Varasteh Saeideh, Nia Hamid Sharif, Navidhamidi Mojdeh, Esmaeili Maryam
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Nursing, School of Nursing and Midwifery Amol Psychosomatic Research Center, Mazandaran University of Medical Sciences, Tehran, Iran.
Nurs Inq. 2025 Jan;32(1):e12692. doi: 10.1111/nin.12692.
Moral resilience is an emerging concept that has not been fully acknowledged. The aim of this study is to explain lived experiences of moral resilience in intensive care units nurses. This is a qualitative study with a content analysis approach guided by the method of Elo and Kyngäs and based on the theoretical framework of Defilippis et al. Data were collected through 17 in-depth, individual, and semi-structured interviews with 17 nurses, who were selected by purposeful sampling. The results of the present study support the theory of Defilippis et al. while adding another category to it. Three categories of self-awareness, harmonized connection, and moral well-being, which are consistent with the result of Defilippis et al. were extracted deductively, while the category of moral agency was also extracted inductively from the data. The explanatory theory resulting from Defilippis et al.'s study can be used as a guide to cultivate and improve the moral resilience of nurses working in intensive care units. Moral resilience is fostered in nurses by nurturing and improving their capacities, such as self-awareness, self-efficacy, self-confidence, and self-reflection. These traits can help maintain and promote moral agency while establishing harmonized connections. Acquiring moral resilience skills can lead to positive outcomes and reduced moral distress.
道德复原力是一个尚未得到充分认可的新兴概念。本研究的目的是阐释重症监护病房护士道德复原力的实际体验。这是一项定性研究，采用Elo和Kyngäs方法指导下的内容分析法，并基于Defilippis等人的理论框架。通过对17名护士进行17次深入、单独的半结构化访谈收集数据，这些护士是通过目的抽样法选取的。本研究结果支持Defilippis等人的理论，同时在此基础上增加了一个类别。从数据中演绎提取出与Defilippis等人的研究结果一致的自我意识、和谐联系和道德幸福感这三个类别，同时也从数据中归纳提取出道德能动性这一类别。Defilippis等人的研究所产生的解释性理论可作为培养和提高重症监护病房护士道德复原力的指南。通过培养和提高护士的自我意识、自我效能感、自信心和自我反思等能力，可以增强护士的道德复原力。这些特质有助于在建立和谐联系的同时维持和促进道德能动性。获得道德复原力技能可带来积极结果并减少道德困扰。
