ArticleBMC nursing2025
Influencing factors of moral resilience among intern nursing students: a cross-sectional survey.
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 3 papers.
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3 citing papers in PubMed.
- The relationship between spiritual well-being and moral resilience in nursing students: a mixed-methods study.BMC nursing · 2026Article
- Latent profile analysis of moral resilience among clinical nurses and its association with ethical behavior: a multi-hospital cross-sectional study in China.Frontiers in public health · 2026Article
- Sleep Quality and Pain Empathy Among Nursing Interns: The Serial Mediating Roles of Burnout and Moral Identity.Journal of nursing management · 2026Article
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6 authors.
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Abstract
objectiveThis study examines and analyses the degree of moral resilience among intern nursing students, as well as the factors that influence it. The goal is to provide a reference point for moral resilience development in nursing students and targeted interventions.
backgroundAs nursing is constantly evolving and the healthcare system becomes more intricate, nurses are being confronted with increasingly prominent ethical and moral dilemmas within their clinical practices. One method that has been acknowledged for countering ethical distress is the cultivation of moral resilience. Moral resilience is an evolving concept that has received limited attention in previous cross-sectional research studies. As practicing nurses are instrumental in advancing the future of nursing, it is crucial to comprehend and ascertain the variables linked with moral resilience. This is vital for developing a curriculum on the subject.
designA cross-sectional survey.
methodsThree hundred and forty-seven nursing students enrolled as interns at a teaching hospital in Zhengzhou City, Henan Province, China, were surveyed for this study. The survey included a general information questionnaire, along with the Chinese versions of the Rushton Moral Resilience Scale, the Moral Sensitivity Questionnaire-Revised, and the Moral Identity Scale.
resultsThe average score for moral resilience in practicing nursing students was (46.93 ± 6.07). Moral sensitivity (r = 0.229, p < 0.01), moral identity (r = 0.541, p < 0.01) were significantly and positively correlated with moral resilience. Moral identity (β = 0.488, p < 0.001), previous ethics courses or training (β=-0.178, p < 0.001), gender (β=-0.132, p = 0.003), and attitudes toward the nursing profession (β=-0.111, p = 0.015) were the predictors of moral resilience for practicing nurses, explaining a total of 34.5% of the total variance.
conclusionThe moral resilience of nursing interns is at a low level, and there is a positive correlation between moral sensitivity, moral identity and moral resilience. The moral resilience of nursing interns is primarily affected by their gender, attitude towards the profession, moral identity, whether or not they have received an ethics course. IMPACT: This study emphasized that nursing educators and administrators can provide targeted interventions and training to improve the moral resilience of nursing students in order to enhance their clinical practice and post-graduation employment prospects. CLINICAL TRIAL NUMBER: Not applicable.
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