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

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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, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


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Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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