Nurses encounter stress daily in their profession and suffer from moral distress on many of those encounters. Moral Distress is the personal belief of doing what is right for the patient but can not do it due to rules, regulations and conflict of religious and cultural beliefs. This guide is to help identify nurses suffering from moral distress and suggestions to help them handle their suffering. Real life situations are included and how moral distress was experienced by the nurse and other health care providers. Moral distress is afactor among nurses on why they leave the medical field.