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Moral courage in nursing: A concept analysis.

Olivia Numminen, Hanna Repo1, Helena Leino-Kilpi2

  • 1University of Turku, Finland.

Nursing Ethics
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Summary

Moral courage in nursing involves integrity, honesty, and advocacy, even with personal risk. This concept analysis clarifies its attributes, antecedents, and consequences for ethical nursing practice.

Keywords:
Concept analysismoral couragenursingqualitative researchvirtue ethics

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Area of Science:

  • Nursing Ethics
  • Moral Philosophy
  • Healthcare Professionalism

Background:

  • Nursing practice inherently demands moral courage for ethical decision-making and upholding values.
  • Despite increased interest in virtue ethics, the concept of moral courage in nursing remains undefined.
  • Nurses require moral courage across all practice areas and levels.

Purpose of the Study:

  • To analyze the concept of moral courage within the nursing context.
  • To clarify the attributes, antecedents, and consequences of moral courage in nursing.

Main Methods:

  • Employed Rodgers' evolutionary method for concept analysis.
  • Conducted a comprehensive literature search across six major databases (PubMed, CINAHL, Scopus, Web of Science, PsycINFO, The Philosopher's Index).
  • Included 31 studies after applying specific inclusion and exclusion criteria.

Main Results:

  • Identified seven core attributes of moral courage: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk.
  • Antecedents identified include ethical sensitivity, conscience, and experience.
  • Consequences encompass personal and professional development and empowerment.

Conclusions:

  • The preliminary clarification of moral courage in nursing requires further investigation.
  • Future research should explore theoretical, philosophical, and empirical dimensions to validate its application in nursing.
  • Expert opinions are crucial for enhancing the understanding and reliability of moral courage in practice.