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Moral courage in nursing A concept analysis

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TLDR
Seven core attributes of moral courage were identified: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk.
Abstract
Background:Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous.Objective:This article is an analysis of the concept of moral courage in nursing.Design:Rodgers’ evolutionary method of concept analysis provided the framework to conduct the analysis.Data sources:The literature search was carried out in September 2015 in six databases: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and The Philosopher’s Index. The following key words were used: “moral” OR “ethical” AND “courage” OR “strength” AND “nurs*” with no time limit. After applying inclusion and exclusion criteria, 31 studies were included in the final analysis.Ethi...

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Development and validation of Nurses' Moral Courage Scale.

TL;DR: Psychometric evaluation showed that the 4-sub-scale, 21-item Nurses’ Moral Courage Scale demonstrates good reliability and validity at its current state of development showing a good level of internal consistency for a new scale.
Journal ArticleDOI

Care situations demanding moral courage: Content analysis of nurses' experiences.

TL;DR: Care situations demanding moral courage focus on good and safe patient care and the patient’s good is at the center of attention.
Journal ArticleDOI

Structural empowerment is a strong predictor of organizational commitment in nurses: A systematic review and meta-analysis.

TL;DR: Structural empowerment is strongly correlated to organisational commitment and with psychological empowerment, they increase organisational performance, which should attempt to make structural empowerment as widespread as possible.
Journal ArticleDOI

Ethics interventions for healthcare professionals and students: A systematic review

TL;DR: Pat-related outcomes followed by organisational outcomes can be improved by ethics interventions targeting professionals and students, which are promising in developing ethical safety for healthcare patients and professionals.
References
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Book

Principles of biomedical ethics

TL;DR: The principles of biomedical and Islamic medical ethics and an interfaith perspective on end-of-life issues and three cases to exemplify some of the conflicts in ethical decision-making are discussed.
Journal ArticleDOI

Principles of Biomedical Ethics, 5th edn.

S Holm
TL;DR: The Principles of Biomedical Ethics by Beauchamp and Childress is a classic in the field of medical ethics and has been vigorously defended against the various criticisms that have been raised.
Book

Oxford dictionary of English

TL;DR: This revised edition of the Oxford Dictionary of English includes hundreds of brand-new words and senses, as well as up-to-date encyclopedic information, and extensive appendices covering topics such as countries, heads of state, and chemical elements.
Journal ArticleDOI

Nurse Moral Distress: a proposed theory and research agenda

TL;DR: A theory ofmoral distress is proposed and a research agenda is proposed to develop a better understanding of moral distress, how to prevent it, and, when it cannot be prevented,How to manage it.
Journal ArticleDOI

Concepts, analysis and the development of nursing knowledge: the evolutionary cycle.

TL;DR: The philosophical foundations of the approach to concept analysis popularized by Walker & Avant (1983) are examined and modifications of this method are offered, along with a framework for interpreting the findings of an analysis.
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