2.50
Hdl Handle:
http://hdl.handle.net/10755/335113
Category:
Full-text
Type:
Presentation
Title:
Measurement of Moral Courage
Other Titles:
Patient Safety and Nursing Autonomy
Author(s):
Dinndorf-Hogenson, Georgia A.
Lead Author STTI Affiliation:
Kappa Phi-at-Large
Author Details:
Georgia A. Dinndorf-Hogenson, PhD, RN, CNOR, ghogenson@csbsju.edu
Abstract:
Session presented on Friday, July 25, 2014: Purpose: Threats to patient safety exist. Nurse appraisals of these threats and the likelihood to act with moral courage have not been documented. This descriptive correlational study examined moral courage response to threats to patient safety. The moral courage model was based on Lazarus and Folkman's theory of stress and coping. The Dillman, Smythe, and Christenson (2009) tailored design method was used to construct the Moral Courage Questionnaire for Nurses (MCQN) instrument. Moral courage frequency and intensity were explored. Methods: A randomized mail questionnaire distributed to Midwest perioperative registered nurses yielded 50% response rate (N = 154). Results: Multiple regression analysis results indicate moral courage in perioperative nurses is significantly influenced by Magnet status, certification, peer support, institutional culture, fear, and previous operating room experience. Perioperative nurses from Magnet hospitals were significantly more likely than nurses from non-Magnet hospitals to stop a surgical procedure performed by a physician with alcohol breath (F = 7.99, p = .005). Urban perioperative nurses were significantly more likely to stop the procedure than nurses from smaller rural hospitals (F = 4.95, p = .028). Significant positive correlations were shown between previous OR experience and the level of moral courage addressing physician substandard practice (p = .004). Significant negative correlations occurred between fear of reprisal and retaliation and (a) reporting ethical issues to administration (p = .001), (b) questioning provider when not in best interest of patient (p = .001), (c) frequency of speaking up when risks to the patient are known (p = .006), and (d) moral courage overcoming being silent about an ethical issue (p = .005). Fear of reprisal and retaliation were positively correlated with moral distress (p = .000). Sufficient performance of the MCQN Likert-type scale showed contrast of scale scores to reflect variance; Cronbach's alpha measured 0.81. Conclusion: Findings indicate the moral courage model performance was robust with the exception of the motivational value systems variable. Perioperative nurses reported high moral courage in situational threats to patient safety. Significant findings clustered influencing factors of fear, previous experience, peer support, and institutional culture. Furthermore, Magnet status, peer support, previous operating room experience, institution's urban location, supportive nursing management and administration promote perioperative nurses' exhibition of moral courage. Future research is indicated for supportive nursing management and policy creation promoting moral courage in situations that are threats to patient safety within the perioperative area.
Keywords:
patient safety; nursing leadership; moral courage
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14D10
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleMeasurement of Moral Courageen
dc.title.alternativePatient Safety and Nursing Autonomyen
dc.contributor.authorDinndorf-Hogenson, Georgia A.en
dc.contributor.departmentKappa Phi-at-Largeen
dc.author.detailsGeorgia A. Dinndorf-Hogenson, PhD, RN, CNOR, ghogenson@csbsju.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335113-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: Threats to patient safety exist. Nurse appraisals of these threats and the likelihood to act with moral courage have not been documented. This descriptive correlational study examined moral courage response to threats to patient safety. The moral courage model was based on Lazarus and Folkman's theory of stress and coping. The Dillman, Smythe, and Christenson (2009) tailored design method was used to construct the Moral Courage Questionnaire for Nurses (MCQN) instrument. Moral courage frequency and intensity were explored. Methods: A randomized mail questionnaire distributed to Midwest perioperative registered nurses yielded 50% response rate (N = 154). Results: Multiple regression analysis results indicate moral courage in perioperative nurses is significantly influenced by Magnet status, certification, peer support, institutional culture, fear, and previous operating room experience. Perioperative nurses from Magnet hospitals were significantly more likely than nurses from non-Magnet hospitals to stop a surgical procedure performed by a physician with alcohol breath (F = 7.99, p = .005). Urban perioperative nurses were significantly more likely to stop the procedure than nurses from smaller rural hospitals (F = 4.95, p = .028). Significant positive correlations were shown between previous OR experience and the level of moral courage addressing physician substandard practice (p = .004). Significant negative correlations occurred between fear of reprisal and retaliation and (a) reporting ethical issues to administration (p = .001), (b) questioning provider when not in best interest of patient (p = .001), (c) frequency of speaking up when risks to the patient are known (p = .006), and (d) moral courage overcoming being silent about an ethical issue (p = .005). Fear of reprisal and retaliation were positively correlated with moral distress (p = .000). Sufficient performance of the MCQN Likert-type scale showed contrast of scale scores to reflect variance; Cronbach's alpha measured 0.81. Conclusion: Findings indicate the moral courage model performance was robust with the exception of the motivational value systems variable. Perioperative nurses reported high moral courage in situational threats to patient safety. Significant findings clustered influencing factors of fear, previous experience, peer support, and institutional culture. Furthermore, Magnet status, peer support, previous operating room experience, institution's urban location, supportive nursing management and administration promote perioperative nurses' exhibition of moral courage. Future research is indicated for supportive nursing management and policy creation promoting moral courage in situations that are threats to patient safety within the perioperative area.en
dc.subjectpatient safetyen
dc.subjectnursing leadershipen
dc.subjectmoral courageen
dc.date.available2014-11-17T13:44:34Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:44:34Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.