Scoping Review of Factors Influencing Moral Toughness in Emergency Nurses

Emergency nurses frequently encounter significant ethical challenges, necessitating high levels of moral resilience.This scoping review aimed to identify factors influencing the moral resilience of emergency nurses, thereby informing future interventions to strengthen their resilience.Guided by the JBI scoping review framework, a systematic search was conducted in Chinese and English databases from inception to April 2025. Studies meeting predefined inclusion criteria were screened, extracted, and analyzed for key findings relevant to moral resilience.Twelve studies met the inclusion criteria. Key influencing factors of emergency nurses moral resilience include demographic variables (age, gender, work experience, income), as well as psychological elements such as job burnout and spiritual intelligence.The moral resilience of emergency nurses is influenced by various factors, yet there's a shortage of systematic approaches to nurture it. More extensive research is essential to understand the dynamics of moral resilience in Chinese emergency nursing, map causal links, and create focused interventions. This is key to enhancing resilience, job contentment, staff retention, and the overall quality and consistency of emergency nursing care.