Moral competence among nurses in Malawi: A concept analysis approach

Background:Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis...

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Authors: Maluwa, Veronica Mary (Author) ; Gwaza, Elizabeth (Author) ; Sakala, Betty (Author) ; Kapito, Esnath (Author) ; Mwale, Ruth (Author) ; Haruzivishe, Clara (Author) ; Chirwa, Ellen (Author)
Format: Electronic Article
Language:English
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Published: Sage 2019
In: Nursing ethics
Year: 2019, Volume: 26, Issue: 5, Pages: 1361-1372
Further subjects:B patient satisfaction
B moral competence
B Concept analysis
B nursing practice
B quality care
B professional values
Online Access: Volltext (lizenzpflichtig)

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520 |a Background:Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis.Objective:The aim of this article is to analyse moral competence concept in relation to nursing practice and determine defining attributes, antecedents and consequences of moral competence in nursing practice.Method:Analysis of moral competence concept was done using Walker and Avant's strategy of concept analysis.Results:Deductive analysis was used to find the defining attributes of moral competence, which were kindness, compassion, caring, critical thinking, ethical decision making ability, problem solving, responsibility, discipline, accountability, communication, solidarity, honesty, and respect for human values, dignity and rights. The identified antecedents were personal, cultural and religious values; nursing ethics training, environment and guidance. The consequences of moral competence are team work spirit, effective communication, improved performance and positive attitudes in providing nursing care.Conclusion:Moral competence can therefore be used as a tool to improve care in nursing practice to meet patients' problems and needs and consequently increase public's satisfaction in Malawi. 
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