The Influence of Ethical Atmosphere and Job‐Esteem on Moral Courage in Psychiatric Nurses

• DOI: 10.1111/nhs.70073
• Publication Date: 2025-03-11T01:37:51Z
• Authors: Yan Li; XiangDan Shen; Haishan Quan; Ying Li; Jianhua Li; Zhenzhen Zhang; Xinyang Xing

ABSTRACTThis study aimed to explore the influence of the hospital ethical atmosphere and job‐esteem on the moral courage of psychiatric nurses, providing a reference for nursing managers and psychiatric nurses to enhance moral courage. A total of 375 psychiatric nurses from public hospitals in Jilin Province and Jiangsu Province were selected using a convenience sampling method. The study utilized a general data questionnaire, the Nurses Moral Courage Scale, the Hospital Ethical Climate Survey, and the Job‐Esteem Scale for Nurses in Hospitals to gather data. The average moral courage score of psychiatric nurses was 58.24 ± 15.82. Hierarchical regression analysis indicated that professional title, years of experience in psychiatry, hospital ethical atmosphere, and job esteem significantly influenced the moral courage of psychiatric nurses, accounting for 34.4% of the total variance. The level of moral courage among psychiatric nurses was moderate. Nursing managers can enhance the moral courage of nurses by improving the ethical atmosphere within hospitals and supporting nurses in boosting their job esteem.