Title: Moral resilience and its influencing factors: A cross-sectional study in China
Abstract:
Background: Nurses experience complex ethical challenges on a daily basis leading to moral distress. It is necessary to increase the moral resilience to minimize the negative effects of moral distress. However, very little empirical research focused on moral resilience has been conducted in Chinese specific clinical environment.
Objectives: The purpose of this study was to describe the current situation of moral resilience and to explore its influencing factors among Chinese nurses.
Design: This was a descriptive, cross-sectional study.
Methods: A total of 281 Chinese nurses completed an online survey, including demographics questionnaire, Rushton moral resilience scale, and Hospital ethical climate survey. Inferential statistical analysis includes Pearson’s correlation and multivariate linear regression analysis.
Results: The mean scores of moral resilience was (2.78±0.40). There was a significant positive correlation between the total scores on moral resilience and hospital ethical climate (r=0.379, p?0.01). Multivariate linear regression analysis showed that the main factors influencing nurses’ moral resilience were years of working, received ethical training, and hospital ethical climate.
Conclusion: Our findings suggest that hospital administrators should emphasize the importance of ethical climate and should intensify education and training on ethics to improve nurses’ moral resilience. Further studies should focus on interventions regarding how to improve the level of Chinese nurses’ moral resilience.
