext>
      <i_freetext>Intervention 1: The intervention group: this group after completing the demographic questionnaire and the Maslach-Jackson Emotional Exhaustion Questionnaire, will participate in 8 sessions of 45 minutes for 8 consecutive days of a spiritual–religious education program based on the Richards and Bergin's model. The content will be delivered as an in-service educational program. Content of the Sessions in the Spiritual–Religious Education Package is: Session 1: Meditation and Focus؛ Definition of meditation; Virtue of meditation in the Qur’an and Hadith; Importance of meditation according to Islamic ethicists; Effects of meditation; Psychological effects of meditation and focus on mental health. Session 2: Prayer and Supplication; Definition of prayer; Prayer from the perspective of Islam and the Qur’an; Benefits of prayer and connection with God; Psychological perspective of prayer; Psychological effects of prayer and supplication on mental health. Session 3: Reliance on God; Definition of Reliance on God; Nature of reliance on God; Source of Reliance on God; Psychological effects of Reliance on God on mental health. Session 4: Patience; Definition of patience; Patience and perseverance; Relationship between faith and patience; Special status of the patient; Role of patience and endurance in nursing performance. Session 5: Repentance; Definition of repentance; How to repent from sins; Etiquette and recommended practices of repentance; Psychological effects of repentance on mental health. Session 6: Forgiveness; Definition of forgiveness; Status of forgiveness among virtues and human values; Rewards and merit of forgiveness; Psychological effects of forgiveness on mental health. Session 7: Gratitude and Appreciation; Definition of gratitude and appreciation; Importance of gratitude towards others; Outcomes and effects of gratitude; Psychological effects of gratitude and appreciation on mental health. Session 8: Altruism and Benevolence; Definition of altruism and benevolence; Limits of altruism; Objectives of altruism; Strategies to promote altruism; Altruism in nursing practice. Intervention 2: The control group: At the beginning and end of research, the demographic Questionnaire and the Maslach–Jackson Emotional Exhaustion Questionnaire will be completed for the control group. this group do not receive any intervention. in end of study, the educational content provided to the intervention group will also be presented to the control group in order to observe ethical considerations and allow these participants to benefit and use for the in-service training program as well.</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 There is no additional information available.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Zahra Ghavami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Islamic Azad University Complex, Alameh Square, Safaeiyeh, Yazd</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8915813135</zip>
        <telephone>+98 35 3821 6781</telephone>
        <email>saharghavami1377@gmail.com</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Masoumeh Barkhordari Sharifabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Yazd, Safaieh, Alam Square, Islamic Azad University Complex</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8915813135</zip>
        <telephone>+98 35 0540 3821</telephone>
        <email>barkhordary_m@yahoo.com</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>clinical nurse
Having a bachelor's degree or higher in nursing
Having at least 2 years of work experience clinical nurse</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Participation in an intervention program simultaneously with the implementation of the research</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_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>The intervention group: this group after completing the demographic questionnaire and the Maslach-Jackson Emotional Exhaustion Questionnaire, will participate in 8 sessions of 45 minutes for 8 consecutive days of a spiritual–religious education program based on the Richards and Bergin's model. The content will be delivered as an in-service educational program. Content of the Sessions in the Spiritual–Religious Education Package is: Session 1: Meditation and Focus؛ Definition of meditation; Virtue of meditation in the Qur’an and Hadith; Importance of meditation according to Islamic ethicists; Effects of meditation; Psychological effects of meditation and focus on mental health. Session 2: Prayer and Supplication; Definition of prayer; Prayer from the perspective of Islam and the Qur’an; Benefits of prayer and connection with God; Psychological perspective of prayer; Psychological effects of prayer and supplication on mental health. Session 3: Reliance on God; Definition of Reliance on God; Nature of reliance on God; Source of Reliance on God; Psychological effects of Reliance on God on mental health. Session 4: Patience; Definition of patience; Patience and perseverance; Relationship between faith and patience; Special status of the patient; Role of patience and endurance in nursing performance. Session 5: Repentance; Definition of repentance; How to repent from sins; Etiquette and recommended practices of repentance; Psychological effects of repentance on mental health. Session 6: Forgiveness; Definition of forgiveness; Status of forgiveness among virtues and human values; Rewards and merit of forgiveness; Psychological effects of forgiveness on mental health. Session 7: Gratitude and Appreciation; Definition of gratitude and appreciation; Importance of gratitude towards others; Outcomes and effects of gratitude; Psychological effects of gratitude and appreciation on mental health. Session 8: Altruism and Benevolence; Definition of altruism and benevolence; Limits of altruism; Objectives of altruism; Strategies to promote altruism; Altruism in nursing practice.</i_keyword>
      <i_keyword>The control group: At the beginning and end of research, the demographic Questionnaire and the Maslach–Jackson Emotional Exhaustion Questionnaire will be completed for the control group. this group do not receive any intervention. in end of study, the educational content provided to the intervention group will also be presented to the control group in order to observe ethical considerations and allow these participants to benefit and use for the in-service training program as well.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Emotional exhaustion’s score in  Maslach and Jackson Questionnaire. Timepoint: Before the intervention and immediately after the end of intervention( in the end of Session eight). Method of measurement: Maslach and Jackson Emotional Fatigue (Burnout) Questionnaire.</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>Islamic Azad University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-09-02</approval_date>
        <contact_name>Ethics Committee of Islamic Azad University, Isfahan (Khorasgan) Branch</contact_name>
        <contact_address>University Boulevard, Arghavanieh,East Ji Street Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
