Arries-Kleyenstüber Ebin J
Faculty of Nursing, University of Regina, Regina, Saskatchewan, Canada.
SAGE Open Nurs. 2021 May 21;7:23779608211017798. doi: 10.1177/23779608211017798. eCollection 2021 Jan-Dec.
Moral resilience has recently been proposed as one strategy to address moral distress in nurses and nursing students. Central to nursing students' capacity for moral resilience is how they understood and enact resilience with an element of realism, suggesting an ethical, ideological influence. Resilience is shown to differ significantly across students, and possibly because of a disconnect between a students' perceived resilience and their ethical ideology. Yet, resilience seldom has been explored in relation to ethical ideology.
This study aims to explore self-reported resilience in relation to ethical ideology in undergraduate nursing students, compare differences in scores, and explore relationships between study variables and selected demographic characteristics.
A descriptive cross-sectional research design was followed. An online encrypted survey was conducted among a convenient sample of nursing undergraduates who met the eligibility criteria and provided implied informed consent. This study complied with ethical principles outlined in the Canadian Tri-Council Policy Statement for research with human subjects. Ethical approval was secured from the University's Research Ethics Board. Data were analyzed using mean scores, standard deviations, independent sample t-test, variance analysis with post hoc-testing, and Pearson correlation to explore differences in perceptions and associations between study and selected demographic variables.
Undergraduate students have a high level of self-reported resilience. Statistically significant differences in self-reported resilience across selected demographic variables were observed. The association between resilience and ethical ideology was not significant. Ethical relativism was significantly correlated with age and year of study.
Findings suggest that faculty cultivating resilience in nursing students pays attention to gender's influence discourses in students' perceptions of resilience and ethical ideology and provides students with opportunities for ethical self-reflection and dialogue to critically examine their ethical ideological perspectives and the influence these may have on moral resilience development. Implications for future research are discussed.
道德复原力最近被提议作为一种应对护士和护理专业学生道德困扰的策略。护理专业学生道德复原力的核心在于他们如何以现实主义的元素理解和践行复原力，这暗示了一种伦理、意识形态的影响。研究表明，不同学生的复原力存在显著差异，这可能是因为学生所感知的复原力与他们的伦理意识形态之间存在脱节。然而，很少有人探讨复原力与伦理意识形态之间的关系。
本研究旨在探讨本科护理专业学生自我报告的与伦理意识形态相关的复原力，比较得分差异，并探讨研究变量与选定人口统计学特征之间的关系。
采用描述性横断面研究设计。对符合入选标准并提供默示知情同意的护理本科生便利样本进行了在线加密调查。本研究遵循了加拿大三理事会关于人类受试者研究的政策声明中概述的伦理原则。获得了大学研究伦理委员会的伦理批准。使用平均分、标准差、独立样本t检验、事后检验的方差分析以及皮尔逊相关性分析数据，以探讨研究和选定人口统计学变量之间的认知差异和关联。
本科学生自我报告的复原力水平较高。在选定的人口统计学变量中，自我报告的复原力存在统计学上的显著差异。复原力与伦理意识形态之间的关联不显著。伦理相对主义与年龄和学习年份显著相关。
研究结果表明，培养护理专业学生复原力的教师应关注性别在学生对复原力和伦理意识形态认知中的影响话语，并为学生提供伦理自我反思和对话的机会，以批判性地审视他们的伦理意识形态观点以及这些观点可能对道德复原力发展产生的影响。还讨论了对未来研究的启示。
