The Mindful Ethical Practice and Resilience Academy: Sustainability of Impact

Author(s): Cynda Hylton Rushton, PhD, MSN, RN, Sandra M. Swoboda, MS, RN, Teresa Reimer, MSN, RN, Danielle Boyce, DPA, MPH, and Ginger C. Hanson, PhD

Contact Hours 1.00

CERP B 1.00

Expires May 01, 2026

Topics: Well-Being

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Nurses face many ethical challenges, placing them at risk for moral distress and burnout and challenging their ability to provide safe, high-quality patient care. Little is known about the sustainability of interventions to address this problem. To determine the long-term impact on acute care nurses of a 6-session experiential educational program called the Mindful Ethical Practice and Resilience Academy (MEPRA) was conducted. Many MEPRA results were sustained at 3 and 6 months after the conclusion of the initial foundational program. Some outcomes such as burnout and turnover intentions may benefit from boosters of the intervention or efforts to supplement the training by making organizational changes to the work environment.


  • Identify the key components of the Mindful Ethical Practice and Resilience Academy (MEPRA).
  • Discuss the impact of the MEPRA program on key outcomes.
  • Identify key sustainability strategies when implementing nursing interventions to address moral adversity.

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.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

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

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

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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