Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Appl Nurs Res. 2024 Feb;75:151768. doi: 10.1016/j.apnr.2024.151768. Epub 2024 Feb 20.
Nurses face various ethical conflicts when taking care of patients, and such conflicts require moral courage. This systematic review was conducted with the aim of investigating moral courage and its related factors among nurses.
To find related studies, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The PubMed, Web of Science, Google Scholar, Scopus, Embase and Science Direct databases were searched using keywords such as Courage, Moral Courage, and Nurses, and no lower time limit was imposed when conducting the searches. The identified studies were published between January 2000 and March 2023. Quality of articles was assessed using the STROBE checklist.
The pooled sample size for the 19 included studies was 7863. All studies were observational and cross-sectional. The results showed that three categories of factors most related to moral courage are individual, moral, and factors related to the organization. Underlying factors of each category are also provided within this paper.
Moral courage is an integral part of nursing, which as a profession, is becoming even more challenging with the advancement of science and technology. Therefore, there is a need for nurses and especially nursing managers to be considerate of factors affecting moral courage of nurses, with a view to strengthening the positive factors and reducing the negative impacts.
护士在照顾患者时会面临各种伦理冲突，而这些冲突需要道德勇气。本系统评价旨在调查护士的道德勇气及其相关因素。
为了找到相关研究，我们遵循了系统评价和荟萃分析的首选报告项目（PRISMA）指南。使用关键词如勇气、道德勇气和护士等，在 PubMed、Web of Science、Google Scholar、Scopus、Embase 和 Science Direct 数据库中进行了搜索，搜索时没有设置下限时间。所确定的研究发表于 2000 年 1 月至 2023 年 3 月之间。使用 STROBE 清单评估文章的质量。
19 项纳入研究的汇总样本量为 7863 人。所有研究均为观察性和横断面研究。结果表明，与道德勇气最相关的因素有三类，分别是个体因素、道德因素和与组织相关的因素。本文还提供了每个类别的潜在因素。
道德勇气是护理的一个组成部分，随着科学技术的进步，护理作为一门职业，正变得更加具有挑战性。因此，护士，尤其是护理管理人员需要考虑影响护士道德勇气的因素，以加强积极因素，减少负面影响。
