Walking a Tightrope: Understanding, Identifying, and Managing Moral Distress in Prison Nurses is an evidence-based, online educational module that was pilot tested as part of a quality improvement project. Nine RNs working at a medium-security, 1,550 bed prison in the Midwest watched the module and 75% completed both pre-and posttests. Participants provided positive feedback about the knowledge they gained on moral distress in prison health care.

Educational Objectives

• Review concepts of moral distress/moral resilience and the environmental factors that contribute to moral distress
• Describe pilot study findings concerning strategies to manage moral distress
• Explore strategies that promote moral resilience

Level:Intermediate