Original articlesFreirean Conscientization With Critical Care Nurses to Reduce Moral Distress and Increase Perceived Empowerment A Pilot StudyBevan, Nancy A. PhD, APRN, ACNS-BC; Emerson, Amanda M. PhD, RNAuthor Information School of Nursing and Health Studies, University of Missouri-Kansas City. Correspondence: Nancy A. Bevan, PhD, APRN, ACNS-BC, School of Nursing and Health Studies, University of Missouri-Kansas City, 2464 Charlotte St, Kansas City, MO 64108 ([email protected]). The author contributions are as follows: N.A.B. and A.M.E. made substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data; were involved in drafting the manuscript and revising it critically for important intellectual content; and gave final approval of the version to be published. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.advancesinnursingscience.com). Advances in Nursing Science: July/September 2020 - Volume 43 - Issue 3 - p E131-E146 doi: 10.1097/ANS.0000000000000307 Buy SDC Metrics Abstract Moral distress in nursing has been linked to a relative lack of power in the workplace. We designed and piloted a Freirean-based conscientization intervention to raise awareness and address disempowerment with 13 critical care nurses in the US Midwest who recently experienced moral distress. A transformative, mixed-methods, pre/post design was used with convergence of qualitative and quantitative data. Results showed improved moral distress and mixed results in perceived personal and group empowerment. Further study is warranted to test conscientization-based interventions that give nurses opportunity collectively to develop empowered responses to situations that lead to moral distress. © 2020 Wolters Kluwer Health, Inc. All rights reserved.