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Latent profile analysis of humanistic practice competence, moral distress, and moral resilience of psychiatric nurses and their relationship with turnover intention
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Jiehui YANG1, 2, Rong ZHANG1, 2, Yunling ZHONG1, Ya'na WANG1, Shengyu LIU1
Chinese Nursing Research | 2026, 40(2) : 177 - 184
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Chinese Nursing Research | 2026, 40(2): 177-184
• Original Articles •
Latent profile analysis of humanistic practice competence, moral distress, and moral resilience of psychiatric nurses and their relationship with turnover intention
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Jiehui YANG1, 2, Rong ZHANG1, 2, Yunling ZHONG1, Ya'na WANG1, Shengyu LIU1
Affiliations
  • 1School of Nursing, Guangdong Pharmaceutical University, Guangdong 510310 China
  • 2Guangdong Second Rongjun Youfu Hospital
Published: 2026-01-25 doi: 10.12102/j.issn.1009-6493.2026.02.001
Outline
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Objective

To explore the categories based on humanistic practice competence,moral distress,and moral resilience of psychiatric nurses,and to analyze the relationship between different categories and turnover intention.

Methods

A total of 370 psychiatric nurses from one psychiatric specialty hospital and three second grade A and above general hospitals in Guangdong Province were selected as the study subjects spanned from January 20,2025 to February 18,2025.A general information questionnaire,the Nurse Humanistic Practice Competence Scale,the Moral Distress Scale for psychiatric nurses,the Chinese version of Rushton Moral Resilience Scale,and Intent to Quit Scale were used for the survey.Mplus 8.3 was used for latent profile analysis to explore the different categories based on humanistic practice competence,moral distress,and moral resilience of psychiatric nurses.Regression analysis was used to explore the differences in turnover intention among nurses in different categories.

Results

Psychiatric nurses could be divided into three categories based on their humanistic practice competence,moral distress,and moral resilience.The high competence-low distress group accounted for 67.57%.The balanced group accounted for 21.89%.The low competence-high distress group accounted for 10.54%.There were statistically significant differences in terms of turnover intention scores among psychiatric nurses in different categories (F=14.587,P<0.01).The results of the regression analysis showed that the turnover intention of psychiatric nurses in the balanced group and the low competence-high distress group were higher (P<0.05).

Conclusions

Psychiatric nurses can be divided into three categories based on their humanistic practice competence,moral distress,and moral resilience.The turnover intention of psychiatric nurses in the low competence-high distress group and the balanced group are higher.Managers should pay more attention to these groups and develop targeted strategies to reduce the turnover rate of psychiatric nurses.

psychiatric nurses  /  humanistic practice competence  /  moral distress  /  moral resilience  /  turnover intention  /  latent profile analysis
杨洁惠, 张容, 钟运铃, 王亚娜, 刘声语. 精神科护士人文执业能力、道德困境、道德复原力的潜在剖面分析及与离职意愿的关系. 护理研究, 2026 , 40 (2) : 177 -184 . DOI: 10.12102/j.issn.1009-6493.2026.02.001
Jiehui YANG, Rong ZHANG, Yunling ZHONG, Ya'na WANG, Shengyu LIU. Latent profile analysis of humanistic practice competence, moral distress, and moral resilience of psychiatric nurses and their relationship with turnover intention[J]. Chinese Nursing Research, 2026 , 40 (2) : 177 -184 . DOI: 10.12102/j.issn.1009-6493.2026.02.001
Year 2026 volume 40 Issue 2
50
17
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.02.001
  • Receive Date:2025-02-26
  • Online Date:2026-10-28
  • Published:2026-01-25
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History
  • Received:2025-02-26
  • Revised:2025-12-24
Affiliations
    1School of Nursing, Guangdong Pharmaceutical University, Guangdong 510310 China
    2Guangdong Second Rongjun Youfu Hospital

Corresponding:

ZHANG Rong, E-mail:
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表12种不同金属材料的力学参数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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