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Nurs Educ Perspect. 2020 Jan/Feb;41(1):43-45. doi: 10.1097/01.NEP.0000000000000471.

Examining Relationships Between Resilience Protective Factors and Moral Distress Among Nursing Students.

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About the Authors Lorretta Krautscheid, PhD, RN, CNE, is an associate professor, University of Portland School of Nursing, Portland, Oregon. Laura Mood, PhD, RN, is an assistant professor, University of Portland School of Nursing. Susan M. McLennon, PhD, ANP-BC, is an associate professor, University of Tennessee, Knoxville, Tennessee. Taylor C. Mossman, BSN, RN, is a registered nurse, Providence St. Vincent Medical Center, Portland, Oregon. Marie Wagner, BSN, RN, is a registered nurse, Providence Portland Medical Center, Portland, Oregon. Jessica Wode, MA, is housing coordinator, University of Portland, Portland, Oregon. For more information, contact Dr. Krautscheid at


A correlation pilot study was conducted to examine relationships between resilience protective factors and moral distress associated with clinical practica in nursing students. Aggregate moral distress rating was x = 3.67. Two of four resilience protective factor subcategories demonstrated significant inverse correlations 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). The findings should help educators prioritize resilience-enhancing educational strategies.

[Indexed for MEDLINE]

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