Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s given below to further explain the situation and the possible mitigation strategies.
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.
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