Evidence map›Paper›PMID 40903717›Full record

ArticleBMC nursing2025

Mediating effect of moral resilience between good-death perception and coping with death competence of ICU nurses: a cross-sectional study.

Xiaoyun Zhou, Yanyan Men, Yue Liu, Qianqian Li, Yixin Chen, Yang Xu, Hui Xue, Xuebing Jing

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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 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaoyun Zhou *College of Nursing, Qilu Medical University, Zibo, 255300, China.
Yanyan Men *College of Nursing, Qilu Medical University, Zibo, 255300, China.
Yue LiuCollege of Nursing, Qilu Medical University, Zibo, 255300, China.
Qianqian LiCollege of Nursing, Qilu Medical University, Zibo, 255300, China. liqianqian@qlmu.edu.cn.
Yixin ChenCollege of Nursing, Qilu Medical University, Zibo, 255300, China.
Yang XuCollege of Nursing, Qilu Medical University, Zibo, 255300, China.
Hui XueCollege of Nursing, Qilu Medical University, Zibo, 255300, China.
Xuebing JingZibo Central Hospital, No.10 Shanghai Road, Zhangdian District, Zibo City, Shandong Province, China. jingxuebing@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMoral resilience can help Intensive Care Unit (ICU) nurses overcome moral dilemmas caused by the death of patients, while enhancing their competence to cope with death. Death-coping competence is also related to the cognitive level of nurses about good death. However, few studies have focused on the relationships among between moral resilience, perception of good death, and death-coping competence. RESEARCH

aimTo explore the focused on the relationships among ICU nurses’ moral resilience, good-death perception and death-coping competence, and to examine the mediating role of moral resilience between good-death perception and death-coping competence. RESEARCH

designThis was a quantitative study with a cross-sectional descriptive correlational design. The participants completed an online survey in which moral resilience, perception of good death and coping with death competence using the Rushton Moral Resilience Scale for nurses, Chinese version of Good Death Inventory and coping with death scale-short version, respectively. PARTICIPANTS AND RESEARCH CONTEXT: A total of 254 ICU nurses were recruited from five tertiary general hospitals in Shandong province of China to participate in the survey. ETHICAL CONSIDERATIONS: This study was approved by the ethics committee of Zibo Central Hospital. Informed consent was obtained from all the nurses.

resultsGood-death perception positively affects death-coping competence (r = 0.565, p < 0.01). The mediation analysis revealed that the direct effect of good-death perception on death-coping competence in the presence of the mediator was significant. Hence, moral resilience partially mediated the relationship between good-death perception and death-coping competence. And the mediating effect is 0.099.

conclusionsICU nurses’ good-death perceptions can directly predict their death-coping competence, and they can also indirectly affect their death-coping competence through the mediating effect of moral resilience. CLINICAL TRIAL NUMBER: not applicable.

Indexed as

Coping with death competenceGood deathMoral resilienceNurse

Identifiers

PMID40903717
PMCPMC12406356

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