Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Science, Sari, Iran.
Philos Ethics Humanit Med. 2023 Oct 18;18(1):13. doi: 10.1186/s13010-023-00141-9.
Having moral courage is a crucial characteristic for nurses to handle ethical quandaries, stay true to their professional obligations towards patients, and uphold ethical principles. This concept can be influenced by various factors including personal, professional, organizational, and leadership considerations. The purpose of this study was to explore the predictors of moral courage among nurses working in hospitals.
In 2018, an observational cross-sectional study was carried out on 267 nurses employed in six hospitals located in the northern region of Iran. The participants were selected through a simple random sampling technique. To collect data, a demographic information form was used along with two questionnaires. The first questionnaire was a standard survey on moral courage, while the second questionnaire was designed to assess the ethical climate. Linear regression was used to assess the predictors of moral courage.
Nurses had an average moral courage score of 87.07 ± 15.52 and an average moral climate score of 96.12 ± 17.17. The study showed that 16% of the variation in moral courage scores among nurses was explained by ethical climate and monthly overtime hours.
This study underscores the significance of establishing an ethical work environment and minimizing overtime hours in order to enhance moral courage among nurses. These findings carry weight for both nursing practice and organizational policies focused on fostering ethical conduct within healthcare settings.
具备道德勇气是护士应对伦理困境、忠于对患者的专业义务并坚持伦理原则的关键特征。这个概念可能受到个人、专业、组织和领导因素等多种因素的影响。本研究旨在探讨影响医院护士道德勇气的因素。
2018 年,对伊朗北部 6 家医院的 267 名护士进行了一项观察性横断面研究。采用简单随机抽样技术选择参与者。使用问卷调查收集数据,其中一份问卷是关于道德勇气的标准调查,另一份问卷是设计来评估道德氛围的。采用线性回归评估道德勇气的预测因素。
护士的平均道德勇气得分为 87.07±15.52,平均道德氛围得分为 96.12±17.17。研究表明,护士道德勇气得分的 16%可以由道德氛围和每月加班时间来解释。
本研究强调了营造伦理工作环境和减少加班时间以增强护士道德勇气的重要性。这些发现对于护理实践和组织政策都具有重要意义,有助于在医疗保健环境中培养道德行为。