Volume 31, Issue 4 (9-2021)                   J Holist Nurs Midwifery 2021, 31(4): 254-262 | Back to browse issues page


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Roshanzadeh M, Vanaki Z, Sadooghiasl A, Tajabadi A, Mohammadi S. Explaining Courage in Ethical Decision-making by Nursing Managers: A Qualitative Content Analysis. J Holist Nurs Midwifery. 2021; 31 (4) :254-262
URL: http://hnmj.gums.ac.ir/article-1-1741-en.html
1- Assistant Professor, Department of Nursing, Nursing School of Brojen, Shahrekord University of Medical Sciences, Shahrehkord, Iran.
2- Professor, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran , vanaki_z@modares.ac.ir
3- Assistant Professor, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
4- Assistant Professor, Department of medical emergency, Sabzevar University Of Medical Sciences, Sabzevar, Iran
5- MSN, Department of Nursing, Nursing School of Brojen, Shahrekord University of Medical Sciences, Shahrehkord, Iran
Abstract:   (265 Views)
Introduction: Ethical decision-making by nursing managers is influenced by various essential factors, such as courage, without which it is impossible to act on them.
Objective: This study aimed to explore the experiences of nursing managers about courage in ethical decision-making.
Materials and Methods: The current study was conducted in Iran by a qualitative content analysis approach in 2018. Nineteen nurse managers were selected purposefully from hospitals in Tehran and Shahrekord cities. Data were collected using semi-structured, in-depth, face-to-face interviews, and after transcription, they were analyzed according to the Graneheim and Lundman method.
Results: Based on data analysis, we extracted 2 categories (obligation, decisiveness) and 8 subcategories (clearness in expressing decisions, the ability of the manager to make decisions in critical and complex situations, authority/decision-making as a religious responsibility, follow the decision process, being responsible, making compensatory decisions, making preventive decisions).
Conclusion: The findings showed that managers who are committed to ethical decision-making have enough assertiveness to make the decisions. Educating, empowering, and sensitizing managers and enhancing their insight into ethical issues through problem-solving and role-playing techniques can play an essential role in promoting their commitment and responsibility. 
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Article Type : Applicable | Subject: Special
Received: 2021/11/29 | Accepted: 2021/07/26 | Published: 2021/10/1

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