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Moral Distress in Nursing with Rebecca Greenberg

In this episode of A Minute with Maxwell: Mission in Motion, host Heather Maxwell sits down with Rebecca Greenberg, a bioethicist, nurse consultant, and founder of Greenberg Consulting, to explore the often hidden reality of moral distress in healthcare, especially in nursing and long-term care. Rebecca explains how she transitioned from bedside nursing into bioethics, driven by her early fascination with big philosophical and ethical questions. She shares a powerful story from her time as a nurse caring for a terminally ill patient whose family was not ready to choose a palliative care path, leaving staff to deliver aggressive treatment they felt was causing more harm than good. Together, Heather and Rebecca unpack: What is moral distress? How moral distress shows up in long-term care Moral distress and Medical Assistance in Dying (MAID) Moral distress vs. burnout Staffing shortages, system pressures, and moral distress What organizations can do: supports that actually help Self-care, boundaries, and realistic expectations Hope, moral resilience, and culture change Advice to nurses and care professionals 0:00 – Intro: Moral Distress in Healthcare 0:26 – Rebecca’s Early Experience of Moral Stress 1:21 – Meet Bioethicist & Nurse Consultant Rebecca Greenberg 1:52 – From Nursing to Bioethics: Rebecca’s Journey 4:20 – Why Moral Distress Can Be Harder Than Shift Work 5:11 – Case Study: Terminal Cancer, Aggressive Care, and Moral Conflict 6:20 – Moral Distress as a Top Reason Clinicians Leave 6:53 – What Makes This Work Meaningful for Rebecca 8:12 – Defining Moral Distress in Simple Terms 9:59 – How Moral Distress Shows Up in Long-Term Care 10:35 – Emotional, Physical, and Spiritual Impacts 11:21 – Moral Distress and Medical Assistance in Dying (MAID) 13:21 – Why Naming and Normalizing Moral Distress Matters 14:06 – Organizational Supports: Forums, Debriefs, and Education 16:41 – Psychological Safety & Peer Support in Care Teams 17:27 – “Name It to Tame It”: Reducing Distress by Naming It 18:27 – Being Seen, Heard, and Validated by Leaders 21:25 – Moral Distress, Burnout, and Quality of Care 23:21 – Staffing Shortages, System Pressures, and Moral Tension 25:15 – Focusing on What’s in Your Control 26:16 – Self-Care on Shift: Breaks, Lunch, and Oxygen Mask Metaphor 27:49 – Measuring Success in a Resource-Constrained Reality 28:12 – Cultures That Handle Moral Distress Well vs. Poorly 29:12 – Reasons for Hope: Growing Awareness and Supports 30:16 – Advice for Nurses Experiencing Moral Distress 32:03 – How to Work with Rebecca & Greenberg Consulting 32:57 – Closing Reflections and Call to Ongoing Conversation 33:19 – Outro: About Maxwell Management Group & Podcast Wrap-Up Website: greenbergconsulting.ca Social: Search Greenberg Consulting on Instagram or LinkedIn About Maxwell Management Group This podcast is brought to you by Maxwell Management Group, a national executive search and education firm specializing in the continuing care sector. For nearly two decades, they’ve partnered with organizations to build values-driven leadership, vibrant workplace cultures, and purpose-led employer brands. Learn more: maxwellmanagementgroup.com