Concepts of courage and resilience in nursing: A proposed conceptual model

Ghassemi, Akhtar Ebrahimi; Zhang, Nicole; Marigliano, Elisabeth

doi:10.1080/10376178.2019.1661786

Cited by 8 publications

(7 citation statements)

References 38 publications

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“…Bazrafshan et al observed a significant relationship between nurses' conscientiousness and resilience ( 32 ). Ebrahimi Ghassemi et al reported a significant and positive correlation between resilience and moral courage of nursing students ( 15 ). This finding can be explained as individuals with higher levels of moral courage have a reasonable understanding of their abilities due to features such as the endurance of threat, moral goals, and multiple values; therefore, they can manage stressors and have higher flexibility, leading to increased resilience in nurses.…”

Section: Discussionmentioning

confidence: 99%

“…Resilience appears to be an essential factor in the nursing profession, and many factors could affect its development and enhancement (e.g., individual's personality and mentality traits). In the conceptual model by Ebrahimi Ghassemi et al, a positive correlation was found between resilience and moral courage among nursing students ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

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Relationship between resilience and professional moral courage among nurses

Abdollahi

Iranpour

Ajri-Khameslou

2021

jmehm

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Nurses need to be resilient to be able to endure their working conditions, and their moral courage can affect their resilience. This work aimed at studying the relationship between resilience and professional moral courage among nurses working in hospitals. This descriptive cross-sectional study was conducted on 375 nurses working in teaching hospitals in the city of Ardabil in Iran in 2019. Data was collected using the following questionnaires: a demographic questionnaire, Sekerka et al. Moral Courage Scale and Davidson-Connor Resilience Scale. The reliability of the Davidson-Connor Resilience Scale, and Moral Courage Scale were found to be 89% and 85% using the test-retest method. The data were analyzed by Pearson correlation coefficient, t-test, variance analysis, and linear regression using the SPSS software version 24. In participating nurses, mean scores were 6.35±0.5 for total moral courage (favorable) and 79.35±0.35 (moderate) for resilience, respectively. A positive and significant relationship was observed between resilience and professional moral courage (P<0.05, r=0.1). Given the positive and significant relationship between resilience and professional moral courage, nurses require to have the high moral courage to enhance their resilience. Determining factors affecting moral courage and resilience, as well as finding strategies and creating an appropriate moral climate can increase nurses' morally courageous behaviors and resilience.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship between resilience and professional moral courage among nurses

Abdollahi

Iranpour

Ajri-Khameslou

2021

jmehm

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“…Persistence in voicing concerns was potentially risky or hazardous because of the students' perception that the clinical culture will respond by reprimanding and belittling rather than supporting them. Every day, nurses face situations that demand courage and resilience to provide the best care for patients (Ebrahimi Ghassemi et al, 2019). Further, overcoming barriers, communicating well, and being persistent may not lead to achieving the desired outcome.…”

Section: Discussionmentioning

confidence: 99%

Student nurses' strategies when speaking up for patient safety: A qualitative study

Fagan

Lea

Parker

2021

Nursing & Health Sciences

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The purpose of this study was to understand student nurses' perceptions and experiences of witnessing and responding to risks to patient safety during their integrated learning experiences. This qualitative study's two‐phased approach included individual semi‐structured interviews, followed by focus group discussions with students. Participants included 53 pre‐registration nursing students recruited from the first, second, and third years of study at two Australian universities. All had attended at least one clinical placement experience. Interpretive Description was used as a framework to guide the study. The findings highlight that students engage in specific and deliberate strategies when attempting to speak up. Students weigh up the risk to the patient and themselves. They use questioning techniques and their knowledge, experiences, and resources when speaking up. Students highlighted the need for caution and persistence while aiming to reduce the risk of reprisal. Exposing the challenges and successes students experience will provide educators, managers, and clinicians with the understanding necessary to better support both students and clinicians to achieve safe outcomes for patients as well a students.

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“…At present, nursing managers focus mainly on disputes in medical work settings such as outpatient departments (Qiao et al, 2019a), emergency rooms (Herreros et al, 2010) and infusion rooms (Steven et al, 2014), analysing the causes and making management proposals primarily from the perspective of nurses (Boamah, 2019;Ghassemi et al, 2019). Few studies have analysed the relevant factors of nurse-patient disputes from the perspective of patients.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Analysis of influencing factors of nurse‐patient disputes based on patient characteristics: A cross‐sectional study

Wang

et al. 2021

Nursing Open

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Aim: To explore the prevalence of nurse-patient disputes and the influencing factors based on an analysis of patient characteristics. Design:A cross-sectional study.Methods: This study used the convenience sampling method. Three self-designed questionnaires based on clinical experience and literature review were used to collect the current status of nurse-patient disputes and to assess patients' humanistic qualities and patients' recognition of nursing work. The Big Five personality questionnaire was used to assess the five personality traits of patients.Results: Of the patients, 9.6% reported having a dispute with nurses. The results of binary logistic regression analysis indicated that patients' humanistic quality, recognition of nursing work and agreeableness in personality traits had a negative predictive effect on nurse-patient disputes, while family monthly income and neuroticism in personality traits positively predicted disputes.

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Concepts of courage and resilience in nursing: A proposed conceptual model

Cited by 8 publications

References 38 publications

Relationship between resilience and professional moral courage among nurses

Relationship between resilience and professional moral courage among nurses

Student nurses' strategies when speaking up for patient safety: A qualitative study

Analysis of influencing factors of nurse‐patient disputes based on patient characteristics: A cross‐sectional study

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