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Background <p>Moral resilience can help Intensive Care Unit (ICU) nurses overcome moral dilemmas caused by the death of patients, while enhancing their competence to cope with death. Death-coping competence is also related to the cognitive level of nurses about good death. However, few studies have focused on the relationships among between moral resilience, perception of good death, and death-coping competence.</p> Research aim <p>To explore the focused on the relationships among ICU nurses’ moral resilience, good-death perception and death-coping competence, and to examine the mediating role of moral resilience between good-death perception and death-coping competence.</p> Research design <p>This was a quantitative study with a cross-sectional descriptive correlational design. The participants completed an online survey in which moral resilience, perception of good death and coping with death competence using the Rushton Moral Resilience Scale for nurses, Chinese version of Good Death Inventory and coping with death scale-short version, respectively.</p> Participants and research context <p>A total of 254 ICU nurses were recruited from five tertiary general hospitals in Shandong province of China to participate in the survey.</p> Ethical considerations <p>This study was approved by the ethics committee of Zibo Central Hospital. Informed consent was obtained from all the nurses.</p> Results <p>Good-death perception positively affects death-coping competence (<i>r</i> = 0.565, <i>p</i> &lt; 0.01). The mediation analysis revealed that the direct effect of good-death perception on death-coping competence in the presence of the mediator was significant. Hence, moral resilience partially mediated the relationship between good-death perception and death-coping competence. And the mediating effect is 0.099.</p> Conclusions <p>ICU nurses’ good-death perceptions can directly predict their death-coping competence, and they can also indirectly affect their death-coping competence through the mediating effect of moral resilience.</p> Clinical trial number <p>not applicable.</p>

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Mediating effect of moral resilience between good-death perception and coping with death competence of ICU nurses: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月3日

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  • Xiaoyun Zhou,
  • Yanyan Men,
  • Yue Liu,
  • Qianqian Li,
  • Yixin Chen,
  • Yang Xu,
  • Hui Xue,
  • Xuebing Jing

摘要

Background

Moral resilience can help Intensive Care Unit (ICU) nurses overcome moral dilemmas caused by the death of patients, while enhancing their competence to cope with death. Death-coping competence is also related to the cognitive level of nurses about good death. However, few studies have focused on the relationships among between moral resilience, perception of good death, and death-coping competence.

Research aim

To explore the focused on the relationships among ICU nurses’ moral resilience, good-death perception and death-coping competence, and to examine the mediating role of moral resilience between good-death perception and death-coping competence.

Research design

This was a quantitative study with a cross-sectional descriptive correlational design. The participants completed an online survey in which moral resilience, perception of good death and coping with death competence using the Rushton Moral Resilience Scale for nurses, Chinese version of Good Death Inventory and coping with death scale-short version, respectively.

Participants and research context

A total of 254 ICU nurses were recruited from five tertiary general hospitals in Shandong province of China to participate in the survey.

Ethical considerations

This study was approved by the ethics committee of Zibo Central Hospital. Informed consent was obtained from all the nurses.

Results

Good-death perception positively affects death-coping competence (r = 0.565, p < 0.01). The mediation analysis revealed that the direct effect of good-death perception on death-coping competence in the presence of the mediator was significant. Hence, moral resilience partially mediated the relationship between good-death perception and death-coping competence. And the mediating effect is 0.099.

Conclusions

ICU nurses’ good-death perceptions can directly predict their death-coping competence, and they can also indirectly affect their death-coping competence through the mediating effect of moral resilience.

Clinical trial number

not applicable.