Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS)
Abstract Background Nurses frequently encounter complex ethical dilemmas and high-stress environments. Moral resilience, characterized by the ability to navigate these challenges with confidence and integrity, is essential for optimal patient care and personal well-being. Aim This study aimed to cul...
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BMC
2025-04-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-03049-1 |
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| author | Amir Jalali Behrouz Soltany Azam Sharifi Amirhossein Naghibzadeh Mohammad Karami Mohammad Moein Mohammadi Khalil Moradi |
| author_facet | Amir Jalali Behrouz Soltany Azam Sharifi Amirhossein Naghibzadeh Mohammad Karami Mohammad Moein Mohammadi Khalil Moradi |
| author_sort | Amir Jalali |
| collection | DOAJ |
| description | Abstract Background Nurses frequently encounter complex ethical dilemmas and high-stress environments. Moral resilience, characterized by the ability to navigate these challenges with confidence and integrity, is essential for optimal patient care and personal well-being. Aim This study aimed to culturally adapt and validate the Persian version of the Rushton Moral Resilience Scale (RMRS) among Iranian nurses. Method This methodological study employed a convenience sample of 659 nurses working in clinical wards of public and private hospitals in Kermanshah City, Iran. The RMRS was translated into Persian using the forward-backward translation method proposed by Polit and Yang. To assess the psychometric properties of the Persian RMRS, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted. Results Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) supported the factor structure of the Persian RMRS, identifying four factors comprising 15 items, which accounted for 50.98% of the total variance. The CFA model exhibited good fit indices: χ²/df = 2.35, RMSEA = 0.061, NNFI/TLI = 0.91, CFI = 0.94, GFI = 0.94, and SRMR = 0.049. The scale demonstrated satisfactory internal consistency, with a Macdonald Omega coefficient of 0.728 and an Intraclass Correlation Coefficient (ICC) of 0.715 (95% CI: 0.677–0.749). Conclusion The present study successfully adapted and validated the Persian version of the Rushton Moral Resilience Scale (RMRS) for Iranian nurses. The scale demonstrated sound psychometric properties, including acceptable reliability and validity. These findings suggest that the Persian RMRS can be a valuable tool for researchers and healthcare professionals to assess moral resilience among Iranian nurses, enabling a deeper understanding of this construct and its implications for patient care and well-being. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-d754d4fa98164d4d89a9d391a6f58926 |
| institution | DOAJ |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-d754d4fa98164d4d89a9d391a6f589262025-08-20T03:05:00ZengBMCBMC Nursing1472-69552025-04-0124111010.1186/s12912-025-03049-1Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS)Amir Jalali0Behrouz Soltany1Azam Sharifi2Amirhossein Naghibzadeh3Mohammad Karami4Mohammad Moein Mohammadi5Khalil Moradi6Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical SciencesDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical SciencesDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical SciencesStudent Research Committee, Kermanshah University of Medical SciencesDepartment of Islamic Studies, Kermanshah University of Medical SciencesStudent Research Committee, Kermanshah University of Medical SciencesDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery Kermanshah, University of Medical SciencesAbstract Background Nurses frequently encounter complex ethical dilemmas and high-stress environments. Moral resilience, characterized by the ability to navigate these challenges with confidence and integrity, is essential for optimal patient care and personal well-being. Aim This study aimed to culturally adapt and validate the Persian version of the Rushton Moral Resilience Scale (RMRS) among Iranian nurses. Method This methodological study employed a convenience sample of 659 nurses working in clinical wards of public and private hospitals in Kermanshah City, Iran. The RMRS was translated into Persian using the forward-backward translation method proposed by Polit and Yang. To assess the psychometric properties of the Persian RMRS, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability were conducted. Results Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) supported the factor structure of the Persian RMRS, identifying four factors comprising 15 items, which accounted for 50.98% of the total variance. The CFA model exhibited good fit indices: χ²/df = 2.35, RMSEA = 0.061, NNFI/TLI = 0.91, CFI = 0.94, GFI = 0.94, and SRMR = 0.049. The scale demonstrated satisfactory internal consistency, with a Macdonald Omega coefficient of 0.728 and an Intraclass Correlation Coefficient (ICC) of 0.715 (95% CI: 0.677–0.749). Conclusion The present study successfully adapted and validated the Persian version of the Rushton Moral Resilience Scale (RMRS) for Iranian nurses. The scale demonstrated sound psychometric properties, including acceptable reliability and validity. These findings suggest that the Persian RMRS can be a valuable tool for researchers and healthcare professionals to assess moral resilience among Iranian nurses, enabling a deeper understanding of this construct and its implications for patient care and well-being. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03049-1NursesMoral resiliencePsychometricsValidityReliability |
| spellingShingle | Amir Jalali Behrouz Soltany Azam Sharifi Amirhossein Naghibzadeh Mohammad Karami Mohammad Moein Mohammadi Khalil Moradi Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) BMC Nursing Nurses Moral resilience Psychometrics Validity Reliability |
| title | Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) |
| title_full | Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) |
| title_fullStr | Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) |
| title_full_unstemmed | Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) |
| title_short | Cultural adaptation and psychometric evaluation of the Persian version of the Rushton Moral Resilience Scale (RMRS) |
| title_sort | cultural adaptation and psychometric evaluation of the persian version of the rushton moral resilience scale rmrs |
| topic | Nurses Moral resilience Psychometrics Validity Reliability |
| url | https://doi.org/10.1186/s12912-025-03049-1 |
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