Académique Documents
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Ashlyn Witt
Abstract
Courage in nursing must be taught as an important value to college nurses. This skill must then
be fostered and grown in the hospital and care facility setting. Nurses who feel empowered to
take personal risk and act courageous in the profession are happier and feel a broader sense of
well-being over nurses that feel morally tired from the inability to act on courage. Ultimately,
nurses who were taught the importance of courage in their profession are happier, more
competent in their practice, and make enhanced patient connections. They better felt that they
could be leaders in their field and were able to express a confidence that came with the
Nursing is a multifaceted discipline that requires many key abilities and traits for
those in its practice. Among those traits include kindness, caring, competency, and compassion.
One of the most important qualities is courage with courage being essential to the nursing
profession. Oftentimes, according to Edmonson, staff that are higher ranked inside the hospital
are expected to use courage and advocacy in their profession more often than other staff (2015).
This shows that nursing must include courage and patient advocacy. Nurses should be seen as
health care leaders for others that may not have the same training that nurses have. Courage
should be valued as equally as other nursing qualities, it can and should be taught in nursing
school and nursing continued education classes. This education lays the foundation for
leadership in nursing and can empower nurses to teach courage to the others around them.
Ultimately, a nursing practice without courage is unsatisfactory and often leaves nurses with the
First of all, courage must be seen as a vital part of nursing practice. Hawkins and Morse
state that while courage in nursing has been historically viewed as valuable and necessary for the
profession, the concept of courage in nursing has now been eliminated from nursing theory
completely (2014). Literature sounding courage in the nursing practice is slim and oftentimes
this literature tends to be vague and not very well defined. This vagueness does not allow for the
concept of courage to be easily teachable and easily accessible as a theory in nursing practice.
This can cause less schools to teach about nursing courage and can lead to nurses being scared to
act on morality inside their practice. Part of the vagueness surrounding the literature on courage
in nursing is due to courage taking on multiple roles inside the working profession. Some
techniques, the ability to do difficult things, and staying within the scope of one’s nursing
practice. The courage to continue one’s education refers to the constant research health
professionals must do and the application of this learning that is required of the professional.
This could mean staying up to date on new peer reviewed research that comes out in nursing
books. This may also mean learning new techniques from newly graduated nurses. This could
also mean the admission of being incorrect and learning how to adjust and apply new knowledge
gained from other resources. Nursing also requires the courage to do difficult things. This
includes taking responsibility, to step up when a wrong is being committed, and sometimes to
step back when something is out of the scope of one’s practice as a nurse. This could also mean
stepping up to tell bad news to a patient or taking a difficult case from a fellow nurse that just
cannot handle it. Knowledge is critical in nursing and in the practice of courage. Knowledge lays
the foundations of confidence and in turn that confidence incites the act of courage. Ultimately,
according to UK Essays, courage is rooted in caring and the nursing profession is fundamentally
caring in practice (2013). A nurse cannot do his or her job well without caring, and therefore
cannot do his or her job well without courage; caring and courage will always be critically
intertwined. This illustrates that a multifaceted definition of courage must be created in order to
teach this skill in life and in work. Courage has many forms and it takes constant continued
practice to maintain and master. Courage also must be fostered in hospitals settings to support
good nursing practice. This allows for nurses to identify patients who are at higher risk and act to
protect these vulnerable populations. If the hospital does not allow an environment that
encourages good nursing practice that includes confidence and courage, then good nursing
practice becomes almost impossible to do. This can lead to frustration and turnover. Nurses must
Courage, to continue, may seem like a characteristic that some people may or may not
have. It has often been viewed as a core quality or trait the a person either is born with or as
developed over one’s lifespan. However, research has been shown that courage can be taught and
fostered in nurses by environments and teachers that encourage moral behaviors. Studies have
proven that courage does need to be taught to nursing students. According to Bickhoff, L.,
Sinclair, M.P., & Levett-Jones, T., nursing students do not feel comfortable intervening with
poor medical practice even if they feel a deep moral obligation to do so, and oftentimes remain
spectators that are passive in the medical community and rely on others to speak up (2017). This
can be changed by simple exercises over the course of a few hours throughout one week. With
studies showing significant improvement of one’s courage in the nursing profession (Edmonson,
2015). Courage can be drawn from people fairly easily just from education on what courage is
and how it can be used. Sometimes, just showing examples of when courage is necessary can
allow nurses the confidence to practice courage in their work environment. This can help
encourage nurses to be more active in the healing process and strong leaders in the healthcare
community. Nurses are patient advocates and must have strong morals and ethics to perform
their jobs well. Edmonson explains that education in morals and ethics can help encourage
nurses to perform courage and advocacy in situations that require the ability to assess moral
ambiguous situations and require interventions (2015). This shows how powerful education can
be in situations where one may feel uncertain with how or when intervention is appropriate.
Some of these situations can civil and social courage that may be more difficult than professional
courage. Nurses have an obligation to ensure the best patient care possibly and this may require
the social courage that comes with human to human interactions. Edmonson’s evidence also
shows that moral courage can be taught and that when nurses have training in morality and the
COURAGE IN NURSING PRACTICE 6
courage to act on this morality there is an increase in how often a nurse will intervene. This is
incredibly important in a practice that revolves around patient advocacy and care. The nursing
profession has been slowly moving towards viewing the nurse as the last line of defense for
patients. This means intervention and the courage to intervene becomes a matter of life and death
for a patient. The last line of defense is completely dependent on courage. Edmonson also
theorizes that this environment that emboldens a nurse to act on their courage and education
gives nurses a greater sense of well-being, happiness, and job satisfaction. In a job where stress,
lack of sleep, and lack of time is abundant, there must be autonomy to act on one’s morality.
However, what happens if nurses do not feel empowered to act on their feelings?
Oftentimes, ethical dilemmas can cause distress and disagreement between health care
professionals and the clients they are caring for (Potter, Perry, Stockert, and Hall, 2017). This
distress leaves nurses with a sense of powerlessness and a decrease in job satisfaction. Moral
distress is an important issue that comes along with the nursing profession. If a nurse feels
powerless in a situation where he or she may have helped the condition with intervention, then
resentment can build towards the profession, one’s coworkers, or the patients. Some nurses may
feel angry, lonely, depressed, and guilty due to situations that they were unable to act upon their
morality. This can cause a higher turnover of nurses in care facilities and sometimes emotional
withdrawal from a previously caring and involved nurse. Edmonson explains that this means
there needs to be recognition that courage should be taught and nurses should feel empowered to
act on their morality to help provide safe workplaces. One way to allow nurses to express their
morality is by teaching them what personal risk taking is. Risk taking is placing oneself on the
line for the greater good. Risk is the prospect of losing something of importance and nurses
know that there could be so much to lose. Knowing this, some nurses shy away and disengage
COURAGE IN NURSING PRACTICE 7
with the hope that the risk to them is lowered by not speaking up. They weigh the consequences
to themselves in hop that nothing bad will happen if they do not say anything. This is when
courage, honesty, and integrity all intertwine together and need to be used as stepping blocks for
morality.
Ultimately, courage is a necessary trait in nursing practice. While nursing involves many
numerous qualities and involves following various codes and principles to be successful, nursing
must intertwine all other traits with courage. It is a virtue that, when fostered and encouraged,
can be a tremendous asset in the profession. It can be taught and nurtured through continuing
education programs and should be taught in all nursing schools and all health care professionals.
It truly allows for “First, do no harm” to come to fruition. Nurses that feel empowered to step up
and act on courage have increased happiness, better job satisfaction, and have less job turnover.
They will also face less moral distress and feel like critical members and leaders of the health
care community. Nurses also have better patient outcomes, patient connections, and patient
centered care when they are encouraged to act on their morality. Courage is critical in all aspects
of the nurse profession and cannot be taken lightly. Without courage in the nursing profession,
nurses would have no influence in society: amongst patients or amongst other health care
outcomes even with fear for self or others (Hawkins and Morse, 2014). Nursing cannot be what it
is without certain values, responsibilities, and competencies. Moral courage is a nursing value,
nursing responsibility, and nursing competency; therefore it should be treated as such and taught
Reference Page
Bickhoff, L., Sinclair, M.P., & Levett-Jones, T. (2017). Moral courage in undergraduate
Edmonson, C. (2015). Strengthening moral courage among nurse leaders. Online Journal of
Essays, UK. (2013). A concept analysis of courage in nursing, nursing essay. Retrieved from
https://www.ukessays.com/essays/nursing/a-concept-analysis-of-courage-in-nursing-
nursing-essay.php?vref=1
Hawkins, S. F., & Morse, J. (2014). The praxis of courage as a foundation for care. Journal Of
Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A. M. (2017). Fundamentals of nursing (9th
Price-Dowd, Clare. (2017). The three stages of courage of nursing. British Journal of Nursing,
Appendix
V. Conclusion