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Abdollahi R, Mohammadpour Y. Relationship Between Resilience and Moral Distress in Emergency Department Nurses: A Cross-sectional Study in Urmia, Iran. IJN 2025; 38 (S1 )
URL: http://ijn.iums.ac.ir/article-1-3894-en.html
1- Department of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
2- Department of Medical Education, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran. , mohammadpour.yousef@gmail.com
Abstract:   (867 Views)
Background & Aims One of the factors that seems to influence the incidence of moral distress (MD) in nurses is resilience. This study aimed to investigate the relationship between resilience and MD in nurses working in emergency departments (EDs).
Materials & Methods This is a descriptive-analytical study with a cross-sectional design that was conducted from April to June 2024 on 133 nurses from the EDs of hospitals in Urmia city, Iran, who were selected using a two-stage sampling method. They completed a sociodemographic form, the Connor Davidson Resilience scale, and Nash's moral injury events scale (MIES). Data analysis was performed using Pearson’s correlation test, multiple linear regression analysis, independent t-test, and one-way analysis of variance in SPSS software, version 23.
Results The mean age of the participants was 32.7±45.5 years. The mean resilience score was 78.33±0.54, and the mean MIES score was 30.19±8.44. There was a significant negative relationship between resilience and MD among ED nurses (r=-0.45, P=0.001). 
Conclusion Given the relationship between resilience and MD in ED nurses, the increase in their resilience can reduce their MD level. Therefore, nursing managers should take measures such as organizational support and improving working conditions to promote the resilience of ED nurses and, thus, reduce their MD.
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Type of Study: Research | Subject: nursing
Received: 2025/04/4 | Accepted: 2025/03/21 | Published: 2025/03/21

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