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Building moral resilience to neutralize moral distress

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By: Cynda Hylton Rushton PhD, RN, FAAN

Moral distress occurs when one recognizes one’s moral responsibility in a situation; evaluates the various courses of action; and identifies, in accordance with one’s beliefs, the morally correct decision—but is then prevented from following through.

The literature is replete with the mounting evidence of the incidence and sources of moral distress.It’s a growing problem that not only contributes to burnout, fractured inter-professional relationships, and shortages of healthcare workers, but also undermines the safety and quality of care. Despite the widespread scholarship and dialogue about moral distress, few interventions have been effective in mitigating its negative impact. What has been missing is a way forward that acknowledges the reality of moral distress and points to effective ways to build moral resilience.

Moral resilience

As nurses, our primary focus is on the people we serve. When ethical challenges arise in clinical care, we need to be morally resilient to respond in ways that minimize our distress and preserve our integrity. Moral resilience is the capacity of a person to sustain, restore or deepen their integrity in response to moral complexity, confusion, distress, or setbacks. It’s founded on our self-knowledge of and commitment to our values and intentions.

Moral resilience requires us to conscientiously examine our views. Fundamentally, moral resilience arises from a self-regulated, balanced mind and heart, an open, curious, nonreactive mindset, clear values, and principled action. If we are morally resilient, we are resolute in our moral actions despite fear and realistic about our own limitations; we seek meaning in situations that threaten our moral sensitivity and reasoning. Likewise, we are able to discern the appropriate levels of moral responsibility in morally complex, ambiguous, or conflict-laden situations.

Strategies to Cultivate Moral Resilience

As nurses, we can adopt strategies that help us cultivate our individual moral resilience, and advocate for systems strategies that create a culture of ethical practice. We can take steps to address moral distress in ethically difficult situations. Based on previous work, here are some ideas that can enrich and leverage heart, mind, and spirit. These individual strategies, in tandem with systems-focused interventions to foster a culture of ethical practice, are essential to preserve or restore nurse’s integrity.

Foster self-awareness

Explore your thoughts and feelings that accompany moral distress, and be willing to acknowledge that they may be biased, incorrect, or congruent with your values. Become curious about the conscious or unconscious assumptions (positive and negative) that may be guiding your actions. Repeatedly inquire to determine if they are true or relevant in the current situation or if they may involve projections from prior experiences. By being self-honest and transparent, we can expand our ability to respond to morally distressing situations with clarity, confidence, and diminished personal cost.

Develop self-regulation capacities

Cultivate your ability to make and uphold your moral commitments despite fear or uncertainty. Self-regulation includes the capacity to mindfully notice and respond to signals from the body, emotions, and thought patterns to restore balance when upsets or ethical challenges occur. When our nervous system becomes imbalanced or reactive, we can become judgmental, narrow-minded, or experience self-doubt. When fear arises, courage is needed to name, notice, and potentially release the source of our fears. Building a self-regulation “muscle” is a foundation for principled choice and ethically grounded action. When we focus on our core values, we can practice mindfulness and active engagement in ways that allow us to embody stability and clarity in challenging circumstances and to reflect our values in our choices, behavior, and character. Methods such as mindfulness based stress reduction (MBSR), meditation, and movement practices such as yoga and tai chi are effective and accessible.

Develop ethical competence

Live the values you hold and align your inner character with your outward behaviors. Cultivating your ability to perceive ethical issues in complex cases can help you explore ethical values and principles and exert robust moral agency. Ethical competence encompasses skills in moral reasoning, habits and patterns of behavior that reflect our character, ongoing reflection, and principled, responsible action. When we attain new levels of ethical competence as nurses, we can achieve a new openness to the values, motivations, hopes, and fears of others.

Speak up with clarity and confidence

Find your voice of wisdom and clarity. Go beyond the protests of “why are we doing this” to state your concerns in inter-professional encounters using a clear, compelling, and ethically robust vocabulary. Courage, the ability to befriend your fears when confronted with a situation that requires you to act to preserve integrity, is often needed. Self-regulatory skills and self-awareness can be essential to differentiate your suffering from the patient’s and to clearly articulate the nature of the ethical conflict or concern.

Identify situations where you are able to act with integrity and when you must excuse yourself on grounds of conscience. Begin to notice when you are acting in ways that are aligned with your character and conscience. These patterns can be useful when confusion or uncertainty arise to help re-orient us toward integrity preserving action and inform how we communicate our concerns. Within our practice settings, we have access to relationships, systems, and structures that we can—and should—leverage for guidance and support.

Find meaning in the midst of despair

When confronted with seemingly senseless situations, meaning can be an antidote to despair. If the source of your moral distress is unmovable, stabilize your emotions to neutralize reactivity. Articulate your regrets and unmet expectations by journaling, debriefings, or reflections. Release, to the extent possible, the moral residue and re-calibrate to a “new normal” that restores your mind and heart to wholeness and makes space for the moral disappointment, sense of moral failure, or moral harm that was produced.

Create a potent antidote to powerlessness and despair by reconnecting with your core values and intentions. For all of us, reaffirming the values and purpose that originally drew us to the nursing profession can sustain us in the midst of ethical conundrums. Similarly, the practice of connecting to what we are grateful for—in ourselves, our patients, our colleagues, and our profession—is a powerful antidote to despair.

Engage with others

You are not alone. People with moral resilience leverage connections to themselves and others to support their integrity and well-being. Strong social connections can act as a safety net when you struggle to address ethical complexities and the isolation that often accompany moral distress. Become part of a moral community by talking one-on-one with colleagues or trusted advisors, connecting with family and friends, or reaching out to leaders within your institutions or professional organizations. Within our practice environment, we should look to and seek support from team activities such as facilitated inter-professional discussions or ethics consultation.

Participate in transformational learning

Seize the opportunity to learn from moral crises and the situations that produce moral distress. Confront your limitations, re-examine your positions and realign them with your moral core. We can change our behavior and practice by participating in professional activities including routine case reviews, root cause analysis of morally distressing cases, and ongoing quality improvement.

Contribute to a culture of ethical practice

The American Nurses Association Code of Ethics tells us that we are responsible for creating and sustaining a culture of ethical practice. As nurses, we can actively contribute to and leverage interprofessional efforts to design structures that bolster resilience. We can, for instance, find useful and tested tools in the work of the Center for Ethics in the Veteran’s Administration and by other ethics initiatives. And we can benefit from ongoing research into the nature of resilience for starting points in developing a culture of ethical practice, such as the work of Zolli, who suggests the alignment of “beliefs, values and habits of mind; trust and cooperation; cognitive diversity; strong communities, translational leadership and adaptive governance.”

Commitment to moral resilience

Moral resilience is an evolving concept in response to moral distress. Like physical exercise, moral resilience requires dedication, discipline, and compassion toward our limitations and inevitable setbacks. Creating a regular time and commitment to cultivate the elements of moral resilience and engaging resources to resist distractions and flagging will, are essential for robust moral resilience. As an ongoing practice, nurses will have regular opportunities to return to three core questions.

  • Who am I being in this moment?
  • How do I want to be known?
  • Am I choosing to act or not act in a way that I can live with?

These questions ground our intentions, character, choices, and behaviors to reduce the exhaustion that arises when we are out of alignment with our values and obligations. Regularly committing to specific actions to support your moral resilience upholds the 5th Provision of the ANA Code of Ethics: “The nurse owes the same duties to self as to others, including the responsibility to…preserve wholeness of character and integrity.” Being morally resilient is not optional; enact your moral resilience plan toda

The author would like to acknowledge Judy Douglas and Peter Young for editorial assistance and to note that this article is based on Rushton C. Moral resilience: a capacity for navigating moral distress in critical care. AACN Advanced Critical Care. 2015;27(1):111-9.

Cynda Hylton Rushton is the Anne and George L. Bunting Professor of Clinical Ethics and a professor of nursing and pediatrics at Johns Hopkins University, School of Nursing & Berman Institute of Bioethics, Baltimore, Maryland.

Selected references

American Nurses Association. Code of ethics for nurses with interpretive statements.

Foglia M, Pearlman R, Bottrell M, et al. Ethical challenges within Veterans Administration healthcare facilities: perspectives of managers, clinicians, patients, and ethics committee chairpersons. Am J Bioethics. 2009;9(4):28-36.

Helft PR, Bledsoe PD, Hancock M, et al. Facilitated ethics conversations: a novel program for managing moral distress in bedside nursing staff. JONA’S Healthc Law Ethics Regul. 2009;11(1):27-33.

Nelson HL. Damaged Identities, Narrative Repair. Ithaca, NY: Cornell University Press; 2001.

Oh Y, Gastmans C. Moral distress experienced by nurses: a quantitative literature review. Nurs Ethics. 2015;22(1):15-31.

Rushton C. Moral resilience: a capacity for navigating moral distress in critical care. AACN Adv Crit Care. 2015;27(1):111-9.

Rushton CH, Caldwell M, Kurtz M. Moral distress: empowering nurses to restore integrity. Am J Nurs. In press.

Rushton CH, Kaszniak AW, Halifax JS. A framework for understanding moral distress among palliative care clinicians. J Palliat Med. 2013;16(9):1074-9.

University of Kentucky, College of Medicine. The Moral Distress Project.

Varcoe C, Pauly B, Webter G. Moral distress: tensions as springboards for action. HEC Forum. 2012;24(1):51-62.

Zolli A, Healy A. Resilience: Why Things Bounce Back. New York: Free Press; 2012:15.

408 Comments.

  • mtarbox@mtmercy.edu
    May 16, 2023 8:14 pm

    This inofrmation if very helpful for nurses at all stages of their professional development. Mary

  • great

  • Very interesting article!

  • Catherine Burke
    May 11, 2023 1:36 pm

    Very good article, with good information

  • Toniko Harris
    May 9, 2023 6:49 pm

    Good reading

  • Toniko Harris
    May 9, 2023 6:48 pm

    Very good article

  • Toniko Harris
    May 9, 2023 6:47 pm

    This is an great article

  • Overall great infomation

  • Great information and review

  • Very useful Information

  • Laura Castano
    April 17, 2023 8:24 pm

    very interesting so happy i read this!

  • great article, nurses take great care of others and not themselves. Nice resources for us to focus on self care.

  • Bianca Turchiano
    April 6, 2023 5:10 pm

    This was a great article to read, its important for nurses to understand why becoming a nurse is such an important job. Building moral resilience is not just an individual thing its a group effort with your nursing care team.

  • Dana Lawrence
    April 4, 2023 11:28 am

    Great reminder that we must take care of ourselves in order to take care of others.

  • Ian Longenecker
    March 29, 2023 7:07 pm

    I really enjoyed hearing about various self-care strategies. Then in the article I could related to feeling powerlessness in the workplace. Especially with the nursing shortage.

  • Sheila Nakamasu
    March 29, 2023 6:16 pm

    Awesome!

  • Sheila Nakamasu
    March 29, 2023 6:15 pm

    Great article, thank you!

  • As a newer nurse, I have heard stories from other nurses about their personal experiences and ways that they have helped battle fatigue. It is important to maintain a team mindset and to help each other. Personally, one of the nurses I used to work would have little group “therapy/decompression” sessions during an afternoon break. She would lead us in breathing exercises and mindfulness exercises to help us to recenter and refocus. She now has her own yoga/mindfulness studio and I visit there at least one time a month to help with my own mental health and to help relieve stress from work.

  • Jenny Raymond
    March 13, 2023 3:17 pm

    great article

  • Very Informative!

  • This is a great reminder to take care of ourselves while helping others.

  • Great article we need to talk about more.

  • Great information on self regulation

  • Moral resilience needs to be discussed more everyday.

  • Great article about our wonderful profession

    • American Nurse
      February 2, 2023 9:53 am

      Thank you for your lovely comment!

    • I will be more mindful of my needs as well as my patients, so that I can be at my best in order to provide the best care possible for my patients.

  • Great information. This article just reiterates what I already know to be true. I just have to put these strategies into action more often than I do. Thanks again for posting.

  • Great article to help review how to be more resilent

  • I am grateful for this educational program. I feel I have become the poster child for Moral distress. Thank you for the summation of who I am as a nurse and ways to move forward and continue to be the best nurse I can be.

  • Jill Komosinski
    December 14, 2022 1:11 pm

    Great information, fostering strong connections in the workplace can only help to ensure a great work environment and also help with positive patient outcomes. When co-workers look out for each other they help patients stay safe and better ensure that errors not be made in the workplace.

  • Self care leads to better patent care.

  • sherrill Dunning-RIley
    December 6, 2022 1:40 pm

    to me it’s been important to be part of the committee on our unit that focuses on problems we are having and instituting “small tests of change” to deal with those. The solutions come from the staff actually doing the work, so we feel listened to and able to participate in the outcomes.

  • SHerrill DUnning_riley
    December 6, 2022 1:35 pm

    The speaker talked about having a life outside of work. So important. She learned to dance. Others learn gourmet cooking. I do animal rescue and volunteer at the local shelter. Those things give us a different focus and MAYBE also keep us from saying “yes” every single time we are asked to stay over, come in early. or pick up an extra shift. Important to realize that the work of the unit goes on even if it’s your day off or you’re staying home because you are ill. I feel more ready to hit the challenges when I come back after a few days off.

  • It is important to create an environment that is safe and open for disagreements at the workplace. Otherwise, it is not an environment that is focused on growth but an environment focused on control.

  • This is a great article for all nurses to read.

  • Thanks !!

  • I found this information to be very useful to me personally

  • Robert Galipeau
    November 8, 2022 12:34 pm

    Uncovers a lot of the discrepancy between the emotional and moral toll that the nurse must take on versus the different parties who have made the decisions. Resilience is the only way to survive such a position and seems to be rather harsh to continue this way in the healthcare system. I believe there is need for change in the structure of our healthcare systems and how things are done.

  • after reading this i got some points and how to care somenone very well its very useful to me

  • after reading i got some very useful ponits and how to care a person ,its very useful to me

  • good

  • great article.

  • Very enriching topic.Everything said here is very true. We need these everyday at work since there are always stressful, complex & frustrating situations.

  • Fantastic topic that I feel that we overlook at times. Just a few minutes every day in a huddle can make a difference.

  • Fantastic topic that I feel that we overlook at times.

  • I loved the topic. I’ve learned a lot on this topic. Thank you

  • Very helpful and informative topic. Thank you

  • We are lucky that we have a platform of building and sharing our best practices of taking care of each other and training us the culture of Resilient Leadership despite our differences. Thank you for this wonderful amazing instrumental information.

  • lauraneurauter@yahoo.com
    September 24, 2022 3:24 pm

    great article!

  • ukamaka Ohanuka
    September 21, 2022 5:31 am

    Good Article

  • Marlene H McLeod-Douse
    September 20, 2022 10:31 pm

    Excellent information

  • Enjoyed reading it

  • Insightful and informative

  • Well written

  • As a longtime nurse who stop practicing due to moral distress, this article will help in getting back my “why” and help motivate me to return to practice.

  • Great thinking and good information overall.

  • whitney caldwell
    August 22, 2022 11:05 pm

    Great article & provides something to think about

  • Good Article. I do believe we need to support each other. Now more than after post Covid 19.

  • thank you for the cllarity of the content. Much needed

  • Dana Luther
    July 31, 2022 1:08 pm

    We do need to remember why we became nurses. Make sure we support, respect, and take care of ourselves and coworkers

  • Much need article. Great resource during these unprecedented times.

  • Great article-very applicable.

  • Very Good article, being self aware is important as a nurse.

  • Good article, information that should be passed to co-workers.

  • Patricia Reed
    July 14, 2022 12:55 pm

    Good message to pass along within our nursing circle and to new and upcoming nurses.

  • Sitti Mardiya Sariol
    July 6, 2022 10:40 pm

    Thank you!

  • Patricia J Fahy
    June 20, 2022 1:29 pm

    Great!

  • Very detailed article, to foster self-awareness is so important.

  • Very informative article.

  • Sylvia Sackett
    June 2, 2022 11:21 pm

    Very informative article.

  • jean wilson
    June 1, 2022 9:47 pm

    excellent topic

  • Louis Peña
    May 31, 2022 1:38 pm

    Thank you

  • Glory Aquaowo
    May 26, 2022 11:02 pm

    Great articles for nurses

  • Excellent information.

  • Regina P Lederman
    May 10, 2022 5:38 pm

    timely course

  • Regina P Lederman
    May 10, 2022 5:37 pm

    Good course

  • Excellent article needed at this time of nursing with so much stress in the workplace.

  • Wanda Weinman
    May 8, 2022 6:21 pm

    Just saw this CE and thought I would share it with my co-workers

  • Thank you for information

  • This was a very useful article

  • Korey Ramsey
    April 8, 2022 1:20 pm

    A good reminder to take care of ourselves so we may continue to care for others>

  • Jill Schecher-Dobson
    April 7, 2022 8:42 pm

    After work, several RN’s would just talk about their stressful nights, especially the real sad ones & it was not only a source of decompression, but also a bonding experience within ourselves. Some nights after work in the parking lot we’d be crying & on a rare occasion we would be laughing. I think that 1/2 hour decompressing after work & the ability to show compassion for a nurse who had a particularly sad or stressful shift is so important in preventing burn out. We never felt alone & we took it upon ourselves to do that because we found benefits & comfort in doing so. I think that there should be a paid 1/2 post shift for nurses to decompress. That sense of support in knowing you are not alone is priceless & goes along way in the equation of preventing or at least diminishing burn out.

  • Charles Hughes
    January 29, 2022 8:14 pm

    Nice article, easy to follow; and great points brought up.

  • Great

  • Thank you for this article

  • Mona L Desselle
    December 27, 2021 8:03 pm

    the workplace should provide an in house place, meeting, group, and a variety of therapy
    like art therapy (writing, journaling, drawing, painting, hand made crafts OR just a mandatory meditation session daily., and better a gym and sauna…to quiet the mind, good nutrition stations. We need convenience when stressed. It’s not unrealistic or too much to ask for. What would happen without us? We need to know we are taken care of and help is right around the hallway per say.
    Some of us need this and some of us are just fine without it. All work and no play is no fun. Most of us go home to more work and therefore more need for resilience. A lot of people have no resources or knowledge on this matter. Many, have NO ONE to talk to or trust. There are ways to identify those with resilience problems and provide in house solutions because most of us don’t have time or willingness to go through trouble of visiting a doctors office or therapist .Providing in house physical and spiritual activities for employees is only common sense to me. The administrators have no idea what it’s like to be a staff nurse, therefore, they probably don’t realize the importance of workplace pleasure, fun, teamwork, laugh at our insecurities and speak up when we feel a need to, at appropriate times An in house support group may work. I am speaking from my
    own experience when I was a young nurse working 12 -16 hr shifts, kids at home, single mom, no family support, all work and no play. I just wanted to go home and crash much less drive to a gym or therapist office. I guess we need to become creative and trust trial and error to make the nurse more comfortable and at ease knowing support is around the corner, not on the other side of town. That’s my opinion

  • Kathy Reformina
    December 23, 2021 12:56 am

    Thank you, good information

  • Relevant and terrific

  • Excellent

  • Great reminder of its not just physical presence’ but emotional, moral and support for collegues

  • Great reading with great tactics. I will utilize some of these in my work place.

  • Brandi Asleson
    December 1, 2021 2:03 pm

    I like the self-awareness piece love this article. Building moral resilience may be team effort, but it definitely starts with internal changes.

  • Josephine Marshall
    November 10, 2021 10:45 pm

    great article.

  • Pamela Poulton
    October 26, 2021 2:42 pm

    Great article

  • Nice work to give nurses more tools to help work situations become less stressful!

  • great article

  • Good article

  • Great content!

  • AnnaMarie Breeden
    August 31, 2021 9:59 pm

    Great article. Informative.

  • Enjoyed this article. Very informative during these trying times

  • Resilency is important

  • Vicki L Poplin
    August 25, 2021 2:35 pm

    a very good article

  • Excellent article that helps us to remain in line with our morals and values especially in this difficult nursing situation that we have been forced into.

  • Great article.

  • Karen Pfavayi
    August 15, 2021 4:26 pm

    I am so thankful for this information. This is very helpful.

  • Marvette Tookes
    July 29, 2021 5:50 pm

    Great article! Thank you

  • Jason Bowman
    July 24, 2021 12:42 am

    Great article, Every nurse would benefit from this article.

  • Laurie Kleven Henke
    July 22, 2021 1:03 am

    Great article!! Every nurse should read about these topics!

  • thank you for this important information!

  • Functional AND fun teams make the job worth it

  • frances abad
    July 8, 2021 11:19 am

    good information to use

  • if you are in a job that always causes stress and you see that no changes are being made to change the situation, then its time to move on to another job.

  • Dawn L Scott
    June 25, 2021 5:02 am

    Very good article

  • This content needs to be updated with examples from the pandemic however provides an excellent foundation

  • Robin Jeter
    June 4, 2021 1:00 pm

    Good reminders of working to make sure nurses and staff have the support they need to solve and give care for patients. Creating a trusting work environment that give nurses the tools they need to make sound decisions for being the best they can be and advocate for their patients makes for well nurses and patients.

  • Very informative and well presented material.

  • Raquel Cariaga
    May 26, 2021 11:49 am

    Thanks!

  • Sandra Wells
    May 21, 2021 3:10 pm

    Happy healthy Nurse Happy Healthy patient!

  • Appreciating the importance of everyone’s role in making a difference in the climate is crucial to help change a negative vortex. Being able to appreciate the holistic being of our co-workers is important.

  • Informative information

  • Nancy J Graham
    April 29, 2021 6:58 pm

    Great read. Bottom line is that if we are not healthy ourselves as nurses we can’t provide the care that our patients deserve and are entitled to. i am person who finds comfort and relief in just going to the bathroom and saying a little prayer. If you know of someone on your unit who prays as well perhaps getting together with them will help get you through the day and daily issues on a unit. there are those who do not like to pray in public and that’s okay.

  • Joyce Mascelli
    April 26, 2021 12:29 am

    Very informative, helpful information

  • Great article with wonderful information and advice on how to increase resiliency in order to prevent burnout and decrease stress!

  • Yvette Olivier
    April 23, 2021 11:12 pm

    thank you.

  • Michelle brooks
    April 19, 2021 3:06 pm

    Very informative

  • great read – very informative

  • wow – so many good comments!

  • Excellent article! Our job is to take care of others, but we must remember to take care of ourselves first! Thank you!!

  • Viven F Monterde
    April 10, 2021 8:05 pm

    Great article!

  • Yvonne Davis
    April 4, 2021 4:00 pm

    Great

  • Deborah Luscombe
    April 4, 2021 1:39 am

    enjoyed

  • Loine Finlayson
    April 2, 2021 6:42 pm

    Thank you

  • Madison Thompson
    April 1, 2021 11:26 am

    Thanks!

  • Nicole Victoria Zumpf-Blazer
    March 31, 2021 2:47 pm

    As nurses I think we all struggle at learning to prioritize our self care. It is truly a goal for myself. Great article.

  • Great read, informative and affirrming. Sometimes in the hustle and bustle of caring for others we forget even the most fundamental of things like self-care.

  • melanie samson
    March 14, 2021 5:58 pm

    very informative

  • Jye-long Wei
    March 9, 2021 11:25 am

    great

  • Katherine White
    February 26, 2021 4:21 pm

    Having been in moral despair and come back around, this is just what I need to read before returning to nursing practice to help vaccinate.

  • AWESONE article, very appropriate during this time of the pandemic. As nurses, we pour our hearts and souls into taking care of our patients, ensuring everyone else is cared for and their needs are met. We forget to take care of ourself and to practice self care.

  • Patricia Blackburn
    February 24, 2021 9:03 am

    Very good article

  • Great content! Thank you!

  • Michelle Marie Russ
    February 14, 2021 11:47 am

    Communication in a team is key. When it breaks down, many adverse effects can occur ie. patient outcomes, hostile workplace environment, staff turnover.

  • great

  • Constance Wright
    February 10, 2021 12:10 pm

    So much great information!

  • This is a heart-warming read.

  • Ruby Ann Anague Sabado
    February 5, 2021 11:17 pm

    GOOD PRESENTATION. THANK YOU!

  • great…important to team build and support each other during this difficult time

  • Conni Schalesky
    January 28, 2021 11:23 pm

    A good article that reminds us to take care of ourselves so we may take care of others better.

  • Anu Malla Trzaska
    January 26, 2021 11:09 pm

    great article

  • great read. thank you for sharing!

  • Great article

  • teresa ramdial
    January 24, 2021 11:32 am

    interesting read during the pandemic

  • Anita Mckaney
    January 23, 2021 6:40 pm

    A culture of ethics starts with individuals who are committed to change.

  • Jennifer L Moore
    January 20, 2021 11:56 pm

    Great information. It is important for us to be aware of the effects that the daily demands can take on us and how it can distract us from the importance of the job which is helping others. However, in order to help others, we must take the time to help ourselves and serve our energies so we can give care to those needing it.

  • deanne threapleton
    January 20, 2021 2:10 pm

    great information ; thankyou

  • Melissa Williams
    January 19, 2021 5:01 pm

    Moral resilience plays a vital part in the nursing profession and needs to be addressed more frequently

  • Susan Schneider
    January 18, 2021 3:12 pm

    Working in a place that exceeds your expectations with team building and real compassion and empathy sure is a pleasant surprise after I have worked in places with bullying and clicks. Am glad to end my nursing career in a really great place!

  • Great article!
    Nurses respect and honor others values and morals are important

  • great article

  • Helpful knowledge

  • Helpful article and comments

  • Jessica Owens
    January 8, 2021 1:29 pm

    Thank you for all of the useful information. I found this article to be helpful and entertaining.

  • Excellent article demonstrating the importance of all nurses at every level to be leaders, provide respect, and look to selves to identify weaknesses and find ways to improve not only knowledge of medicine but of stressors and resources

  • Thank you for the valuable information especially during these times!!

  • Great Article!

  • Great article. Very pertinent information in any work area and topics to consider and be mindful of in life, in general.

  • good article

  • very interesting

  • Interesting article, very appropriate during this time of the pandemic. At times, nurses (we) pour our hearts and souls into taking care of others, and ensuring that everybody else is healthy, their needs are met, etc that we forget to practice self care.

  • thank you valuable information

  • Shaari Peddersen
    December 16, 2020 7:52 pm

    Great article

  • Self care has never been more important in the field of nursing.

  • loved the presentation

  • Felicia Alleyne
    December 13, 2020 10:05 pm

    This is an excellent article that provides clear definitions on moral distress. It also provides evidence-informed pathways to develop the resilience to overcome such distress. I am eager to disseminate what I have learned to my team!

    Sincerely,

    Felicia

  • Pauline Adams munsen
    December 12, 2020 9:03 am

    The opportunities to think about the three core questions.

    Who am I being at the moment ?
    How do I want patients to remember me & how I want to be known? And, choosing a way act or not act that I feel I can live with?
    All these concepts can aid any nurse who listens, and thinks before acting.

  • Great article!!!

  • Great article.

  • Thank you!
    Great Article!

  • We must help one another through the difficult times and support our differences by discussing and seeking to understand.

  • Tamara Ndenguma
    December 6, 2020 7:23 pm

    good article

  • great!

  • Christina Freese
    December 4, 2020 6:45 pm

    A good read that reminds us to reaffirm with ourselves why we chose nursing.

  • Sandra A Hendrix
    November 30, 2020 10:45 pm

    Working with a team and building moral resilience is important in nursing.

  • great article.

  • Great article

  • Rebecca Norton Frank
    November 20, 2020 2:43 pm

    good ideas

  • Great article!

  • great

  • Great article!

  • Empowering article.

  • useful info

  • Good information. Useful and timely.

  • Brendan Mahoney
    October 26, 2020 9:52 am

    This article is applicable to the work I do as a nurse.

  • Brendan Mahoney
    October 26, 2020 9:26 am

    This article was very helpful.

  • Brendan Mahoney
    October 26, 2020 9:24 am

    Excellent Information. Thank you.

  • Melissa Franke
    October 24, 2020 11:12 am

    Enjoyed the article– attempted to look up Zolli– clarify please

  • Elizabeth Kruse
    October 23, 2020 10:11 pm

    This is a very interesting article that discusses some important aspects of being a nurse today. It is important to be able to maintain your own morality while providing care for others. Nurses give so much to their patients and need to be reminded to care for their own selves.

  • Great article

  • CONNIE DEGUZMAN
    October 20, 2020 4:58 pm

    Great Article

  • Mary Ellen Miller
    October 20, 2020 1:48 pm

    Nurses will always be faced with moral dilemmas. This article is a very good resource to offer suggestions and support strategies.

  • Jeanne Yeager
    October 13, 2020 2:58 pm

    Great Article! Thank you!

  • This is a great article, thank you for the reminder!

  • Overcoming Moral Stress and building Moral Resilience takes a village! The entire team working together and communication is key. 2020 has been a challenging year for nurses, but we are resilient and spring back. Moral stress is real and we can help each other. Great article!

  • Cheryl Whitehouse
    October 6, 2020 7:49 pm

    Every staff member should feel good at work and not stressed and overly tired. Yes it can be busy but working as a team and not just letting one person deal with the stress is a major factor.

  • Sharron Whiteley
    October 2, 2020 4:38 pm

    Great

  • Great article.

  • Wonderful informational. Very beneficial to my life and practice.

  • Daisy R Silagan
    September 28, 2020 10:51 am

    Great article and will definitely keep the thought of moral resilience at work.

  • Rhonda Ihlenburg
    September 28, 2020 9:14 am

    Good article

  • Great article

  • Great

  • MICHAEL ANTHONY IRIZARRY
    September 26, 2020 8:47 am

    Insightful and very appropriate to today’s life situations.

  • Great article. I especially liked “who am I being in this moment? Who do I want to be known as?” Sometimes it’s necessary to take a step back and think about those two very important things

  • Great article. It showed the importance of team support which is very vital in Nursing.

  • great article.

  • Great article

  • Melissa Hernandez
    September 21, 2020 2:01 pm

    Very good article.

  • Thank you

  • BriAnne Lynn Zamora
    September 9, 2020 4:35 pm

    Good articular to read, especially during our COVID situation.

  • Good article

  • Great article, thank you!

  • Barbara Drummond-Huth
    September 9, 2020 9:50 am

    Great article to read during this pandemic.

  • completely agree!!

  • With a good foundation for moral resiliency, nurses are better able to name the ethical problem, inquire into the facts, and determine action that supports integrity.

  • Building Moral Resilience has to be a commitment of each nurse in their workplace.

  • Rebekah Parker
    September 7, 2020 6:41 am

    Great article!

  • This article refreshes and reinforces the principles of ethics and assisting in providing a safe environment (Physical,Mental and Social) within my work environment.

  • Great article.

  • Arilennis Medel Leyva
    September 2, 2020 11:00 am

    Great article!!!

  • janice hughes
    August 31, 2020 10:26 am

    thank you

  • Useful, well written and informative

  • Very informative

  • Great article.Thanks

  • Pamela Van Zyl
    August 28, 2020 12:27 pm

    All great comments. totally agree with the huddle to get your team motivated and address any concerns for the shift and get some positive energy going. Check in with coworkers periodically to see how everyone is managing and also give yourself a time out when you need it to reset and reenergize.

  • it is really great

  • RICARDO D ISAAC
    August 26, 2020 12:40 pm

    Very informative article. Nursing is a complex field of work not made for everyone. We have to be open minded and be resilient to all the obstacles we face.

  • Thank you. This comes in a time of need.

  • Claire Guinto
    August 25, 2020 10:52 am

    Great article

  • Great Article

  • Penny Sheppard
    August 19, 2020 5:57 am

    Good read..Reminder that it is important to make sure you take care of yourself.

  • sally Malaret
    August 16, 2020 5:48 pm

    great article

  • Sharon Hitchcock
    August 8, 2020 4:10 pm

    Great article.

  • great article. well written

  • Tammera Malone
    August 4, 2020 10:46 pm

    Really good read

  • Darlene Pileski
    August 3, 2020 12:26 pm

    love the article

  • Daisy Burke
    July 27, 2020 9:34 pm

    Great article, asking for help and reevaluate moral standards are important for a stable mental health. In order to provide great care it’s important to care for ourselves

  • I really enjoyed this reading as it hit home. Who am I being in this moment? How do I want to be known? Am I choosing to act or not act in a way that I can live with? These are wonderful questions to ask to make sure you feel comfortable with the task at hand.

  • I have been taking care of people all of my life and seem to not have time to take care of myself. Thank you for reminding me that it is ok to schedule time for myself, after all if I am not taking care of myself, who is? I like the fact that even in the work place I can stop and take the time to ask these questions to set me up to continue doing what I do best! Who am I being in this moment? How do I want to be known? Am I choosing to act or not act in a way that I can live with?

  • Brooke Geiger
    July 14, 2020 7:33 am

    Such a great read thank you!!

  • Great article

  • Great article! Thanks!

  • Good article

  • Bethany Eve Shank
    July 1, 2020 3:44 pm

    yep

  • Merica Seabolt
    June 27, 2020 3:22 pm

    Great article!

  • Patti Spears
    June 26, 2020 4:26 pm

    I really enjoyed this article.

  • Onda Blevins
    June 23, 2020 8:39 am

    I appreciate the strategies to express my viewpoints and take care of myself. Nursing is perhaps the hardest job to love of all

  • Great article

  • Cheryl Wells
    June 10, 2020 3:24 pm

    Good

  • Moral Resilience is definitely a skill to acquire while working on the front line during this pandemic. With all the changes requiring flexibility, team work, handling loss all while calming down the frustration of family members who cannot visit their loved ones. Maintaining peace and having a strong spiritual foundation have been other keys to success during this current time. Great article.

  • Cindy Flugstad
    June 8, 2020 2:54 pm

    Great reminder, Building moral and building a TEAM is a GREAT importance!!!
    Very good information!!!

  • Sandra Toney
    June 8, 2020 2:39 am

    Great article!

  • Meghan Gunnerson
    June 5, 2020 8:45 am

    Found the topic informative and applicable in my practice.

  • Meghan Gunnerson
    June 5, 2020 8:42 am

    informative

  • susan watson
    June 1, 2020 4:55 pm

    great course!

  • MARY Williams
    June 1, 2020 3:32 pm

    This course is relevant and timely. I realize that self regulation and speaking up are important fo ease moral distress. O am being reminded of this at a time when these practices are important.

  • Insightful article.

  • Sr. Maureen Hickey
    May 30, 2020 3:57 pm

    Insightful! Thank you

  • Theresa Grimberg
    May 30, 2020 3:41 pm

    This course spoke very loudly to me. As a nurse for over 40 yrs. I see too often moral problems in medical practices along with money driven companies that require nurses to factor in extra charges.

  • Diane Pierce
    May 29, 2020 10:35 pm

    It is important for nurses to be able to respect and honor others values and morals.

  • Good read!

  • Sylvia Wiley
    May 25, 2020 1:56 pm

    It is so important as nurses that we continue to have high standards and be ethical with our choices and decisions. We have a moral responsibility to no judge but to care, do not condemn but to offer help. Nursing is a deep-seated fiber of the work that we do to help any and all people. Excellent article.

  • Debra Gottel
    May 25, 2020 10:50 am

    Good info

  • Dee Anderson
    May 25, 2020 5:22 am

    Great article. Developing moral resilience is something I wish we’d discussed more in nursing school.

  • Thank you for this article. It made me aware of how I have a responsibility to by emotional and spiritual well being as well as my physical well being

  • Mary Jean Nolan
    May 22, 2020 8:41 pm

    Thank you! Even though we think this sometimes, we often don’t speak about it. It’s good to know there are people considering this for us.

  • marie Gagnon
    May 21, 2020 9:03 pm

    Nurses rarely consider Resilience, they often come to work, punch in, receive an assignment and only in key cases, do RNs realize that if they consider how they adapt to change will be essential as to whether they will have a long career.

  • great

  • Elissa Lesperance
    May 21, 2020 11:14 am

    Great article!

  • Joseph Diloy
    May 20, 2020 4:39 pm

    Moral resilience is important in improving one’s self worth, as well his/her coworkers’.

  • Joseph Diloy
    May 20, 2020 4:36 pm

    This is definitely a great issue that needs dealing with.

  • Joseph Diloy
    May 20, 2020 4:35 pm

    This is definitely a great issue that needs dealing with. Nurses are almost always facing moral distress in the workplace.

  • I have found over my nursing career that if you use the correct tone and state the facts that you can change the outcome or path of care for a patient. That being said most nurses are very “passionate” and this is often times difficult to do. I like the three questions to ask myself and will use that in the future.

  • great

  • Great article

  • Shirley Cotten
    May 19, 2020 10:55 pm

    Well organized and informative

  • Great article

  • Food for thought

  • Darlene Parks
    May 16, 2020 3:30 pm

    As a Hospice nurse, I seem to run into a lot of moral dilemmas. There is often disagreement between loved ones or other caregivers about what is best for the patient, or even between the patient and the family. It can be very tricky at times to navigate these problems. I like the part about reminding us to examine our views, as the patient and /or family or caregivers may not be at the same mindset as nurses are. I also liked the part about being true to ourselves and acting in a way we can live with.

  • Daniel W Dorman
    May 16, 2020 11:18 am

    Thank you for sharing this helpful resource. I am privileged to serve as a nursing leader and appreciate the reminders about how my behavior(s) impact others.

  • Thank you. This is a good one for anyone.

  • Thank you.

  • Very informative and a great resource tool for the workplace and beyond.

  • Institutions
    May 15, 2020 9:47 am

    This was a good read.

  • Great

  • After more than 30 years of bedside nursing I am just realizing the core of my deep frustration with the nursing profession. That the power for the most part to have a chance to have the ability to meaningfully contribute to the patients plan of care has not really been in the nurses corner. This is why being a doctor always looked so attractive. The ability to make decisions in the patients plan of care has not really been much of an option for nurses which leaves us frustrated. This is a shame. No wonder nurses feel so frustrated. Nursing has gotten a lot more empowering but it is still a career that leaves (mostly woman still) a great deal of feeling powerless which is not a healthy place to be. At least this article and others like it are helping nurses to be more self aware so we can feel like we have made valuable contributions to people’s outcomes and lives which we have done.

  • Joyce Marie Austin
    May 9, 2020 2:17 pm

    One should be true to oneself. Nurses must recognize that we all are human with emotions. We must take care to take care of ourselves so that we can help others in a time when the patient is experiencing emotional distress.

  • Suzanne Korus
    May 8, 2020 2:09 pm

    Great info!

  • Maria Lopez
    May 6, 2020 9:04 pm

    Great info, everyone needs to read it.

  • Alethea Bivens
    May 6, 2020 1:18 pm

    great article

  • Great recommendations.

  • Jamie Sutton
    May 5, 2020 11:29 am

    Good read!

  • Felicia Coradini
    May 5, 2020 6:40 am

    Very good information.

  • Dana Elias
    May 4, 2020 7:33 pm

    This was a great article and provides self insight. Wonderful reminder we are not alone, what we are experiencing has a name, and taking care of ourselves emotionally and psychologically is our strength in moral dilemmas.

  • Melanie Santos
    May 2, 2020 2:59 pm

    Great article! Very helpful!

  • Thank you for the insight!

  • Colleen Buedler
    April 30, 2020 3:51 pm

    Great article, thank you for the resources

  • Excellent reading

  • Interesting

  • Christin M Protesto
    April 21, 2020 12:59 pm

    this is great, thank you

  • very knowledgeable for nursing.

  • Sheila Whitener
    April 17, 2020 6:48 pm

    Thank you.

  • Amy Lockhart
    April 14, 2020 6:32 pm

    This was an interesting article, thanks for sharing.

  • Nice article!

  • I agree to the comments. This is a great article.

  • Cary A Adriano
    May 26, 2017 9:41 pm

    Awesome information to remind us that we need to care for ourselves before we are truly able to care properly for others.

  • Excellent topic!

  • David SMith
    May 26, 2017 11:52 am

    good article

  • Donna DelloIacono
    May 26, 2017 11:50 am

    This is a great overview of the issues of moral distress and I gave this assignment to RN>BSN completion students and the array of moral issues that they must deal with, and be resilient to, was daunting. This provides a framework for helping them achieve their resilience, but I would like more strategies for them to safely address these moral dilemmas. THey are not in positions of power.

  • Keith Gostel
    May 26, 2017 11:46 am

    Great Reminder to keep yourself grounded.

  • how can a nurse also have empathy for the patient which allows insight for beneficial and productive ways of being a positive advocate for each patient?

  • I believe I take better care of my family, friends, patients and staff. Whatever is left, is mine. This has been going on FAR TOO long and I prescribe to doing better beginning today.

  • Cheryl Harrow
    May 25, 2017 8:25 pm

    I love my job. There’s just too much of it and higher acuity patients. I arrive early work, skip all breaks everyday, and work through lunch almost everyday. The first thing I think about is retiring early. Second thought is I have to pay the bills. Then I get to work and repeat the same thing day after day. I am praised for my ability to handle the case load and precept students and interns even on the worst of days. My job partner does the same thing. We discuss our retirements together and know that the light is now closer to the end of the tunnel than we thought. Right now stocking shelves or working retail looks like a happier place to be.

  • I have to sell this to myself almost every day. I MUST take care of myself-please get the walk in on the greenway… you need it SOO much & so does the puppy 🙂

  • Good thoughts

  • Excellent information and very pertinent to obstacles and experiences faced early in nursing career. Thank you

  • interesting

  • carrie speck
    May 24, 2017 11:56 am

    good info

  • Laquana Smith
    May 24, 2017 10:18 am

    Great article!

  • Patricia Evbuomwan
    May 24, 2017 2:27 am

    Helpful

  • Patricia Evbuomwan
    May 24, 2017 2:26 am

    Helpful.

  • We have experience a lot of this in the work place. Sometimes we are so busy taking care of others that we tend to ignore our own self care. Thank you for the strategies and tips to help us as nurses maintain our moral resilience

  • Elizabeth O'Rourke
    May 23, 2017 9:55 pm

    I enjoyed this article very much! We as nurses are so busy taking care of others that we forget we must also take care of ourselves.

  • This is very useful information in life in general, not just pertaining to the nursing field

  • Maria Giraldo Herrera
    May 23, 2017 6:42 pm

    Very Good

  • Maria Giraldo Herrera
    May 23, 2017 6:34 pm

    Very good article!

  • Maria Giraldo Herrera
    May 23, 2017 6:27 pm

    great article!

  • Johanna Welch
    May 23, 2017 12:14 pm

    very informative. good information and thought provoking. self care is very important and a lot of nurses do not do this, including myself! thank you

  • Jennifer Sears
    May 23, 2017 10:49 am

    This applies to many more situations than nursing! Valuable information for everyone!

  • This article is spot on. Meeting with other nurses to discuss relevant issues and journaling can be beneficial to understanding situations that require us to question how we perceive ethical issues.

  • Sondra Turner
    May 23, 2017 9:32 am

    Great article!

  • Patricia McKenna
    May 23, 2017 9:08 am

    Great article!

  • HELEN BASSEY
    May 22, 2017 11:33 pm

    nursing as a calling…

  • really enjoyed the article.

  • I really enjoyed this article, will share with family. Thanks

  • Good article, we all need a moral boost, redirection and positivity to stay engaged in our jobs.

  • Eshah Rhone
    May 17, 2017 11:44 am

    Excellent strategies given for nurses to be more resilient in better caring for themselves, co-workers which eventually helps in care of the patients.

  • Annette Valencerina Luna
    May 16, 2017 5:32 pm

    Everything goes back to yourself, an answer to the question, a self reflection.. What made me decide to become a nurse? As a nurse, a strong foundation the reason behind why you what to be a nurse, eventually will make you morally resilient.

  • Lorinda Wall
    May 16, 2017 3:03 pm

    Years ago nursing was built on moral resilience, in the 80’s we continued being taught that it was expected. Today, many students and new grads stray far from this, it is our duty to practice this and be examples for the new generation of nurses.

  • Lilibeth Tulang Cuevas
    May 15, 2017 8:18 pm

    Great article

  • Institutions
    May 15, 2017 11:39 am

    Needed this information after 30 years of practice

  • RUTH D. HATCHUEL
    May 14, 2017 10:11 pm

    Great article, makes ne think about one’s own accountability

  • Moral distress happens frequently in mental health with coming to terms with other’s beliefs in their practice. This article is a reminder of what can be done to care for others and ourselves.

  • Jamie Papini
    May 13, 2017 1:11 am

    Very well said and relatable. I feel as being a leader, one of my priorities is to constantly being on watch and identify when the team starts to pull back and become less engaged, using it as a warning sign. That is when I bring them in and switch up their assignment, giving them redirection to focus on new tasks positively versus the repetitive duties creating negatives. This article is very helpful!

  • Great reminder to the nursing profession’s code

  • Linda E. Thompson
    May 12, 2017 12:20 pm

    Interesting, informative article. Ethical principles and actions are such a daily practice in every nurse’s life.

  • Carol Casey
    May 12, 2017 11:29 am

    Good article

  • arlene a. dela cruz
    May 12, 2017 10:47 am

    informative

  • Mary Anne Bosher
    May 11, 2017 4:56 pm

    Thank you.

  • Karen Buerger
    May 11, 2017 4:27 pm

    Very good, thought provoking and great ideas to help the staff nurse before they get burned out

  • Teresa Stafford
    May 11, 2017 4:25 pm

    Thanks

  • Deborah Harris
    May 11, 2017 4:09 pm

    An excellent reminder to care for ourselves as well as others.

  • I think there should be more opportunities for nurses to “debrief” or “unload” after particularly distressing days.

  • chrystal jones
    May 11, 2017 3:43 pm

    Thanks for the encouragement and inspiration.

  • interesting article

  • Sharon Schippang
    May 11, 2017 10:51 am

    Great article, thank you.

  • Renee Maeweather-Reed
    May 11, 2017 5:48 am

    reaffirming why we became nurses will help us to refocus. We never said we became nurses to take care of ourselves, but how can we effectively care for others if we don’t care for ourselves?

  • This article gave good pointers on dealing with issues we are faced with in healthcare that conflict with our personal beliefs. We must remind ourselves why we joined this profession, but also remain true to who we are as we go through our day. We should not feel compelled to do something that violates our personal beliefs because at the end of the day we have to be happy with our choices.

  • Jennelyn Doronila
    May 10, 2017 6:19 pm

    Good information for new nurses like me. Thank you!

  • Karen Johnson
    May 10, 2017 5:35 pm

    Moral resilience vs moral stress
    A lot of information packed in this article, some old, but a lot of it is new to me

  • Danica Etringer
    May 10, 2017 4:13 pm

    I can see how moral resilience is important in many situations where you question what you are doing. I love the questions to ask yourself for the commitment to moral resilience because it gives you a way to reflect on yourself.

  • JKathleen Walker
    May 10, 2017 3:58 pm

    Article very informative, thank you.

  • Shari washington
    May 10, 2017 3:42 pm

    I LOVE this article and the fact that ANA has included statement 5, which speaks to self care.
    It is a personal quest of mine to achieve self care.

  • Laurie Caloiaro
    May 10, 2017 2:26 pm

    Great article!

  • Stephanie Oldehoeft
    May 10, 2017 2:22 pm

    Very good read with a lot of good information

  • Molly Murch
    May 10, 2017 2:12 pm

    Great Atricle

  • Heather Gouge
    May 10, 2017 2:09 pm

    Very informative article that will help me to continue to improve my moral resilience and become a better nurse by doing this which will give my patient’s the best care that they deserve.

  • Developing and checking the self-regulation “muscle” is important for every nurse in order to continue to learn, educate, and maintain a healthy, professional status.

  • Good article!

  • Moral resilience is increasingly important when accountability by peers is valued less.

  • Resiliency is difficult but necessary in times of work or medical change for nurses, other staff AND our clients/patients.

  • Moral Resiliency needs continuous support and reassessment for maintenance of personal strength with ever changing expectations.

  • Refocusing on the important things in life, and why I am a nurse is something I always have to remind myself of.

  • Anita Papuga
    May 10, 2017 1:50 pm

    If everyone works together and is willing to help out fellow co-workers, it will help to eliminate some of the stress

  • Debbie Wenning
    May 10, 2017 1:50 pm

    Thank you for the presentation today.

  • Who am I being in this moment? How do I want to be known? Am I choosing to act or not act in a way that I can live with? Great questions to ask yourself when you’re feeling overwhelmed or need to re-center yourself

  • Amanda Mowell
    May 10, 2017 1:44 pm

    Thank you for your input.

  • Katie Wright
    May 10, 2017 1:43 pm

    Great

  • Dani Paquette
    May 10, 2017 1:40 pm

    I think it’s very important to have a regular “re-set” button that reminds us why we became nurses in the first place and that is to take care of other people. When we break it down to this basic insight, many of the other issues that we deal with on a daily basis seem to resolve themselves. I think it’s very important that we take time when outside of work to participate in calming activities and also share experiences with our fellow staff members.

  • Good food for thought:)
    Who am I being in this moment?
    How do I want to be known?
    Am I choosing to act or not act in a way that I can live with?

  • I think all nurses should read this to remind us to take care of ourselves s that we can be the best nurses for our patients.

  • gyla cativo
    May 10, 2017 1:32 pm

    very important for nurses!

  • Cathie Wimby
    May 10, 2017 1:31 pm

    Excellent information

  • Laura Giffen
    May 10, 2017 1:19 pm

    I thought this was a very thought provoking article that made practical suggestions of how to prevent burnout

    It emphasized the importance of team support

    Its focus on the mind, body spirit aspects of nursing was a reminder of the importance of maintaining a balance in order to be an effective health professional

  • Cynthia McCloskey
    May 10, 2017 12:43 pm

    great article

  • It is important for nurses to be able to respect and honor others values and morals. Nurses play an exceptional role in people’s everyday lives.

  • Christian Villao
    May 10, 2017 10:15 am

    This is a great reminder to help ourselves while helping others.

    • Brandi Beierle
      November 11, 2022 1:50 pm

      I’m going to put a lot of thought into the tem approach to self care and think of how I can incorporate these skills at work

  • Moral resilience needs to be discussed more in all specialties of nursing as it is a key component to nursing. Good article.

  • Rosanna Scialdone
    May 7, 2017 11:55 pm

    It is important for a nurse to reaffirm and/or recall why becoming a nurse was important in the first place. Remember the defining moment when an individual realized that being a nurse was the most important goal in his or her life.

  • Esther J Pottoore
    May 7, 2017 8:49 am

    Building Moral Resilience can be a team effort. Spirituality in the workplace makes staff calmer and able to handle emerging situations with tact and professionalism.
    Sometimes, a five minute huddle in the middle of a busy work day to pray touches the entire group and has a ripple effect on the rest.

  • Mary Justice
    May 3, 2017 2:51 pm

    great

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