Lucia D. Wocial is an adjunct assistant professor, Indiana University School of Nursing, and a nurse ethicist, Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, Indiana.
Crit Care Nurse. 2020 Dec 1;40(6):62-66. doi: 10.4037/ccn2020873.
Moral distress is receiving increasing attention in health care. The theoretical value of resilience as a strategy for coping with moral distress is prominent in the literature.
The potential negative consequences of moral distress for nurses are indisputable, driving a push to identify interventions to help nurses deal with the experience. The evidence that resilience is an important quality and skill for maintaining wellness is equally clear.
To review moral distress and resilience and examine the evidence for the new focus on resilience.
The complexity of both moral distress and resilience suggests that resilience by itself is an incomplete strategy for coping with and addressing moral distress.
道德困境在医疗保健领域越来越受到关注。韧性作为应对道德困境的策略，其理论价值在文献中尤为突出。
道德困境对护士造成的潜在负面影响是不可否认的，这促使人们寻找干预措施来帮助护士应对这种体验。同样清楚的是，韧性是保持健康的重要素质和技能。
回顾道德困境和韧性，并考察新的韧性关注的证据。
道德困境和韧性的复杂性表明，仅靠韧性本身并不能成为应对和解决道德困境的完整策略。
