ArticleBMC nursing2026
The predictive role of moral courage in guilt feelings and occupational hardiness among NICU nurses.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMoral courage plays an important role in nurses’ ethical practice, particularly in high-stress settings such as neonatal intensive care units (NICUs).
aimThis study examined whether moral courage predicts guilt feelings and occupational hardiness among NICU nurses.
methodsIn this descriptive–analytical study, 174 NICU nurses from three tertiary hospitals were recruited using quota sampling. Data were collected using validated questionnaires and analyzed using Spearman correlation and multiple linear regression.
resultsMoral courage was positively and significantly associated with occupational hardiness (r = 0.40, p < 0.001). Multiple linear regression showed that the model explained 17% of the variance in moral courage (F(2,171) = 17.56, p < 0.001). Occupational hardiness was a significant positive predictor of moral courage (β = 0.43, p < 0.001), whereas guilt feelings were not a significant predictor (β = −0.04, p = 0.56).
conclusionOccupational hardiness is a key factor associated with moral courage among NICU nurses. Educational and managerial interventions aimed at strengthening occupational hardiness may help enhance moral courage and support professional performance in NICU settings.
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