eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
Current issue Archive Manuscripts accepted About the journal Editorial board Journal's reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank

vol. 23
Original paper

Evaluating the level of professional moral courage of pre-hospital emergency staff in the management of patients with COVID-19

Fatemeh Aliakbari
Mohammad Heidari
Sadegh Heydarpoor
Salman Yadollahi
Rahim Ali Sheikhi

Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Disaster and Emergency Medical Management Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Family Medicine & Primary Care Review 2021; 23(4): 406–411
Online publish date: 2021/12/30
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
1. Patterson PD, Suffoletto BP, Kupas DF, et al. Sleep quality and fatigue among prehospital providers. Prehospital Emerg Care 2010; 14(2): 187–193.
2. Patterson PD, Huang DT, Fairbanks RJ, et al. Variation in emergency medical services workplace safety culture. Prehospital Emerg Care 2010; 14(4): 448–460.
3. Soloukdar A, Goodarzi B. The Relationship of agility of human resources on performance of staffs at Tehran Emergency Center. Nurse Physician War 2019; 7(22): 27–33.
4. Ezati P, Vaziri M, Adli F. Educational needs assessment in the medical emergency technicians of Tehran emergency center. J Safety Promot Injury Prev 2017; 5(2): 109–119.
5. Bahadori M, Nasiripur A, Tofighi S, et al. Emergency medical services in Iran: an overview. Aust Med J 2010; 3(6): 335–339.
6. Bahrami M, Aliakbari F, Aein F. Iranian nurses’ perception of essential competences in disaster response: a qualitative study. J Edu Health Promot 2014; 3: 81.
7. Kapucu N, Garayev V. Collaborative decision-making in emergency and disaster management. Int J Public Admin 2011; 34(6): 366–375.
8. Vegian CFL, Monteiro MI. Living and working conditions of the professionals of the a Mobile Emergency Service. Rev Lat-Am Enferm 2011; 19(4): 1018–1024.
9. Grunwald JA, Bearman C. Identifying and resolving coordinated decision making breakdowns in emergency management. Int J Emerg Manage 2017; 13(1): 68–86.
10. Reed MJ, Graham CA. Why emergency medicine needs senior decision makers. Euro J Emerg Med 2011; 18(3): 131–132.
11. Gostin LO, Friedman EA, Wetter SA. Responding to COVID-19: how to navigate a public health emergency legally and ethically. Hastings Cent Rep 2020; 50(2): 8–12.
12. Unruh JA. Moral distress: a living nightmare. J Emerg Nurs 2010; 36(3): 253–255.
13. Thorup CB, Rundqvist E, Roberts C, et al. Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care. Scan J Caring Sci 2012; 26(3): 427–435.
14. Dinç L, Gastmans C. Trust in nurse–patient relationships: a literature review. Nurs Ethics 2013; 20(5): 501–516.
15. Mirhosseini S, Dadgari A, Basirinezhad MH, et al. The proportion of death anxiety and its related factors during the COVID-19 pandemic in the Iranian population. Fam Med Prim Care Rev 2021; 23(1): 36–40.
16. Ahmadi M, Sharifi A, Dorosti S, et al. Investigation of effective climatology parameters on COVID-19 outbreak in Iran. Sci Total Environ 2020; 729: 138705.
17. Zareie B, Roshani A, Mansournia MA, et al. A model for COVID-19 prediction in Iran based on China parameters. MedRxiv 2020, doi: 10.1101/2020.03.19.20038950.
18. Holland M, Zaloga DJ, Friderici CS. COVID-19 Personal Protective Equipment (PPE) for the emergency physician. Visual J Emerg Med 2020; 19: 100740.
19. Nasrabadi AN, Shali M, Ghorbani A, et al. Challenges with healthcare workers’ protection during the COVID-19 pandemic in Iran. British J Oral Maxillofacial Surg 2021; 59(3): e114–e117.
20. Memish ZA, Ahmed QA, Schlagenhauf P, et al. No time for dilemma: mass gatherings must be suspended. Lancet 2020; 395(10231): 1191.
21. Kuchar E, Karlikowska-Skwarnik M, Szenborn L, et al. Recommendations for primary healthcare doctors for the management of acute respiratory infections in children during the SARS-CoV-2 pandemic – COVID COMPASS. Fam Med Prim Care Rev 2021; 23(1): 116–124.
22. Razai MS, Doerholt K, Ladhani S, et al. Coronavirus disease 2019 (COVID-19): a guide for UK GPs. BMJ 2020; 368.
23. Sekerka LE, Bagozzi RP, Charnigo R. Facing ethical challenges in the workplace: conceptualizing and measuring professional moral courage. J Business Ethics 2009; 89(4): 565–579.
24. Khoshoei MS. Psychometric Properties of Professional Moral Courage Scale and it’s measuring on the basis of demographic characteristics. Quarterly J Career Organizational Counseling 2014; 6(20): 44–58.
25. Khajevandi H, Ebadi A, Aghaiani Chavoshi A. Investigation of moral courage and its predictive factors in nurses of Baqiyatallah Hospital in 2019. IJME 2020; 13(1): 131–141.
26. Day L. Courage as a virtue necessary to good nursing practice. Am Crit Care 2007; 16(6): 613–616.
27. Taghadosi M, Nouri H, Gilasi HR, et al. Investigate the relationship between attitude and practical commitment to prayer with moral courage in nurses working in Kashan University of Medical Sciences, 2019. KAUMS J (FEYZ) 2020; 23(7): 749–755.
28. Hanifi N, Moqaddam M, Ghahremani Z. Factors related to moral courage of nursing students in Zanjan. Prev Care Nurs Midwifery J 2019; 9(1): 22–28.
29. Nejadshafiee M, Mirzaee M, Aliakbari F, et al. Hospital nurses’ disaster competencies. Trauma Monthly 2020; 25(2): 89–95.
30. Aliakbari F, Ghaedamini M, Deris F, et al. relationship between nurses’ decision-making style and their disaster response competencies. Disaster Med Public Health Prepared 2020: 1–6, doi: 10.1017/dmp.2020.225.
31. Safarpour H, Ghazanfarabadi M, Varasteh S, et al. The association between moral distress and moral courage in nurses: a cross-sectional study in Iran. Ir J Nurs Midwifery Res 2020; 25(6): 533.
32. Borhani F, Mohammadi S, Roshanzadeh M. Moral distress and perception of futile care in intensive care nurses. J Med Ethics History Med 2015; 8: 2.
33. Aminizadeh M, Arab M, Mehdipour R. Relationship moral courage to moral distress in nurses the intensive care unit. Ir J Med Ethics History Med 2017; 10(1): 131–40.
34. Abadi NE, Rahimzadeh M, Omidi A, et al. The relationship between moral courage and quality of work life among nursing staff in Bam hospitals. J Adv Pharm Educ Res 2020; 10(S1): 127–132.
35. Sadooghiasl A, Parvizy S, Ebadi A. Concept analysis of moral courage in nursing: a hybrid model. Nurs Ethics 2018; 25(1): 6–19.
36. Ghaedamini M, Aliakbari F, Masoudi R, et al. The relationship between emotional intelligence and disaster nursing competence in nurses working in Shahrekord. J Clin Nurs Midwifery 2019; 7(4): 268–277.
37. Moosavi S, Izadi A. Comparison of moral courage of the nurses and nursing managers working in hospitals affiliated to Shahid Beheshti University of Medical Sciences. Med Ethics J 2017; 11(41): 17–24.
38. Abbaszadeh A, Borhani F, Kalantary S. The moral distress of nurses in health centers in the city of Bam in 1390. Med Ethics J 2011; 5(17): 119–140.
39. Jalali K, Tabari-Khomeiran R, Asgari F, et al. Moral distress and related factors among emergency department nurses. Eurasian J Emerg Med 2019; 18(1): 23–27.
40. Fernandez-Parsons R, Rodriguez L, Goyal D. Moral distress in emergency nurses. J Emerg Nurs 2013; 39(6): 547–552.
41. Mahdaviseresht R, Atashzadeh-Shoorideh F, Borhani F. Correlation between moral sensitivity and moral courage in nurses of selected hospitals affiliated to Tabriz University of Medical Sciences in 2014. Ir J Med Ethics History Med 2015; 8(3): 27–39.
Copyright: © 2021 Family Medicine & Primary Care Review. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.