Concept analysis of moral courage in nursing: A hybrid model

2016 ◽  
Vol 25 (1) ◽  
pp. 6-19 ◽  
Author(s):  
Afsaneh Sadooghiasl ◽  
Soroor Parvizy ◽  
Abbas Ebadi

Background: Moral courage is one of the most fundamental virtues in the nursing profession, however, little attention has been paid to it. As a result, no exact and clear definition of moral courage has ever been accessible. Objective: This study is carried out for the purposes of defining and clarifying its concept in the nursing profession. Methods: This study used a hybrid model of concept analysis comprising three phases, namely, a theoretical phase, field work phase, and a final analysis phase. To find relevant literature, electronic search of valid databases was utilized using keywords related to the concept of courage. Field work data were collected over an 11 months’ time period from 2013 to 2014. In the field work phase, in-depth interviews were performed with 10 nurses. The conventional content analysis was used in two theoretical and field work phases using Graneheim and Lundman stages, and the results were combined in the final analysis phase. Ethical consideration: Permission for this study was obtained from the ethics committee of Tehran University of Medical Sciences. Oral and written informed consent was received from the participants. Results: From the sum of 750 gained titles in theoretical phase, 26 texts were analyzed. The analysis resulted in 494 codes in text analysis and 226 codes in interview analysis. The literature review in the theoretical phase revealed two features of inherent–transcendental characteristics, two of which possessed a difficult nature. Working in the field phase added moral self-actualization characteristic, rationalism, spiritual beliefs, and scientific–professional qualifications to the feature of the concept. Conclusion: Moral courage is a pure and prominent characteristic of human beings. The antecedents of moral courage include model orientation, model acceptance, rationalism, individual excellence, acquiring academic and professional qualification, spiritual beliefs, organizational support, organizational repression, and internal and external personal barriers. Professional excellence resulting from moral courage can be crystallized in the form of provision of professional care, creating peace of mind, and the nurse’s decision making and proper functioning.

2021 ◽  
Author(s):  
Nahid Dehghan nayeri ◽  
Nasrin Samadi ◽  
Jafar Vakili ◽  
Zanyar Pakfar

Abstract Introduction: The concept of caring thinking has been utilized in nursing, and although it has been defined and evaluated using a variety of methods, yet it remains an abstract concept in nursing practice. This paper presents a concept analysis to define and clarify the concept of caring thinking to provide a deeper understanding of how caring thinking can be incorporated into nursing. Therefore, the present study is carried out for the purpose of defining and clarifying its concept in the nursing profession.Methods: This study used a hybrid model of concept analysis comprising three phases, namely a theoretical phase, field work phase, and a final analysis phase. To find relevant literature, electronic search of valid databases was utilized using keywords related to the concept of caring thinking. Field work data were collected over a 10-month time period from 2017 to 2018. In the field work phase, in-depth interviews were performed with 10 nurses and academic nurse. The conventional content analysis was used in two theoretical and field work phases, and the results were combined in the final analysis phase. Results: The 4 main themes extracted included “Correct thinking”, “Responsibility”, “Professional commitment”, and “Ethical thinking” and the final definition of the concept was presented.Conclusion: The results of this study showed that clarifying the concept of Caring thinking leads to better understanding and common perception of this concept and helps nurses to exhibit caring thinking and provide quality care. Caring thinking arranges the systematic approach to and practice of behaviors. Actually, caring thinking is form of thinking contributing to correct thinking. Therefore, the results of this study have implications for nursing practice, nursing education, and nursing research.


2021 ◽  
Author(s):  
Shoeleh Rahimi ◽  
Hamid Reza Khankeh ◽  
Azam Sharifi ◽  
Batol Mohammadian

Abstract Background and Objectives: Miss care is a quality index, which has been identified for nursing care and patient safety recently. However, no precise definition is available for the clinical dimensions and features of this concept. Thus, the present study aimed to analyze the concept of miss nursing care based on the hybrid model.Design: A concept analysis was conducted using a three-phase(theoretical phase, fieldwork phase and final analysis phase) hybrid method.Methods:In the theoretical phase, the concept of miss care was explored in reliable databases from 1998 up to 2018. Using COREQ guidelines ,in the field work phase, in-depth interviews were conducted with six nurses and the data were analyzed using content analysis method. In the last phase, the final analysis was carried out.Results: The results indicated miss care as a healthcare error as a kind of negligence in which the nurse provides unmanaged patient care due to the adversity of organizational and process background factors, which results in the negligence of essential cares and leads to consequences for both the patient and the nurse.Conclusion: Based on the present concept analysis, unmanaged care was the main feature of miss care, which had not been included in the previous definitions. Nurses can create an accurate structure for nursing care and reduction of miss care through performance of process-based care and determination of nursing care priorities. Further studies are recommended to compare this concept to similar ones to determine the clinical distinctions.


2016 ◽  
Vol 24 (8) ◽  
pp. 878-891 ◽  
Author(s):  
Olivia Numminen ◽  
Hanna Repo ◽  
Helena Leino-Kilpi

Background: Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous. Objective: This article is an analysis of the concept of moral courage in nursing. Design: Rodgers’ evolutionary method of concept analysis provided the framework to conduct the analysis. Data sources: The literature search was carried out in September 2015 in six databases: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and The Philosopher’s Index. The following key words were used: “moral” OR “ethical” AND “courage” OR “strength” AND “nurs*” with no time limit. After applying inclusion and exclusion criteria, 31 studies were included in the final analysis. Ethical considerations: This study was conducted according to good scientific guidelines. Results: Seven core attributes of moral courage were identified: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk. Antecedents were ethical sensitivity, conscience, and experience. Consequences included personal and professional development and empowerment. Discussion and conclusion: This preliminary clarification warrants further exploring through theoretical and philosophical literature, expert opinions, and empirical research to gain validity and reliability for its application in nursing practice.


2020 ◽  
Vol 17 ◽  
Author(s):  
Elham Sepahvand ◽  
Hamidreza Khankeh ◽  
Mohammadali Hosseini ◽  
Behnam Akhabari

IntroductionThe bystander effect, or bystander apathy, occurs at the scene of road traffic accidents. It is a theory that states that individuals are less likely to offer help to a victim when there are other people present. This study aims to perform a concept analysis of the bystander effect at the scene of road traffic accidents in the Iranian context.MethodsA concept analysis was performed using a hybrid method recommended by Schwartz-Barcott in three phases: a theoretical analysis, field work and final analysis. In the theoretical phase, a literature review was conducted using the databases PubMed, Scopus, Elsevier, Ovi and Iran-doc, with the relevant studies analysed. In the field work, interviews were carried out with eight medical emergency personnel followed by a qualitative content analysis of the transcriptions. In the last phase, the final analysis was performed to provide a clear definition of the concept.ResultsIn the theoretical phase related to the concept of the bystander effect, some characteristics, such as the presence of strangers, social influence, pluralistic ignorance, self-safety, victim’s unstable conditions, lack of awareness and presence of medical emergency personnel were identified. In the final analysis phase, a definition was achieved to be provided in the following sections, by integrating the two theoretical and field work phases. ConclusionThe results of this study could pave the way for future studies to further develop the concept of the bystander effect in different cultures and help develop a tool for the further assessment of this phenomenon.


2015 ◽  
Vol 28 (3) ◽  
pp. 1-14 ◽  
Author(s):  
Ehsan Saghehei ◽  
Azizollah Memariani

The approach used in this paper is an implementation of a data mining process against real-life transactions of debit cards with the aim of detecting suspicious behavior. The framework designed for this purpose has been obtained through merging supervised and unsupervised models. First, due to unlabeled data, Twostep and Self-Organizing Map algorithms have been used in clustering the transactions. A C5.0 classification algorithm has been applied to evaluate supervised models and also to detect suspicious behaviors. An innovative plan has been designed to evaluate hybrid models and select the most appropriate model for the solution of the fraud detection problem. The evaluation of the models and the final analysis of the data took place in four stages. The appropriate hybrid model was selected from among 16 models. The results show a high ability of selected model in detecting suspicious behavior in transactions involving debit cards.


2011 ◽  
Vol 12 (2) ◽  
pp. 61-69 ◽  
Author(s):  
Sung Ok Chang ◽  
Younjae Oh ◽  
Eun Young Park ◽  
Geun Myun Kim ◽  
Suk Yong Kil

2005 ◽  
Vol 35 (4) ◽  
pp. 709 ◽  
Author(s):  
Pok Ja Oh ◽  
Kyung Ah Kang

1995 ◽  
Vol 19 (10) ◽  
pp. 640-641
Author(s):  
Larry Culliford
Keyword(s):  

As human beings we are each invited to fulfill expectations. We are asked to prove ourselves, to achieve, and we are encouraged in strong allegiances to family, community and culture. We identify with and take pleasure in, or alternatively dissociate ourselves from and dislike, certain people, places, possessions, and later theories, philosophies, even what we call ‘facts'. Thus we form strong (but in the final analysis relinquishable) attachments and aversions.


Sociology ◽  
2020 ◽  
Author(s):  
Aurora Vergara-Figueroa

Race and racism are key analytical constructs that express fundamental issues not only of power and inequality, but also of justice, democracy, equity, and emancipation. The study of race in the social sciences is an established, dynamic, multidisciplinary, and international field. Work began at the end of the 19th century. To study race with a global perspective, it is necessary to have a transdisciplinary view to read critically the phenomena that intersect with this variable. This field includes contributions from sociology, history, philosophy, legal studies, anthropology, cultural studies, political science, epidemiology, and journalism, among others. Several declarations have been made in recent years about the alleged end of racism or the end of a race-coded era. However, even though they are not new, every time they resurge these doxas underline new regimes of truth, reconfigure racisms, and strength inequality. The vast literature produced by scholars in this field provides evidence of how race is based on narratives created to enslave, subordinate, exploit, and exclude millions of human beings across the globe.


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