Atefeh Sadeghi, Hadi Hasani, Mobina Kaviani, Ramin Mohammadi,
Volume 28, Issue 5 (12-2025)
Abstract
Introduction: With the advancement of science and knowledge worldwide, ethical challenges are increasing, and nurses' inability to face these challenges significantly impacts the quality of healthcare. Moral courage in nurses helps overcome fear and unethical values. The complexity of nursing work affects spiritual health and prevents nurses from adapting well to nursing challenges.
Methods: This was a correlational study using a convenience sampling method. In 2024-2025, nurses working at Amirul Mominin Hospital were selected, with a calculated sample size of 221. The instruments used were Sekerka's Moral Courage Questionnaire and Ellison and Paloutzian's Spiritual Well-being Scale.
Results: A total of 186 nurses participated in the study, including 119 women and 67 men. The mean scores of moral courage indicated that the moral courage score was higher among women and those with higher educational qualifications. Also, age and existential health were important factors in predicting moral courage, while religious health had no significant effect.
Conclusions: The study's results showed that moral courage and spiritual health, especially in existential dimensions, play important roles in moral decision-making. Gender and age are also factors that can affect the level of moral courage.
Shirin Irani, Mohammadreza Firouzifar, Farrokh Heidari, Hamed Abdollahi,
Volume 28, Issue 6 (1-2026)
Abstract
COVID-19 is caused by SARS-CoV-2 and has been declared a pandemic by the World Health Organization. One of the diagnostic methods is performing a swab test from the nasopharynx, which carries a risk of complications. In this article, we present a patient who developed cerebrospinal fluid (CSF) leakage from the nose following a COVID-19 test. A 54-year-old woman presented with unilateral nasal rhinorrhea after undergoing the swab. A skull base defect was identified on computed tomography (CT) scan. The defect was repaired via an endoscopic approach using periumbilical fibro-fatty tissue. This case highlights the need to standardize protocols for performing swab tests.
