courage in nursing

December 2, 2020

How is it different from garden-variety courage? Courage is a virtue vital for good nursing, and has brought many benefits and advancements to the nursing profession, yet it has received little credit as a nursing skill. It is the virtue that leads nurses to develop other virtues and skills like leadership, advocacy, commitment, caring, and conflict resolution amongst others. The head surgeon sends the cardiovascular surgeon on call to place the dialysis catheter at the same time as the angiogram is being done. Sometimes it takes more courage to confront and question a doctors order, or to defy a hospital policy, then to jump in the pool to save a drowning child. Corage latin origin is “Cor” meaning “more at heart”. In contrast, they defined civil courage as “a brave behavior, which is shown to express displeasure towards authorities or superiors in a certain situation without weighing possible disadvantages” and it refers to helping the victim during the event; even if it implies risking their own lives. Without courage, nursing would be a robotic job that implies following orders without any regards for the patients health care outcomes. It can also be applied to those who are willing to fight against debilitating illnesses. Also, Having a courageous character can benefit patients since it provokes them to be more willing to take treatments and fight illnesses. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. Can leaders develop courage? Courage can also have a negative impact on self-esteem, depending on the outcome of the action. Self-respect promotes independence and happiness, and gives nurses the moral courage to protect their patients (Lachman, 2009). That is an acronym for a 4-step process for finding the courage to act in the face of a moral dilemma. Although moral courage can be taught, nursing students are still in the process of learning their role as a nurse and the assertive behavior required to provide high-quality care (Aultman, 2008). Acts of moral courage are based on knowledge. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. Overcoming fears is another defining attribute that is displayed in the case. Also the defining attribute of knowledge is lacking in this case. Their examples were, helping the victims of hurricane Katrina, Sept 11, and the Tsunami. Moral courage is the readiness to stand up and do the right thing, even if this means In provision five, she talks about the moral duties that nurses owe to themselves and there patients. While students may subsequently report the behaviour, at the time of the event, they often remain passive spectators and … All Rights Reserved. A Concept Analysis Of Courage In Nursing Nursing Essay Introduction. This study determined the correlation between moral courage and psychological empowerment of nurses. Spencer and Smyth (2007) stated that courage is a concept that remains invisible in nursing, Yet it is essential to the advancement of nursing practice (Spencer, and Smythe 2007). The willingness to have a courageous character can be provoke by confidence and a sense of duty, and it can lead to self esteem boosts and good learning experiences. Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. There are instances throughout every nurse’s career where you have to do something really difficult that you know is going to cause distress. Cowardice is failing to act properly because of fears, whereas, courage requires to control the emotion of fear and act appropriately in an given situation; and it rejects the idea that courage is the absence of fears (Encyclopedia of Ethics, 2001, p. 353-354). Another defining attribute of courage is knowledge. Committing acts that are force upon can not be consider a virtue since there is no free will. Some where successful endings, others where failure endings. As in an emergency situation where all-out effort is needed, nurse ethicist, Vicki Lachman, suggests that we should call a code. The nurse needs an understanding of morals and values to differentiate between right and wrong and to assess the need to intervene and protect what is valued. The patient confirms alleviation of symptoms with the interventions. Courage is an action committed despite of fears. Risk is defined as the possibility of losing something of value, which could be physical, psychological, or economic. According to wikipedia (2010), may countries reinforce civil courage as the law, which refers to civilians being obligated to interfere or call the authorities if they witness a conflict or crime (wikipedia, 2010). Moral courage is seen as a critical virtue for nurses and crucial to safe and professional practice. This can lead to non-compliance to treatments and poor outcomes. Included papers were those that met the criteria of being qualitative research that explored undergraduate nursing students’ depictions of situations where moral courage was or was not demonstrated during clinical placements, with a particular focus on situations that impacted or had the potential to impact the quality of patient care. Destructive leadership behaviour: A definition and conceptual model. He exemplified it with courageous soldiers that prepared for battle by learning the art of war and fighting techniques, and also by preparing themselves physically and mentally (Aristotle revised trans 2009, III.8). Implementing these recommendations depends on nurse leaders being morally fit to lead and to create an environment in … We define moral courage as the ability to exhibit fortitude and a constant determination to exert professional scepticism. The nurse uses her knowledge to examine the situation, then, base on this knowledge she decides to act. Aristotle believed that knowledge and experience is what differentiates courage from recklessness. On the other hand, Thomas (2003) defined moral courage as willingness to do one’s duties in spite of social shame and isolation (Thomas, 2003), and Aultman (2008) described it in terms of the health care providers taking action when there is an ethical problem where the consequences can be handle and positive changes may occur as a result of the action (Aultman, 2008). Intervention Radiology only take cases until five PM from Monday to Friday and close on the weekends. Free resources to assist you with your nursing studies! Wein (2007) stated that appealing to patients courage could be use as a therapeutic tool to improve the success of their recovery (Wein, 2007), but actual research studies-qualitative or quantitative-need to be done to support this theory. Also, in Nicomachean Ethics, Aristotle described courage as a brave act done for a noble cause in spite of fears that are real and can bring harm or even death, and he stated that death is the worst of fears (Aristotle, revised trans Version, 2009, III.6). Develop your comfort with courage—the Cowardly Lion did it and we can, too. Moral courage requires to take a stand to protect one’s moral values and duties even at the expense of potential disapproval of society. According to the Encyclopedia of Ethics (2001), Cowardice is the opposite of courage and is consider a vice in most cultures. 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. The literature reports, despite feeling a moral obligation to act, most nursing students lack the moral courage to intervene or speak up when faced with poor practice. We often think of courage in a physical sense — the strength to withstand danger, fear, or difficulty. Nursing Essay There’s a courage that goes with the professionalism of nursing. She then proceeds to give the patient more morphine and nitroglycerin. (2006) used vignettes of different scenarios to measure the perception of civil courage versus helping behavior. This methology examines the phenomena with the purpose of understanding in a thought provoking manner the relation of the phenomena “within a social and historical context.” (Spence,and Smythe 2007). The term, psychological courage seemed to blend in with physical courage and moral courage because even though the brave action was psychological in nature, the risks or threats still leads to potential physical or moral harm. Courage as a virtue necessary to good nursing practice. Thomas (2003) stated that courage is a necessary skill to be a successful nurse leader (Thomas, 2003). To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! While Day (2010) stated that courage is necessary for every day nursing, from overcoming the fear of exposure to pathogens and emotional strains, to overcoming the fears of guilt for delaying a procedure when the patient is requiring additional information. It also identified caring, knowledge, and the ability to overcome fears as some of the defining attributes of courage. Her intuition and experience is telling her that the patient is having a myocardial infarct, and that something needs to be done promptly. Courage is a virtue that can also benefit patients in the health care. Caring is a crucial component of courage. She might not know that there is a cardiac fellow on call or an arrhythmia nurse available to help, and so she does not intervene due to the lack of knowledge. According to Thomas (2007), courage is a requirement to be a leader. Moral distress among practicing nurses is frequently discussed in the nursing literature, along with well-developed recommendations for increasing moral courage in practicing nurses. Caring about the patients and the profession can bring positive changes, but only when there is the courage to provoke the changes. Courage is a learned skill and all of us have the capacity to be courageous. Literature review. Title: O Author: Sandra Walston Created Date: 4/6/2009 3:15:36 PM The patient is rushed to the angiogram and then transferred to the intensive care unit. There was no actual definition for this term, but it was implied that it is the ability of overcoming destructive habits even when it may cause physical or emotional harm to do so. Search results Jump to search results. Then, base on her knowledge of the chain of command, she decides to call the cardiac fellow and the head surgeon to get help for the patient. At three pm the patient get diaphoretic and starts complaining of sever chest pain. It implies for civilians to take action to help a complete stranger that is a victim of a crime. Many concepts have being identified and inquired in nursing, yet there are some that still remain unexplored; one of these concepts is courage. *You can also browse our support articles here >. two hours later, the nurse received a phone call from central telemetry informing her that the patient is sustaining ventricular tachycardia. Spence and Smythe stated that the word courage derives from the old French word “corage” which means “heart” and “spirit”. Moral courage is the pinnacle of ethical behaviors embodied in commitments to ethical principles, in spite of potential risks, such as defamation, emotional anxiety, retaliation, isolation, and loss of employment. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Get the latest blog posts sent directly to your email. Lachman (2009) did a review of the nursing code of ethics provisions five to ten. She states that commitment to moral ideas and living up to personal principals can facilitate moral courage (Lachman, 2009). The nurse displays caring through her sense of responsibility and commitment to meet the patient’s health care needs. Spence and Smythe (2007) used a similar method which involved collecting nursing narratives and analyzing them with the hermeneutic method. Courage is an elusive but fundamental component of nursing. Courage can be learned and built into the character through training and practice. Physical courage is defined as an act of confidence done in spite of a potential physical harm or death, in which the means justify the end. What is moral courage? The 9/11 firefighters who ran into the World Trade Center were undoubtedly courageous. Then she goes over the cardiologist head and pages the cardiac fellow to come and evaluate the patient. Without courage nurses would have no voice in society and as a profession. Not settling for “we have always done it this way”. Her day‐to‐day job was in a fever clinic, she decided not to celebrate Chinese Lunar New Year with her family and chose to volunteer to work in a hospital in the epicentre of the virus. She analyzed the structure/content, patterns, and unique threads of the participants narratives to explore the phenomena of courage (Garon, 2006). Peterson,S and Bredow,T (2009) defined caring as a “nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility” (Peteson, S. Bredow, T, 2009. p.193). The attending physician is informed, he orders Cardiovascular surgery to be on consult for placement of the Quinten catheter. The ‘6C’s consist of, care, compassion, competence, communication, courage, and commitment. She does everything in her power to prevent the delay of care, from calling the Intervention Radiology manager in an attempt to accelerate the process, to going over two of the consulting physicians heads to increase the patients survival chance. Aristotle’s believed that courage is only a virtue when it is a deliberated choice, and any involuntary acts can not be considered courageous (Aristotle revised trans 2009. 2009. Courage entails our capacity and willingness to deal with fear, pain, danger, ambiguity, or intimidation, both physically and mentally. This also relates to our Paramedic Practise, how courage can potentially increase the rate of survival in a time critical patient, and this can be speaking up to our crew if we have any concerns in patient management/treatment or even decision- making. Other methods where use to measure how the consensus perceives courage. Do you have a 2:1 degree or higher in nursing or healthcare? Courage needs to be recognized as a necessary skill in the health care systems, and it needs to be incorporated as part of the skill training in nursing schools; specifically at the masters and doctoral level. (Day, 2010). The choice to act is motivated by confidence, which is another antecedent variable of courage. We're here to answer any questions you have about our services. Continuing with the above case, when the patient holds the nurse’s hand and says “help me”, the nurse picks up on the patients panic, but does not know what to do. Speaking up rather than being compliant in silence. They concluded that actions with unsuccessful outcome where still viewed as courageous, but where not praised as much as successful actions (Pury, and Aultman 2010). Training nurses to be courageous and stand up for their values is what leads nurses to become great caregivers, great leaders, and great advocates. The nurse proceeds to tell the patient that she is doing everything in her power to help him, and that he has to wait for the cardiovascular surgeon to place the catheter. How hospitals can support the moral courage of their nurses It’s in a hospital’s best interest to have a staff that is adept in moral courage and moral resilience. Health care providers can use it as a therapeutic tool by appealing to the patient’s sense of courage, through facilitating therapies that ameliorate suffering, restore self esteem, and allow rediscovery of meaning (Wein, 2007). For nurses with true leadership qualities, this will include having the courage to challenge people when they see wrongdoing. III.7). It is no secret that patients get hurt when receiving health care. Pury and Hensel (2010) characterized courage as willingness, intentional, and deliberation acts (Pury and Hensel, 2010). Psychological courage demands the admitting of destructive habits that can cause moral harm since it can lead to rejection and demoralization from family and social connections. However for this assignment the focus will lie primarily on courage, an important trait in life and in nursing practice (Dobos, 2015).It allows us to be brave and do the … Today’s nursing leaders need to be courageous to face the politics of the health care systems and improve nursing for the future. She knows that bypassing the doctors will infuriate them and can have potential consequences for her career, but base on her professional knowledge, if she does not act, the patient will not make it through the night. Without the proper knowledge, the nurse may be reckless and not know how to act to reach the valued objective. Greitemeyer et al. The nurse then chooses her sense of duty to protect her patient over fear of angry co-workers. Nevertheless, what the concept of moral courage means in … It is difficult to measure in numbers because it is subjective in nature. Without caring, there is no need for courage, and without courage, caring does not last; the sense of duty and responsibility is lost because the person lacks the courage to do what it takes to provide the caring. Courage to do difficult things. (Greitemeyer, T, Fischer, P, Kastenmuller, A, and Frey, D, 2006). It also includes the defining attributes of courage. In the case of civil courage, the civilian must be able to perceive the act as morally wrong and then take action risking potential physical harm to stop the conflict. If it causes a negative outcome, it may provoke feelings of inadequacy and worthlessness. Through out the literature review, there seems to be the misconceptions that courageous acts are only does that produce positive outcomes. Sharing alternative viewpoints to the rest of the team. The nurse may have the defining attribute of caring, but lacks the courage to do extraordinary measurement to save the patients life. The Challenges Of Courage In Nursing. Nurses need moral courage in all areas and at all levels of nursing. Some are more willing to act due to their knowledge and experiences, where as others may not be as ready to act because of the lack of exposure to certain situations. The nurse then proceeds to inform the nephrologist so that dialysis can be scheduled after the procedure. To develop courage as part of the character one must refer to one’s own moral values to revaluate what is important and make positive changes. To be courageous means stepping our of your comfort zone and taking the risk. III.7). Psychological empowerment is a suitable method of enabling individuals to coping mental pressures of the work environment. VAT Registration No: 842417633. Perhaps a nursing school can incorporate courage training as part of their leadership class and follow up with these students after they graduate to see if they are more assertive and successful than a control group. Per the literature review, to commit a courageous act, one must first overcome fears. Courage is considered one of the four cardinal virtues, and it has been valued throughout the history of human kind as an important moral virtue. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Caring is a concept widely recognized in nursing, yet the concept of courage is often overlooked. Nurses can develop a courageous character with some training. The nurse calls the Interventional Radiology manager to see if there is anyway that it can be done on Friday, but the manager is not able help. It is the author's intent that readers have a general understanding of how courage affects nursing leadership in today's health care environment. The literature review identified physical courage, moral courage, psychological courage, and civil courage as different extensions of courage, and it reinforced that moral courage is the one necessary for nursing. The literature review differentiates moral courage form physical courage when the dangers or risks do not involve physical injury, but loss of social status, or financial prospects (Encyclopedia of ethics, 2001, p.352). Nursing Management (Springhouse): March 2014 - Volume 45 - Issue 3 - p 6 doi: 10.1097/01.NUMA.0000443944.91373.1c A related concept called “positive deviance” refers to an intentional act of breaking the rul… Nurses require this concept to not only possess traits of a good human, but to also provide an acceptable level of care to their patients, families and society as a whole (Sadooghiasl, Parvizy, & Ebadi, 2016). (Lynas., 2015) Being able to show courage and every 6Cs’, proves how we treat and care for those who are vulnerable and need help. The doctors on consult are not listening to her so she calls a rapid response to get nurses with more experience and knowledge in the room to assist. In conclusion, Many benefits can arise from resorting to courage for both patients and health care providers a like. As Cummings (2016) notes, we know that compassionate care delivered with courage, commitment and skill is our highest What are the differences between physical and moral courage? The nurse with a courageous character is more prone to get involved in a courageous action and learn from the experience. Moral courage can be utilized by nursing staff as a tool guide to approach challenging ethical dilemmas in the health care industry. The nephrologist on consult sees the patient on Friday afternoon, diagnoses him with acute renal failure, and orders Intervention Radiology to place a Quinten catheter to start patient on hemodialysis as soon as possible. This chemical reaction gets the body ready to act, however, the action that follows depends on the person’s core values and ability to cope. This definition compensates different types of courage that where found throughout the literature review: Physical courage, psychological courage, moral courage, and civil courage. A nurse that advocates for a patient and gets negative results may feel incompetent and distressed, even when the action was the correct choice. Currently, only a few qualitative methods have been identified to study the phenomena of courage in nursing. The nurse rushes to the room and finds the patient unconscious, she calls the code blue and starts resuscitation attempts. According to Thomas (2003), nurses can be trained the same way soldier are train for battle, by being exposed to simulated situations that reduces uncertainties, and increases the ability to control fears (Thomas, 2003). The Turks risked their lives by doing so. This includes challenging others who are behaving inappropriately, and to resist the exploitation of professional opportunity for private benefit rather than the public interest. Civil courage also has attributes of both moral courage and physical courage. With a view to promoting better patient outcomes, well-being for practitioners, and support for those who feel compelled to ‘speak out’ and challenge bad practice, Courage in Healthcare is an invaluable resource for any healthcare practitioner working in the NHS today, a rallying call and a practical guide. This case represent the moral courage that nurses express on a daily bases to protect their patients, and their licenses. Simulated situations can be use in nursing schools to help students develop courage and prepare for leadership roles. Don't miss a post! Also, more research studies need to be done on the effects of courage in patients. According to this etymology, courage seems to derive from feelings that arise from within the heart and can provoke a fighting spirit. At five PM the patient has another episode of chest pain in which the above interventions are repeated and the patients pain level improves again. Lachman (2007) defined moral courage as the ability to speak out and do what is right to put principles into action, even at the risk of “humiliation, rejection, ridicule, unemployment, and loss of social standing.” She believed that the sacrifices are worthwhile if it makes individuals admit to wrong doing and resolves ethical dilemmas (Lachman, 2007). Currently tools to measure courage are qualitative in nature. If the fears are not overcome, then the action may be labeled as cowardice instead of courage. The bystander on the beach who rescues a drowning child shows courage as well, and the list goes on. Further attempts to resuscitate the patient continues for twenty minutes, and then the patient gets pronounced death. The cardiovascular surgeon states that the consult will be done in the late evening because the operating room cases take priority. Garon (2006) used a Narrative Analysis method to measure nurses’ resistance to abuse and ethical dilemmas. Speaking up and keeping quiet. Also, having partial knowledge can lead to embarrassments and self-ridicule; a nurse boycotting against abortions in front of a hospital that does not perform elective abortions can be discrediting and will not bring any benefits to the abortion cause. The feeling of caring and feeling connected to someone or something leads to willingness to make sacrifices to protect what is loved and cared for. Study for free with our range of nursing lectures! Registered Data Controller No: Z1821391. A defining attribute of courage is caring. Findings Being in a situation you do not want to be in. By the time the code blue team gets to the room the patient is in ventricular fibrillation. Overcoming the destructive habit itself-whether it is an addiction or a phobia-can result in physical harm because it can disrupt physical and emotional health. Finding the moral courage to overcome distress and act in the face of these potential consequences is challenging. Though the art of nursing is different from the art of war, nurses also need to be knowledgeable to be prepared to confront the everyday challenges that the nursing profession brings. Courage still remains undefined in nursing. Stories of nursing courage and compassion are bounteous; however, the narrative of Nurse Yao, captured by the BBC, is one which is particularly touching. Our nursing leaders and professional organizations have made it clear that nursing leaders are responsible for creating cultures that support acts of courage in nursing. Einarsen, S., Aasland, M., & Skogstad, A. Knowledge is also displayed in the above case. Overcoming fears is also a defining attribute of courage. The identification of nursing concepts has facilitated theory development and the growth of nursing knowledge, which has lead to many nursing advancement. Existentialism in nursing is about entering a therapeutic relationship within which the tasks of care occur. The nurse has the knowledge to act, but still has to overcome the fears of angry co-workers and retaliation. Moral courage is the type of courage required for nursing, and is used in everyday nursing tasks; from advocating for patients to changing nursing for the future. The word courage is still associated with inner strength (Spence and Smythe 2007) and inner power. This method seems more effective in measuring antecedents that lead to courageous acts, and could be transfer to nursing research to measure the reasoning behind nursing courage. While the patient is getting an angiogram, the nurse goes over the cardiovascular surgeon’s head and calls the head of surgery. It is not by chance that one of the chief nursing officer’s 6Cs in the Compassion in Practice strategy is courage and it is a core value of my own organisation. Making decisions when you are in uncharted territory and the safe path is to do nothing. 1222 Words 5 Pages. Just doing tasks isn’t nursing; it’s just doing tasks. Next, moral courage plays an integral role in generating nursing confidence and nursing competence. According to WHO , one in ten patients are harmed whilst receiving health care and 43 MILLION patient safety incidents happen every year around the world. She is to afraid to advocate for the patient, and call others for help. This is supported in Leading Change, Adding Value (Cummings 2016), the national framework for nursing, midwifery and care staff. When the world around you becomes relentlessly task focused, it requires courage to buck that insidious and ultimately destructive trend. Taking risks. Both methods facilitate the exploration of courage as a nursing skill through real nursing stories and experiences, but they do not provide statistics that can measure courage in nursing. A 59 year old Male is admitted to the telemetry unit on a Thursday night with complaints of chest pain, elevated cardiac enzymes, EKG changes, critical BUN and creatine levels, and electrolyte imbalances. Even if she does not know about available resources, she can always resort to her manager or team leader for further assistance, but she does not do so for fear of demoralization and being labeled incompetent. Evidence-based information on COURAGE research from hundreds of trustworthy sources for health and social care. Wein (2007) explained how heroism gives meaning to a person’s life and restores the morale. As we move into the future, we will need innovation in nursing and health care that is both ground-breaking and tradition defying. Moral courage Contemporary nursing scholars define moral courage as the ability to 2010 rise above fear and take action based on one’s ethical beliefs with (Day, 2007; Lachman, 2009). Every person experiences courage differently. healthcare, courage is denoted as an essential nursing attribute (Cummings and Bennett 2012). Aristotle mentioned that acts done without fear are not courageous acts, and the person that has no fears is not courageous, but does not care and has lost love for life itself (Aristotle revised trans 2009. Although Aristotle was referring mostly to the soldiers during war, his definition of courage can be applied to anybody who is willing to risk their lives to achieve a goal or to save others. According to Thomas (2003), physical courage implies the willingness to risk life to achieve a goal or reach a potential (Thomas, 2003). The APA Dictionary of Psychology (2007) defined courage as “The ability to meet a difficult challenge despite the physical, psychological, and moral risks involved in doing so” (The APA Dictionary of Psychology, 2007, p.239). Courageous actions can have positive effects on self esteem, It gives a feeling of adequacy, and self-respect. III. On the other hand, moral courage specifically addresses the c… The nurse caring attributes drive her to display courage and stand up for the patient’s right to live; even at the expense of potential failure. The antecedent variable that allows the concept of courage to occur is, the willingness to take risks to achieve the goal. Fears are a physiological response to threats causing a chemical reaction in the body that leads to the fight or flight response. The nurse orders a stat EKG and gives the patient morphine and nitroglycerin 0.5mg sublingual time three doses. I). It takes more inner strength to act despite analyzed fears and potential consequences, that to act and think about the consequences later. Two of the doctors were furious with the nurse, but the patient’s life was saved. At six thirty PM the patient has a third episode of chest pain, but this time, the nurse senses panic in the patient’s eyes as the patient holds her hand and says “Help me”. Moral courage is one of the fundamental values of nursing profession and a powerful method of coping with ethical problems. When the nursing community doesn’t have that, they’re likely to experience moral distress, which can lead to burnout or compassion fatigue, and even nurses leaving the organization or profession altogether. Methods. All work is written to order. Disclaimer: This work has been submitted by a student. Nurses need guidance to become more courageous and let their voices be heard. The nurse is also not able to overcome her fears. To have moral courage one must first have the morals and distinguish between right and wrong, then have the courage to act against injustice. The nurse then calls a rapid response to get the arrhythmia nurse and the MICCU nurse in the room. Then, one must practice these positive changes until it becomes a reflex and part of one’s character. Company Registration No: 4964706. It provides with the feeling of making a contribution to the world, and feelings of self worth (Wein, 2007). Whereas, defying a doctor or a hospital policy does not come instinctively, one must think, outweigh the risks and benefits, overcome fears, and then take action. “Leaders must consistently find the courage to hold true to their beliefs and convictions” (Thomas, 2003). The results suggest it is imperative to foster courage among nurses and student nurses to prepare them for ethical, creative action and further the development of professional nursing practices. Aristotle believed that lacking confidence leads to cowardice, overconfidence leads to reckless acts, and having enough confidence base on knowledge leads to courageous acts (Aristotle, revised trans Version. Courage is one of the most important concepts in the nursing profession. According to Aultman (2007), health care providers can learn to have moral courage through modeling and mentoring by having ethics committees, continuing of ethics education, and policy development updates (Aultman, 2007). 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. Courage, commitment, competence and compassion, supported by nursing science and evidence‐based practice, can provide nurses with opportunity and credibility to participate in making health care better for patients and their families. Upon assessment, there are changes in the vital signs. Nurses need moral courage in all areas and at all levels of nursing. American Journal of Critical Care, 16 (6), 613 – 616. Greitemeyer, Fischer, Kastenmuller, and Frey (2006) attempted to differentiate between civil courage and helping behavior. No plagiarism, guaranteed! Nursing includes therapeutic relationships. The purpose of this paper is to recognize courage as a nursing concept and incorporated it as a skill necessary for the growth of the nursing profession, and also to examine it as a potential therapeutic means to improve the patients health. The cardiologist had yelled at her for the continuous calling, and so, she is afraid to call again. A pilot study could be done to study the effect of courage training in nursing. Having knowledge builds confidence, and confidence provokes acts of courage in the face of injustice. More research needs to be done and more tools need to be identified to measure the phenomena of courage in nursing, and also to incorporate it as a nursing concept. Consequently, if courage is to be used consciously to influence nurses’ ethical actions it seems important to recognize its specific features. Being diagnosed with an illness often times creates fears and uncertainties that may cause loss of self esteem and dignity. You can view samples of our professional work here. The sense of responsibility that nurses have towards their patients and the profession is what has driven generations of nursing leaders to be courageous and work on research, theories, and hospital policies to re-shape the nursing profession. Although and act of moral courage does not involve any potential physical harm or death, it can not be considered as less threatening that an act of physical courage. In their second study they asked the subjects to write a story of a time when they had to act courageous, then they gave them a questioner about feelings and thoughts that they experienced before and during the act (Greitmeyer et al, 2006). He stated that acts base on knowledge are courageous, whereas acts without knowledge are a compulsion and not brave. One of the main qualities a leader must possess is courage. It can open many possibilities for researchers to develop tools to entice the patients courage, and create new therapies and resources that will assist with patients recovery. 11th Feb 2020 Common risks include falling out of favor with others in authority, losing support, or damaging a key relationship. The cardiologist is informed, but states that the angiogram can not be done until the dialysis catheter gets placed. Because the order was placed on such late notice, the procedure will not be done until Monday. Fighting a debilitating illness like cancer demands physical courage because it requires for the patient to undergoing treatments that can cause severe discomfort, and loss of self image and self esteem. The description of psychological courage was vague in much of the literature review. Moral courage is a great trait found in individuals, who overcome fears of adversities and personal risks in acting upon for the sake of others during ethical dilemmas. The Cardiologist wants to do a cardiac angiogram, but the procedure is placed on hold due to the kidney function because the dye will further damage his kidneys. These and many other questions surround the nature of courage and how it pertains to leadership. A sense of duty is built in a subject’s character, and the same goes for courage and any other virtue. This can bring further advancement to the nursing profession. Yet cancer patients find the courage every day to go through with these treatments to have a chance of prolonging their lives. Having the courage to act regardless of the success of the outcome can provide with exposure to different situations and good learning experience. Day (2010) described how courage is demonstrated through brave actions that evolve from the development of inner character (Day, 2010). Courage is a human character that can be measured through exploring the actual experience of the act itself. In physical courage one must be willing to risk one’s own life to stop the injustice. She already called the cardiologist twice and got yelled at for doing so. Also, courageous acts can be perceived differently amongst individuals, depending on their culture and personal believes, a specific action may be perceived as courageous to some, but insignificant to others. It is harder to measure courage with quantitative methods because it is subjective in nature, and people experience it differently, depending on their values, believes, and cultures. According to Wein (2007), having a fighting spirit can bring real benefits to the patients. The nurse might know-base on her experiences-that the patient is in trouble, but she does not know how to help him. Thomas (2003) described natural courage as instinctive; an extraordinary act done in a blink of an eye without thinking just reacting (Thomas, 2003). Patients need to find the courage from within to fight the physical and physiological disruptions and restore their health. The cardiologist is informed again, but now he is infuriated over the phone call, and the answer remains the same. Having confidence facilitates the willingness to be courageous since a person is more likely to act if he/she is confident that the action will cause the best results. A sense of duty is also an antecedent variable of courage. They defined helping behaviors as “behaviors intended to do someone a favor” and it refers to civilians helping victims after the event. While, Day (2010) stated that “Courage is a virtue that is necessary to the conscientious practice of all health care providers” (Day, 2010). (2007). Pury and Aultman did a qualitative study in 2010 to disprove this misconception, they provided one hundred and fifty two subjects a case scenario with four different endings. Jumping after the drowning child would be a physical natural courage that happens as a reaction more than elaborated thinking; there is no time to contemplate fears. Through out the literature review, confidence seem to be interrelated with courage, and it is defined as a feeling of certainty; knowing that the action is the best choice. “Knowing” how to react when necessary exemplifies courage. Upon assessment, the cardiac fellow states “If we do not do an angiogram now there will be no need for the kidneys”. The literature review also refers to civil courage as social courage, and it is described as civilians standing up against injustice and crime even if it may lead to their death, physical injury, or any other harm. Providing honest feedback in conversations and discussions. Any of these events could lead to losing status or influence at work, or even losing one’s position or employment. More studies need to be done to incorporate courage as a nursing concept, and to identify tools and therapies that can entice courage in patients. Courageous actions can lead to successful and unsuccessful outcomes, but that does not imply that the unsuccessful actions are less courageous. According to Thomas (2003), courage is a skill that can be learned, with the proper training one can learn to control fears and make the right choices (Thomas, 2003). Making courage visible to nursing, can help incorporate it as part of the skills training for nurse leaders in nursing schools. Her knowledge of the situation reinforced her ability to overcome her fears. This is not an example of the work produced by our Nursing Essay Writing Service. Charge Nurse Perspectives on Frontline Nursing Leadership, A Blog for Nursing Leadership Skills & Career Strategies, Planning your Nursing Leadership Career – The Role of Luck, Convincing Nurses to Take the COVID Vaccine. 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