Abdollahi Reza, Iranpour Sohrab, Ajri-Khameslou Mehdi
Researcher, Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran; Researcher, Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
Assistant professor, Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran; Assistant professor, Department of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
J Med Ethics Hist Med. 2021 Feb 15;14:3. doi: 10.18502/jmehm.v14i3.5436. eCollection 2021.
Nurses need to be resilient to be able to endure their working conditions, and their moral courage can affect their resilience. This work aimed at studying the relationship between resilience and professional moral courage among nurses working in hospitals. This descriptive cross-sectional study was conducted on 375 nurses working in teaching hospitals in the city of Ardabil in Iran in 2019. Data was collected using the following questionnaires: a demographic questionnaire, Sekerka et al. Moral Courage Scale and Davidson-Connor Resilience Scale. The reliability of the Davidson-Connor Resilience Scale, and Moral Courage Scale were found to be 89% and 85% using the test-retest method. The data were analyzed by Pearson correlation coefficient, t-test, variance analysis, and linear regression using the SPSS software version 24. In participating nurses, mean scores were 6.35±0.5 for total moral courage (favorable) and 79.35±0.35 (moderate) for resilience, respectively. A positive and significant relationship was observed between resilience and professional moral courage (P<0.05, r=0.1). Given the positive and significant relationship between resilience and professional moral courage, nurses require to have the high moral courage to enhance their resilience. Determining factors affecting moral courage and resilience, as well as finding strategies and creating an appropriate moral climate can increase nurses' morally courageous behaviors and resilience.
护士需要具备适应力才能承受其工作环境，并且他们的道德勇气会影响其适应力。这项研究旨在探讨医院护士的适应力与职业道德勇气之间的关系。这项描述性横断面研究于2019年对伊朗阿尔达比勒市教学医院的375名护士进行。使用以下问卷收集数据：人口统计学问卷、塞克卡等人的道德勇气量表和戴维森 - 康纳适应力量表。采用重测法发现戴维森 - 康纳适应力量表和道德勇气量表的信度分别为89%和85%。使用SPSS 24版软件通过皮尔逊相关系数、t检验、方差分析和线性回归对数据进行分析。参与研究的护士中，道德勇气总分（良好）的平均得分为6.35±0.5，适应力的平均得分为79.35±0.35（中等）。适应力与职业道德勇气之间存在显著正相关（P<0.05，r = 0.1）。鉴于适应力与职业道德勇气之间存在显著正相关，护士需要具备高度的道德勇气来增强其适应力。确定影响道德勇气和适应力的因素，以及找到策略并营造适当的道德氛围，可以增加护士的道德勇敢行为和适应力。
