{"id":"https://openalex.org/W2149923299","doi":"https://doi.org/10.1177/104973299129122298","title":"Courage as a Process of Pushing Beyond the Struggle","display_name":"Courage as a Process of Pushing Beyond the Struggle","publication_year":1999,"publication_date":"1999-11-01","ids":{"openalex":"https://openalex.org/W2149923299","doi":"https://doi.org/10.1177/104973299129122298","mag":"2149923299","pmid":"https://pubmed.ncbi.nlm.nih.gov/10662260"},"language":"en","primary_location":{"id":"doi:10.1177/104973299129122298","doi":"https://doi.org/10.1177/104973299129122298","is_oa":false,"landing_page_url":"https://doi.org/10.1177/104973299129122298","pdf_url":null,"source":{"id":"https://openalex.org/S32648145","display_name":"Qualitative Health Research","issn_l":"1049-7323","issn":["1049-7323","1552-7557"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Qualitative Health Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014023237","display_name":"Deborah L. Finfgeld","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Deborah L. Finfgeld","raw_affiliation_strings":["Sinclair School of Nursing at the University of Missouri-Columbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sinclair School of Nursing at the University of Missouri-Columbia","institution_ids":["https://openalex.org/I76835614"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5014023237"],"corresponding_institution_ids":["https://openalex.org/I76835614"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":1.2029,"has_fulltext":false,"cited_by_count":114,"citation_normalized_percentile":{"value":0.83732535,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"9","issue":"6","first_page":"803","last_page":"814"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14513","display_name":"Leadership, Courage, and Heroism Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14513","display_name":"Leadership, Courage, and Heroism Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11761","display_name":"Resilience and Mental Health","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12485","display_name":"Optimism, Hope, and Well-being","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/courage","display_name":"courage","score":1.0},{"id":"https://openalex.org/keywords/threat-perception","display_name":"threat perception","score":0.7059999704360962},{"id":"https://openalex.org/keywords/well-being","display_name":"well-being","score":0.4429999887943268},{"id":"https://openalex.org/keywords/personal-integrity","display_name":"personal integrity","score":0.5389999747276306},{"id":"https://openalex.org/keywords/thriving","display_name":"thriving","score":0.8410000205039978},{"id":"https://openalex.org/keywords/discernment","display_name":"discernment","score":0.5680000185966492},{"id":"https://openalex.org/keywords/problem-solving","display_name":"problem solving","score":0.6069999933242798},{"id":"https://openalex.org/keywords/helping-behavior","display_name":"helping behavior","score":0.5460000038146973},{"id":"https://openalex.org/keywords/interpersonal-support","display_name":"interpersonal support","score":0.33899998664855957},{"id":"https://openalex.org/keywords/reflective-awareness","display_name":"reflective consciousness","score":0.5350000262260437},{"id":"https://openalex.org/keywords/life-course-development","display_name":"life course development","score":0.38999998569488525}],"concepts":[{"id":"https://openalex.org/C2776911728","wikidata":"https://www.wikidata.org/wiki/Q208160","display_name":"Courage","level":2,"score":0.9822905659675598},{"id":"https://openalex.org/C153721897","wikidata":"https://www.wikidata.org/wiki/Q3436149","display_name":"Intrapersonal communication","level":3,"score":0.8027600646018982},{"id":"https://openalex.org/C2776745293","wikidata":"https://www.wikidata.org/wiki/Q7798302","display_name":"Thriving","level":2,"score":0.7170374393463135},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6174187064170837},{"id":"https://openalex.org/C2780211513","wikidata":"https://www.wikidata.org/wiki/Q1132167","display_name":"Discernment","level":2,"score":0.5816270709037781},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.5535293221473694},{"id":"https://openalex.org/C527412718","wikidata":"https://www.wikidata.org/wiki/Q855395","display_name":"Interpretation (philosophy)","level":2,"score":0.5377488136291504},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.44614994525909424},{"id":"https://openalex.org/C136197465","wikidata":"https://www.wikidata.org/wiki/Q1729295","display_name":"Variety (cybernetics)","level":2,"score":0.4388901889324188},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.31415557861328125},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.12570026516914368},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.12049797177314758},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11976489424705505},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.10906100273132324},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.08133760094642639},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000163","descriptor_name":"Acquired Immunodeficiency Syndrome","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009042","descriptor_name":"Motivation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010551","descriptor_name":"Personality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011340","descriptor_name":"Problem Solving","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012803","descriptor_name":"Sick Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/104973299129122298","doi":"https://doi.org/10.1177/104973299129122298","is_oa":false,"landing_page_url":"https://doi.org/10.1177/104973299129122298","pdf_url":null,"source":{"id":"https://openalex.org/S32648145","display_name":"Qualitative Health Research","issn_l":"1049-7323","issn":["1049-7323","1552-7557"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Qualitative Health Research","raw_type":"journal-article"},{"id":"pmid:10662260","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10662260","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Qualitative health research","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.5683000087738037}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.4699999988079071}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1982574535","https://openalex.org/W1996600674","https://openalex.org/W2017465619","https://openalex.org/W2113864924","https://openalex.org/W2265515728","https://openalex.org/W2267595245","https://openalex.org/W2323291437","https://openalex.org/W2329223578","https://openalex.org/W2414117482","https://openalex.org/W4240489841","https://openalex.org/W4252621549"],"related_works":["https://openalex.org/W7099431831","https://openalex.org/W1223262221","https://openalex.org/W4283757571","https://openalex.org/W4404004328","https://openalex.org/W1975756709","https://openalex.org/W2409691882","https://openalex.org/W2072992595","https://openalex.org/W4389391664","https://openalex.org/W2224315710","https://openalex.org/W2584333934"],"abstract_inverted_index":{"Six":[0],"qualitative":[1],"studies":[2],"have":[3],"been":[4],"carried":[5],"out":[6],"to":[7,19,30,39,70,79,99],"better":[8],"understand":[9],"courage":[10,56],"among":[11],"individuals":[12],"who":[13],"range":[14],"in":[15,109],"age":[16],"from":[17],"14":[18],"94":[20],"years":[21],"and":[22,43,76,88,104,107,115,120,126],"are":[23],"experiencing":[24],"a":[25,58,65,110,139],"variety":[26],"of":[27,35,50,112],"lingering":[28],"threats":[29],"their":[31],"well-being.":[32],"The":[33,68],"purpose":[34],"this":[36],"meta-interpretation":[37],"was":[38],"synthesize":[40],"those":[41],"works":[42],"further":[44],"delineate":[45],"an":[46],"emergent":[47],"formal":[48],"theory":[49],"courage.":[51],"Based":[52],"on":[53,86],"the":[54,132],"findings,":[55],"is":[57,62,95,118],"dynamic":[59],"phenomenon":[60],"that":[61,135],"precipitated":[63],"by":[64,97,122],"perceived":[66],"threat.":[67],"ability":[69],"be":[71,100],"courageous":[72,140],"develops":[73],"over":[74],"time":[75],"includes":[77],"efforts":[78,98],"fully":[80],"accept":[81],"reality,":[82],"problem":[83],"solve":[84],"based":[85],"discernment,":[87],"push":[89],"beyond":[90],"ongoing":[91],"struggles.":[92],"Courageous":[93],"behavior":[94],"characterized":[96],"productive,":[101],"make":[102],"contributions,":[103],"help":[105],"others":[106],"results":[108],"sense":[111],"personal":[113],"integrity":[114],"thriving.":[116],"Courage":[117],"promoted":[119],"sustained":[121],"several":[123],"interrelated":[124],"intrapersonal":[125],"interpersonal":[127],"forces":[128],"as":[129,131],"well":[130],"reflective":[133],"awareness":[134],"one":[136],"has":[137],"developed":[138],"persona.":[141]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":7}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}