HEC Forum

, Volume 29, Issue 2, pp 127–143 | Cite as

A Health System-wide Moral Distress Consultation Service: Development and Evaluation

  • Ann B. HamricEmail author
  • Elizabeth G. Epstein


Although moral distress is now a well-recognized phenomenon among all of the healthcare professions, few evidence-based strategies have been published to address it. In morally distressing situations, the “presenting problem” may be a particular patient situation, but most often signals a deeper unit- or system-centered issue. This article describes one institution’s ongoing effort to address moral distress in its providers. We discuss the development and evaluation of the Moral Distress Consultation Service, an interprofessional, unit/system-oriented approach to addressing and ameliorating moral distress.


Moral distress Organizational ethics Ethics consultation Program evaluation 



The authors are grateful to Dr. Mary Faith Marshall and Dr. Anne O’Neil for their careful critiques of an earlier draft of this article.


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Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  1. 1.Virginia Commonwealth University School of NursingRichmondUSA
  2. 2.University of Virginia School of NursingCharlottesvilleUSA

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