2026-04-14T05:18:48Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/50372025-09-28T03:42:47Zcom_2072_67741col_2072_484352

00925njm 22002777a 4500 dc Koskinen, Sanna author Pajakoski, Elina author Fuster-Linares, Pilar author Ingadottir, Brynja author Löyttyniemi, Eliisa author Numminen, Olivia author Salminen, Leena author Scott, P Anne author Stubner, Juliane author Truš, Marija author Leino-Kilpi, Helena author 2021 Background: Moral courage is defined as courage to act according to one’s own ethical values and principles even at the risk of negative consequences for the individual. In a complex nursing practice, ethical considerations are integral. Moral courage is needed throughout nurses’ career. Aim:To analyse graduating nursing students’ moral courage and the factors associated with it in six European countries. Research design: A cross-sectional design, using a structured questionnaire, as part of a larger international ProCompNurse study. In the questionnaire, moral courage was assessed with a single question (visual analogue scale 0–100), the questionnaire also covered several background variables. Participants and research context: The sample comprised graduating nursing students (n = 1796) from all participating countries. To get a comprehensive view about graduating nursing students’ moral courage, the views of nurse managers (n = 538) and patients (n = 1327) from the same units in which the graduating nursing students practised were also explored, with parallel questionnaires. Ethical considerations: Ethical approvals and research permissions were obtained according to national standards in every country and all participants gave their informed consent. Results: The mean of graduating nursing students’ self-assessed moral courage was 77.8 (standard deviation 17.0; on a 0–100 scale), with statistically significant differences between countries. Higher moral courage was associated with many factors, especially the level of professional competence. The managers assessed the graduating nursing students’ moral courage lower (66.5; standard deviation 18.4) and the patients slightly higher (80.6; standard deviation 19.4) than the graduating nursing students themselves. Discussion and conclusions:In all countries, the graduating nursing students’ moral courage was assessed as rather high, with differences between countries and populations. These differences and associations between moral courage and ethics education require further research. Koskinen, Sanna; Pajakoski, Elina; Fuster-Linares, Pilar [et al.]. Analysis of graduating nursing students’ moral courage in six European countries. Nursing Ethics, 2020, 28(4), p. 481-497. Disponible en: <https://journals.sagepub.com/doi/10.1177/0969733020956374>. Fecha de acceso: 26 sep. 2025. DOI: 10.1177/0969733020956374 0969-7330 http://hdl.handle.net/20.500.12328/5037 https://dx.doi.org/10.1177/0969733020956374 Competència ètica Estudiant d'infermeria graduat Enquesta internacional Coratge moral Educació infermera Competencia ética Estudiante de enfermería recién graduado Encuesta internacional Coraje moral Educación en enfermería Ethical competence Graduating nursing student International survey Moral courage Nursing education Analysis of graduating nursing students’ moral courage in six European countries