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Executive Summary: Transforming Moral Distress into Moral Resilience in Nursing

Rushton, Cynda Hylton PhD, RN, FAAN; Schoonover-Shoffner, Kathy PhD, RN; Kennedy, Maureen Shawn MA, RN, FAAN

doi: 10.1097/CNJ.0000000000000386
Feature: special feature: STATE OF THE SCIENCE

ABSTRACT: To examine practices for addressing moral distress, a collaborative project was developed by the Johns Hopkins Berman Institute of Bioethics, the Johns Hopkins School of Nursing, the American Journal of Nursing, and the Journal of Christian Nursing, along with the American Association of Critical-Care Nurses and the American Nurses Association. Its purpose was to identify strategies that individuals and systems can use to mitigate the detrimental effects of moral distress and foster moral resilience. On August 11 and 12, 2016, an invitational symposium, State of the Science: Transforming Moral Distress into Moral Resilience in Nursing, was held at the Johns Hopkins School of Nursing in Baltimore, Maryland. Forty-five nurse clinicians, researchers, ethicists, organization representatives, and other stakeholders took part. The result of the symposium was group consensus on recommendations for addressing moral distress and building moral resilience in four areas: practice, education, research, and policy. Participants and the organizations represented were energized and committed to moving this agenda forward. The full report is available online at http://journals.lww.com/ajnonline/Pages/Moral-Distress-Supplement.aspx

Cynda Hylton Rushton is the Anne and George L. Bunting Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics, and professor of nursing and pediatrics at the Johns Hopkins School of Nursing, Baltimore, MD. Kathy Schoonover-Shoffner is editor-in-chief of the Journal of Christian Nursing and national director of Nurses Christian Fellowship/USA, Madison, WI. Maureen Shawn Kennedy is editor-in-chief of AJN. Contact author: Cynda Hylton Rushton, crushto1@jhu.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Reprinted with permission. All rights reserved, American Journal of Nursing.

Rushton, C.H., Schoonover-Shoffner, K., Kennedy, S.M. (2017). Executive Summary: Transforming Moral Distress into Moral Resilience in Nursing. AJN: American Journal of Nursing, 117(2), 52-56. doi: 10.1097/01.NAJ.0000512298.18641.31.

Experts recommend strategies to develop moral resilience and support ethical practice.

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