Moral distress is a complex and challenging experience that can have a significant negative impact on the healthcare team — from hindering our ability to advocate for patients to leaving our job or the profession.
Moral distress occurs when you believe you know — or you are uncertain of — the ethically correct action to take and you are constrained from taking it. What distinguishes moral distress from other forms of distress experienced by nurses is that it threatens our core values and has ethical implications. Symptoms of moral distress may be difficult to recognize. They may manifest as physical, emotional and/or psychological symptoms.
Common situations that can trigger moral distress include end-of-life treatment choices, inadequate staffing, value conflicts, challenging team dynamics and duty conflicting with safety concerns, among others. If you suspect you may be experiencing moral distress, it is important to identify, assess and address it, and seek assistance as needed.
AACN is committed to supporting nurses in managing moral distress and offers resources to help.
There are four key components to addressing moral distress.
Managing moral distress requires an understanding of its causes, symptoms and solutions. Whether you are experiencing moral distress yourself or want to support someone who is, these featured resources from AACN can help.
Moral distress can appear as exhaustion, tension, or a sense of unease that lingers beyond your shift. Recognizing it is the first step toward healing. AACN offers resources and peer support to help nurses address moral distress, prioritize well-being, and sustain ethical, resilient practice.
There's still a lack of recognition of what moral distress is. A lot of times nurses are feeling these symptoms or emotions, and they don't know what it is. They can't put a name to it.
Natalie Correll-Yoder, MN, RN, CCRN, CCNS
Explore AACN’s collection of resources addressing moral distress and ethical dilemmas. This compilation includes journal articles, webinars, conference sessions and other materials to support you and your colleagues in resolving moral challenges.