The Effectiveness of Intravenous Dexamethasone Prophylaxis in Preventing Post-operative Urinary Retention in Spinal Anesthesia at Al-Makassed Hospital
Phase: NA
Conditions: Post Operative Urinary Retention, Spinal Aneshtesia
Sponsor: Al-Quds University

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Official Title of the Study: 
A Randomized Controlled Study Investigating the 
Effectiveness of Intravenous Dexamethasone 
Prophylaxis in Preventing Post-operative Urinary 
Retention in Spinal Anesthesia at Al-Makassed Hospital 
 
NCT Number: 
NCT07077850 
 
Date of Document: 
01/07/2025 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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Al-Quds University – Research Ethics Committee 
 
RESEARCH ETHICS CHECKLIST 
 
Instructions for applicants:  
 
This checklist should be completed for every research project which involves 
human participants and including personal, medical or otherwise sensitive data or 
methodologically controversial approaches.  This checklist must be completed 
before potential participants are approached to take part in any research. The 
research ethics review process is not designed to assess the merits of the research 
project in question, but is merely a tool to ensure that ethical considerations have 
been fully considered and ethical issues have been properly dealt with when arise.  
 
Before completing this form, please read the Code of Good Practice in Research of 
Al-Quds University and the Ethical principles for medical research involving Human 
subjects (the most recent version of the Helsinki Declaration).  The principal 
investigator and, where the principal investigator is a student, the supervisor, are 
responsible for exercising appropriate professional judgment in this review. 
 

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Complete all sections of this checklist as accurate as possible. After completing 
sections I to IV, check the following: If all items in the Declaration in section III are 
ticked AND if you have answered NO to all questions in section IV (questions 1-14), 
send the completed & signed copy of this form to the Head of your 
faculty/center/institute and a copy to the REC office for information. You may 
proceed with the research project but you should follow any subsequent guidance 
or requests from the faculty/centre/institute or your supervisor where appropriate.  
Undergraduate and postgraduate students should retain a copy of this form and 
submit it with their research report or thesis (bound in the appendix).  Also 
graduate students should submit a copy of this form to the Deanship of Graduate 
Studies (DGS) when seeking registration for thesis’ defense (Forms 5 & 6 of DGS). 
Work which is submitted without the fully completed copy of this form will be 
returned unassessed or cannot complete the defense of their thesis. 
 
If ANY of the items in the Declaration in section III are not ticked AND / OR if you 
have answered YES to ANY of the questions (1-13) in Section IV, you will need to 
describe more fully in Section V of this form below how you plan to deal with the 
ethical issues raised by your research.  This does not mean that you cannot do the 
research project, only that your proposal will need to be approved by the 
faculty/centre/institute or REC.  After completing section V as described in the 
above paragraph, submit a copy of this form with properly filled section V to the 
faculty/centre/institute and  REC office along with the Application form. 
If you answered YES to question 14, you will also have to submit an application to 
the appropriate external health authority ethics committee, after you have 
received approval from the faculty/centre/institute or REC office. 
 
Section I:  Applicant details 
 
1.  Name of General Supervisor 
 
1a. Name of principal investigator  
(applicant): 
 
 
Dr.  Mohammed Maree  
 
Dr. Abeer Dar Hasan  
 
 
 

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1b.  Associated investigators: 
 
 
Dr. Ahlam Hammoudeh 
Dr. Islam Khairaldin  
Dr. Majdi Abu Daoud 
Dr. Mohammad Qino  
Dr.Amani Bashar 
Dr.Osama Sawalha 
Dr.Khaled Alshawa 
Anas Barabrah 
Tareq Jarrar 
 
2. 
Status (please click to select): 
Staff, graduate student, 
undergraduate student 
3. 
Email address: 
abee.9.1994@gmail.com 
4a. Contact address: 
Jerusalem, Palestine 
4b. Telephone number: 
00972534541877 
 
Section II:  Project details 
 
5. 
Project title: 
the Effectiveness of Intravenous 
Dexamethasone Prophylaxis in 
Preventing Post-operative Urinary 
Retention in Spinal Anesthesia at Al-
Makassed Hospital 
 
Section III:  For Students only: 
 
6. 
Course title and module name and 
number where appropriate 
 
faculty/centre/institute: 
- 
 
 
 
7. 
Supervisor’s or module leader’s 
name: 
 
8. 
Email address: 
 
9. 
Telephone extension:: 
 

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Declaration by researcher (please tick the appropriate boxes) 
 
☑ 
I have read the Code of Good Practice in Research of Al-Quds University 
☑ 
The topic merits further research 
☑ 
I have the skills to carry out the research 
☑ 
The participant information sheet, if needed, is appropriate 
☑ 
The procedures for recruitment and obtaining informed consent, if needed, 
are appropriate 
☑ 
The research is exempt from further ethics review according to current 
University guidelines 
 
 
Comments from researcher, and/or from postgraduate student: 
 
 
 
Section IV:  Research  
Please answer each question by ticking the appropriate box: 
 
YES 
NO 
1. 
Will the study involve participants who are particularly 
vulnerable or who may be unable to give informed consent 
(e.g. children, people with learning disabilities, emotional 
difficulties, 
problems 
with 
understanding 
and/or 
communication, your own students)? 
 
☑ 
2. 
Will the study require the co-operation of a gatekeeper for 
initial access to the groups or individuals to be recruited 
(e.g. students at school, members of self-help group, and  
residents of nursing home)? 
 
☑ 
3. 
Will deception be necessary, i.e. will participants take part 
without knowing the true purpose of the study or without 
their knowledge/consent at the time (e.g. covert 
observation of people in non-public places)? 
 
☑ 

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4. 
Will the study involve discussion of topics which the 
participants may find sensitive (e.g. sexual activity, own 
drug use)? 
 
☑ 
5. 
Will drugs, placebos or other substances (e.g. food 
substances, alcohol, nicotine and vitamins) be administered 
or ingested by participants or will the study involve 
invasive, intrusive or potentially harmful procedures of any 
kind? 
 
☑ 
6. 
Will blood or tissue samples be obtained from participants?  
☑ 
7. 
Will pain or more than mild discomfort be likely to result 
from the study? 
 
☑ 
8. 
Could the study induce psychological stress or anxiety or 
cause harm or negative consequences beyond the risks 
encountered in normal life? 
 
☑ 
9. 
Will the study involve prolonged or repetitive testing? 
 
☑ 
10. 
Will financial inducements (other than reasonable 
expenses and compensation for time) be offered to 
participants? 
 
☑ 
11. 
Will participants’ right to withdraw from the study at any 
time be withheld? 
 
☑ 
12. 
Will participants’ anonymity be compromised or their right 
to anonymity be withheld or information they give be 
identifiable as theirs? 
 
☑ 
13. 
Might permission for the study need to be sought from the 
researcher’s or from participants’ employer?  
 
☑ 
14. 
Will the study involve recruitment of patients or staff 
through the National Health Information System, (NHIS)? 
 
☑ 
 
Section V:  Addressing ethical problems 
 
If you have answered YES to any of questions 1-13 please complete below and 
submit this form to your faculty/centre/institute or REC. 
 
Project title 
 
 
Principal investigator/student 

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Supervisor (if principal investigator) 
 
 
Summary of issues and action to be taken to address the ethics problem(s) 
 
 
 
 
 
 
 
 
 
 
 
 
Please note that it is your responsibility to follow the Code of Good Practice in 
Research of Al-Quds University and any relevant academic or professional 
guidelines in the conduct of your research project.  This includes providing 
appropriate information sheets and consent forms, and ensuring confidentiality 
in the storage and use of data.  Any significant change to the design or conduct of 
the research should be notified to the faculty/centre/institute or REC office and 
may require a new application for ethics approval. 
 
 
 
 
Signed: 
 
 
 
        Principal Investigator 
 
 
 
Approved:  
 
 
 
 
 
 Supervisor or module leader  
(where appropriate) 
 

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Date:   
 
 
 
 
 
 
 
 
 
 
10/02/2024 

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For use by faculty/centre/institute or REC office: 
 
● 
No ethical problems are raised by this proposed research  
-
 
Retain this form on record 
 
● 
Appropriate action was taken to maintain ethical standards 
 
● 
The research protocol should be revised to eliminate the  
 
ethical concerns or reduce them to an acceptable level,  
using the attached suggestions.  
 
● 
Please submit faculty/centre/institute  application                                                                  
for Ethics Approval 
 
● 
Please submit REC Application for Ethics Approval 
 
 
Signed: 
 
 
 
 
 
 
 
Date:   
 
 
 
 
 
 
Retain this form on record 
and return a copy of section V 
to Researcher