Background and Objective: Cultural competence, health and social support, and moral courage have basic role in promoting the culture of organ donation. This study aimed to determine the relationship between cultural competence and health and social support in attitudes to organ donation with the mediation of moral courage.

Materials and Methods: The study was a descriptive study based on the structural model which was conducted on 369 people having organ donation cards and residing in the provinces of North West (Zanjan, Ardebil, East and West Azerbaijan) in 2016. The participants were selectd by simple random sampling method. For gathering the data, Organ Donation Attitude Questionnaire of Tihana and Izvorni, Cultural Competence Questionnaire of Perng and Watson, Keyes’ Social Health Questionnaire, Ghasemipour and Jahanbakhsh Ganje Social Support Questionnaire, and Moral Courage Scale of Sekerka were used. The data was analyzed using Pearson correlational coefficient and Bootstrap.

Results: The results indicated that the model was fitted and the direct relationships between cultural competence (P=0.044, r=0.15), social health (P=0.001, β=0.62), social social support (P=0.049, β=0.13), and moral courage (P=0.019, r=0.22) with attitudes to organ donation were significant. The indirect relationships between cultural competence (P=0.001, β=0.25), social health (P=0.001, β=0.25), and social support (P=0.002, β=0.23) with mediating of moral courage were also significant.

Conclusion: According to the findings of this study, it seems that strengthening the cultural competence, social health, social support, and moral courage by individual and group training, can increase people's positive attitudes towards organ donationand obviate the need to transplantation.

Key words: Cultural competence, Social health, Social support, Moral courage, Attitudes, Organ donation

Funding: This study did not have any funds.

Conflict of interest: None declared.

Ethical approval: The Ethics Committee of Islamic Azad University of Dehaghan approved the study.

How to cite this article: Kani L, Hagigatian M, Smaili R. Investigating the Relationship between Cultural Competence, Health and Social Support with Attitudes of Paeople of North West toward Organ Donation in 2016: The Mediating Role of Moral Courage. J Rafsanjan Univ Med Sci 2017; 16(4): 307-322. [Farsi]