Moral Distress Supplement : AJN The American Journal of Nursing

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​​​​​​AJN0217.Cover.Online.jpgState of the Science: Transforming Moral Distress into Moral Resilience in Nursing​

Guest editors: Cynda Hylton Rushton, PhD, RN, FAAN, and Kathy Schoonover-Shoffner, PhD, RN

Moral distress is a growing problem that impacts health care providers at multiple levels in all health care settings. Moral distress can result in burnout, fractured interprofessional relationships, and shortages of health care workers. Most importantly, it undermines the safety and quality of care and contributes to poor outcomes. Yet, few interventions for moral distress have been examined or found to be effective. This report is from a collaborative project developed to identify strategies to help mitigate the detrimental effects of moral distress, build resilience, and create healthy work environments for the health care workforce that will promote safe, quality care for patients and their families.

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 Nurses Association and the American Association of Critical-Care Nurses worked together to convene experts and thought leaders from nursing and health care practice, education, and research and policy arenas, as well as representatives from pertinent health care organizations and consumer and regulatory sectors.

Funding support was provided by the Johnson and Johnson Campaign for Nursing's Future, the Heilbrunn Family Foundation, and Nurses Christian Fellowship/USA, with in-kind support from the Johns Hopkins School of Nursing and the American Journal of Nursing.

To access the full report, go to