Research Focus

End-of-life issues, ethics, pediatrics.

Recent Grants

  • A Precursor for Analysis of Continuity of Care and Ethical Conflict at the End-of-Life, Principal Investigator (2008-2009)

Teaching Focus

Ethics, pharmacology.


Journal Articles

Prompahakul, C., & Epstein, E.G. (2020). Moral distress experienced by non-Western nurses: An integrative review. Nursing Ethics, 27(3), 778-795. doi:10.1177/0969733019880241

Epstein, E. G., Haizlip, J., Liaschenko, J., Zhao, D., Bennett, R., & Marshall, M. F. (2020). Moral distress, mattering, and secondary traumatic stress in provider burnout: A call for moral community. AACN Advanced Critical Care, 31(2), 146-157. doi:10.4037/aacnacc2020285

Berger, J., Hamric, A. B., & Epstein, E. G. (2019). Self-inflicted moral distress: Opportunity for a fuller exercise of professionalism. Journal of Clinical Ethics, 30(4), 315-318.

Epstein, E. G., Prompahakul, C., Thacker, L., Whitehead, P. B., & Hamric, A. B. (2019). Enhancing understanding of moral distress: The measure of moral distress for healthcare professionals. AJOB Empirical Bioethics, 10(2), 113-124. doi:10.1080/23294515.2019.1586008

Wolf, A., White, K. R., Epstein, E., & Enfield, K. (2019). Palliative care and moral distress: An institutional survey of critical care nurses. Critical Care Nurse, 39(5), 38-49. doi:10.4037/ccn2019645

Epstein, E., Phyllis, B. W., Prompahakul, C., Leroy, R. T., & Hamric, A. B. (2019). Enhancing understanding of moral distress: The measure of moral distress for health care professionals. AJOB Empirical Bioethics, 10(2), 113-124. doi:10.1080/23294515.2019.1586008

Chen, D., Epstein, E., Almarode, S., Winter, J., Marshall, M. F. (2018). What the “F”? American Journal of Bioethics, 18(1), 16-19. doi:10.1080/15265161.2017.1401178

Caspari, L., Blackman A., Epstein, E.G., & Kaufman D. (2017). Human factors related to time dependent infection control measures: “Scrub the hub” for venous catheters and feeding tubes. American Journal of Infection Control, 45, 641-651. doi:10.1016/j.ajic.2017.01.004

Epstein, E., Arechiga, J., Dancy, M., Simon, J., Wilson, D. & Alhusen, J. (2017). Integrative review of technology to support communication with parents of infants in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(3), 357-366. doi:10.1016/j.jogn.2016.11.019

Epstein, E., & Hurst, A. (2017). Looking at the positive side of moral distress: Why it's a problem. The Journal of Clinical Ethics, 28(1), 37-41.

Epstein, E. G., Hurst, A. R., Mahanes, D., Marshall, M. F., & Hamric, A. B. (2016). Is broader better? American Journal of Bioethics, 16(12), 15-17. doi:10.1080/15265161.2016.1242669

Alhusen, J., Bower, K., Epstein, E., & Sharps, P. (2016). Racial discrimination and adverse birth outcomes: An integrative review. Journal of Midwifery & Women’s Health, 61(6), 707-720. doi:10.1111/jmwh.12490

Epstein, E.G. & Wolfe, K. (2016). A preliminary evaluation of trust and shared decision making among intensive care unit patients’ family members. Applied Nursing Research, 32, 286-288. doi:10.1016/j.apnr.2016.08.011

Marshall, M.F. & Epstein, E.G. (2016). Moral hazard and moral distress: A marriage made in purgatory. [Open peer commentary]. American Journal of Bioethics, 16(7), 46-48. doi:10.1080/15265161.2016.1181895

Roczen, M.L., White, K.R., & Epstein, E.G. (2016). Palliative care and intensive care units: A systematic review. Journal of Hospice and Palliative Nursing, 18(3), 201-211. doi:10.1097/njh.0000000000000218

Whitehead, P., Herbertson, R.K., Hamric, A.B., Epstein, E.G., & Fisher, J.M. (2015). Moral distress among healthcare professionals: Report of an institution-wide survey. Journal of Nursing Scholarship, 47(2), 117-125. doi:10.1111/jnu.12115

Epstein, E.G. & Turner, M. (2015). The nursing code of ethics: Its value, its history. Online Journal of Issues in Nursing, 20(2), 4. doi:10.3912/OJIN.Vol20No02Man04

Trautmann, J., Epstein, E., Rovnyak, V., Snyder, A. (2015). Relationships among moral distress, level of practice independence, and intent to leave of nurse practitioners in emergency departments: results from a national survey. Advanced Emergency Nursing Journal, 37(2), 134-45. doi:10.1097/tme.0000000000000060

Epstein, E. G., Sherman, J., Blackman, A., & Sinkin, R. A. (2015). Testing the feasibility of Skype and FaceTime updates with parents in the NICU. American Journal of Critical Care, 24(4), 290-296. doi:10.4037/ajcc2015828

Epstein, E.G., Rovnyak, V., Miles, A. & Baernholdt, M. (2013). Parents' perceptions of continuity of care in the NICU: Preliminary testing of an instrument and implications for the nurse-parent relationship. Journal of Perinatal and Neonatal Nursing, 27(2), 168-175. doi:10.1097/jpn.0b013e31828eafbb

Hamric, A.B., Borchers, C.T., & Epstein, E.G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research, (2), 1-9.

Hamric, A.B., Borchers, C.T., & Epstein, E.G. (2012). Development and testing of an instrument to measure moral distress. AJOB Primary Research, 3(2), 1-9.

Epstein, E.G. (2012). Preventive ethics in the ICU. AACN Advanced Critical Care, 23(2), 217-224.

Epstein, E.G. & Delgado, S.H. (2010). Understanding and addressing moral distress. Online Journal of Issues in Nursing, 15(3), .

Epstein,E. G. (2008). End-of-life experiences of nurses and physicians in the newborn intensive care unit.. Journal of Perinatology, 28(11), 771-778.

Book Sections

Epstein, E. G., & Maynard, F. R. (2020). Ethical dimensions of nursing and health care. In E. E. Friberg (Ed.), Conceptual foundations: The bridge to professional nursing practice (7th ed.) (pp. 210-224). St. Louis, MO: Elsevier, Inc.

Hamric, A. B., Epstein, E. G., & White, K. R. (2013). Moral distress and the healthcare organization. In G. Filerman, A. Mills, & P. Schyve (Eds.), Managerial ethics in healthcare: A new perspective (pp. 137-57). Chicago, IL: Health Administration Press.

Epstein, E. G. (2012). Ethical issues in neonatal nursing. In C. M. Ulrich (Ed.), Nursing ethics in everyday practice: A step by step guide (pp. ). Indianapolis, IN: Sigma Theta Tau International

Hamric, A.B., Epstein, E.G. & White, K. (2012). Moral distress and the hospital. In A. Mills, G. Filerman, & P. Werhane (Eds.), Healthcare Ethics for Healthcare Organizations: A Moral Imperative (pp. ). : Health Administration Press.

Columns, Editorials and Op-Eds

Phillips, E.K., & Epstein, E. G. (2015, January 29). Kavod v'Nichum: Nurses, the dying, and the newly dead. Jewish Journal: Expired and Inspired. Retrieved from