Moral Uncertainty - Answers nurse identifies a moral problem but is unsure of the morally
correct action or values that apply; often called a gut feeling
Moral/ethical dilemma - Answers when 2 or more mutually exclusive claims clearly apply and
both seem to have equal weight
Moral distress - Answers when nurse knows morally correct action and feels responsible to pt
but institutional/other restraints make it nearly impossible to follow through with the
appropriate action
difference between moral dilemma and practical dilemma - Answers Moral dilemma: occurs
when there are conflicting moral claims
Practical dilemma: when a moral claim is competing with a non-moral claim (claim of self
interest)
moral outrage - Answers occurs when an individual witnesses (does not participate, does not
feel responsible) the immoral act of another but feels powerless to stop it
Moral residue - Answers an accumulation of compromises on values that takes a heavy toll on
one's integrity. May include feelings of guilt, inadequacy, powerlessness
Moral disengagement - Answers when a person feels their views/contributions/ethical concerns
are not valued by the institution/agency, over time they can become disengaged/less invested
in their practice
Moral courage - Answers when one takes action for strong moral reasons, and those actions
carry the risk of adverse consequences for self
moral efficacy - Answers confidence in one's capability to mobilize personal, interpersonal, and
other external resources to persist despite moral adversity
moral resilience - Answers - a shift in thinking
- instead of dwelling on negativity, adopt an inquiring mindset
- despite distress, able to ask questions that may help reveal unknown or overlooked
possibilities
How to prevent burnout and compassion fatigue - Answers -take care of self