Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


cognitive coping strategies, MICU nurses, moral discord



  1. Badger, James M. PhD, APRN,BC
  2. O'Connor, Bonnie PhD


Moral discord occurs when contextual factors prevent nurses from implementing felt moral mandates. Medical intensive care unit (MICU) nurses frequently confront moral issues and hold themselves personally responsible for their moral actions. They use a variety of cognitive coping strategies to deal with moral discord. This article describes common moral dilemmas encountered by MICU nurses, explores patterns of both conscious and unconscious cognitive coping behaviors, and reviews steps that nurses can take to reduce the degree of moral discord they experience.