Evidence map›Paper›PMID 40186160›Full record

ArticleBMC nursing2025

Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS).

Amir Jalali, Behrouz Soltany, Azam Sharifi, Amirhossein Naghibzadeh, Mohammad Karami, Mohammad Moein Mohammadi, Khalil Moradi

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Amir JalaliSubstance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.ORCID https://orcid.org/0000-0002-0307-879X
Behrouz SoltanyDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical Sciences, Kermanshah, Iran.
Azam SharifiDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical Sciences, Kermanshah, Iran.
Amirhossein NaghibzadehStudent Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohammad KaramiDepartment of Islamic Studies, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohammad Moein MohammadiStudent Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Khalil MoradiDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical Sciences, Kermanshah, Iran. khalil.moradi@kums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurses frequently encounter complex ethical dilemmas and high-stress environments. Moral resilience, characterized by the ability to navigate these challenges with confidence and integrity, is essential for optimal patient care and personal well-being.

aimThis study aimed to culturally adapt and validate the Persian version of the Rushton Moral Resilience Scale (RMRS) among Iranian nurses.

methodThis methodological study employed a convenience sample of 659 nurses working in clinical wards of public and private hospitals in Kermanshah City, Iran. The RMRS was translated into Persian using the forward-backward translation method proposed by Polit and Yang. To assess the psychometric properties of the Persian RMRS, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted.

resultsExploratory factor analysis (EFA) and confirmatory factor analysis (CFA) supported the factor structure of the Persian RMRS, identifying four factors comprising 15 items, which accounted for 50.98% of the total variance. The CFA model exhibited good fit indices: χ²/df = 2.35, RMSEA = 0.061, NNFI/TLI = 0.91, CFI = 0.94, GFI = 0.94, and SRMR = 0.049. The scale demonstrated satisfactory internal consistency, with a Macdonald Omega coefficient of 0.728 and an Intraclass Correlation Coefficient (ICC) of 0.715 (95% CI: 0.677-0.749).

conclusionThe present study successfully adapted and validated the Persian version of the Rushton Moral Resilience Scale (RMRS) for Iranian nurses. The scale demonstrated sound psychometric properties, including acceptable reliability and validity. These findings suggest that the Persian RMRS can be a valuable tool for researchers and healthcare professionals to assess moral resilience among Iranian nurses, enabling a deeper understanding of this construct and its implications for patient care and well-being. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Moral resilienceNursesPsychometricsReliabilityValidity

Identifiers

PMID40186160
PMCPMC11969693

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