Intervention studies with developmental samples are difficult to implement, in particular when targeting demographically diverse communities. Online studies have the potential to examine the efficacy of highly scalable interventions aimed at enhancing development, and to address some of the barriers faced by underrepresented communities for participating in developmental research. During the COVID-19 pandemic, we executed a fully remote randomized controlled trial language intervention with third and fourth grade students from diverse backgrounds across the United States. Using this as a case (...) study, we discuss both challenges and solutions to conducting an intensive online intervention through the various phases of the study, including recruitment, data collection, and fidelity of intervention implementation. We provide comprehensive suggestions and takeaways, and conclude by summarizing some important tradeoffs for researchers interested in carrying out such studies. (shrink)

This paper is motivated by the increasing popularity of efficient designs for stated choice experiments. The objective in efficient designs is to create a stated choice experiment that minimizes the standard errors of the estimated parameters. In order to do so, such designs require specifying prior values for the parameters to be estimated. While there is significant literature demonstrating the efficiency improvements of employing efficient designs, the bulk of the literature tests conditions where the priors used to generate the efficient (...) design are assumed to be accurate. However, there is substantially less literature that compares how different design types perform under varying degree of error of the prior. The literature that does exist assumes small fractions are used, which is in contrast to computer-aided surveys that readily allow for large fractions. Further, the results in the literature are abstract in that there is no reference point to provide clear insight on the magnitude of any issue. Our objective is to analyze the robustness of different designs within a typical stated choice experiment context of a trade-off between price and quality. We use as an example transportation mode choice, where the key parameter to estimate is the value of time. Within this context, we test many designs to examine how robust efficient designs are against a misspecification of the prior parameters. The simple mode choice setting allows for insightful visualizations of the designs themselves and also an interpretable reference point for the range in which each design is robust. Not surprisingly, the D-efficient design is most efficient in the region where the true population VOT is near the prior used to generate the design: the prior is $20/h and the efficient range is $10–$30/h. However, the D-efficient design quickly becomes the most inefficient outside of this range, and the estimation significantly degrades above $50/h. The orthogonal and random designs are robust for a much larger range of VOT. The robustness of Bayesian efficient designs varies depending on the variance that the prior assumes. Implementing two-stage designs that first use a small sample to estimate priors are also not robust relative to uninformative designs. Arguably, the random design performs as well as any design, and it will perform even better if data cleaning is done to remove choice tasks where one alternative dominates the other. (shrink)

This study examined the role of key causal analysis strategies in forecasting and ethical decision-making. Undergraduate participants took on the role of the key actor in several ethical problems and were asked to identify and analyze the causes, forecast potential outcomes, and make a decision about each problem. Time pressure and analytic mindset were manipulated while participants worked through these problems. The results indicated that forecast quality was associated with decision ethicality, and the identification of the critical causes of the (...) problem was associated with both higher quality forecasts and higher ethicality of decisions. Neither time pressure nor analytic mindset impacted forecasts or ethicality of decisions. Theoretical and practical implications of these findings are discussed. (shrink)

Integrating power dependence and gender role theories, we investigate the interactive effects of followers’ gender and leaders’ Machiavellian orientation in predicting followers’ usage of upward influence tactics. Using a sample of 156 matched leader–follower dyads, we found that followers’ gender moderated the relationship between Time 1 leaders’ Machiavellian orientation and followers’ use of upward influence tactics at Time 2. Specifically, the relationship between Time 1 leaders’ Machiavellianism and Time 2 followers’ ingratiation was significant and positive for women followers and non-significant (...) for men followers, while the relationship between Time 1 leaders’ Machiavellianism and Time 2 followers’ assertiveness was significant and positive for men followers but non-significant for women followers. These results suggest that gender plays an important role in how followers react to Machiavellian leaders. The social and ethical implications of these findings are discussed. (shrink)

Objective: The objectives of this study are to understand the current functions, structure and operation of hospital ethics committees (HECs) in Shanghai and to facilitate their improvement. Methods: (1) A questionnaire survey, (2) interviews with secretaries and (3) on-site document reviews of HECs in Shanghai were used in the study, which surveyed 33 hospitals. Results: In Shanghai, 57.56% of the surveyed hospitals established HECs from 1998 to 2005. Most HECs used bioethical review of research involving human subjects as well as (...) bioethical review or consultation regarding medical care services and administrative decision- making. Of the surveyed HECs, 14.3% did not provide any formal bioethical training to the HECs’ members and many HECs had no standard operating procedures. Some HECs had no clear definition of what was “conflict of interest” that should be considered by the HECs, while 44.4% of the HECs did not perform continuing review. Discussion: After the issues of related national regulations, more and more hospitals established HECs in Shanghai, but the functions of HECs need to be further developed and formal training on bioethics should be provided to HEC members. To assure the independence and good performance of HECs, the conflict of interest procedure, the standard operating procedures and bioethical review should be improved. Conclusion: HECs in Shanghai had developed in the preceding 10 years and they played great roles in protecting the rights and welfare of human subjects and patients; some areas need improvement. (shrink)

Remnants of ancient retroviral infections during evolution litter all mammalian genomes. In modern humans, such endogenous retroviral (ERV) sequences comprise at least 8% of the genome. While ERVs and other types of transposable elements undoubtedly contribute to the genomic “junk yard”, functions for some ERV sequences have been demonstrated, with growing evidence that ERVs can be important players in gene regulatory processes. Here we focus on one particular large family of human ERVs, termed HERVH, which several recent studies suggest has (...) a key regulatory role in human pluripotent stem cells. Remarkably, this is not the first instance of an ERV controlling pluripotency. We speculate as to why this convergent evolution might have come about, suggesting that it may reflect selection on the virus to extend the time available for transposition. Alternatively it may reflect serendipity alone. (shrink)

Objectives The objectives of the study are to understand the current practice of informed consent in medical research in public hospitals in Shanghai, and to share our views with other countries, especially developing countries. Methods In the study, 145 consent forms (CFs) of the selected research projects in eight public hospitals with ethics committees in Shanghai were audited, and the principle investigators (PIs) of these research projects and 40 student subjects who had participated in clinical drug tests were surveyed by (...) questionnaires. Results The CFs of medical researches in public hospitals with ethics committees in Shanghai were generally acceptable. However, there were some defects in the CFs. Although most of the surveyed PIs had correct recognition of informed consent, some processes of informed consent were not in accordance with generally accepted requirements. A large number of the PIs considered the greatest difficulty with informal consent was lack of correct recognition of subjects or legally authorised representatives on medical research. Discussion Informed consent in medical research should consider the research ethics, the background of potential subjects, the local resources and culture of medical research. In addition, special protection is needed for student subjects in informed consent as well as efforts for building and restoring the public's trust in biomedical research. Conclusion The informed consent in Shanghai's public hospitals with ethics committees was generally acceptable and the achievement of adequate informed consent is influenced by many factors. (shrink)

The current study uses a sensemaking model and thinking strategies identified in earlier research to examine ethical decision making. Using a sample of 163 undergraduates, a low-fidelity simulation approach is used to study the effects personal involvement (in causing the problem and personal involvement in experiencing the outcomes of the problem) could have on the use of cognitive reasoning strategies that have been shown to promote ethical decision making. A mediated model is presented which suggests that environmental factors influence reasoning (...) strategies, reasoning strategies influence sensemaking, and sensemaking in turn influences ethical decision making. Findings were mixed but generally supported the hypothesized model. It is interesting to note that framing the outcomes of ethically charged situations in terms of more global organizational outcomes rather than personal outcomes was found to promote the use of pro-ethical cognitive reasoning strategies. (shrink)

Cyclin-dependent kinase 5 has been implicated in Alzheimer's disease pathogenesis. Here, we demonstrate that overexpression of p25, an activator of cdk5, led to increased levels of BACE1 mRNA and protein in vitro and in vivo. A p25/cdk5 responsive region containing multiple sites for signal transducer and activator of transcription was identified in the BACE1 promoter. STAT3 interacts with the BACE1 promoter, and p25-overexpressing mice had elevated levels of pSTAT3 and BACE1, whereas cdk5-deficient mice had reduced levels. Furthermore, mice with a (...) targeted mutation in the STAT3 cdk5 responsive site had lower levels of BACE1. Increased BACE levels in p25 overexpressing mice correlated with enhanced amyloidogenic processing that could be reversed by a cdk5 inhibitor. These data demonstrate a pathway by which p25/cdk5 increases the amyloidogenic processing of APP through STAT3-mediated transcriptional control of BACE1 that could have implications for AD pathogenesis. (shrink)

We present a population density and moment-based description of the stochastic dynamics of domain $${\text{Ca}}^{2+}$$ -mediated inactivation of L-type $${\text{Ca}}^{2+}$$ channels. Our approach accounts for the effect of heterogeneity of local $${\text{Ca}}^{2+}$$ signals on whole cell $${\text{Ca}}^{2+}$$ currents; however, in contrast with prior work, e.g., Sherman et al. :985–995, 1990), we do not assume that $${\text{Ca}}^{2+}$$ domain formation and collapse are fast compared to channel gating. We demonstrate the population density and moment-based modeling approaches using a 12-state Markov chain model (...) of an L-type $${\text{Ca}}^{2+}$$ channel introduced by Greenstein and Winslow :2918–2945, 2002). Simulated whole cell voltage clamp responses yield an inactivation function for the whole cell $${\text{Ca}}^{2+}$$ current that agrees with the traditional approach when domain dynamics are fast. We analyze the voltage-dependence of $${\text{Ca}}^{2+}$$ inactivation that may occur via slow heterogeneous domain [ $${\text{Ca}}^{2+}$$ ]. Next, we find that when channel permeability is held constant, $${\text{Ca}}^{2+}$$ -mediated inactivation of L-type channels increases as the domain time constant increases, because a slow domain collapse rate leads to increased mean domain [ $${\text{Ca}}^{2+}$$ ] near open channels; conversely, when the maximum domain [ $${\text{Ca}}^{2+}$$ ] is held constant, inactivation decreases as the domain time constant increases. Comparison of simulation results using population densities and moment equations confirms the computational efficiency of the moment-based approach, and enables the validation of two distinct methods of truncating and closing the open system of moment equations. In general, a slow domain time constant requires higher order moment truncation for agreement between moment-based and population density simulations. (shrink)

Dans le courant du XVII e siècle se multiplient en Chine les discours sur l’amitié. En partie liés à la déliquescence des structures traditionnelles et notamment familiales qui servaient de base au fonctionnement social de l’empire, ils proposent de réévaluer le lien amical dans l’organisation politique. He Xinyin (1517-1579) est à cet égard l’un des penseurs les plus innovants et radicaux. À travers la lecture de quelques essais majeurs recueillis dans le recueil de ses œuvres complètes, l’article entend expliciter la (...) réévaluation de l’amitié et sa dimension subversive chez cet auteur et montrer comment une telle redéfinition a pu instiller dans la culture chinoise du XVII e siècle et au-delà de nouveaux rapports subjectifs où l’individu émerge comme une entité cardinale dans les rapports sociaux ainsi que les idées de liberté d’expression. (shrink)

Cet article retrace les changements intervenus au sein du militantisme féministe chinois dans un climat de détérioration politique deux décennies après la Quatrième Conférence mondiale sur les femmes (QCMF) en 1995. Il met en lumière les actions novatrices menées par les jeunes féministes, de même que l’intense surveillance qu’exerce, sur le militantisme organisé, un État totalitaire qui craint de perdre son pouvoir. Bien que la sphère publique et le cyber espace ne laissent guère beaucoup de place à l’activisme, les féministes (...) chinoises se sont mobilisées pour continuer d’expérimenter de nouvelles façons d’exiger l’égalité de genre et de poursuivre des transformations sociales et culturelles. (shrink)

La Révolution française et certaines idées des Lumières ont produit une évolution radicale de sens du terme geming (révolution) qui, devenant un mot d’ordre, a engendré un nouveau courant de pensée à la fin de la dynastie des Qing. Connue tardivement en Chine, elle fut d’abord présentée comme négative pour prêcher une réforme politique d’urgence, devint ensuite un objet de polémiques qui opposèrent réformistes et révolutionnaires. Dans le même temps, le terme geming, qui désignait à l’origine le « changement de (...) mandat céleste », ne cessa de susciter des interprétations diverses selon la période et la position politique des commentateurs. L’objectif de cet article est d’interroger le processus de transformation de cette notion et de son adaptation à la réalité chinoise, afin de mieux mesurer en quoi consiste l’héritage de la Révolution française dans la construction de la Chine moderne. (shrink)

Cet article revisite la théorie althussérienne de l’idéologie en se focalisant sur la place centrale – mais qui passe souvent inaperçue – que la question du corps y occupe. Il avance l’idée que l’idéologie, au sens où Althusser l’entend, doit son existence et sa réalité au corps humain. Pour ce faire, il va démontrer que chez Althusser : (1) la notion de l’« idéologie en général » présuppose celle du « corps en général » ; (2) la question du double (...) rapport de l’idéologie à la science d’un côté et à la société de l’autre témoigne de l’importance de celle du corps ; (3) c’est parce que l’homme a/est un corps qu’il est un animal idéologique, c’est-à-dire qu’il vit dans et par l’idéologie, et qu’en ce sens l’idéologie est comparable à l’atmosphère, sans laquelle il n’y a pas de respiration, et donc pas de vie possible. (shrink)

Bien que la tradition confucéenne place l’amitié en dernière position des cinq relations sociales, les écrits la concernant sont très importants. L’amitié qui lie Bo Ya et Zhong Ziqi trouve son prolongement dans celle de Fan Shi et Zhang Shao, dans la mesure où l’un des amis de ces couples meurt. Ces alliances amicales teintées d’un ton tragique et remontant à l’époque pré-impériale et aux Han ne cessent d’alimenter l’imaginaire des Chinois qui les subliment ou amplifient dans tous les genres (...) littéraires : poésie, théâtre et roman… Tous les auteurs privilégient la fidélité de ces personnages, leur vertu, caractère universel dans ce type de relation sociale. Ils insistent également sur le lien spirituel qui transcende la vie et la mort. À partir de la traduction de ces récits connus et célébrés, nous essayons dans cette étude de montrer comment l’exemplarité de l’amitié s’embellit ou se mythifie et de quelle manière l’intertextualité joue dans la formation du vocabulaire chinois à ce propos. (shrink)

Bien que la tradition confucéenne place l’amitié en dernière position des cinq relations sociales, les écrits la concernant sont très importants. L’amitié qui lie Bo Ya et Zhong Ziqi trouve son prolongement dans celle de Fan Shi et Zhang Shao, dans la mesure où l’un des amis de ces couples meurt. Ces alliances amicales teintées d’un ton tragique et remontant à l’époque pré-impériale et aux Han ne cessent d’alimenter l’imaginaire des Chinois qui les subliment ou amplifient dans tous les genres (...) littéraires : poésie, théâtre et roman… Tous les auteurs privilégient la fidélité de ces personnages, leur vertu, caractère universel dans ce type de relation sociale. Ils insistent également sur le lien spirituel qui transcende la vie et la mort. À partir de la traduction de ces récits connus et célébrés, nous essayons dans cette étude de montrer comment l’exemplarité de l’amitié s’embellit ou se mythifie et de quelle manière l’intertextualité joue dans la formation du vocabulaire chinois à ce propos. (shrink)

Figure originale de la pensée chinoise, Wang Chong passe en revue, dans cet ouvrage, les conceptions de son temps. Alors que dans leur majorité les penseurs chinois se préoccupent en priorité de morale, il se donne un programme d'ordre épistémologique : la lutte contre l'erreur et le mensonge.

Résumé Aux années soixante-dix, Roland Barthes désigne le Zen japonais par « L’empire des signes », alors que la culture chinoise par la « fadeur des signes ». François Jullien reprend ultérieurement l’idée de la « fadeur » au niveau de son sens « non dualiste » dans le cadre de la philosophie comparée. Depuis les courants poststructuraliste et déconstructionniste, de plus en plus de recherches sémiotiques et philosophiques portent sur l’étude bouddhique, dont le point nodal se situe alors dans (...) un parallélisme au bénéfice des échanges interculturels. En vue d’une déspécialisation du jargon propre à chaque domaine, il semble impératif de mettre en relation les concepts de base en commun. Pour mettre en évidence l’apport de l’étude terminologique et méthodologique, cet article commence par les travaux philologiques sur la « traduction » des textes bouddhiques. Ensuite, la discussion se concentre sur la « dualité » à partir de la « réception » de l’exégétique saussurienne. Il s’agit concrètement d’une étude embryonnaire sur le terme propre couple « signifiant/signifié »: l’exégétique saussurienne s’est répandue efficacement en Chine grâce aux emprunts à la terminologie bouddhique, ce qui offrirait une perspective positive vis-à-vis du dialogue interculturel. En même temps, il serait aussi possible de traduire les termes bouddhiques par le biais sémiotique en regard d’une osmose transdisciplinaire. (shrink)

Kim Dong-ri et Seo Jeong-ju sont deux monuments de la littérature coréenne du XX e siècle. Les deux écrivains nouèrent une profonde amitié à partir des années 1930 et contribuèrent ensemble à la reconstruction du milieu littéraire de la Corée après la période de l’Occupation japonaise. Dans quel contexte le romancier et le poète se sont-ils rencontrés? Quelles sont les caractéristiques de leur lien amical? Comment celui a-t-il résisté aux vicissitudes du temps et au désaccord momentané lié aux circonstances? À (...) partir d’éléments biographiques, autobiographiques et de leurs témoignages réciproques, nous découvrons que la connaissance intime de l’univers de l’un par l’autre et leur inspiration mutuelle se fondent sur les valeurs littéraires et humanistes qu’ils partagent : fins connaisseurs de la littérature du monde, ils valorisent dans leur écriture des éléments proprement coréens. (shrink)

Kim Dong-ri et Seo Jeong-ju sont deux monuments de la littérature coréenne du XX e siècle. Les deux écrivains nouèrent une profonde amitié à partir des années 1930 et contribuèrent ensemble à la reconstruction du milieu littéraire de la Corée après la période de l’Occupation japonaise. Dans quel contexte le romancier et le poète se sont-ils rencontrés? Quelles sont les caractéristiques de leur lien amical? Comment celui a-t-il résisté aux vicissitudes du temps et au désaccord momentané lié aux circonstances? À (...) partir d’éléments biographiques, autobiographiques et de leurs témoignages réciproques, nous découvrons que la connaissance intime de l’univers de l’un par l’autre et leur inspiration mutuelle se fondent sur les valeurs littéraires et humanistes qu’ils partagent : fins connaisseurs de la littérature du monde, ils valorisent dans leur écriture des éléments proprement coréens. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Books ReceivedThe Ambitions of Curiosity: Understanding the World in Ancient Greece and China. By G.E.R. Lloyd. Cambridge: Cambridge University Press, 2002. Pp. xvi + 175. Price not given.The Art of the Han Essay: Wang Fu's Ch'ien-Fu Lun. By Anne Behnke Kinney. Tempe: Center for Asian Studies, Arizona State University, 1990. Pp. xi + 154. Paper $10.00.The Autobiography of Jamgön Kongtrul: A Gem of Many Colors. By Jamgön Kongtrul (...) Lodrön Thayé and translated by Richard Barron (Chökyi Nyima). Ithaca, New York: Snow Lion Publications, 2003. Pp. xxii + 549. Price not given.Awesome Nightfall: The Life, Times, and Poetry of Saigyō. By William R. LaFleur. Boston: Wisdom Publications, 2003. Pp. xiii + 173. Paper $14.95.Becoming the Compassion Buddha: Tantric Mahamudra for Everyday Life. By Lama Thubten Yeshe, edited by Robina Courtin, and foreword by Geshe Lhundub Sopa. Boston: Wisdom Publications, 2003. Pp. xi + 194. Paper $14.95.Between Two Worlds East and West: An Autobiography. By J. N. Mohanty. New Delhi: Oxford University Press, 2002. Pp. ix + 134. Hardcover RS 525.00.The Chinese Face of Jesus Christ. Edited by Roman Malek, S.V.D. Sankt Augustin, Germany: Institut Monumenta Serica and China-Zentrum; and Nettetal, Germany: Steyler Verlag, 2002. Pp. 391. EUR 40.00.Chinese Medicine in Contemporary China: Plurality and Synthesis. By Volker Scheid. Durham and London: Duke University Press, 2002. Pp. xiv + 407. Hardcover $69.95. Paper $23.95.Confucian Feminist: Memoirs of Zeng Baosun (1893-1978). Translated and adapted by Thomas L. Kennedy. Philadelphia: American Philosophical Society, 2002. Pp. xxi + 170. Price not given.Consciousness Studies: Cross-Cultural Perspectives. By K. Ramakrishna Rao. Jefferson (North Carolina) and London: McFarland and Company, 2002. Pp. 367. Hardcover $65.00.Constituting Communities: Theravāda Buddhism and the Religious Cultures of South and Southeast Asia. Edited by John Clifford Holt, Jacob N. Kinnard, and Jonathan S. Walters. Albany: State University of New York Press, 2003. Pp. viii + 224. Hardcover $65.50. Paper $21.95.Developments in Indian Philosophy from Eighteenth Century Onwards: Classical and Western. By Daya Krishna. Volume X Part 1 of History of Science, Philosophy and Culture in Indian Civilization, edited by D. P. Chattopadhyaya. New [End Page 110] Delhi: Centre for Studies in Civilizations, 2001. Pp. xxiii + 417. Hardcover RS 1200.East and West: Identità e dialogo interculturale. By Giangiorgio Pasqualotto. Venezia: Marsilo Editori, 2003. Pp. 210. EUR 16.00.Effortless Action: Wu-wei as Conceptual Metaphor and Spiritual Ideal in Early China. By Edward Slingerland. New York: Oxford University Press, 2003. Pp. xii + 352. Price not given.Encountering Kā lī: In the Margins, at the Center, in the West. Edited by Rachel Fell McDermott and Jeffrey J. Kripal. Berkeley and Los Angeles: University of California Press, 2003. Pp. xviii + 321. Hardcover $55.00, £37.95. Paper $21.95, £15.95.Encyclopedia of Chinese Philosophy. Edited by Antonio S. Cua. New York and London: Routledge, 2003. Pp. xx + 1020. Hardcover $150.00.Essays on Indian Philosophy. By J. N. Mohanty and edited by Purushottama Bilimoria. New Delhi: Oxford University Press, 2002. Pp. xxxvii + 347. Paper RS 525.00.Faith, Humor, and Paradox. By Ignacio L. Götz. Westport, Connecticut: Praeger Publishers, 2002. Pp. 136. Hardcover $61.95.Four Illusions: Candrakīrti's Advice for Travelers on the Bodhisattva Path. Translated by Karen C. Lang. New York: Oxford University Press, 2003. Pp. xv + 240. Price not given.The Great Awakening: A Buddhist Social Theory. By David R. Loy. Boston: Wisdom Publications, 2003. Pp. 223. Paper $16.95.The Hidden History of The Tibetan Book of the Dead. By Bryan J. Cuevas. New York: Oxford University Press, 2003. Pp. xi + 328. Price not given.Huang Di nei jing su wen: Nature, Knowledge, Imagery in an Ancient Chinese Medical Text. By Paul U. Unschuld. Berkeley and Los Angeles: University of California Press, 2003. Pp. xii + 520. Hardcover $75.00, £52.00.In Dewey's Wake: Unfinished Work of Pragmatic Reconstruction. Edited by William J. Gavin. Albany: State University of New York Press, 2003. Pp. vi + 249. Hardcover $71.50. Paper $23.95.Knowledge and Freedom in Indian Philosophy. By Tara Chatterjea. Lanham, Maryland: Lexington Books, 2002. Pp. xvi + 159. Hardcover... (shrink)

The social facilitation of eating plays a significant role in influencing individuals’ eating decisions. However, how social eating cues are processed in health promotion messages is unclear. This study examined individuals’ food craving in response to social cues in images and emotional experiences, perceived threat, perceived efficacy, behavioral intentions, and motivational coactivation elicited by social eating cues in obesity prevention fear appeals. Results suggested that the presence of a group of people eating in an image facilitated food craving for the (...) presented foods. Moreover, fear appeals that presented obesity and its consequences with more social eating cues, versus individual eating cues, generated greater positive emotional responses, perceived threat severity, response and self-efficacy, and motivational coactivation indicating more attention and threat vigilance. However, these cues also generated fewer self-reported intentions to change unhealthy eating behaviors. Implications and suggestions for future research are discussed. (shrink)

David Blank presents a new translation into clear modern English of a key treatise by one of the greatest of ancient philosophers, together with the first ever commentary on this work. Sextus Empiricus' Against the Grammarians is a polemical attack on ancient Greek ideas about grammar, and provides one of the best examples of sustained Sceptical reasoning.

Little is known about the consequences of moral distress. The purpose of this study was to identify clinical situations that caused nurses to experience moral distress, to understand the consequences of those situations, and to determine whether nurses would change their practice based on their experiences. The investigation used a descriptive approach. Open-ended surveys were distributed to a convenience sample of 204 critical care nurses employed at a university medical center. The analysis of participants’ responses used an inductive approach and (...) a thematic analysis. Each line of the data was reviewed and coded, and the codes were collapsed into themes. Methodological rigor was established. Forty-nine nurses responded to the survey. The majority of nurses had experienced moral distress, and the majority of situations that caused nurses to experience moral distress were related to end of life. The nurses described negative consequences for themselves, patients, and families. (shrink)