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  • Thank you very much for your thoughtful response to our article entitled, “Exploring Race in Nursing: Teaching Nursing Students about Racial Inequality Using the Historical Lens.” Certainly, this is a very large topic and indeed deserves our serious consideration. I could not agree with you more and am encouraged to find that young scholars are investigating diverse minority populations and addressing the gap that you so ably point out.

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Reply by author McCue to Howard on Using the AACN Framework to Alleviate Moral Distress

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March 10, 2011

Response by author Carol McCue to Kimberly R. Howard on "Using the AACN Framework to Alleviate Moral Distress" by Carol McCue (November 9, 2010)

It is gratifying that Ms. Howard has already utilized the first step of the AACN framework, “4A’s to Rise Above Moral Distress.” This awareness of moral distress, followed by appropriate actions, will enable nurses to manage moral distress as a part of the work environment. In our school of nursing the concept of moral distress and use of the AACN framework has been integrated into our senior level capstone nursing course in order to promote the smooth transition from student nurse to new graduate. The suggestion that this framework be included in the orientation and annual education for all nurses is a very wise and reasonable recommendation. Educators and Nurse Executives are well advised to address this most important issue of moral distress as we strive to improve working conditions in our complex healthcare environments.

Carole McCue RN MS CNE
Cochran School of Nursing
Yonkers, New York