i
Dear community of the Chilean Journal of Nursing, we inform you that we continue to receive articles for publication this 2024,
with a continuous publication system on Nursing and Health Sciences topics;
and an average publication time of nine weeks from article submission to publication. (GUIDELINES FOR THE AUTOR)
MORAL COURAGE IN HEALTH CARE
Authors
-
María Angélica Saldías-Fernández
Universidad de Chile
https://orcid.org/0000-0002-2278-9124
Abstract
Health care is a priority in current times of socio-health uncertainty. In this, nursing professionals are front-line health workers and essential team members to care for the health and save people's lives. Although nursing is aware of the challenges associated with the COVID-19 pandemic crisis and other health problems; she continues to demonstrate and provide high-quality care despite the episodes of ethical-moral deliberation that she frequently experiences, which induce physical and mental crises that lead her to experience processes of moral anguish that must be explored and call the meticulous attention of system administrators of health. It is from these perspectives that moral courage should be a skill to be recognized and revealed in the care processes carried out. In this sense, the following story aims to reflect on the ethical-moral crossroads that underlie nursing care practice and the need to enhance moral courage as a strategy to strengthen the rule of care.Keywords:
Courage, Moural, Nursing, CoronavirusReferences
Organización Panamericana de la salud. Ficha informativa sobre el COVID-19 [Internet] 2020. [Citado 14 de junio de 2022]. Disponible en: https://www-paho-org.translate.goog/pt/covid19?_x_tr_sl=pt&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=schttps://www.paho.org
De Ceukelaire W, Bodini C. We Need Strong Public Health Care to Contain the Global Corona Pandemic. Int. J. Healthc. [Internet] 2020 [Citado 14 de junio de 2022];50(3):276-277. Disponible en: https://doi.org/10.1177/0020731420916725
Turale, Sue; Meechamnan, Chutima; Kunaviktikul, Wipada. Tiempos difíciles: ética, enfermería y la pandemia de COVID-19. International nursing review en español: revista oficial del Consejo Internacional de Enfermeras [Internet]. 2020 [Citado 14 de junio de 2022];67(2):164-167. Disponible en: https://www.ieinstituto.es/publicaciones/revistas/revista-international-nursing-review
Loyola da Silva TC, de Medeiros Pinheiro Fernandes AK, Brito do O’Silva C, de Mesquita XSS, Bezerra de Macedo EA. El impacto de la pandemia en el rol de la enfermería: una revisión narrativa de la literatura. Enferm. glob. [Internet]. 2021 [Citado 14 de junio de 2022];20(63):502-543. Disponible en: https://dx.doi.org/10.6018/eglobal.454061
Ramaiah P, Tayyib NA, Alsolami FJ, Lindsay GM, Asfour HI. Health Professionals Dynamic Role Amid COVID-19: Nursing Perspectives. JPRI [Internet]. 2020 [Citado 14 de junio de 2022];32(22):93-100. Disponible en: https://journaljpri.com/index.php/JPRI/article/view/30776
Rodríguez-Abrahantes T, Rodríguez-Abrahantes A. Dimensión ética del cuidado de enfermería. Rev. cuba. enferm. [Internet]. 2018 [Citado 14 de junio de 2022];34(3) Disponible en: http://www.revenfermeria.sld.cu/index.php/enf/article/view/2430
Escobar-Castellanos Blanca, Cid-Henriquez Patricia. El cuidado de enfermería y la ética derivados del avance tecnológico en salud. Acta bioeth. [Internet]. Jun 2018 [Citado 14 de junio de 2022];24(1):39-46. Disponible en: http://dx.doi.org/10.4067/S1726-569X2018000100039
Alba B. Factors that impact on emergency nurses’ ethical decision-making ability. Nursing Ethics [Internet]. 2018 [Citado 14 de junio de 2022];25(7):855-866. Disponible de: http://dx.doi.org/10.1177/0969733016674769
Suhonen R, Stolt M, Habermann M, et al. Ethical elements in priority setting in nursing care: A scoping review. Int J Nurs Stud [Internet]. Dic 2018 [Citado 14 de junio de 2022];88:25-42. Disponible en: https://doi.org/10.1016/j.ijnurstu.2018.08.006
Rooddehghan Z, Yekta ZP, Nasrabadi AN. Ethics of rationing of nursing care. Nurs Ethics [Internet]. 2018 [Citado 14 de junio de 2022];25(5):591-600. Disponible en: https://doi.org/10.1177/0969733016664973
Ramos, Flavia Regina Souza et al. Association between moral distress and supporting elements of moral deliberation in nurses. Rev. Latino-Am. Enfermagem [Internet]. 2020 [Citado 14 de junio de 2022];28. Disponible en: < https://doi.org/10.1590/1518-8345.3990.3332
Colbert A. Putting ethics into action. Nursing2021 [Internet]. 2017 [Citado 14 de junio de 2022];47(8):13-14. Disponible en: https://doi.org/10.1097/01.NURSE.0000521041.73572.d3
Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. J Clin Nurs[Internet]. 2018 [Citado 14 de junio de 2022];27(5-6):917-928. Disponible en: https://doi.org/10.1111/jocn.14151
Yasin JCM, Barlem ELD, Barlem JGT, Silveira RSD, Dalmolin GDL, Andrade GBD. The ethical dimension of problems faced in general medicine: relationship with moral sensitivity. Rev. Latino-Am. Enfermagem [Internet]. 2020 [Citado 14 de junio de 2022];28:e3309. Disponible en: https://doi.org/10.1590/1518-8345.4033.3309
Campillay-Campillay Maggie, Rivas-Rivero Edith, Dubó-Araya Pablo, Calle-Carrasco Ana. Aspectos éticos relacionados con la atención de enfermería en personas en situación de discapacidad: un análisis cualitativo. pers.bioét. [Internet]. Ene-Jun 2020 [Citado 14 de junio de 2022];24(1):43-56. Disponible en: https://doi.org/10.5294/pebi.2020.24.1.4
Brena Ramos, Verónica Marilú, La muerte según los filósofos, en la vida cotidiana y en la formación de enfermeras. Educere [Internet]. 2020 [Citado 14 de junio de 2022];24(79):503-512. Disponible en: https://www.redalyc.org/jatsRepo/356/35663293002/html/index.html
Moreno Mulet C. Coraje moral y (micro)-resistencia, «nuevas» compe- tencias de los profesionales de salud para la lucha contra la desigualdad. Dilemata [Internet]. [Citado 14 de junio de 2022];26:143-155. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6278539.pdf
Zarcos Paredes JC. Papel de la enfermera de cuidados intensivos en la limitación del esfuerzo terapéutico y consecuencas psicoemocionales. Repositorio Institucional UIB [Internet]. [Tesis de Grado]. [España]: Universitas Baliarica; 2020 [Citado 14 de junio de 2022]. Disponible en: https://dspace.uib.es/xmlui/handle/11201/153340?show=full
Bickhoff L, Sinclair PM, Levett-Jones T. Moral courage in undergraduate nursing students: A literature review. Collegian [Internet]. 2017 [Citado 14 de junio de 2022];24(1):71-83. Disponible en: https://doi.org/10.1016/j.colegn.2015.08.002
Milliken A, Grace P. Nurse ethical awareness: Understanding the nature of everyday practice. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):517-524. Disponible en: https://doi.org/10.1177/0969733015615172
Moreira DA, Ferraz CMLC, Costa IPD, Amaral JM, Lima TT, Brito MJM. Professional practice of nurses and influences on moral sensitivity. Rev Gaucha Enferm [Internet]. 2020 [Citado 14 de junio de 2022];41:e20190080. Disponible en: https://doi.org/10.1590/1983-1447.2019.20190080
Milliken A, Grace P. Nurse ethical awareness: Understanding the nature of everyday practice. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):517-524. Disponible en: https://doi.org/10.1177/0969733015615172
Storaker A, Nåden D, Sæteren B. From painful busyness to emotional immunization: Nurses’ experiences of ethical challenges. Nurs Ethics [Internet]. 2017 [Citado 14 de junio de 2022];24(5):556-568. Disponible en: https://doi.org/10.1177/0969733015620938
Constantina C, Papastavrou E, Charalambous A. Cancer nurses’ perceptions of ethical climate in Greece and Cyprus. Nurs Ethics [Internet]. 2019 [Citado 14 de junio de 2022];26(6):1805-1821. Disponible en: https://doi.org/10.1177/0969733018769358
Twitter
Instagram
