The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Brave spaces in nursing ethics education: Courage through pedagogy
Open accessAbstract
Background: Nursing students must graduate prepared to bravely enact the art and science of nursing in environments infiltrated with ethical challenges. Given the necessity and moral obligation of nurses to engage in discourse within nursing ethics, nursing students must be provided a moral supportive learning space for these opportunities. Situating conversations and pedagogy within a brave space may offer a framework to engage in civil discourse while fostering moral courage for learners. Research Objective: The aim of this research is to explore the influence of a structured self-assessment tool called the ESA “Engagement Self-Assessment” on the alignment and creation of a brave space in a nursing ethics course. Research Design: This study used an exploratory, cross-sectional survey design. Participants and Study Setting: Data from 39 undergraduate nursing students enrolled in a nursing healthcare ethics & law course using the ESA were recruited. Ethical Considerations: Participation was voluntary and informed without coercion. Written consent was obtained prior to participation. Research ethics approval was obtained by the Institutional Research Ethics Board of the recruited participants (Ethics # 2022-23-03). Findings: The ESA provided structured self-reflection on the impact of shared vulnerability within a brave space. However, commitment to a brave space was not strongly influenced by the ESA, but rather by a mutual “commitment to others.” Conclusion: A teaching tool such as an ESA can be used to facilitate instructor expectations of civil discourse and discussion of difficult topics. Rules of engagement such as those found in brave spaces can help transform fear of vulnerability into authentic growth for learners. A morally supportive learning space can support critical opportunities for ethical development. This study provides insight into how self-assessment and the use of a brave space in nursing ethics education can facilitate a morally supportive learning space.
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“Existing research methodologies present several limitations: on one hand, mainstream studies primarily rely on qualitative interviews, often feature small sample sizes, and include few randomized controlled trials (RCTs). The generally small overall sample sizes limit the generalizability and statistical power of the conclusions [33–37].”
From Exploring the integration of AI and national quality courses in China: a study on teaching practices in nursing smart education (2025) · cites this paper as [35]
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Placing authenticity at the heart of student self-assessment: an integrative review
Nieminen, J. H., & Boud, D. J. (2024) · Teaching in Higher Education · doi:10.1080/13562517.2024.2367669 · Cited by 28
Jing, Z., & Mouhong, Z. (2025) · BMC Medical Education · doi:10.1186/s12909-025-08289-y · Cited by 4
Blueprint of ethics content in undergraduate education: A workshop-research study
Chiappinotto, S., Galazzi, A., Papastavrou, E., Igoumenidis, M., McCabe, C., Gastmans, C., Wiisak, J., Stolt, M., Suhonen, R., & Palese, A. (2025) · Nursing Ethics · doi:10.1177/09697330251313784 · Cited by 4
İçigen, A. Y., & Sönmez, S. (2025) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.70223 · Cited by 3
Ford, N. J., Gomes, L. M., Lowe, E., & Harder, N. (2024) · International Journal of Healthcare Simulation · doi:10.54531/fokp9401 · Cited by 4
Self-citation
Metadata
- Authors
- Ford, N. J., Gomes, L. M., & Brown, S. B.
- Affiliations
- Red Deer Polytechnic (CA)
- Corresponding author
- Ford, Natalie Jean
- ORCID
- Ford, Natalie Jean
- Venue
- Nursing Ethics
- Publisher
- SAGE Publications
- Published
- 2023-07-26
- Volume
- 31
- Issue
- 1
- Pages
- 101-113
- ISSN
- 0969-7330 (ISSN-L)
- 1477-0989
- PMC
- PMC10898193
- OpenAlex
- W4385263817
- Cited by
- 15
- References
- 24
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 3
- FWCI
- 5.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nursing Ethics (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Red Deer Polytechnic Extended Funding Grant (N/A)
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Social Sciences › Education › Innovations in Medical Education
- Social Sciences › Education › Values and Moral Education
- Keywords
- brave spaces, nursing ethics education, moral courage, self-assessment, moral support, civil discourse, vulnerability, ethical development, nursing students
- MeSH terms
- Cross-Sectional Studies, Education, Nursing, Baccalaureate, Ethics, Nursing, Humans, Students, Nursing, Ethics, Research, Courage
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