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Measuring nurses' moral courage: an explorative study.

Kasper Jean-Pierre Konings, Chris Gastmans1, Olivia Hanneli Numminen2

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PubMed
Summary

Flemish nurses perceive themselves as morally courageous, particularly in direct patient care. The study successfully translated the Nurses

Keywords:
Instrument translationmoral couragemoral distressorganizational ethicstheory/philosophical perspectivesvirtue ethics

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Area of Science:

  • Nursing
  • Ethics
  • Psychometrics

Background:

  • The 21-item Nurses' Moral Courage Scale was originally developed and validated in Finland in 2018.
  • The scale measures the construct of moral courage among nursing professionals.

Purpose of the Study:

  • To translate the Nurses' Moral Courage Scale into Dutch for use in Flanders, Belgium.
  • To assess the level of self-assessed moral courage among Flemish nurses.
  • To identify socio-demographic factors associated with nurses' moral courage.

Main Methods:

  • A forward-backward translation methodology was employed for the scale.
  • A pilot study refined the Dutch version for optimal readability and understandability.
  • A descriptive, cross-sectional exploratory survey design was utilized with 559 nurses.

Main Results:

  • The Dutch translation of the Nurses' Moral Courage Scale demonstrated good readability and internal consistency (α = .914).
  • The mean score on the scale was 3.77 (SD = 0.537).
  • Moral courage scores were significantly associated with age, experience, professional function, education level, and personal interest.

Conclusions:

  • The Dutch version of the Nurses' Moral Courage Scale is a valid and reliable instrument.
  • Flemish nurses report high levels of moral courage, especially in direct patient interactions.
  • Ethical leadership and education are crucial for fostering moral courage in nursing practice.