The effect of ethical motivational program on nurses’ moral courage in Mashhad’s military hospitals

Document Type : Original Research

Authors

1 Faculty of Nursing

2 Military Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Movie show is a method that can increase the level of nurses’ moral courage by creating situations similar to those that involve professional health workers and observing the other nurses clinical experiences. This study aimed to investigate the effect of motivational ethics program on the moral courage of nurses in Mashhad’s military hospitals.
Methods: This research was a semi-experimental study, done in 2018. Two military hospitals were selected by design and 20 nurses of each hospital were randomly selected. Both the intervention and control group included 20 nurses. Demographic form and Sekerka’s Moral Courage Questionnaire were completed three times: before, immediately and one month after the intervention by nurses in the two groups. An ethical motivational program – which included teaching the nursing ethics by lecture - group decision method and a movie show to increase their moral courage to deal with ethical issues and decision making - was performed for the intervention group over two consecutive days. There was no intervention for the control group.
Results: At baseline, the moral courage score in the intervention group was 68.05±11.99 and in the control group was 65.50±15.74. Before the intervention, both groups had a moderate moral courage score and no significant difference was observed (P=0.568). The moral courage score in the first post-test was 78.77±5.50 in the intervention group and 65.05±15.43 in the control group (P < span dir="RTL">>0.001). The intervention group at this stage gained a high moral courage score. The moral courage score in the second posttest in the intervention group was 79.77±5.37, which was a minor increase, and the control group achieved 63.75±13.23 which showed a slight decrease (P<0.001). The moral courage score and all its dimensions in the three stages in the intervention group were significantly different (P<0.001) and in the control group there was no significant difference (P=0.278).
Conclusion: The results of this study showed that ethics training increases the amount of nurses’ moral courage. Therefore, the researchers suggest that nursing ethics training sessions be included in nursing education in-service training courses.

Keywords

References

1 .Bostani S. Strategies to promote professional ethics in nursing education system. Development Strategies in Medical Education. 2015;2 (2):13-22. 2. Sadooghiasl A, Parvizy S, Ebadi A. Concept analysis of moral courage in nursing. Nursing Ethics. 2016:096. 3. Moosavi S, Borhani F, Abbaszadeh A. The moral courage of nurses employed in hospitals affiliated to Shahid Beheshti University of Medical Sciences. Hayat. 2017;22 (4):339-49. 4. Mahdaviseresht R, Atashzadeh-Shoorideh F, Borhani F. Correlation between moral sensitivity and moral courage in nurses of selected hospitals affiliated to Tabriz University of Medical Sciences in 2014. Iranian Journal of Medical Ethics and History of Medicine. 2015;8 (3):27-39. 5. Lachman V. Strategies necessary for moral courage. The Online Journal of Issues in Nursing. 2010;15(3):3-8. 6. Moral courage in undergraduate nursingstudents: A literature reviewLaurie [Internet]. 2017 - Elsevier. 2017 [cited August 18, 2015]. 7. Gallagher A, Tschudin V. Educating for ethical leadership. Nurse Education Today. 2010;30 (3):224-7. 8. Murray C. Moral courage in healthcare: acting ethically even in the presence of risk. The Online Journal of Issues in Nursing. 2010;15 (3):2. 9. Day L. Courage as a virtue necessary to good nursing practice. American Journal of Critical Care. 2007;16 (6):613-16. 10. Corley M. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics. 2002;9 (6):636-50. 11. Mohammadi S, Borhani F, Roshanzadeh M. Relationship between moral distress and moral courage in nurses. Iranian Journal of Medical Ethics and History of Medicine. 2014;7 (3):26-35. 12. Izadi A, Imani H, Khademi z, FariAsadi Noughabi f, Hajizadeh N, Naghizadeh F. Moral sensitivity of critical care nurses in clinical decision making and its correlation with their caring behavior in teaching hospitals of Bandar Abbas in 2012. Iranian Journal of Medical Ethics and History of Medicine. 2013;6 (2):43-56. 13. Bijani M, Moradi H, Karami G. Studying the concept and place of motivation in adult education programs. Work and Community. 2010;132 (1):100-12. 14. Sekerka L, Bagozzi R, Charnigo R. Facing ethical challenges in the workplace: Conceptualizing and measuring professional moral courage. Journal of Business Ethics. 2009;89 (4):565-79. 15. Ebadi M, Mousavi S, Sharififar S, editors. Converting a nursing student to ethical nurse with an educational shortcut called critical review of film. 9th Martyr Motahhari Educational Festival; University of Medical Sciences.Tehran: Iran; 2016 April 29-30.P.73-81. 16. Mohammadi M, Parandin S, Bahremand P. Barriers to the Application of Professional Ethics in Clinics from Nurses' Viewpoints of Kermanshah University of Medical Sciences in 1394. Ethics and Culture in Nursing. 2014;1(2):1-8. 17. Edmonson C. Strengthening moral courage among nurse leaders. The Online Journal of Issues in Nursing. 2015;20 (9):2. 18. Zahra Farsi, Nahid Dehghan Nayeri. Pain and suffering: experiences of healthcare professionals in Iran-Iraq war: a content analysis study. Journal of Military Medicine. 2017; 19(3): 222-233. 19. LaSala C, Bjarnason D. Creating workplace environments that support moral courage. The Online Journal of Issues in Nursing. 2010;15 (3):1-7. 20. Juoolaie S, Sadoughi A, Ghayyasundian S. Ethics training for nursing students, continuation of a research study. Ethics and Med History. 2012;5 (9):0-94.
Journal of Military Medicine
Volume 21, Issue 4 - Serial Number 82
September and October 2019
Pages 410-417

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