Evidence map›Paper›PMID 42326907›Full record

ArticleFrontiers in public health2026

Latent profile analysis of moral resilience among clinical nurses and its association with ethical behavior: a multi-hospital cross-sectional study in China.

Xiaohan Shi, Ying Zhang, Hongjuan Lang, Rui Wang, Yang Wang, Aiping Sun, Yuan Hui

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xiaohan Shi *Healthcare Center for Military Personnel, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Ying Zhang *Healthcare Center for Military Personnel, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Hongjuan LangDepartment of Nursing, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Rui WangHealthcare Center for Military Personnel, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Yang WangHealthcare Center for Military Personnel, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Aiping SunHealthcare Center for Military Personnel, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Yuan HuiDepartment of Ophthalmology, The Second Affiliated Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore the categories of the moral resilience latent profile of clinical nurses, analyze the influencing factors of different categories, and explore the correlation between them and ethical behavior. Methods: By convenience sampling, nurses from 16 level-two-and-above hospitals in China were selected as the research subjects from May to June 2025. The Chinese version of the moral resilience Scale and the revised version of the Nurses' Ethical Behavior Scale were used to survey the enrolled research subjects. Latent Profile Analysis (LPA) was performed in Mplus 8.3 to identify subgroups based on moral resilience scores. Model selection relied on the lowest AIC, BIC, and aBIC values, entropy > 0.80, and significant LMR-LRT/BLRT statistics. Results: The scores of moral resilience and ethical behavior of clinical nurses were (44.27 ± 5.33) and (41.08 ± 6.34) respectively. The clinical nursing ethics elastic latent section is divided into three categories: Category 1 (C1) is the "high moral resilience group," accounting for 28.1% (95 cases); Category 2 (C2) is the "medium moral resilience group," accounting for 46.2% (156 cases); Category 3 (C3) is the "low moral resilience group," accounting for 25.7% (87 cases). Univariate analysis showed that there were significant differences in nursing age (χ Conclusion: Latent profile analysis was applied in this study. The moral resilience of clinical nurses was divided into three categories. The moral resilience of different profiles is closely related to the level of ethical behavior of clinical nurses. Based on these findings, healthcare institutions should implement targeted intervention strategies tailored to the heterogeneous characteristics of nurses' moral resilience, enhancing their moral resilience levels by optimizing organizational support and ethics training mechanisms; this approach subsequently standardizes clinical ethical behavior and improves patient care quality, offering significant implications for strengthening human resource management in health systems and advancing public health practice.

Indexed as

Ethics, NursingMoralsNursing Staff, HospitalResilience, PsychologicalAdultChinaCross-Sectional StudiesFemaleHumansMaleSurveys and Questionnairesclinical nursesethical behaviorinfluencing factorslatent profile analysismoral resiliencerelevance

Identifiers

PMID42326907
PMCPMC13275688

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