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Ann Hamric

Faculty and staff

Ann Hamric, Ph.D., RN, FAAN

Professor, Associate Dean of Academic Programs
P.O. Box 980567
Richmond, VA 23298-0567
Phone: (804) 828-3968
E-mail: abhamric@vcu.edu


I teach courses in advanced practice nursing role development and ethics.


My current research focuses on the phenomenon of moral distress in healthcare professionals.  I have developed an instrument to measure moral distress that is being widely used around the world.  I am part of a research team studying moral distress in ICUs in Vancouver, British Columbia, Canada.


I currently co-chair the Bioethics Expert Panel of the American Academy of Nursing. I have consulted with nursing leaders in Canada, Switzerland, Belgium, Japan, and China regarding advanced practice nursing development and education.  I served as a member of the American Association of Colleges of Nursing Task Force that developed the Doctor of Nursing Practice (DNP) Essentials.  I was an invited participant on the National Consensus Panel to Develop Ethical Guidelines for Research With Persons at the End of Life, convened at Emory University in 2004.  I was an advisor to the Affinity Group for Nursing of the American Society of Bioethics and Humanities in 2006-7.


  • B.S.N - Vanderbilt University
  • M.S. - University of California at San Francisco
  • Ph.D. - University of Maryland


  • Associate Dean of Academic Programs, VCU School of Nursing, 2011-present
  • Professor/ Associate Professor, UVA School of Nursing, 1999-2011
    • Master's Program Director, 2000-2002; MSN/DNP Program Director, 2008-2009
    • Faculty Affiliate, UVA School of Medicine Center for Biomedical Ethics & Humanities, 1999-2011
  • Associate/Assistant Professor, Louisiana State University School of Nursing, 1995-1999
  • Associate Director of Nursing for Research and Development, Medical College of Virginia Hospitals (MCVH) , 1982-1991
    • Interim Associate Director of Nursing for Medical-Surgical Specialties Division, MCVH, 1990-1991
  • Assistant Professor, MCVH/VCU School of Nursing, 1976-1979


  • Selected as a “Meet the Professor”, American Society of Bioethics and Humanities Annual Meeting, Atlanta, GA. 2013
  • “120 Visionary Leaders” Recipient, VCU School of Nursing, Richmond, VA. 2013
  • Faculty Mentorship Award, UVA School of Nursing. 2011
  • Distinguished Nurse Award, Beta Kappa Chapter, Sigma Theta Tau. 2011
  • Faculty Leadership Award, UVA School of Nursing Alumni Association. 2007 and 2010
  • “100 Leaders: 100 Years” Recipient, Vanderbilt University School of Nursing, Nashville, TN. 2008
  • Substantive Contributions to Nursing Ethics, given by the Affinity Group for Nursing, American Society for Bioethics and Humanities. 2008
  • Advanced Practice Nursing: An Integrative Approach 3rd Edition awarded AJN Book of the Year. 2004
    All-University Teaching Award for teaching excellence, UVA. 2004
  • Fellow, American Academy of Nursing, 1998
  • Recipient of the 1997 Special Recognition Award from the Louisiana State Nurses Association. 1997


  • 2010-2012:  Co-Investigator,The Relationship Between Moral Distress in Healthcare Workers and Patient Safety in Intensive Care Units. [Peter Dodek, MD, Principal Investigator]. Funded by the Canadian Institutes of Health Research. Total costs: $299,984.  Project dates: 7/10 – 7/12.
  • 2010-2011:  Consultant, Early Indicators of Ethical Dilemmas: Strengthening Nurses’ Voices”. [Carol Pavlish, UCLA School of Nursing, PI]. Oncology Nursing Society Foundation Small Grants Research Program.
  • 2003-2005:  Co-Investigator, Research Integrity and Financial Conflicts of Interest. [Dr. Patti Tereskerz, Principal Investigator]. Funded by the National Institutes of Health. R01 NS 44523-01A1.  Total costs: $296,000.  Project dates:  10/03 – 10/05.
  • 2002-2005:  Principal Investigator, Research Ethics Course for Research Nurse Coordinators.  Funded by the National Institutes of Health, Heart, Lung & Blood Institute. T15 HL70903-01. Total costs: $554,837.  Project dates: 4/01/02 – 3/31/05.


  • Zurich University of Applied Sciences, Institute of Nursing, Winterthur, Switzerland, January, 2011
  • University of Hong Kong, Department of Nursing Studies, Hong Kong, November 2010
  • Irving Harris Visiting Professor, University of Illinois at Chicago, April, 2010
  • Boston College School of Nursing, Newton, MA, April, 1998


Selected Articles Published in Professional Journals

  • Lewis, E.L., Baernholdt, M.B., Hamric, A.B. (2013). Nurses’ experience of medical errors: an integrative literature review. Journal of Nursing Care Quality, 28(2), 153-161. doi: 10.1097/NCQ. 0b013e31827e05d1. 
  • Hamric, A.B. (2012). Empirical research on moral distress: issues, challenges and opportunities. HEC Forum, 24: 39-49.
  • 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. Volume 3(2), 1-9.
  • Llahana, S.V., & Hamric, A.B. (2011). Role development phases and factors influencing this process: a study of diabetes specialist nurses in the United Kingdom. European Diabetes Nursing, 8(1), 1-7.
  • Hamric AB. (2010). Moral Distress and Nurse-Physician Relationships. Virtual Mentor, 12, 6-11.http://virtualmentor.ama-assn.org/2010/01/ccas1-1001.html.  Accessed January 4, 2010.
  • Ulrich, C.M., Hamric, A.B., & Grady, C. (2010). Moral distress: A growing problem in the health professions? Hastings Center Report, 40(1), 20-22.
  • Epstein, E.G., & Hamric, A.B. (2009). Moral distress, moral residue, and the crescendo effect. Journal of Clinical Ethics, 20(4), 330-342.
  • Tereskerz, P.M., Hamric, A.B., Guterbock, T.M., & Moreno, J. D. (2009). Prevalence of industry support and its relationship to research integrity. Accountability in Research, 16(2), 78-105.
  • Ulrich, C.M., & Hamric, A.B. (2008). What is so distressing about moral distress in advanced nursing practice? Clinical Scholars Review, 1(1), 6-7. [I]
  • Hamric, A.B., & Blackhall, L.J. (2007). Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate. Critical Care Medicine, 35, 422-429. [R]
  • Gordon, E.J., & Hamric, A.B. (2006). The courage to stand up: the cultural politics of nurses’ access to ethics consultation. Journal of Clinical Ethics, 17(3), 231-254.
  • Hamric, A. B., Davis, W., & Childress, M. D. (2006). Moral distress in health-care providers: What is it and what can we do about it?  Pharos of Alpha Omega Alpha Honor Medical Society, 69(1), 16-23.


  • Hamric, A.B., Spross, J.A., & Hanson, C.M., Eds. (2014). Advanced Practice Nursing: An Integrative Approach. 5th Edition. St. Louis: Saunders Elsevier.
  • Hamric, A.B. & Spross, J.A., Eds. (1989). The Clinical Nurse Specialist in Theory and Practice. 2nd Edition. Philadelphia: W.B. Saunders.


  • Hamric, A.B. (2014). Nursing ethics: addendum. In B. Jennings (Ed). Encyclopedia of Bioethics (4th ed.). Farmington Hills, MI: Macmillan Reference USA.
  • Hamric, A.B., Epstein, E.G., & White, K.R. (2014). Moral distress and the healthcare organization. In G.L. Filerman, A.E. Mills, & P.M. Schyve, (Eds.). Managerial Ethics in Healthcare: A New Perspective (pp.137-158). Chicago, IL: Health Administration Press.
  • Hamric, A.B. (2014). A definition of advanced practice nursing. In A.B. Hamric, J.A. Spross, & C.M. Hanson (Eds.), Advanced Practice Nursing: An Integrative Approach (5th ed., pp 67-85). St. Louis: Saunders Elsevier.
  • Hamric, A.B., & Delgado, S. (2014). Ethical Decision Making. In A.B. Hamric, J.A. Spross, & C.M. Hanson (Eds.), Advanced Practice Nursing: An Integrative Approach (5th ed., 328-358). St. Louis: Saunders Elsevier.
  • Salyer, J., & Hamric, A.B. (2009). Evolving and innovative opportunities for advanced practice nursing. In A.B. Hamric, J.A. Spross, & C.M. Hanson (Eds.), Advanced Practice Nursing: An Integrative Approach (4th ed., pp 520-540). St. Louis: Saunders Elsevier.
  • Hentz, P., & Hamric, A.B. (2009).  The blended role of the clinical nurse specialist and nurse practitioner.  In A.B. Hamric, J.A. Spross, & C.M. Hanson (Eds.), Advanced Practice Nursing: An Integrative Approach (4th ed., pp 437-461). St. Louis: Saunders Elsevier.


  • November, 2013: “Advanced Practice Nursing: Contributions and Challenges”, keynote address; and “Meeting the Challenges”, closing keynote address. ASRIC Conference (Society of European French-Speaking Specialist Nurses), Lausanne, Switzerland.
  • November, 2013: Presentations to students and faculty of Espace Competences and University of Lausanne Institute of Graduate Studies and Research, Lausanne, Switzerland; and, Catholic University of Louvain, Brussels, Belgium.
  • October, 2013: “Must We Be Courageous?” panel presentation. ASBH Annual Meeting, Atlanta, GA. “Moral Distress Across the Health Care Professions”, panel, ASBH, Atlanta, GA.
  • October, 2011: “Transforming Moral Distress into Moral Agency”, panel presentation. ASBH Annual Meeting, Minneapolis, MN.
  • May, 2011: “Moving Beyond the Case: Strategies for Responding to Moral Distress”, panel presentation with Lucia Wocial and Katherine Brown-Saltzman. 7th International Conference on Clinical Ethics and Consultation, Amsterdam, the Netherlands.
  • March, 2011: “The Price of Advocacy: Dealing with Moral Distress”, keynote presentation at the first ANA National Nursing Ethics Conference, Los Angeles, CA.
  • September, 2010: “Empirical Research on Moral Distress: Issues, Challenges, and Opportunities”, keynote address, first international conference: “Moral Distress in Health Care Symposium”. Vancouver, British Columbia, Canada.
  • April, 2010: “The Crescendo Effect: Cumulative Moral Distress and Strategies to Manage It”, keynote address, “Recognizing and Managing Moral Distress in Rehabilitation Health Care”, Rehabilitation Institute of Chicago Academy, Chicago, IL.
  • September, 2008: “Leadership in APN Model Development”, plenary panel presentation, International Nurse Practitioner/Advanced Practice Nursing Network of the International Council of Nurses’ meeting, Toronto, CA.
  • March, 2008: “Moral Courage: Risky Business?” – Keynote Address, 15th Annual Ethics of Caring Conference, Los Angeles, CA.  Also presented breakout session, “What is Moral Distress and What Can We Do About It?”
  • October, 2006: “Nurses’ Access to Ethics Consultation: An Issue of Moral Courage?” with Elisa Gordon – paper presentation, American Society of Bioethics and Humanities Annual Meeting, Denver, CO.
  • October, 2006: “Advanced Practice Nursing” – delivered four lectures on APN definition, evolution, and education.  Peking Union Medical College, Beijing, China.
  • March, 2006: “Dilemmas Within the Research Team” and “Issues With Informed Consent” – presentations, General Clinical Research Centers Annual Meeting, Washington, DC.
  • October, 2005: “The International Nursing Shortage and Issues of Justice: Whose Suffering Counts?” – lead panelist, American Society of Bioethics and Humanities Annual Meeting, Washington, DC.
  • October, 2005: “The DNP and APN Education” – panel presentation, American Association of Colleges of Nursing DNP Stakeholder’s Meeting, Washington, DC.
    September, 2005: “Justifying and Strengthening APN Practice in Transplant Nursing” – keynote address, International Transplant Nurses Society, Orlando, FL.
  • June, 2005: “The Art of Teaching Ethics: Reflections From a Fellow Learner” – keynote address, Chicago Institute of Nursing Education, Chicago, IL.
  • June, 2005: “Advanced Practice Nursing Roles in British Columbia: Evolution, Integration and Collaboration” – paper presentation to Provincial Practice group, Vancouver, BC.
  • May, 2004: “The Evolution of Advanced Nursing Practice” and “Moving into the Future: Themes and Directions from the Conference” – keynote address and final summary, 25th Anniversary Faye Fox Educational Day, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Canada.


  • 2013-Present Co-Chair, Bioethics Expert Panel, American Academy of Nursing.
  • 2005 – 2006 Member, American Association of Colleges of Nursing Task Force developing the Essentials for Doctor of Nursing Practice (DNP) Programs, AACN, Washington, DC.
  • 2004 Invited Panelist to draft the “Working Statement Comparing the Clinical Nurse Leader and Clinical Nurse Specialist Roles: Similarities, Differences and Complementarities”, American Association of Colleges of Nursing, Washington, DC.
  • February, 2004 Invited Participant, National Consensus Panel to Develop Ethical Guidelines for Research With Persons at the End of Life.  Convened at Emory University, Atlanta, GA.