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Nurses' justifications for morally courageous acts in ethical conflicts: A narrative inquiry
Elina Pajakoski1, Helena Leino-Kilpi1, Minna Stolt1
1University of Turku.
Nursing Ethics
|September 26, 2024
Summary
Nurses
Area of Science:
- Nursing Ethics
- Moral Psychology
Background:
- Moral courage involves acting on values in ethical conflicts despite risks.
- Nurses' justifications for moral courage are key to their ethical decision-making.
Purpose of the Study:
- To explore registered nurses' justifications for their decisions to act (or not act) with moral courage in ethical conflicts.
- To understand the factors influencing nurses' moral courage in practice.
Main Methods:
- A qualitative narrative inquiry using a holistic content analysis approach.
- Conducted in-depth interviews with 14 registered nurses across various Finnish healthcare settings.
Main Results:
- Nurses required moral courage in conflicts involving patients and interprofessional dynamics.
- Justifications for moral courage were based on individual responsibility, professional ethics, and emotions.
- Acts of moral courage included initiating discussions and formal reporting; justifications varied individually, contextually, and organizationally.
Conclusions:
- Nurses' decision-making in ethical conflicts is complex, influencing whether moral courage is enacted.
- Findings can guide the development of strategies to enhance nurses' moral courage and explore its links to moral resilience.
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