Abstract：
BACKGROUND: Nurses\' moral courage (NMC) enhances care quality and patient safety. Nurses\' professional values promote ethical adherence, moral obligation fulfillment, and compliance to prevent ethical violations. It is necessary to explore the current status and influencing factors of moral courage from the perspective of professional values.
OBJECTIVE: To investigate the current situation of nurses\' moral courage, analyze the latent profiles of nurses\' moral courage, and explore the influencing factors from the perspective of professional values.
METHODS: A cross-sectional design was employed.
METHODS: Data were collected through convenient sampling at a tertiary hospital during May 2023 in Wuhan, Hubei province, China. A self-designed web-based questionnaire consisting of demographic characteristics, the Chinese Nurses\' Professional Values Scale-Revised Version (NPVS-R-CV) and the Nurses\' Moral Courage Scale (NMCS) were used for the cross-sectional survey. Latent profile analysis was conducted using the results of 3 explicit indexes of NMCS, and multivariate logistic regression was used to analyze the influencing factors of NMC.
METHODS: Research ethics approval (with the code of TJ- IRB 20220543) was obtained from Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology.
RESULTS: This study included 966 nurses, predominantly female and under 30 years old, with 91.10% holding a bachelor\'s degree. Latent profile analysis identified three moral courage profiles: low-level (31.5%), medium-level (47.2%), and high-level (21.3%). Multivariate logistic regression analysis showed significant positive correlations between professional values and moral courage, with head nurses being significantly more likely to exhibit high moral courage (OR = 3.586, p = 0.013).
CONCLUSIONS: The moral courage of nurses can be classified into 3 subgroups. Nurses\' professional values positively correlate with moral courage, with head nurses showing significantly higher levels of moral courage. Strengthening professional values through training can enhance ethical behavior in nursing, potentially improving patient care and safety.
OBJECTIVE: To investigate the current situation of nurses\' moral courage, analyze the latent profiles of nurses\' moral courage, and explore the influencing factors from the perspective of professional values.
METHODS: A cross-sectional design was employed.
METHODS: Data were collected through convenient sampling at a tertiary hospital during May 2023 in Wuhan, Hubei province, China. A self-designed web-based questionnaire consisting of demographic characteristics, the Chinese Nurses\' Professional Values Scale-Revised Version (NPVS-R-CV) and the Nurses\' Moral Courage Scale (NMCS) were used for the cross-sectional survey. Latent profile analysis was conducted using the results of 3 explicit indexes of NMCS, and multivariate logistic regression was used to analyze the influencing factors of NMC.
METHODS: Research ethics approval (with the code of TJ- IRB 20220543) was obtained from Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology.
RESULTS: This study included 966 nurses, predominantly female and under 30 years old, with 91.10% holding a bachelor\'s degree. Latent profile analysis identified three moral courage profiles: low-level (31.5%), medium-level (47.2%), and high-level (21.3%). Multivariate logistic regression analysis showed significant positive correlations between professional values and moral courage, with head nurses being significantly more likely to exhibit high moral courage (OR = 3.586, p = 0.013).
CONCLUSIONS: The moral courage of nurses can be classified into 3 subgroups. Nurses\' professional values positively correlate with moral courage, with head nurses showing significantly higher levels of moral courage. Strengthening professional values through training can enhance ethical behavior in nursing, potentially improving patient care and safety.
摘要：
背景：护士道德勇气（NMC）可提高护理质量和患者安全。护士的职业价值观促进道德坚守，道德义务履行，和遵守，以防止违反道德。有必要从职业价值观的角度探讨道德勇气的现状和影响因素。
目的：调查护士道德勇气的现状，分析护士道德勇气的潜在特征，从职业价值观的角度探讨其影响因素。
方法：采用横截面设计。
方法：数据收集于2023年5月在武汉某三甲医院，湖北省,中国。由人口统计特征组成的自行设计的基于网络的问卷，横断面调查采用中国护士专业价值观量表修订版(NPVS-R-CV)和护士道德勇气量表(NMCS)。利用NMCS的3个明确指标的结果进行潜在剖面分析，采用多因素logistic回归分析NMC的影响因素。
方法：研究伦理批准（具有TJ-IRB20220543的代码）从同济医院获得，同济医学院,华中科技大学.
结果：这项研究包括966名护士，以女性为主，30岁以下，91.10%拥有学士学位。潜在概况分析确定了三个道德勇气概况：低级(31.5%)，中等水平（47.2%），和高水平（21.3%）。多因素Logistic回归分析显示,职业价值观与道德勇气呈显著正相关,护士长更有可能表现出较高的道德勇气（OR=3.586，p=0.013）。
结论：护士的道德勇气可分为3个亚组。护士的职业价值观与道德勇气呈正相关，护士长表现出更高的道德勇气。通过培训加强职业价值观可以提高护理的道德行为，有可能改善患者护理和安全。
目的：调查护士道德勇气的现状，分析护士道德勇气的潜在特征，从职业价值观的角度探讨其影响因素。
方法：采用横截面设计。
方法：数据收集于2023年5月在武汉某三甲医院，湖北省,中国。由人口统计特征组成的自行设计的基于网络的问卷，横断面调查采用中国护士专业价值观量表修订版(NPVS-R-CV)和护士道德勇气量表(NMCS)。利用NMCS的3个明确指标的结果进行潜在剖面分析，采用多因素logistic回归分析NMC的影响因素。
方法：研究伦理批准（具有TJ-IRB20220543的代码）从同济医院获得，同济医学院,华中科技大学.
结果：这项研究包括966名护士，以女性为主，30岁以下，91.10%拥有学士学位。潜在概况分析确定了三个道德勇气概况：低级(31.5%)，中等水平（47.2%），和高水平（21.3%）。多因素Logistic回归分析显示,职业价值观与道德勇气呈显著正相关,护士长更有可能表现出较高的道德勇气（OR=3.586，p=0.013）。
结论：护士的道德勇气可分为3个亚组。护士的职业价值观与道德勇气呈正相关，护士长表现出更高的道德勇气。通过培训加强职业价值观可以提高护理的道德行为，有可能改善患者护理和安全。
