Adaptation and Testing of a Military Version of the Measure of Moral Distress for Healthcare Professionals

Author(s): Melissa A. Wilson, PhD, APRN, CCNS, Angela Simmons, PhD, RN, NEA-BC, J. Irene Harris, PhD, Sheila Thomas, MS, Amy Shay, PhD, RN, APRN-CNS, Timothy J. Usset, MDiv, MPH, Wendy Cook, PhD, RN, Daniel Bevington, Ann C. Hurley, DNSc, and Elizabeth Epstein, PhD, RN, HEC-C

Contact Hours 1.00

CERP B 1.00

Expires Sep 01, 2025

Topics: Moral Distress

Role: Researcher

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Moral distress is well-documented among civilian critical care nurses and adversely affects patient outcomes, care delivery, and retention of health care providers. Despite its recognized significance, few studies have addressed moral distress in military critical care nurses. The objective of this study was to refine and validate an instrument to assess moral distress in military critical care nurses. These results will help to guide specific, targeted interventions to reduce the negative effects of moral distress on our military health care providers, especially in terms of readiness for the next global pandemic and retention of these invaluable personnel.


  • Identify evidence supporting the need to develop a measure for moral distress in military health care providers.
  • Describe the methods for refinement and validation of an adapted measure of moral distress instrument for military health care providers.
  • Describe the unique attributes of military nursing that contribute to moral distress.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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