Kashani Maryam, Bozorgzad Parisa, Masror Roudsary Daryadokht, Janani Leila, Asghari Hosein, Asgari Mohammad Reza, Babamohamadi Hassan
Department of Medical-Surgical Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran.
Department of Biostatistics, School of Health, Iran University of Medical Science, Tehran, Iran.
J Educ Health Promot. 2023 Oct 31;12:352. doi: 10.4103/jehp.jehp_977_22. eCollection 2023.
Moral courage is one of the moral virtues, which can have a great impact on the provision of safe care for patients. Providing safe care is one of the most significant and fundamental principles of healthcare. This study aimed to determine the relationship between moral courage and safe care among nurses and explain the factors predicting safe care.
This is a cross-sectional study conducted on 172 nurses who worked in selected hospitals affiliated with the Iran University of Medical Sciences in 2019. For this purpose, self-report questionnaires on moral courage and safe nursing care were used. The collected data were analyzed in the Statistical Package for Social Sciences (SPSS) version 23.0 using descriptive (mean, standard deviation, percentage, and frequency) and inferential (Pearson's correlation coefficient and multiple linear regression) statistics. values less than 0.05 were considered statistically significant.
Mean scores of nurses' moral courage and safe care were desirable (407.57 ± 53.97) and satisfactory (311.31 ± 39.48), respectively. There was a significant correlation between the scores of nursing safe care and moral courage ( = 0.69, < 0.001). Moral courage, gender, and work experience explained 54% of the variance of nursing safe care.
The results showed that there is a positive and significant relationship between safety care and moral courage. It seems that increasing nurses' awareness of ethical principles leads to their courageous ethical behaviors, and safety and high-quality care should be one of the goals of all healthcare professionals. Also, the results of this study support the need to improve the knowledge and awareness of nurses and nurse managers regarding the importance of moral courage in providing safe nursing care and improving patient safety.
道德勇气是道德美德之一，对为患者提供安全护理有重大影响。提供安全护理是医疗保健最重要和最基本的原则之一。本研究旨在确定护士道德勇气与安全护理之间的关系，并解释预测安全护理的因素。
这是一项横断面研究，于2019年对在伊朗医科大学附属选定医院工作的172名护士进行。为此，使用了关于道德勇气和安全护理的自填式问卷。收集的数据在社会科学统计软件包（SPSS）23.0版中使用描述性统计（均值、标准差、百分比和频率）和推断性统计（Pearson相关系数和多元线性回归）进行分析。P值小于0.05被认为具有统计学意义。
护士道德勇气和安全护理的平均得分分别为理想水平（407.57±53.97）和满意水平（311.31±39.48）。护理安全护理得分与道德勇气得分之间存在显著相关性（r = 0.69，P < 0.001）。道德勇气、性别和工作经验解释了护理安全护理方差的54%。
结果表明，安全护理与道德勇气之间存在积极且显著的关系。似乎提高护士对伦理原则的认识会导致他们勇敢的伦理行为，安全和高质量护理应是所有医疗保健专业人员的目标之一。此外，本研究结果支持提高护士和护士长关于道德勇气在提供安全护理和改善患者安全方面重要性的知识和认识的必要性。
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