“…It is the absence of verbal, physical, and social contact with patients, including lack of eye contact, decreased physical proximity, decreased time spent with the patient, and negative verbal mannerisms (Siminoff, Erlen, & Sereika, 1998). Nurses' avoidance behavior has been reported in various studies (Gutierrez, 2005;Healy & McKay, 2000;Kagan, Ovadia, & Kaneti, 2009;Lambert, Lambert, Petrini, Li, & Zhang, 2007;Mackintosh, 2007;Röndahl, Innala, & Carlsson, 2003;Tyson & Pongruengphant, 1996;Wong, Leung, & So,2001) and has been associated with repeated exposure to morally distressing situations (Gutierrez, 2005).…”