Nursing’s Role in Courage Development in Patients Facing Complications of Diabetes
Abstract
The purpose of this study was to explore the experience of nurses in relation to courage development in patients with disabling complications of diabetes. The phenomenon of courage has been explored in philosophy, theology, literature, and other fields of inquiry rooted in the humanities. Nursing inquiry has not often been directed toward an exploration of courage, although coping, compassion, caring, and other experiences integral to the nurse–patient relationship have been examined. The holistic view of the cascading effect of complications on the individual patient is often overlooked. This qualitative study used phenomenological inquiry and included face-to-face interviews of nurses to explore their experience in assisting patients in the development of courage. The experience of courage is investigated as it relates to a specific group of patients who have complications of diabetes. Four categories representing the unique opportunities for courage development by nurses were generated. These categories included education, advocacy, relationship building, and humanization. Each category described nursing intentions and actions and taken together formed an essential structure of courage development. Conclusions indicated that nurses recognize and are able to describe their role in courage development. Implications for improved health through deliberate caring nursing interventions, aimed at courage development, are presented.
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The prescription drug hierarchical condition category (RxHCC) risk score has been used to adjust for potential selection biases in drug-use studies among Medicare patients.
“prescription drug hierarchical condition category (RxHCC) risk score, 21 which has been used to adjust for potential selection biases in drug-use studies among Medicare patients.[22][23][24]”
From Early hypoglycaemia and adherence after basal insulin initiation in a nationally representative sample of Medicare beneficiaries with type 2 diabetes (2019) · cites this paper as [22]
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- Authors
- Donohue-Porter, P.
- Affiliations
- Adelphi University (US)
- Corresponding author
- Donohue-Porter, Patricia
- Venue
- Journal of Holistic Nursing
- Publisher
- SAGE Publications
- Published
- 2012-09-28
- Volume
- 31
- Issue
- 1
- Pages
- 49-61
- ISSN
- 0898-0101 (ISSN-L)
- 1552-5724
- OpenAlex
- W2132617530
- Cited by
- 9
- References
- 59
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2019: 2 · 2018: 1 · 2016: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Holistic Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Leadership, Courage, and Heroism Studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- diabetes complications, nursing role, nurse-patient relationship, patient education, advocacy, relationship building, humanization, holistic care
- MeSH terms
- Adult, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Nurse-Patient Relations, Patient Advocacy, Patient Education as Topic, Power, Psychological, United States, Holistic Nursing, Nurse's Role, Qualitative Research, Diabetes Complications, Resilience, Psychological
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