Evidence map›Paper›PMID 37553653›Full record

ArticleBMC nursing2023

Correlations between moral courage, moral sensitivity, and ethical decision-making by nurse interns: a cross-sectional study.

Zongting Luo, Lan Tao, Carol Chunfeng Wang, Nan Zheng, Xiaolin Ma, Yi Quan, Jian Zhou, Zhen Zeng, Lijuan Chen, Yue Chang

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Zongting Luo *Department of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Lan Tao *Department of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Carol Chunfeng WangAustralasian Academy of Cosmetic Dermal Science (AACDS), The University of Notre Dame Australia AU, Perth, Australia.
Nan ZhengSchool of Nursing, Leshan Vocational and Technical College, Leshan, China.
Xiaolin MaDepartment of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Yi QuanDepartment of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Jian ZhouDepartment of Rheumatology and immunology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China. dell1088@foxmail.com.
Zhen ZengDepartment of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Lijuan ChenDepartment of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Yue ChangDepartment of Nursing, The Third People's Hospital of Chengdu, Chengdu, China.
Chengdu Third People's Hospital · CNFirst Affiliated Hospital of Chengdu Medical College · CNLeshan Normal University · CNThe University of Notre Dame Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical decision-making involves ethical issues that become more and more complex. Nurse interns must be more skilled in making rational and timely decisions when facing ethical dilemmas. The contributing factors and their relationships that challenge ethical decision-making among nurse interns must be fully understood, as this level of knowledge can support the development of strategies and interventions that improve the ethical decision-making ability of nurse interns.

objectiveThis study examined the relationships between moral courage, moral sensitivity, and ethical decision-making by nurse interns. In addition, we investigated whether moral sensitivity mediates the relationship between moral courage and ethical decision-making.

designA descriptive cross-sectional study using an online questionnaire.

settingThe study sampled nurse interns from Class iii Grade A general hospitals in Sichuan Province, China.

participantsA convenience sampling method was used to select 1334 nurse interns from March 2022 to May 2022.

methodsA general information questionnaire, the Nurses' Moral Courage Scale (NMCS), the Chinese Moral Sensitivity Questionnaire (MSQ), and the Judgement About Nursing Decision (JAND) were used for data collection. Data was processed and analysed using SPSS 26.0 and Amos 28.0. Data analysis included descriptive statistics, Pearson correlation analysis, and structural equation modelling.

resultsMoral courage was found to be positively correlated with ethical decision-making (P < 0.01). Moral sensitivity was also positively correlated with ethical decision-making (P < 0.01) and had a mediating effect on the relationship between moral courage and ethical decision-making (P < 0.01).

conclusionsThe moral courage and moral sensitivity of nurse interns are positively correlated with ethical decision-making ability. Moral sensitivity significantly mediates the relationship between moral courage and ethical decision-making ability. The knowledge gained from this study can inform educational strategies and interventions in supporting the development of nurse interns' ethical decision-making ability.

Indexed as

Ethical dilemmasEthical principlesFortitudeMoral awarenessNurse interns

Identifiers

PMID37553653
PMCPMC10408053
OpenAlexW4385661370

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.