The concept of moral distress can be defined in different ways. In general, when individuals make moral decisions about the right course of action in a situation but are unable to put it into practice, they will experience moral distress. A man named Andrew Jameton defined moral distress in 1984 as “a phenomenon that occurs when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action” (Nursing Forum, 2007). Because of their particular position in the medical world and their conflicting responsibilities, nurses are particularly prone to experience moral distress. Whether they are aware of it or not, nurses are increasingly involved in making ethical decisions regarding their patients. However, the doctor's policy always prevails over that of the nurse and the patient's wishes must always be respected. The consequences of not being listened to by colleagues or having your action plan overridden by other policies can often be frustrating and upsetting for a nurse. Although there is no data directly linking the effects of moral distress and the quality of care provided by nurses, it can be inferred that feelings of moral outrage, frustration, and anger cause nurses to care for patients less effectively. A nurse in conflict with himself and those around him will experience difficulty in treating a patient with the best care. To be involved in the nursing profession it is necessary to respect the Code of Ethics established for nurses. Nurses must consider the patient's good as his most important value; this is the ultimate goal of the nursing profession. They must treat each patient as an individual, care for them with respect... middle of paper... even if their beliefs are violated. Silence is usually the first sign of a morally distressed nurse. As stated earlier, they feel helpless, so they don't feel like they can talk to anyone they need to. There is no real solution to moral distress, and some nurses burn out and abandon the field they are in or even the profession. There is no happy outcome when it comes to this; you either deal with it or get out of it. In a recent study conducted by Mary C. Corley, two groups of critical care nurses were interviewed. In the first group, 18% of nurses had considered or even abandoned their field of study due to moral distress. In the second, 26% of nurses had left their previous sector due to hardship (Hamric, Davis, Childress p. 2). Are nurses under too much pressure in the workplace or is it the fault of the training they received before leaving the job? in the real world?