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Discussion Prompt #1
Four years earlier the AACN ethics work group developed a call-to-action plan titled The Four A’s to Rise Above Moral Distress (2004). Nurses use the Four A’s plan as a guide to identify and analyze moral distress:
• Ask appropriate questions to become aware that moral distress is present.
• Affirm your distress and commitment to take care of yourself and address moral distress.
• Assess sources of your moral distress to prepare for an action plan.
• Act to implement strategies for changes to preserve your integrity and authenticity.
Preventing moral distress requires nurses to recognize the at-risk dynamics and issues. An environment of good communication and respect for others is essential for decreasing the likelihood of experiencing moral distress.
Discussion Prompt #2
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