{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:45Z","timestamp":1792787685575,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Foundation of the Department of Science and Technology of Henan Province","award":["262102320333"],"award-info":[{"award-number":["262102320333"]}]},{"name":"Henan Provincial Soft Science Project","award":["262400410559"],"award-info":[{"award-number":["262400410559"]}]},{"name":"Henan Provincial International Science and Technology Cooperation Project","award":["252102520025"],"award-info":[{"award-number":["252102520025"]}],"id":[{"id":"https:\/\/ror.org\/00bsdxt65","id-type":"ROR","asserted-by":"crossref"}]},{"name":"General Program of Humanities and Social Sciences Research in Colleges and Universities of Henan Province","award":["2025-ZZJH-279"],"award-info":[{"award-number":["2025-ZZJH-279"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"abstract":"<jats:p>Resilience is an established concept in family-caregiver research, where it is used to describe how caregivers maintain functioning and adapt to sustained adversity. In long-term family care for older adults with disabilities, however, resilience is ethically ambiguous. Continued care may reflect adaptive capacity, relational commitment and caregiving competence, but it may also be shaped by dependency, moral obligation, cultural expectations and limited alternatives. This article critically examines the ethical implications of caregiver resilience and develops the concept of constrained endurance to rethink resilience in long-term family caregiving. The article advances an ethical critique of resilience discourse by showing how resilience, when uncritically celebrated, may psychologise caregiver distress, individualise structural problems and attach moral value to endurance. Fatigue, ambivalence, complaint and the wish for relief may then be interpreted as signs of inadequate coping, insufficient responsibility or failure of care, rather than as signals that care arrangements have exceeded what can be sustainably borne. Rethinking resilience through the concept of constrained endurance shifts the ethical focus from asking how caregivers can endure more to examining the conditions under which continued caregiving becomes necessary, costly or unsustainable. For nursing ethics, resilience should function not as a moral standard but as an ethical signal: a prompt to recognise caregivers\u2019 limits, acknowledge ambivalence, make hidden costs visible and develop forms of support that make care sustainable rather than merely endurable.<\/jats:p>","DOI":"10.1177\/09697330261490920","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T11:49:21Z","timestamp":1791719361000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Constrained endurance in long-term family caregiving: Rethinking resilience through nursing ethics"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1810-1099","authenticated-orcid":false,"given":"Haiyan","family":"Zhang","sequence":"first","affiliation":[{"name":"Henan Medical University"},{"name":"Department of Cancer Hospital, The First Affiliated Hospital of Henan Medical University, Xinxiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Huang","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huijuan","family":"Qin","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meichan","family":"Chong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiru","family":"Fan","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cui","family":"Liu","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junjun","family":"Sun","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingyi","family":"Shao","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Li","sequence":"additional","affiliation":[{"name":"Henan Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjin","family":"Gu","sequence":"additional","affiliation":[{"name":"School of Nursing, Zhengzhou University, Zhengzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Wang","sequence":"additional","affiliation":[{"name":"Henan Medical University"},{"name":"Department of Cancer Hospital, The First Affiliated Hospital of Henan Medical University, Xinxiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119893977"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13374"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2023.06.006"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/17423953231174928"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s44159-023-00233-5"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2021.1942642"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1745691619855637"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317519862095"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1647-9"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231205130"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781003373346"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780190619268.001.0001"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16272"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2020.101882"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00966-3"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330251324294"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267658"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/nup.70027"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11158-023-09580-9"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-024-10052-2"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03996-9"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01789-0"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04549-y"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14040253"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1474746424000368"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1108\/QAOA-08-2023-0060"},{"key":"e_1_3_5_28_2","volume-title":"OECD health working papers","author":"Rocard E","year":"2022","unstructured":"Rocard E, Llena-Nozal A. Supporting informal carers of older people: policies to leave no carer behind. In: OECD health working papers. OECD Publishing, 2022."},{"key":"e_1_3_5_29_2","volume-title":"Long-term care financing: lessons for low-and middle-income settings: brief 10: supporting informal long-term caregivers","author":"World Health Organization","year":"2024","unstructured":"World Health Organization. Long-term care financing: lessons for low-and middle-income settings: brief 10: supporting informal long-term caregivers. World Health Organization, 2024."},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/isagsq\/ksad030"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00279-6"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12101002"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-022-00819-3"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-02787-0"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab266"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/1744987117751458"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/2752535X231159721"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igad104.1218"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-011123-024224"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02293-1"}],"container-title":["Nursing Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330261490920","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09697330261490920","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330261490920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:22:17Z","timestamp":1791976937000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09697330261490920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":39,"alternative-id":["10.1177\/09697330261490920"],"URL":"https:\/\/doi.org\/10.1177\/09697330261490920","relation":{},"ISSN":["0969-7330","1477-0989"],"issn-type":[{"value":"0969-7330","type":"print"},{"value":"1477-0989","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"article-number":"09697330261490920"}}