Base de dados : MEDLINE
Pesquisa : F01.470.257 [Categoria DeCS]
Referências encontradas : 68 [refinar]
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[PMID]:29218965
[Au] Autor:Bickhoff L; Sinclair PM; Levett-Jones T
[Ti] Título:Moral courage in undergraduate nursing students: A literature review.
[So] Source:Collegian;24(1):71-83, 2017.
[Is] ISSN:1322-7696
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Aim: The aim of this review was to explore factors which facilitate or inhibit undergraduate nursing students' willingness to demonstrate moral courage when confronted by poor patient care. Methods: 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.Papers were reviewed using the Critical Appraisal Skills Programme Qualitative Research Checklist. The 15 papers included in the review were then thematically analysed. Findings: 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. While students may subsequently report the behaviour, at the time of the event, they often remain passive spectators and sometimes even active participants. The major themes identified in the literature were: just a student, don't rock the boat, fear of consequences, mentor­student relationship, and patient advocate identity. The literature also identified that nursing students suffer ongoing moral distress when they do not have the courage to confront poor practice. Conclusion: There is a need for further research to explore positive examples of how nursing students demonstrate moral courage when undertaking clinical placements. These narratives have the potential to influence future students' attitudes, values and behaviours by providing stimulus materials for teaching.
[Mh] Termos MeSH primário: Coragem
Bacharelado em Enfermagem/organização & administração
Ética em Enfermagem/educação
Princípios Morais
Cuidados de Enfermagem/ética
Qualidade da Assistência à Saúde
Estudantes de Enfermagem/psicologia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Pesquisa Qualitativa
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


  2 / 68 MEDLINE  
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[PMID]:28899277
[Au] Autor:Kritek PB
[Ad] Endereço:1 Consultant and Trainer, Conflict Engagement; Professor and Archbishop Joseph Fiorenza Chair in Nursing, University of St. Thomas Carol and Odis Peavy School of Nursing.
[Ti] Título:Reflections on Moral Courage.
[So] Source:Nurs Sci Q;30(3):218-222, 2017 Jul.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The author presents her reflections on the concept of moral courage that have evolved from her life's work in the area of conflict and conflict resolution. Her profound analysis uncovers issues behind nursing's collective silence when action may be needed.
[Mh] Termos MeSH primário: Coragem
Ética em Enfermagem
Princípios Morais
[Mh] Termos MeSH secundário: Seres Humanos
Negociação
Papel do Profissional de Enfermagem/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417708420


  3 / 68 MEDLINE  
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[PMID]:28541109
[Au] Autor:Baillie L
[Ad] Endereço:Senior Lecturer in Nursing, The Open University.
[Ti] Título:An exploration of the 6Cs as a set of values for nursing practice.
[So] Source:Br J Nurs;26(10):558-563, 2017 May 25.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In 2012, after several high-profile cases of poor quality care in England and concerns about a lack of compassion and a need to refocus on values, the Department of Health in England published a new strategy for nursing, midwifery and care staff: Compassion in Practice. The strategy included the 6Cs (care, compassion, courage, communication, competence and commitment) and in the follow-on framework, produced by NHS England in 2016, the 6Cs were included again. This article explains the background to the 6Cs and highlights the other values frameworks that nurses and midwives must work within too. Nursing theorists have studied caring extensively and the earlier set of 6Cs, produced by a Canadian nurse Sister Simone Roach, is explained in the article. The meaning of the DH's 6Cs is then explored in detail with reference to previous research and nursing theory.
[Mh] Termos MeSH primário: Competência Clínica
Comunicação
Coragem
Empatia
Teoria de Enfermagem
Enfermagem
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Inglaterra
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.10.558


  4 / 68 MEDLINE  
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[PMID]:28240095
[Au] Autor:Barchard F; Sixsmith J; Neill S; Meurier C
[Ad] Endereço:Faculty of Health and Society, University of Northampton, England.
[Ti] Título:6Cs and ten commitments: nurses' understanding and use of courage.
[So] Source:Nurs Manag (Harrow);23(10):26-31, 2017 Feb 27.
[Is] ISSN:1354-5760
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Aim This article reports the initial findings of a study that explored nurses' understanding of courage, in the context of the 6Cs and the Leading Change, Adding Value framework. The aim was to explore how nurses' understanding of courage can inform future practice, thus enabling preparation and support for nurses' use of courage in practice settings, and to enhance understanding of their use of it in everyday professional practice. Method The study used unstructured interviews in a grounded-theory approach, in which a theory is constructed by analysing data, underpinned with epistemology of social constructionism, a theory that examines shared assumptions about reality. Twelve qualified nurses were interviewed in depth about their understanding of courage in professional practice. A literature review was also undertaken. Results Nurses discussed their understanding of courage in terms of being in a situation they do not want to be in, speaking up and taking risks. Conclusion Understanding nurses' view of courage and its influence on practice can inform future recruitment and retention policies and practice, thus preparing and supporting nurses in the use of courage in practice settings.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Coragem
Cuidados de Enfermagem/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Assunção de Riscos
[Mh] Termos MeSH secundário: Adulto
Feminino
Teoria Fundamentada
Seres Humanos
Masculino
Meia-Idade
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170228
[St] Status:MEDLINE
[do] DOI:10.7748/nm.2017.e1550


  5 / 68 MEDLINE  
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[PMID]:27889446
[Au] Autor:Horrigan B
[Ti] Título:Fear, Courage and Finding the Way Forward.
[So] Source:Explore (NY);13(1):77-78, 2017 Jan - Feb.
[Is] ISSN:1878-7541
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Coragem
Medo
Medicina Integrativa
Liderança
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


  6 / 68 MEDLINE  
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[PMID]:27922555
[Au] Autor:Spear M
[Ad] Endereço:Marcia Spear, DNP, ACNP-BC, CWS, CPSN, CANS, is a nurse practitioner with the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.
[Ti] Título:Reflection of a President: It Is Really About Courage!
[So] Source:Plast Surg Nurs;36(4):150-151, 2016 Oct/Dec.
[Is] ISSN:1550-1841
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Coragem
Enfermeiras Especialistas/psicologia
Enfermagem Perioperatória/organização & administração
Sociedades de Enfermagem/organização & administração
Cirurgia Plástica/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Enfermeiras Especialistas/organização & administração
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170414
[Lr] Data última revisão:
170414
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161207
[St] Status:MEDLINE


  7 / 68 MEDLINE  
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[PMID]:27906913
[Au] Autor:Healey F
[Ad] Endereço:Deputy Director of Patient Safety Insight, NHS Improvement.
[Ti] Título:Falls prevention as everyday heroism.
[So] Source:N Z Med J;129(1446):14-16, 2016 Dec 02.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle
Coragem
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Seres Humanos
Fatores de Risco
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161202
[St] Status:MEDLINE


  8 / 68 MEDLINE  
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[PMID]:27525418
[Au] Autor:Keczer Z; File B; Orosz G; Zimbardo PG
[Ad] Endereço:University of Szeged, Institute of Psychology, Szeged, Hungary.
[Ti] Título:Social Representations of Hero and Everyday Hero: A Network Study from Representative Samples.
[So] Source:PLoS One;11(8):e0159354, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The psychological investigation of heroism is relatively new. At this stage, inductive methods can shed light on its main aspects. Therefore, we examined the social representations of Hero and Everyday Hero by collecting word associations from two separate representative samples in Hungary. We constructed two networks from these word associations. The results show that the social representation of Hero is more centralized and it cannot be divided into smaller units. The network of Everyday Hero is divided into five units and the significance moves from abstract hero characteristics to concrete social roles and occupations exhibiting pro-social values. We also created networks from the common associations of Hero and Everyday Hero. The structures of these networks show a moderate similarity and the connections are more balanced in case of Everyday Hero. While heroism in general can be the source of inspiration, the promotion of everyday heroism can be more successful in encouraging ordinary people to recognize their own potential for heroic behavior.
[Mh] Termos MeSH primário: Coragem
Valores Sociais
[Mh] Termos MeSH secundário: Seres Humanos
Modelos Teóricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160816
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0159354


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[PMID]:27472787
[Au] Autor:Karches KE; Sulmasy DP
[Ad] Endereço:Department of Internal Medicine, Saint Louis University.
[Ti] Título:Justice, Courage, and Truthfulness: Virtues That Medical Trainees Can and Must Learn.
[So] Source:Fam Med;48(7):511-6, 2016 Jul.
[Is] ISSN:1938-3800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical educators and powerful physician organizations agree on the importance of professionalism for the formation of good physicians. However, the many definitions of professionalism found in the literature lack content and differ significantly, undermining attempts to describe and implement professionalism curricula. The work of the contemporary moral philosopher Alasdair MacIntyre on the virtues may help provide some of the content that the concept of professionalism currently lacks. MacIntyre shows the importance of the virtues, particularly justice, courage, and truthfulness, for the success of any "practice," defined as a form of cooperative human activity. Medicine fits his definition of a practice, and accordingly, medical trainees require these virtues, among others, to succeed. This analysis may provide a foundation for a new form of ethical instruction, in which excellent clinician-educators model the virtues for students and residents, thereby combating the "hidden curriculum" that sometimes corrodes these values. This educational model resembles the way in which masters of other practices, such as music, teach their students and help them become lifelong learners. Such an approach requires leaders at academic medical centers to commit to the establishment of communities in which the virtues flourish. Instruction in the virtues could supplement the emphasis on principles and rule following that predominates in medical education. It would also allow physicians and students to engage with the various cultural and religious traditions in which virtue ethics has flourished, enriching the diversity of medical ethics education and promoting trainees' professional development.
[Mh] Termos MeSH primário: Coragem
Ética Médica/educação
Internato e Residência
Justiça Social/psicologia
Estudantes de Medicina
Virtudes
[Mh] Termos MeSH secundário: Currículo
Educação Médica
Seres Humanos
Aprendizagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


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[PMID]:27237350
[Au] Autor:Bickhoff L; Levett-Jones T; Sinclair PM
[Ad] Endereço:Hunter New England Local Health District, John Hunter Hospital, Lookout Rd, New Lambton, NSW 2308, Australia. Electronic address: laurie@definingnursing.com.
[Ti] Título:Rocking the boat - nursing students' stories of moral courage: A qualitative descriptive study.
[So] Source:Nurse Educ Today;42:35-40, 2016 Jul.
[Is] ISSN:1532-2793
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:AIM: This paper profiles a qualitative study that examined how undergraduate nursing students demonstrate moral courage when confronted with clinical situations that negatively impact the quality of patient care and/or patient experience and the factors that encouraged or inhibited their willingness to speak up when they identified poor practice. BACKGROUND: Clinical placements are an essential component of nursing programmes. However, placements are a reported source of stress for students, with many witnessing, or feeling compelled to participate in, poor practice. In these instances, nursing students require the moral courage to raise concerns in order to protect patient safety and dignity. METHODS: This was a qualitative descriptive study. Nine nursing students and one nursing graduate from one semi-metropolitan university in Australia were interviewed and the data were thematically analysed. FINDINGS: Four key themes emerged: (1) patient advocate identity, which had two sub-themes of knowing one's own moral code and previous life experiences; (2) consequences to the patient and to the participant; (3) the impact of key individuals; and (4) picking your battles. CONCLUSION: This study demonstrates the importance of undergraduate nursing students identifying as patient advocates, the multitude of consequences students face when questioning the practice of a registered nurse, and the influence supervising nurses and clinical facilitators have on a student's decisions to intervene to protect patient safety. Further research is required to examine the factors, both intrinsic and extrinsic, that influence nursing students' moral courage and their decisions to intervene when poor practice is witnessed.
[Mh] Termos MeSH primário: Coragem
Ética em Enfermagem
Princípios Morais
Defesa do Paciente
Segurança do Paciente
Estudantes de Enfermagem/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Pesquisa em Educação de Enfermagem
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160531
[St] Status:MEDLINE



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