Tehran University of Medical Sciences

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Investigating the Relationship Between Moral Courage and Caregiving Behaviours Among Nurses Working in Covid-19 Wards in Iran Publisher Pubmed



Seyedfatemi N1 ; Bahrami R2 ; Hamidi S3 ; Hamooleh MM4 ; Khorin ZS5 ; Abbasi Z4
Authors
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Authors Affiliations
  1. 1. Psychiatric Nursing Department, Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States
  3. 3. Iran University of Medical Sciences, Tehran, Iran
  4. 4. Nursing and Midwifery Care Research Center, Iran University and Medical Sciences, Tehran, Iran
  5. 5. Tehran University of Medical Sciences, Tehran, Iran

Source: Nursing Open Published:2024


Abstract

Aim: To examine the correlation between moral courage and caregiving behaviour among nurses who are employed in the COVID-19 ward in Iran. Design: This study is a descriptive-correlational and cross-sectional research conducted in 2021 in the city of Tehran, Iran. Methods: A total of 270 nurses employed in COVID-19 wards, who had been working in these wards for at least 1 month, were recruited from XXX hospitals and XXX Hospital. Data collection was conducted from September to November 2021. The data collection tools included a demographic information form, the Caring Dimension Inventory (CDI-25), and the Professional Moral Courage Scale (PMC). The designed questionnaire links were provided to the participants virtually through the Persian platform ‘Pars Line’ and via WhatsApp. Descriptive statistics and inferential statistics were used to examine the relationship between moral courage and care behaviour. Results: There was a significant difference in the mean of caring behaviour between the age groups (<30 and >40 years old), and the work experience groups (<5 years and >15 years) (p < 0.05). Ethical values also varied significantly between certain age and experience groups (p < 0.05), but no significant differences were found in ethical behaviour across most ages (30–40 years) and work experience categories (>10 years) (p > 0.05). The level of moral courage among the nurses was higher than the median score of the instrument (87.31 ± 10.37). Among the dimensions of moral courage, the highest score was related to the dimension of ethical factors (17.64 ± 2.64), and the lowest score was related to the dimension of multiple values (17.26 ± 2.78). The level of caring behaviours among the nurses was lower than the median score of the instrument (46.11 ± 10.84). Among the dimensions of caring behaviours, the highest score was related to physical-technical behaviours (19.22 ± 5.27), and the lowest score was related to professional behaviours (1.35 ± 0.67). Based on the analysis, moral courage had a weak and inverse correlation with caring behaviours among nurses. The higher moral courage does not necessarily result in improved caregiving behaviours, emphasizing the need for further research to explore and address this relationship. Patient: No Patient or Public Contribution. © 2024 The Author(s). Nursing Open published by John Wiley & Sons Ltd.