In pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric critical care units in a western Canadian province. We conducted individual semi-structured interviews via Zoom. A total of 10 registered nurses participated in the study. Four main themes were identified: (1) “I’m sorry, there’s nothing else”: increasing supports for patients and families; (2) “someone will commit suicide”: improving supports for nurses: (3) “Everyone needs to be heard”: improving patient care communication; and (4) “I didn’t see it coming”: providing education to mitigate moral distress. Most participants stated they wanted an intervention to improve communication among the healthcare team and noted changes to unit practices that could decrease moral distress. This is the first study that asks nurses what is needed to minimize their moral distress. Although there are multiple strategies in place to help nurses with difficult aspects of their work, additional strategies are needed to help nurses experiencing moral distress. Moving the research focus from identifying moral distress towards developing effective interventions is needed. Identifying what nurses need is critical to develop effective moral distress interventions.

在儿科重症监护中，护士是危重患儿的主要照顾者，尤其容易受到道德困扰。关于哪些方法可以有效减少这些护士的道德困扰的证据有限。确定具有道德困扰历史的重症监护护士认为对开发道德困扰干预很重要的干预属性。我们使用了定性描述方法。参与者是在 2020 年 10 月至 2021 年 5 月期间从加拿大西部省份的儿科重症监护室使用有目的的抽样招募的。我们通过 Zoom 进行了个人半结构化访谈。共有 10 名注册护士参与了这项研究。确定了四个主题：（1）“对不起，没有别的了”：增加对患者和家庭的支持；(2) “有人会自杀”：改善对护士的支持： (3) “每个人都需要被倾听”：改善患者护理沟通；(4) “我没想到”：提供教育以减轻道德困扰。大多数参与者表示，他们希望进行干预以改善医疗团队之间的沟通，并指出可以减少道德困扰的单元实践的变化。这是第一项询问护士需要什么才能最大程度地减少道德困扰的研究。尽管有多种策略可以帮助护士解决工作中的困难方面，但还需要其他策略来帮助经历道德困扰的护士。需要将研究重点从识别道德困扰转向制定有效的干预措施。