THE COVID-19 pandemic has raised many psychosocial, ethical, and moral challenges for frontline workers in the ED, significantly impacting their delivery of critical care. 1 Moral distress is "the experience of knowing the right thing to do while being in a situation in which it is nearly impossible to do it." 2 Compared with other healthcare professionals during a pandemic, ED nurses are more vulnerable to experiencing moral distress, which has intensified amid COVID-19. [3][4][5] One out of 3 nurses experience moral distress, and 1 out of 10 leave the profession. 7 Nurses and staff physicians are twice as likely to leave the profession due to moral distress compared with other healthcare professionals. 6,7 Faced with issues such as insufficient time to manage competing
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