I would like to congratulate Dr Wocial on her salient points in the article "Resilience as an Incomplete Strategy for Coping With Moral Distress in Critical Care Nurses" (2020; 40:62-66). She rightly steers our attention from coping back to the environment in which the critical care nurse works. As she details in her thoughtful article, the ability of the nurse to leverage moral agency is dependent upon many environmental factors, including relationships, both informal and formal, among caregivers. The degree of the nurse's moral and personal resilience must never enable leaders in a health care environment to ignore the moral complexities and challenges frequently encountered by critical care nurses. The healthy work environment must always support those who work within it.
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