Which of the following is NOT listed as a strategy to mitigate moral distress and promote ethical resilience among nurses?

• A. Monthly performance reviews
• B. Team discussions
• C. Debriefing
• D. Ethics consultations

Answer: (A)

Addressing moral distress and building ethical resilience rely on structured ethical support and open dialogue among staff, rather than purely administrative evaluations. When nurses face ethical dilemmas, having regular team discussions creates a safe space to name concerns, share differing perspectives, and learn from one another. Debriefing after challenging cases helps process emotions, reflect on actions, and reinforce values in a supportive setting. Ethics consultations provide expert guidance on resolving complex moral issues and clarifying ethical obligations within policy and patient care. Monthly performance reviews, while important for assessing work performance and development, do not target the ethical processing and collective problem-solving that reduce moral distress, which is why they aren’t listed as strategies for promoting ethical resilience.