Approaches must be tailored to
the unique histories and clinical
challenges of eadn workplace.
As projects develop, unique
strategies emerge for enhancing
ethical practice, with the potential to
improve care. Reports of renewed
commitment to work, better
relationships with colleagues and
more reflective ethical decisionmaking
are common.
Health-care providers from other
disciplines have identified similar
ethical concerns and are beginning
to join nurses in these projects,
welcoming the opportunities for
dialogue and action they provide,
• Understanding the meaning of and
accurately measuring moral distress
and ethical climate are complex
endeavours.