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Hemşirelik Öğrencilerinin Moral Distres ile Psikolojik Dayanıklılık Düzeyleri Arasındaki İlişki

Yıl 2025, Cilt: 8 Sayı: 3, 324 - 338, 26.12.2025
https://doi.org/10.54189/hbd.1605561

Öz

Amaç: Çalışmanın amacı hemşirelik öğrencilerinin moral distres ile psikolojik dayanıklılık düzeyleri arasındaki ilişkiyi belirlenmektir.
Yöntem: Bu tanımlayıcı ve ilişki arayıcı olan çalışma bir üniversitenin 3. ve 4. sınıfında hemşirelik bölümünde okuyan 260 öğrenci ile yapılmıştır. Sosyodemografik Veri Formu, Hemşirelik Öğrencilerinde Moral Distres Ölçeği ve Hemşirelerde Psikolojik Dayanıklılık Ölçeği ile veriler toplanmıştır. Verilerin değerlendirilmesinde bağımsız gruplarda t testi, Mann-Whitney U Testi, Kruskall-Wallis Testi ve Pearson Korelasyon Analizi kullanılmıştır.
Bulgular: Katılımcıların yaş ortalaması 22,00±1,22’dir. Katılımcıların moral distres toplam puanı 6,14±5,09 ile düşük, psikolojik dayanıklılık toplam puanı ise 69,64±9,68 ile orta düzeyden biraz daha yüksektir. Katılımcıların cinsiyetine göre psikolojik dayanıklılık eğilim, durumsal alt boyutlarında ve toplam puanlarında istatistiksel farklılık olduğu saptanmıştır. Hemşireliği seçme durumlarına göre durumsal; şu an bölümden memnuniyet durumlarına göre felsefi, ilişkisel, eğilim, durumsal alt boyutlarında ve toplam puanlarında anlamlı fark bulunmuştur (p<0,05). Öğrencilerin sosyodemografik özelliklerine göre moral distres puanlarında istatistiksel farklılık olmadığı belirlenmiştir. Ayrıca katılımcıların moral distres ile psikolojik dayanıklılık arasında anlamlı bir ilişki olmadığı tespit edilmiştir (p>0,05).
Sonuç: Hemşirelik öğrencilerinde psikolojik dayanıklılığı geliştirmeye ve moral distresi yönetmeye yönelik simülasyon temelli eğitimler, vaka çalışmaları, rol oynama eğitimleri, danışmanlık hizmetleri ve destekleyici yaklaşımların hemşirelik müfredatına yerleştirilmesi ve klinik uygulamalarda aktif olarak kullanılması hemşirelik öğrencilerinin mesleki yetkinliklerinin güçlendirilmesinde önemli olabilir.

Kaynakça

  • Adıbelli D, Kırca N, Bademli K. (2021). The psychometric properties of Turkish version of the Resilience Scale for Nurses. Current Psychology, 40, 4709–4717. doi:10.1007/s12144-021-02029-3
  • Ağaç M, Üzar Özçetin YS. (2021). Kanser sürecinde üstbilişler, psikolojik sağlamlık ve nüks korkusu. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 13(4), 693–706. doi:10.18863/pgy.859242.
  • Albert JS, Younas A, Sana S. (2020). Nursing students’ ethical dilemmas regarding patient care: An integrative review. Nurse Education Today, 88(104389), 1-8. doi:10.1016/j.nedt.2020.104389
  • Ali-Abadi T, Ebadi A, Sharif Nia H, Soleimani M, Ghods AA. (2021). Development and psychometric properties of the Nursing Student Academic Resilience Inventory (NSARI): A mixed-method study. Plos One, 16(6), 1-16. doi:10.1371/journal.pone.0252473
  • Alimoradi Z, Jafari E, Lin, CY, Rajabi R, Marznaki ZH, Soodmand M, et al. (2023). Estimation of moral distress among nurses: A systematic review and meta-analysis. Nursing Ethics, 30(3), 334-357. doi:10.1177/096973302211352
  • Alvarez HAO, Provencio-Vasquez E, Slavich GM, Laurent J, Browning M, McKee-Lopez G, et al. (2019). Stress and health in nursing students: The nurse engagement and wellness study. Nursing Research, 68(6), 453–463. doi:10.1097/NNR.0000000000000383
  • Atak NT, Meriç M. (2023). The determination of the psychological resilience, academic achievement and academic self-efficacy of nursing students. Cyprus Journal of Medical Sciences, 7(6), 767-773. doi: 10.4274/cjms.2020.2343
  • Atay N, Sahin G, Buzlu S. (2021). The relationship between psychological resilience and professional quality of life in nurses. Journal of Psychosocial Nursing and Mental Health Services, 59(6), 31-36. doi:10.3928/02793695-20210218-01
  • Baghdadi N, Alsomali Z, Alanazi ME, Alasmari M, Alfaqi R, Alsofayan R, et al. (2020). Moral distress among nursing students during clinical training. Novelty Journal, 7(3), 269-276.
  • Berdida DJE, Grande RAN. (2023). Moral distress, moral resilience, moral courage, and moral injury among nurses in the Philippines during the COVID-19 pandemic: A mediation analysis. Journal of Religion and Health, 62(6), 3957-3978. doi: 10.1007/s10943-023-01873-w.
  • Bernuzzi C, Setti I, Maffoni M, Sommovigo V. (2022). From moral distress to burnout through work-family conflict: The protective role of resilience and positive refocusing. Ethics & Behavior, 32(7), 578–600. doi: 10.1080/10508422.2021.1955682
  • Bordignon SS, Lunardi VL, Barlem ELD, Dalmolin GDL, da Silveira RS, Ramos FRS, et al. (2019). Moral distress in undergraduate nursing students. Nursing Ethics, 26(7-8), 2325-2339. doi:10.1177/0969733018814902
  • Bulfone G, Bressan V, Zerilli I, Vinci A, Mazzotta R, Ingravalle F, Maurici, M. (2024). Moral distress and its determinants among nursing students in an Italian University: A Cross-sectional study. Nursing Reports, 14(3), 2140-2152. doi:10.3390/nursrep14030160
  • Burston AS, Tuckett AG. (2012). Moral distress in nursing: Contributing factors, outcomes and interventions. Nursing Ethics, 20(3), 312-24. doi:10.1177/0969733012462049
  • Cheng WLS, Chow PPK, Wong FMF, Ho MM. (2023). Associations among stressors, perceived stress, and psychological distress in nursing students: A mixed methods longitudinal study of a Hong Kong sample. Frontiers in Psychology, 14, 1-14. doi:10.3389/fpsyg.2023.1234354
  • Cheng WLS, Tang ACY, Siu KLS. (2024). Examining the effects of moral distress, compassion fatigue and burnout on intention to leave among nursing students in Hong Kong: A cross-sectional study. Applied Nursing Research, 80(15186), 1-7. doi:10.1016/j.apnr.2024.151861
  • Clark P, Crawford TN, Hulse B, Polivka BJ. (2021). Resilience, moral distress, and workplace engagement in emergency department nurses. Western Journal of Nursing Research, 43(5), 442– 451. doi:10.1177/01939459209569
  • Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Routledge.
  • Çakar M, Yıldırım Şişman N, Oruç D. (2019). Hemşirelik öğrencilerinin klinik uygulamalarında karşılaştıkları sağlık riskleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 12(2), 116–125.
  • Defilippis TMS, Curtis K, Gallagher A. (2020). Moral resilience through harmonised connectedness in intensive care nursing: A grounded theory study. Intensive and Critical Care Nursing, 57(102785), 1-7. doi:10.1016/j.iccn.2019.102785
  • Doğan T, Yavuz K. (2020). Yetişkinlerde psikolojik sağlamlık, olumlu çocukluk deneyimleri ve algılanan mutluluk. Psikiyatride Güncel Yaklaşımlar, 12, 312-330. doi:10.18863/pgy.750839
  • Dyo M, Kalowes P, Devries J. (2016). Moral distress and intention to leave: A comparison of adult and paediatric nurses by hospital setting. Intensive and Critical Care Nursing, 36, 42-48. doi:10.1016/j.iccn.2016.04.003
  • Epstein EG, Hamric AB. (2009). Moral distress, moral residue, and the crescendo effect. The Journal of Clinical Ethics, 20(4), 330-342. doi:10.1086/JCE200920406
  • Escolar-Chua RL. (2018). Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students. Nursing Ethics, 25(4), 458-469. doi:10.1177/096973301665431
  • Gandossi C, De Brasi EL, Rosa D, Maffioli S, Zappa S, Villa G, et al. (2023). How do nursing students perceive moral distress? An interpretative phenomenological study. Nursing Reports, 13(1), 539–548. doi:10.3390/nursrep13010049
  • García-Izquierdo M, Ríos-Risquez MI, Carrillo-García C, Sabuco-Tebar EDLA. (2018). The moderating role of resilience in the relationship between academic burnout and the perception of psychological health in nursing students. Educational Psychology, 38(8), 1068–1079. doi:10.1080/01443410.2017.1383073
  • Hamric AB. (2012). Empirical research on moral distress: Issues, challenges, and opportunities. HEC Forum, 24(1), 39-49. doi: 10.1007/s10730-012-9177-x
  • Heng TJT, Shorey S. (2023). Experiences of moral distress in nursing students–A qualitative systematic review. Nurse Education Today, 129(105912), 1-10. doi: 10.1016/j.nedt.2023.105912
  • Hines SE, Chin KH, Glick DR, Wickwire EM. (2021). Trends in moral injury, distress, and resilience factors among healthcare workers at the beginning of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(2), 488. doi:10.3390/ijerph18020488
  • Hwu LJ, Pai HC. (2024). The moral distress, protective factors, and resilience: The role of ethical decision-making competence among student nurses. Advances in Health Sciences Education, 30(4), 1217-1230. doi:10.1007/s10459-024-10399-z
  • Jameton A. (1984). Nursing practice: The ethical issues. Englewood Cliffs, NJ: Prentice Hall.
  • Jameton A. (2017). What moral distress in nursing history could suggest about the future of health care. AMA Journal of Ethics, 19(6), 617-628.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. (2017). Hemşirelik öğrencilerinin algılanan klinik stres düzeyi, stres cevapları ve baş etme davranışları. Psikiyatri Hemşireleri Dergisi, 8(1), 32–39. doi: 10.14744/phd.2017.22590
  • Kovancı MS, Özbaş AA. (2022). Hemşirelik öğrencileri için Moral Distres Ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 9(2), 123-132. doi:10.31125/hunhemsire.1166957
  • McCarthy J, Gastmans C. (2015). Moral distress: A review of the argument-based nursing ethics literature. Nursing Ethics, 22(1), 131-152. doi:10.1177/0969733014557139
  • O’Connell CB. (2015). Gender and the experience of moral distress in critical care nurses. Nursing Ethics, 22(1), 32-42. doi:10.1177/096973301351321
  • Oh Y, Gastmans C. (2015). Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics, 22(1), 15-31. doi:10.1177/0969733013502803
  • Ozsaban A, Turan N, Kaya H. (2019). Resilience in nursing students: The effect of academic stress and social support. Clinical and Experimental Health Sciences, 9, 69–76.
  • Paidipati CP, Lozano AJ, West J, Huang L, Hanlon AL, Ulrich CM. (2023). Understanding the mediated relationship between moral distress, depression, and suicide risk in undergraduate nursing students. Nursing Outlook, 71(3), 1-13. doi:10.1016/j.outlook.2023.101966
  • Park MM, Park JW. (2016). Development of resilience scale for nurses. Journal of Korean Academy of Fundamentals of Nursing, 23(1), 32–41. doi: 10.7739/jkafn.2016.23.1.32
  • Park S, Choi M, Kim S. (2019). Validation of the resilience scale for nurses (RSN). Archives of Psychiatric Nursing, 33(4), 434–439. doi:10.1016/j.apnu.2018.12.004
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The Relationship Between Moral Distress and Psychological Resilience Levels of Nursing Students

Yıl 2025, Cilt: 8 Sayı: 3, 324 - 338, 26.12.2025
https://doi.org/10.54189/hbd.1605561

Öz

Objective: The aim of the study is to determine the relationship between moral distress and psychological resilience levels of nursing students.
Methods: This descriptive and correlational study was conducted with 260 students studying in the 3rd and 4th grade of a university nursing department. In the evaluation of the data, independent groups t test, Mann-Whitney U Test, Kruskall-Wallis Test and Pearson Correlation Analysis were used.
Results: The average age of the participants was 22.00±1.22. The participants' total moral distress score was low at 6.14±5.09, and their total psychological resilience score was slightly higher than moderate at 69.64±9.68. It was determined that there was a statistical difference in the tendency, situational sub-dimensions and total scores of psychological resilience according to the gender of the participants. A significant difference was found in the situational scores according to their choice of nursing; and in the philosophical, relational, tendency, situational sub-dimensions and total scores according to their current satisfaction with the department (p<0.05). It was found that there was no statistical difference in the moral distress scores according to the sociodemographic characteristics of the students. In addition, it was determined that there was no significant relationship between the participants’ moral distress and psychological resilience (p>0.05).
Conclusion: Integrating simulation-based training, case studies, role-playing training, counseling services, and supportive approaches into the nursing curriculum and actively using them in clinical practice to develop psychological resilience and manage moral distress in nursing students may be important in strengthening the professional competencies of nursing students.

Kaynakça

  • Adıbelli D, Kırca N, Bademli K. (2021). The psychometric properties of Turkish version of the Resilience Scale for Nurses. Current Psychology, 40, 4709–4717. doi:10.1007/s12144-021-02029-3
  • Ağaç M, Üzar Özçetin YS. (2021). Kanser sürecinde üstbilişler, psikolojik sağlamlık ve nüks korkusu. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 13(4), 693–706. doi:10.18863/pgy.859242.
  • Albert JS, Younas A, Sana S. (2020). Nursing students’ ethical dilemmas regarding patient care: An integrative review. Nurse Education Today, 88(104389), 1-8. doi:10.1016/j.nedt.2020.104389
  • Ali-Abadi T, Ebadi A, Sharif Nia H, Soleimani M, Ghods AA. (2021). Development and psychometric properties of the Nursing Student Academic Resilience Inventory (NSARI): A mixed-method study. Plos One, 16(6), 1-16. doi:10.1371/journal.pone.0252473
  • Alimoradi Z, Jafari E, Lin, CY, Rajabi R, Marznaki ZH, Soodmand M, et al. (2023). Estimation of moral distress among nurses: A systematic review and meta-analysis. Nursing Ethics, 30(3), 334-357. doi:10.1177/096973302211352
  • Alvarez HAO, Provencio-Vasquez E, Slavich GM, Laurent J, Browning M, McKee-Lopez G, et al. (2019). Stress and health in nursing students: The nurse engagement and wellness study. Nursing Research, 68(6), 453–463. doi:10.1097/NNR.0000000000000383
  • Atak NT, Meriç M. (2023). The determination of the psychological resilience, academic achievement and academic self-efficacy of nursing students. Cyprus Journal of Medical Sciences, 7(6), 767-773. doi: 10.4274/cjms.2020.2343
  • Atay N, Sahin G, Buzlu S. (2021). The relationship between psychological resilience and professional quality of life in nurses. Journal of Psychosocial Nursing and Mental Health Services, 59(6), 31-36. doi:10.3928/02793695-20210218-01
  • Baghdadi N, Alsomali Z, Alanazi ME, Alasmari M, Alfaqi R, Alsofayan R, et al. (2020). Moral distress among nursing students during clinical training. Novelty Journal, 7(3), 269-276.
  • Berdida DJE, Grande RAN. (2023). Moral distress, moral resilience, moral courage, and moral injury among nurses in the Philippines during the COVID-19 pandemic: A mediation analysis. Journal of Religion and Health, 62(6), 3957-3978. doi: 10.1007/s10943-023-01873-w.
  • Bernuzzi C, Setti I, Maffoni M, Sommovigo V. (2022). From moral distress to burnout through work-family conflict: The protective role of resilience and positive refocusing. Ethics & Behavior, 32(7), 578–600. doi: 10.1080/10508422.2021.1955682
  • Bordignon SS, Lunardi VL, Barlem ELD, Dalmolin GDL, da Silveira RS, Ramos FRS, et al. (2019). Moral distress in undergraduate nursing students. Nursing Ethics, 26(7-8), 2325-2339. doi:10.1177/0969733018814902
  • Bulfone G, Bressan V, Zerilli I, Vinci A, Mazzotta R, Ingravalle F, Maurici, M. (2024). Moral distress and its determinants among nursing students in an Italian University: A Cross-sectional study. Nursing Reports, 14(3), 2140-2152. doi:10.3390/nursrep14030160
  • Burston AS, Tuckett AG. (2012). Moral distress in nursing: Contributing factors, outcomes and interventions. Nursing Ethics, 20(3), 312-24. doi:10.1177/0969733012462049
  • Cheng WLS, Chow PPK, Wong FMF, Ho MM. (2023). Associations among stressors, perceived stress, and psychological distress in nursing students: A mixed methods longitudinal study of a Hong Kong sample. Frontiers in Psychology, 14, 1-14. doi:10.3389/fpsyg.2023.1234354
  • Cheng WLS, Tang ACY, Siu KLS. (2024). Examining the effects of moral distress, compassion fatigue and burnout on intention to leave among nursing students in Hong Kong: A cross-sectional study. Applied Nursing Research, 80(15186), 1-7. doi:10.1016/j.apnr.2024.151861
  • Clark P, Crawford TN, Hulse B, Polivka BJ. (2021). Resilience, moral distress, and workplace engagement in emergency department nurses. Western Journal of Nursing Research, 43(5), 442– 451. doi:10.1177/01939459209569
  • Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Routledge.
  • Çakar M, Yıldırım Şişman N, Oruç D. (2019). Hemşirelik öğrencilerinin klinik uygulamalarında karşılaştıkları sağlık riskleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 12(2), 116–125.
  • Defilippis TMS, Curtis K, Gallagher A. (2020). Moral resilience through harmonised connectedness in intensive care nursing: A grounded theory study. Intensive and Critical Care Nursing, 57(102785), 1-7. doi:10.1016/j.iccn.2019.102785
  • Doğan T, Yavuz K. (2020). Yetişkinlerde psikolojik sağlamlık, olumlu çocukluk deneyimleri ve algılanan mutluluk. Psikiyatride Güncel Yaklaşımlar, 12, 312-330. doi:10.18863/pgy.750839
  • Dyo M, Kalowes P, Devries J. (2016). Moral distress and intention to leave: A comparison of adult and paediatric nurses by hospital setting. Intensive and Critical Care Nursing, 36, 42-48. doi:10.1016/j.iccn.2016.04.003
  • Epstein EG, Hamric AB. (2009). Moral distress, moral residue, and the crescendo effect. The Journal of Clinical Ethics, 20(4), 330-342. doi:10.1086/JCE200920406
  • Escolar-Chua RL. (2018). Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students. Nursing Ethics, 25(4), 458-469. doi:10.1177/096973301665431
  • Gandossi C, De Brasi EL, Rosa D, Maffioli S, Zappa S, Villa G, et al. (2023). How do nursing students perceive moral distress? An interpretative phenomenological study. Nursing Reports, 13(1), 539–548. doi:10.3390/nursrep13010049
  • García-Izquierdo M, Ríos-Risquez MI, Carrillo-García C, Sabuco-Tebar EDLA. (2018). The moderating role of resilience in the relationship between academic burnout and the perception of psychological health in nursing students. Educational Psychology, 38(8), 1068–1079. doi:10.1080/01443410.2017.1383073
  • Hamric AB. (2012). Empirical research on moral distress: Issues, challenges, and opportunities. HEC Forum, 24(1), 39-49. doi: 10.1007/s10730-012-9177-x
  • Heng TJT, Shorey S. (2023). Experiences of moral distress in nursing students–A qualitative systematic review. Nurse Education Today, 129(105912), 1-10. doi: 10.1016/j.nedt.2023.105912
  • Hines SE, Chin KH, Glick DR, Wickwire EM. (2021). Trends in moral injury, distress, and resilience factors among healthcare workers at the beginning of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(2), 488. doi:10.3390/ijerph18020488
  • Hwu LJ, Pai HC. (2024). The moral distress, protective factors, and resilience: The role of ethical decision-making competence among student nurses. Advances in Health Sciences Education, 30(4), 1217-1230. doi:10.1007/s10459-024-10399-z
  • Jameton A. (1984). Nursing practice: The ethical issues. Englewood Cliffs, NJ: Prentice Hall.
  • Jameton A. (2017). What moral distress in nursing history could suggest about the future of health care. AMA Journal of Ethics, 19(6), 617-628.
  • Karaca A, Yıldırım N, Ankaralı H, Açıkgöz F, Akkuş D. (2017). Hemşirelik öğrencilerinin algılanan klinik stres düzeyi, stres cevapları ve baş etme davranışları. Psikiyatri Hemşireleri Dergisi, 8(1), 32–39. doi: 10.14744/phd.2017.22590
  • Kovancı MS, Özbaş AA. (2022). Hemşirelik öğrencileri için Moral Distres Ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 9(2), 123-132. doi:10.31125/hunhemsire.1166957
  • McCarthy J, Gastmans C. (2015). Moral distress: A review of the argument-based nursing ethics literature. Nursing Ethics, 22(1), 131-152. doi:10.1177/0969733014557139
  • O’Connell CB. (2015). Gender and the experience of moral distress in critical care nurses. Nursing Ethics, 22(1), 32-42. doi:10.1177/096973301351321
  • Oh Y, Gastmans C. (2015). Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics, 22(1), 15-31. doi:10.1177/0969733013502803
  • Ozsaban A, Turan N, Kaya H. (2019). Resilience in nursing students: The effect of academic stress and social support. Clinical and Experimental Health Sciences, 9, 69–76.
  • Paidipati CP, Lozano AJ, West J, Huang L, Hanlon AL, Ulrich CM. (2023). Understanding the mediated relationship between moral distress, depression, and suicide risk in undergraduate nursing students. Nursing Outlook, 71(3), 1-13. doi:10.1016/j.outlook.2023.101966
  • Park MM, Park JW. (2016). Development of resilience scale for nurses. Journal of Korean Academy of Fundamentals of Nursing, 23(1), 32–41. doi: 10.7739/jkafn.2016.23.1.32
  • Park S, Choi M, Kim S. (2019). Validation of the resilience scale for nurses (RSN). Archives of Psychiatric Nursing, 33(4), 434–439. doi:10.1016/j.apnu.2018.12.004
  • Powell SB, Engelke MK, Swanson MS. (2018). Moral distress among school nurses. The Journal of School Nursing, 34(5), 390-397. doi:10.1177/1059840517704965
  • Rushton CH, Thomas TA, Antonsdottir IM, Nelson KE, Boyce D, Vioral A, et al. (2022). Moral injury and moral resilience in health care workers during COVID- 19 pandemic. Journal of Palliative Medicine, 25(5), 712–719. doi:10.1089/jpm.2021.0076
  • Santos SSD, Godoy SD, Araújo AA, Montandon DS, Silva ÍR, Gastmans C, et al. (2024). Moral distress among undergraduate nursing students in clinical practice: A scoping review. Nursing Ethics, 32(5), 1418-1433.doi: 10.1177/09697330241287856
  • Sasso L, Bagnasco A, Bianchi M, Bressan V, Carnevale F. (2016). Moral distress in undergraduate nursing students: A systematic review. Nursing Ethics, 23(5), 523-534. doi:10.1177/09697330155749
  • Sezgin F. (2012). İlköğretim okulu öğretmenlerinin psikolojik dayanıklılık düzeylerinin incelenmesi. Kastamonu Eğitim Dergisi, 20(2), 489-502.
  • Shoorideh FA, Ashktorab T, Yaghmaei F, Alavi Majd H. (2015). Relationship between ICU nurses’ moral distress with burnout and anticipated turnover. Nursing Ethics, 22(1), 64-76. doi:10.1177/0969733014534874
  • Şenocak SÜ, Demirkıran F, Totan T. (2021). Turkish adaptation of the resilience scale for nurses: A validity and reliability study. Nurse Education Today, 107(105108), 1-6. doi:10.1016/j.nedt.2021.105108
  • Tabachnick BG, Fidell LS, Ullman JB. (2013). Using multivariate statistics. Boston, MA: Pearson.
  • Tarsuslu B, Günaydın N, Koç M. (2020). Relationship between educational stress and psychological resilience in nursing students. Journal of Human Sciences, 17(1), 79-91. doi:10.14687/jhs.v17i1.5796
  • Tusaie K, Dyer J. (2004). Resilience: A historical review of the construct. Holistic Nursing Practice, 18(1), 3-10.
  • Wallis L. (2015). Moral distress in nursing. AJN The American Journal of Nursing, 115(3), 19-20. doi:10.1097/01.NAJ.0000461804.96483.ba
  • Walsh P, Owen PA, Mustafa N, Beech R. (2020). Learning and teaching approaches promoting resilience in student nurses: An integrated review of the literature. Nurse Education in Practice, 45(102748), 1-9. doi:10.1016/j.nepr.2020.102748
  • Wu S, Sun F, Zhang W, Xie X, Cui B. (2022). Resilience among nurses in Taiwan. Journal of Nursing Management, 30(3), 450-459. doi:10.1111/jonm.13343
  • Yılmaz EB. (2022). Hemşirelerde ahlaki sıkıntıya karşı ahlaki sağlamlık: Tanımı, bileşenleri ve geliştirilmesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 5(1), 132-138. doi:10.38108/ouhcd.900195
  • Yiğitbaş Ç, Ağçay BÇ, Erdoğan Y, Taş Z, Özdemir DH, Gökçe TG, vd. (2018). Hemşirelik öğrencilerinde psikolojik dayanıklılık. Sağlık Akademisyenleri Dergisi, 5(3), 220-225.
  • Young PD, Rushton CH. (2017). A concept analysis of moral resilience. Nursing Outlook, 65(5), 579-587. doi:10.1016/j.outlook.2017.03.009
Toplam 57 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Gülay Taşdemir 0000-0002-8075-7155

Pınar Sevda Bozkurt 0000-0002-4280-4942

Halis Yılmaz 0000-0002-7454-2780

Azime Korkmaz 0009-0003-5752-1835

Gönderilme Tarihi 23 Aralık 2024
Kabul Tarihi 17 Nisan 2025
Yayımlanma Tarihi 26 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 3

Kaynak Göster

APA Taşdemir, G., Bozkurt, P. S., Yılmaz, H., Korkmaz, A. (2025). Hemşirelik Öğrencilerinin Moral Distres ile Psikolojik Dayanıklılık Düzeyleri Arasındaki İlişki. Hemşirelik Bilimi Dergisi, 8(3), 324-338. https://doi.org/10.54189/hbd.1605561