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Related Concept Videos

Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Nursing Code of Ethics01:29

Nursing Code of Ethics

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The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
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Nursing Ethical Principles I01:22

Nursing Ethical Principles I

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Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
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Related Experiment Video

Updated: Mar 7, 2026

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
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Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement

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Narrative therapy group intervention for nurses' moral resilience: A feasibility study.

Qiufeng Huang1,2, Shiyi Li1, Chengfeng Lin2

  • 1School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.

Nursing Ethics
|March 6, 2026
PubMed
Summary

Nurses experiencing moral distress can build moral resilience through a new narrative therapy group intervention. This pilot study found the Nurse-MRNT program feasible and acceptable, showing promising trends for nurse well-being.

Keywords:
group narrative therapyintervention developmentmoral distressmoral resiliencenarrative therapy

Related Experiment Videos

Last Updated: Mar 7, 2026

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
12:22

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement

Published on: July 1, 2015

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Area of Science:

  • Nursing
  • Psychotherapy
  • Healthcare Ethics

Background:

  • Ethically complex care situations frequently cause moral distress in nurses, negatively impacting their well-being and the quality of patient care.
  • While moral resilience is a potential solution, evidence for effective interventions remains limited.
  • Narrative therapy, which facilitates meaning-making and identity reconstruction, may enhance nurses' moral agency and integrity.

Purpose of the Study:

  • To develop and refine a group intervention based on narrative therapy aimed at improving nurses' moral resilience.
  • To assess the feasibility and acceptability of this intervention through a pilot study.
  • To explore potential outcome trends related to nurse well-being and moral distress.

Main Methods:

  • An initial intervention program was developed from a literature review and refined using the Delphi method with 11 experts from China.
  • A pilot study was conducted with 5 clinical nurses to evaluate feasibility and acceptability.
  • Outcome assessments (mental health, burnout, moral distress, moral resilience) were performed at baseline, post-intervention, and one month later.

Main Results:

  • The finalized intervention, Nurse-MRNT (Moral Resilience Narrative Therapy for Nurses), consists of four modules.
  • Pilot data indicated short-term improvements in mental health, reduced burnout, and decreased moral distress.
  • Moral resilience scores increased post-intervention, though not statistically significant across all time points in this small sample.

Conclusions:

  • The Nurse-MRNT intervention was rigorously developed and demonstrated good feasibility and acceptability in the pilot study.
  • The intervention shows potential for enhancing nurses' moral resilience and well-being.
  • Further research with larger, controlled studies is necessary to confirm the effectiveness and sustainability of the Nurse-MRNT program.