The COVID-19 pandemic engendered a substantial number of ethical concerns for nurses, including allocation of clinical resources, exposure risks, respect for the dignity of dying patients, and the provision of nonbeneficial care. Such moral adversity has placed nurses at heightened risk of moral distress and injury, which is linked to burnout, decreased well-being, poorer job performance, and reduced job engagement—all of which contribute to lower quality of care. Although nurses expressed questionable confidence and competence in managing ethical concerns before the COVID-19 pandemic, the need to support nurses facing ethical concerns has never been greater. However, interventions to support nurses facing moral adversity are limited. Often, they are one-time programs lacking systematic evaluation and/or include mandatory participation, which can ultimately perpetuate deeper cynicism and resistance to change from nurses who seek ethical support. To address these limitations, the authors of this work developed the Mindful Ethical Practice and Resilience Academy...

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