ArticleFrontiers in psychology2026
Moral resilience, hospital ethical climate, moral courage, and moral sensitivity among intensive care unit nurses: a structural equation model.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Professional Values, Perceived Ethical Climate, and Dignity-Protecting Behaviors Among Intensive Care Nurses: A Moderation Analysis.Journal of nursing management · 2026Article
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Authors and funding
3 authors.
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Abstract
Objective: To investigate the association between intensive care unit nurses' moral resilience and the hospital ethical climate, moral courage, and moral sensitivity, and to determine whether moral courage and moral sensitivity mediate the relationship between ethical climate and moral resilience. Methods: A descriptive, cross-sectional study. Overall, 363 intensive care unit nurses from eight tertiary hospitals in Southwest China were recruited using convenience sampling. The Moral Resilience Scale, Hospital Ethical Climate Scale, Moral Courage Scale, and Moral Sensitivity Scale were used. Data were analyzed using SPSS 26.0 and AMOS 29.0, and mediation was tested using the bootstrap method. Results: Intensive care unit nurses demonstrated a moderate moral resilience level (49.71 ± 5.53), which was positively correlated with hospital ethical climate ( Conclusion: Intensive care unit nurses in Southwest China demonstrated moderate moral resilience. Both hospital ethical climate and moral courage was linker with nurses' moral resilience. Hospitals should improve their ethical climate and provide moral courage training to enhance intensive care unit nurses' moral psychological resources systematically. Impact: This study identifies key factors influencing moral resilience among intensive care unit nurses, highlights the central role of moral courage in the relationship between hospital ethical climate and moral resilience, and provides practical guidance for nursing managers in developing effective interventions.
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