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Moral distress is a phenomenon in which a healthcare professional perceives an ethically preferable or morally right course of action to take, but internal or external constraints make it nearly impossible to pursue that course. Although healthcare professionals' moral distress has been studied for over twenty years, we have not reached a point of full understanding and appreciation of this complex phenomenon. Attempts to define moral distress and refine our understanding of it have beendoi:10.5430/jnep.v4n6p6 fatcat:nqb6uxvoibdgropkao4wdke7ii