Healthcare leaders today are facing challenges unlike any other time. Ethical courage is not about impulsive defiance — it’s about thoughtful, principled action in service of others and the integrity of care. 5 strategies for cultivating ethical courage in healthcare leadershipCreate space for ethical deliberationBuild regular forums — ethics rounds, case reviews or moral distress debriefs — where staff and leaders can discuss challenging scenarios openly. Shared accountability lightens the personal risk and reinforces the collective responsibility for ethical care. Ethical courage isn’t about dramatic gestures — it’s about consistent, values-driven leadership.