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Aim: The purpose of this study was to identify relationships between resilience protective factors (RPFs) and moral distress among baccalaureate nursing students.

Background: Students report moral distress associated with clinical practicum experiences. Enhancing resilience may minimize moral distress and associated consequences.

Method: Correlation, pilot study. Two previously tested instruments were used to measure moral distress (Moral Distress Thermometer) and RPFs (Scale of Protective Factors).

Results: Aggregate mean more distress rating was 3.67. Two of four RPF subcategories demonstrated a significant inverse correlation with moral distress rating. Inverse correlations were found between social support and moral distress (r = -.27, p < .05), and between goal efficacy and moral distress (r = -.37, p < .01). Total resilience scores also demonstrated a weak inverse correlation with moral distress (r = -.24, p < .05).

Conclusions: Findings help educators prioritize resilience enhancing educational strategies.


Humans--Psychology; Psychology--Research--Moral and ethical aspects; Stress (Psychology); Nursing students--Psychology; Nursing

Publication Information

Archived version is the post-print.

This is a non-final version of an article published in final form in "Krautscheid, Lorretta, et al. “Examining Relationships between Resilience Protective Factors and Moral Distress among Student Nurses.” Nursing Education Perspectives, vol. 43(1), 2019, 4345. doi:10.1097/01.NEP.0000000000000471."

Final published version available at 10.1097/01.NEP.0000000000000471.





Document Type

Journal Article

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Nursing Commons