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An Explanatory Model of Moral Courage as a Concept of Nursing Practice Domain

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2019, 22(4), pp.341-358
  • DOI : 10.35301/ksme.2019.22.4.341
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Received : September 24, 2019
  • Accepted : December 10, 2019
  • Published : December 31, 2019

Sukja Moon 1 Ahn, Sukhee 2

1마산대학교
2충남대학교

Accredited

ABSTRACT

This study was designed to develop and test a structural model of moral courage based on Kim’s explanatory model of practice domain phenomena. For this study a cross-sectional survey was carried out on 300 nurses recruited from six hospitals in South Korea. The endogenous and exogenous variables of this hypothetical model on moral courage were years of clinical experience, nursing organizational culture, humanism, and compassion. Data were collected from April to June, 2017, and analyzed with SPSS 20.0 and AMOS 22.0. The model showed a good fit: χ2/df=2.79, goodness of fit index (GFI)=.95, root mean squared error of approximation (RMSEA)=.08, standardized root meansquared residual (SRMR)=.04, Tucker-Lewis index (TLI)=.90, comparative fit index (CFI)=.94, Parsimonious Normed of Fit Index (PNFI)=.60. All the explanatory variables for moral courage were statistically significant. Relationship-innovation oriented organizational culture was indirectly significant. The variables explained 43% of moral courage. The results of this study support the establishment of a body of nursing knowledge based on a model of moral courage as a concept of nursing practice domain. Effective strategies for promoting moral courage in nursing practice include relationshipinnovation oriented organizational cultures and the training of nurses in moral competency through working experience.

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