PT - JOURNAL ARTICLE AU - Janet Delgado AU - Serena Siow AU - Janet de Groot AU - Brienne McLane AU - Margot Hedlin TI - Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond AID - 10.1136/medethics-2020-106764 DP - 2021 Jun 01 TA - Journal of Medical Ethics PG - 374--382 VI - 47 IP - 6 4099 - http://jme.bmj.com/content/47/6/374.short 4100 - http://jme.bmj.com/content/47/6/374.full SO - J Med Ethics2021 Jun 01; 47 AB - This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising from mutual engagement and dialogue in group settings, towards responding to individual moral distress and towards building an ethical practice environment. Finally, we look at CoPs in healthcare and explore how these group experiences can be used to build collective moral resilience.