• indah restika sekolah tinggi ilmu kesehatan nani hasanuddin
  • Suarnianti Nani Hasanuddin Health Science Institute
  • Yusran Haskas Nani Hasanuddin Health Science Institute
  • Andi Sulfikar STIKes Graha Edukasi Makassar
Keywords: Moral courage; Length of employment; Nurses


Background: The complexity of services that nurses must provide nowadays encourages nurses to develop their moral courage. A review of the literature reveals that no studies have been conducted to evaluate the association between clinical nurse tenure and their level of moral courage. Objectives: this study is to assess correlation between the tenure of nurses and the level of moral courage. Methods: analytic survey research at 5 hospitals in Makassar, including private and government hospitals with a total sample of 405 nurses. The sampling technique used multistage random sampling. The variables measured were tenure of nurses and the level of moral courage of nurses.  The Professional Moral Courage Questionnaire is used for the variable moral courage (Cronbach 'alpha: 0.756). Data analysis using Mann Whitney test. Results:  The majority of nurses with long and new tenure had moderate moral courage (new tenure 79 nurses; length tenure 238 nurses), and there was no significant difference in the moral courage level of nurses with long and new tenure (p=0.294). Conclusion: Considering the findings that nurse tenure has no effect on moral courage, nursing managers can consistently boost nurses' moral courage through external stimuli. A nurse who cannot face various ethical dilemmas in providing daily nursing care can result in moral distress.


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Baek, H., Han, K., & Ryu, E. (2019). Authentic leadership, job satisfaction and organizational commitment: The moderating effect of nurse tenure. Journal of Nursing Management, 27(8), 1655–1663. DOI:

Bahrieni, F., Azodi, P., Hajivandi, A., & Jahanpour, F. (2017). The Effect of Education in Nurse_s Moral Sensitivity.

Connor, J. (2017). Psychometric Evaluation of the Professional Moral Courage ( PMC ) Scale in a Nurse Executive Population.

DiGangi Condon, K. A., Berger, J. T., & Shurpin, K. M. (2021). I’ve Got the Power: Nurses’ Moral Distress and Perceptions of Empowerment. American Journal of Critical Care, 30(6), 461–465. DOI:

Hala M Elsabagh1, Fatma E Soliman2, L. A. H. (2016). Perception And Practices Of Healthy Lifestyle In Late Adolescence And Its Impact On Body Mass. 7(4), 311–319.

Hu, K., Liu, J., Zhu, L., & Zhou, Y. (2022). Clinical nurses’ moral courage and related factors: an empowerment perspective. BMC Nursing, 21(1), 321. DOI:

Martin. (2020). Pengaruh masa kerja dan kompetensi terhadap kinerja karyawan pada PT. Delamibrands kharisma busana. Ekuvalensi, 6(2), 177–191.

Mokhtari-Nouri, J. (2019). Importance of role-model teaching in nursing students@_ education.

Numminen, O., & Katajisto, J. (2018). Development and validation of Nurses ’ Moral Courage Scale Development and validation of Nurses ’ Moral Courage Scale. Nursing Ethics, November, 1–18. DOI:

Restika, I., Erika, K. A., & Saleh, A. (2020). Pengalaman, Dampak, Dan Strategi Untuk Mengatasi Moral Distress Perawat: Systematic Review. Jurnal Keperawatan Muhammadiyah, Edisi Khus, 88–96.

Restika, I., Haskas, Y., & Suarnianti. (2021). Moral Courage Among Clinical Nurses : A Comparison of Government Hospital and Private Hospital. International Journal of Nursing and Health Service, 4(4), 385–391.

Restika, I., Saleh, A., & Haskas, Y. (2021). IJNHS The Effect of Sex Difference and Gender Role Identity on Moral Courage : A Study among Clinical Nurses. 4(6), 631–636.

Sadooghiasl, A., Parvizy, S., & Ebadi, A. (2018). Concept analysis of moral courage in nursing: A hybrid model. Nursing Ethics, 25(1), 6–19. DOI:

Taraz, Z., Loghmani, L., Abbaszadeh, A., Ahmadi, F., Safavibiat, Z., & Borhani, F. (2019). The relationship between ethical climate of hospital and moral courage of nursing staff. Electron J Gen Med, 16(2), 4–9. DOI:

How to Cite
restika, indah, Suarnianti, Yusran Haskas, & Andi Sulfikar. (2023). CLINICAL NURSES’ MORAL COURAGE IN TENURE OF NURSES: AN ANALITYC SURVEY. Nurse and Health: Jurnal Keperawatan, 12(1), 49-53.
Original Research Article
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