{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T21:41:42Z","timestamp":1794433302988,"version":"4.9.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Moral courage among palliative care nurses plays a critical role in ensuring high-quality care for patients in the final stages of life. This study aimed to assess the level of moral courage among palliative care nurses and identify the factors that influence it.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This descriptive, cross-sectional study was conducted between September 2023 and September 2024, involving 181 palliative care nurses. Data were collected through an online survey distributed to nurses who voluntarily agreed to participate. The survey included a \u201cPersonal Information Form\u201d and the \u201cNurses\u2019 Moral Courage Scale (NMCS).\u201d<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The mean age of participants was 31.82\u2009\u00b1\u20097.92 years, and their average professional experience was 9.33\u2009\u00b1\u20099.32 years. Of the nurses, 62.4% were female. The average NMCS score was 82.25\u2009\u00b1\u200912.21. Nurses with a master\u2019s degree scored significantly higher on the NMCS compared to those with lower educational levels (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Additionally, nurses who had chosen their current unit voluntarily (<jats:italic>p<\/jats:italic>\u2009=\u20090.046), and those who rated their knowledge of healthcare ethics as \u201cexcellent\u201d (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), demonstrated significantly higher moral courage scores. A positive correlation was found between moral courage and age (<jats:italic>r<\/jats:italic>\u2009=\u20090.153, <jats:italic>p<\/jats:italic>\u2009=\u20090.040), whereas a negative correlation was observed between moral courage and the average number of night shifts per month (<jats:italic>r<\/jats:italic> = -0.253, <jats:italic>p<\/jats:italic>\u2009=\u20090.001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The findings suggest that palliative care nurses generally exhibit high levels of moral courage. Educational attainment, voluntary selection of the work unit, and perceived competence in healthcare ethics were positively associated with moral courage. Conversely, challenging working conditions\u2014such as high workloads, frequent night shifts, and insufficient institutional support\u2014may hinder nurses\u2019 ethical decision-making by fostering caution and hesitation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12904-025-01829-9","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T13:01:27Z","timestamp":1751374887000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Moral courage of palliative care nurses and affecting factors"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6228-0007","authenticated-orcid":false,"given":"Dilek","family":"Yildirim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6928-6818","authenticated-orcid":false,"given":"Vildan","family":"Kocatepe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9906-9822","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"T\u00fcrkmeno\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"1829_CR1","doi-asserted-by":"publisher","first-page":"205031212110009","DOI":"10.1177\/20503121211000918","volume":"9","author":"M Akdeniz","year":"2021","unstructured":"Akdeniz M, Yard\u0131mc\u0131 B, Kavukcu E. 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All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the Helsinki Declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare that they have no conflict of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Constent to participate"}},{"value":"Not applicable.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}}],"article-number":"179"}}