RT - Journal Article T1 - Explaining Courage in Ethical Decision-making by Nursing Managers: A Qualitative Content Analysis JF - gums-hnmj YR - 2021 JO - gums-hnmj VO - 31 IS - 4 UR - http://hnmj.gums.ac.ir/article-1-1741-en.html SP - 254 EP - 262 K1 - Courage K1 - Nursing managers K1 - Ethical decision-making K1 - Qualitative content analysis AB - 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. LA eng UL http://hnmj.gums.ac.ir/article-1-1741-en.html M3 10.32598/jhnm.31.4.2141 ER -