MORAL COURAGE IN HEALTH CARE

Authors

DOI:

https://doi.org/10.5354/2452-5839.2022.67514

Keywords:

Courage, Moural, Nursing, Coronavirus

Abstract

Health care is a priority in current times of socio-health uncertainty. In this, nursing professionals are front-line health workers and essential team members to care for the health and save people's lives. Although nursing is aware of the challenges associated with the COVID-19 pandemic crisis and other health problems; she continues to demonstrate and provide high-quality care despite the episodes of ethical-moral deliberation that she frequently experiences, which induce physical and mental crises that lead her to experience processes of moral anguish that must be explored and call the meticulous attention of system administrators of health. It is from these perspectives that moral courage should be a skill to be recognized and revealed in the care processes carried out. In this sense, the following story aims to reflect on the ethical-moral crossroads that underlie nursing care practice and the need to enhance moral courage as a strategy to strengthen the rule of care.

References

Organización Panamericana de la salud. Ficha informativa sobre el COVID-19 [Internet] 2020. [Citado 14 de junio de 2022]. Disponible en: https://www-paho-org.translate.goog/pt/covid19?_x_tr_sl=pt&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=schttps://www.paho.org

De Ceukelaire W, Bodini C. We Need Strong Public Health Care to Contain the Global Corona Pandemic. Int. J. Healthc. [Internet] 2020 [Citado 14 de junio de 2022];50(3):276-277. Disponible en: https://doi.org/10.1177/0020731420916725

Turale, Sue; Meechamnan, Chutima; Kunaviktikul, Wipada. Tiempos difíciles: ética, enfermería y la pandemia de COVID-19. International nursing review en español: revista oficial del Consejo Internacional de Enfermeras [Internet]. 2020 [Citado 14 de junio de 2022];67(2):164-167. Disponible en: https://www.ieinstituto.es/publicaciones/revistas/revista-international-nursing-review

Loyola da Silva TC, de Medeiros Pinheiro Fernandes AK, Brito do O’Silva C, de Mesquita XSS, Bezerra de Macedo EA. El impacto de la pandemia en el rol de la enfermería: una revisión narrativa de la literatura. Enferm. glob. [Internet]. 2021 [Citado 14 de junio de 2022];20(63):502-543. Disponible en: https://dx.doi.org/10.6018/eglobal.454061

Ramaiah P, Tayyib NA, Alsolami FJ, Lindsay GM, Asfour HI. Health Professionals Dynamic Role Amid COVID-19: Nursing Perspectives. JPRI [Internet]. 2020 [Citado 14 de junio de 2022];32(22):93-100. Disponible en: https://journaljpri.com/index.php/JPRI/article/view/30776

Rodríguez-Abrahantes T, Rodríguez-Abrahantes A. Dimensión ética del cuidado de enfermería. Rev. cuba. enferm. [Internet]. 2018 [Citado 14 de junio de 2022];34(3) Disponible en: http://www.revenfermeria.sld.cu/index.php/enf/article/view/2430

Escobar-Castellanos Blanca, Cid-Henriquez Patricia. El cuidado de enfermería y la ética derivados del avance tecnológico en salud. Acta bioeth. [Internet]. Jun 2018 [Citado 14 de junio de 2022];24(1):39-46. Disponible en: http://dx.doi.org/10.4067/S1726-569X2018000100039

Alba B. Factors that impact on emergency nurses’ ethical decision-making ability. Nursing Ethics [Internet]. 2018 [Citado 14 de junio de 2022];25(7):855-866. Disponible de: http://dx.doi.org/10.1177/0969733016674769

Suhonen R, Stolt M, Habermann M, et al. Ethical elements in priority setting in nursing care: A scoping review. Int J Nurs Stud [Internet]. Dic 2018 [Citado 14 de junio de 2022];88:25-42. Disponible en: https://doi.org/10.1016/j.ijnurstu.2018.08.006

Rooddehghan Z, Yekta ZP, Nasrabadi AN. Ethics of rationing of nursing care. Nurs Ethics [Internet]. 2018 [Citado 14 de junio de 2022];25(5):591-600. Disponible en: https://doi.org/10.1177/0969733016664973

Ramos, Flavia Regina Souza et al. Association between moral distress and supporting elements of moral deliberation in nurses. Rev. Latino-Am. Enfermagem [Internet]. 2020 [Citado 14 de junio de 2022];28. Disponible en: < https://doi.org/10.1590/1518-8345.3990.3332

Colbert A. Putting ethics into action. Nursing2021 [Internet]. 2017 [Citado 14 de junio de 2022];47(8):13-14. Disponible en: https://doi.org/10.1097/01.NURSE.0000521041.73572.d3

Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. J Clin Nurs[Internet]. 2018 [Citado 14 de junio de 2022];27(5-6):917-928. Disponible en: https://doi.org/10.1111/jocn.14151

Yasin JCM, Barlem ELD, Barlem JGT, Silveira RSD, Dalmolin GDL, Andrade GBD. The ethical dimension of problems faced in general medicine: relationship with moral sensitivity. Rev. Latino-Am. Enfermagem [Internet]. 2020 [Citado 14 de junio de 2022];28:e3309. Disponible en: https://doi.org/10.1590/1518-8345.4033.3309

Campillay-Campillay Maggie, Rivas-Rivero Edith, Dubó-Araya Pablo, Calle-Carrasco Ana. Aspectos éticos relacionados con la atención de enfermería en personas en situación de discapacidad: un análisis cualitativo. pers.bioét. [Internet]. Ene-Jun 2020 [Citado 14 de junio de 2022];24(1):43-56. Disponible en: https://doi.org/10.5294/pebi.2020.24.1.4

Brena Ramos, Verónica Marilú, La muerte según los filósofos, en la vida cotidiana y en la formación de enfermeras. Educere [Internet]. 2020 [Citado 14 de junio de 2022];24(79):503-512. Disponible en: https://www.redalyc.org/jatsRepo/356/35663293002/html/index.html

Moreno Mulet C. Coraje moral y (micro)-resistencia, «nuevas» compe- tencias de los profesionales de salud para la lucha contra la desigualdad. Dilemata [Internet]. [Citado 14 de junio de 2022];26:143-155. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6278539.pdf

Zarcos Paredes JC. Papel de la enfermera de cuidados intensivos en la limitación del esfuerzo terapéutico y consecuencas psicoemocionales. Repositorio Institucional UIB [Internet]. [Tesis de Grado]. [España]: Universitas Baliarica; 2020 [Citado 14 de junio de 2022]. Disponible en: https://dspace.uib.es/xmlui/handle/11201/153340?show=full

Bickhoff L, Sinclair PM, Levett-Jones T. Moral courage in undergraduate nursing students: A literature review. Collegian [Internet]. 2017 [Citado 14 de junio de 2022];24(1):71-83. Disponible en: https://doi.org/10.1016/j.colegn.2015.08.002

Milliken A, Grace P. Nurse ethical awareness: Understanding the nature of everyday practice. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):517-524. Disponible en: https://doi.org/10.1177/0969733015615172

Moreira DA, Ferraz CMLC, Costa IPD, Amaral JM, Lima TT, Brito MJM. Professional practice of nurses and influences on moral sensitivity. Rev Gaucha Enferm [Internet]. 2020 [Citado 14 de junio de 2022];41:e20190080. Disponible en: https://doi.org/10.1590/1983-1447.2019.20190080

Milliken A, Grace P. Nurse ethical awareness: Understanding the nature of everyday practice. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):517-524. Disponible en: https://doi.org/10.1177/0969733015615172

Storaker A, Nåden D, Sæteren B. From painful busyness to emotional immunization: Nurses’ experiences of ethical challenges. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):556-568. Disponible en: https://doi.org/10.1177/0969733015620938

Constantina C, Papastavrou E, Charalambous A. Cancer nurses’ perceptions of ethical climate in Greece and Cyprus. Nurs Ethics [Internet]. 2019 [Citado 14 de junio de 2022];26(6):1805-1821. Disponible en: https://doi.org/10.1177/0969733018769358

Downloads

Published

2022-06-16

How to Cite

Saldías-Fernández, M. A. (2022). MORAL COURAGE IN HEALTH CARE . Revista Chilena De Enfermería, 4(1), 1–11. https://doi.org/10.5354/2452-5839.2022.67514

Issue

Vol. 4 No. 1 (2022)

Section

Editorial

License

Copyright (c) 2022 Revista Chilena de Enfermería

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors who publish in this journal do so under the following conditions:

The authors retain the copyrights (copyright) and give the journal the right of first publication under the Creative Commons Attribution-NonComercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0 that allows third parties to use what is published provided that they refer to the author or authors of the work and its publication in this journal.

Licencia Creative Commons

This work is licensed under a Licencia Creative Commons Atribución-NoComercial-CompartirIgual 4.0 Internacional.

The use is non-commercial and the article may be modified and distributed, but under the same Creative Commons Attribution-NonComercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license as the original material.

The authors are free to make other contractual agreements for the non-exclusive distribution of the article they publish in this journal (such as including it in an institutional collection or publishing it in a book), as long as they clearly indicate the original publication of the work in this journal.