ArticleScandinavian journal of caring sciences2025
The Consequences of Moral Courage in Nursing: A Narrative Inquiry.
Article in Scandinavian journal of caring sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The relationship between nurses' moral courage and professional values: the moderating effects of individual and work-related characteristics.BMC nursing · 2026Article
- The Consequences of Moral Courage in Nursing: A Narrative Inquiry.Scandinavian journal of caring sciences · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
aimTo holistically illustrate the consequences of nurses' morally courageous acts for patients, nurses, and work communities. METHODOLOGICAL DESIGN AND JUSTIFICATIONS: Narrative inquiry was used to explore the topic in the context of encountering ethical conflicts in nursing care. Consequences of nurses' morally courageous acts were illustrated to understand the significance of the acts for the good of patients, nurses, and work communities. ETHICAL ISSUES AND APPROVAL: Ethical approval was received from the University's ethical committee. The participants were registered nurses who gave their informed consent to participate voluntarily. RESEARCH
methodsIndividual in-depth interviews with fourteen registered nurses of varying working experience were conducted in January-February 2023. Data were analysed inductively with holistic content analysis. This report follows the Consolidated criteria for reporting qualitative research (COREQ).
findingsNurses demonstrated moral courage in ethical conflicts such as disrespectful behaviour, collaboration issues, missed care, and privacy violations. In doing so, they initiated discussions, completed written reports, admitted mistakes, and provided attentive patient care. Morally courageous acts helped mitigate the ethical conflicts, although some remained unresolved. The direct and indirect consequences were positive and negative for nurses who acted, and positive for patients and the work community. STUDY LIMITATIONS: The nurses considered the consequences of morally courageous acts for themselves and others, expressing their experiences, which excluded other people's perspectives. The complexity of the topic posed challenges in reporting the findings coherently, with only a few concepts.
conclusionsNurses act morally courageously in varying ethical conflicts, indicating that they can defend morally responsible conduct. The consequences identified in this study highlight the potential for nurses who act morally courageously to promote well-being among patients and professionals. However, complex ethical conflicts cannot always be resolved with one courageous act. Thus, healthcare organisations can aim to develop processes that facilitate nurses acting morally courageously and that enhance multi-professional collaboration in ethical conflicts.
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Registered trials
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.