PURPOSE: The purpose of this qualitative descriptive study was to describe critical care nurses’ experiences of moral challenges, moral distress, and moral resilience during the COVID-19 pandemic. The specific aims of this study were to: 1. Describe the moral challenges experienced by ICU nurses. 2. Describe moral resilience in terms of integrity, buoyancy, moral efficacy, self-regulation, and self-stewardship among ICU nurses (from Rushton’s framework). 3. Explore the relationship between moral distress and moral resilience to advance the concept of moral resilience in the face of the COVID-19 pandemic. FRAMEWORK: This study was undergirded by an adaptation of Rushton’s conceptual framework of moral concepts. DESIGN: A qualitative descriptive design was used. Participants were recruited between January to May 2021, and a semi-structured interview guide was utilized to interview participants. RESULTS: 17 participants were interviewed for the study. Participants described the four themes of moral challenges: death and dying, pain and suffering, being alone, and being helpless and not in control. Moral resilience was described as: integrity, buoyancy, moral efficacy, self-regulation, self-stewardship, and self-perception. The relationship between moral distress and moral resilience was described as iterative and fluid. CONCLUSION: The findings of the study provided a new domain of moral resilience called self-perception and a revised adaptation of the conceptual framework for moral resilience.

Digital communication tools and practices improve the spread and impact of organisational messages. Quite often, however, they also pose moral problems. This article examines how often public relations practitioners encounter moral issues in their day-to-day work, how they assess digital communication tools and practices in terms of ethics, and the resources on which they rely to tackle moral challenges. Four research questions were addressed in an online survey among 2,324 practitioners who work in PR departments of organisations or in PR agencies across Europe. Results show that PR practitioners face more moral challenges in their daily work than they have faced in the past. Regarding digital communication tools and practices, they report moral concerns especially related to using bots, exploiting personal data for big-data analyses, paying social media influencers, and using sponsored content. Personal values and beliefs are the most important resource for dealing with moral issues—whether because only a minority of practitioners has participated in any formal ethics training within the past three years, or because existing ethical guidelines are outdated. Results call for the development of ethical guidelines that can provide explicit advice in the area of digital communication. Furthermore, structured training programs and ethics courses in graduate programs are needed to enhance practitioners’ ethical knowledge.