The warning is based on findings from a new study that indicated many accident and emergency nurses across the world were experiencing ‘moral distress’. They examined a decade of international research into moral distress among emergency department nurses and identified consistent patterns that are affecting nurses across global healthcare systems. Demographic, professional and contextual factors shaped both the intensity and interpretation of moral distress, highlighting its situated and relational nature within emergency practice. They said their review, published in the Journal of Clinical Nursing, was the “first comprehensive mapping” of moral distress research focused on emergency nurses. “If we want to retain experienced emergency nurses, we need to stop thinking of resilience as an individual responsibility,” she said.