Influencing factors of moral resilience among intern nursing students: a cross-sectional survey.

Objective: This 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. Background: As 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. Design: A cross-sectional survey. Methods: Three 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. Results: The 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. Conclusion: The 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. [ABSTRACT FROM AUTHOR]