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Development of a Model of Moral Distress in Military Nursing

Boston College School of Nursing, Chestnut Hill, MA, USA, frys{at}bc.edu

Rose M Harvey

Northeastern University, Boston, MA, USA

Ann C Hurley

Brigham and Women’s Hospital, Boston, MA, USA

Barbara Jo Foley

University of North Carolina, Chapel Hill, NC, USA

The purpose of this article is to describe the development of a model of moral distress in military nursing. The model evolved through an analysis of the moral distress and military nursing literature, and the analysis of interview data obtained from US Army Nurse Corps officers (n = 13). Stories of moral distress (n = 10) given by the interview participants identified the process of the moral distress experience among military nurses and the dimensions of the military nursing moral distress phenomenon. Models of both the process of military nursing moral distress and the phenomenon itself are proposed. Recommendations are made for the use of the military nursing moral distress models in future research studies and in interventions to ameliorate the experience of moral distress in crisis military deployments.

Key Words: ethics • military nursing • moral distress

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