Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study

Aims and Objectives: To determine which factors can be considered protective ofethical conflicts in intensive care unit healthcare professionals during a pandemic. Background: The COVID-19 pandemic gave rise to new ethical concerns in relation to the management of public health and the limitations o...

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Authors: Falcó Pegueroles, Anna M. (Anna Marta), Viola, Elena, Poveda-Moral, Silvia, Rodríguez-Martín, Dolors, Via-Clavero, Gemma, Barello, Serena, Bosch Alcaraz, Alejandro, Bonetti, Loris
Format: article
Status:Published version
Publication Date:2023
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/198271
Online Access:https://hdl.handle.net/2445/198271
Access Level:Open access
Keyword:COVID-19
Unitats de cures intensives
Infermeria
Intensive care units
Nursing
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spelling Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative studyFalcó Pegueroles, Anna M. (Anna Marta)Viola, ElenaPoveda-Moral, SilviaRodríguez-Martín, DolorsVia-Clavero, GemmaBarello, SerenaBosch Alcaraz, AlejandroBonetti, LorisCOVID-19Unitats de cures intensivesInfermeriaCOVID-19Intensive care unitsNursingAims and Objectives: To determine which factors can be considered protective ofethical conflicts in intensive care unit healthcare professionals during a pandemic. Background: The COVID-19 pandemic gave rise to new ethical concerns in relation to the management of public health and the limitations on personal freedom. Continued exposure to ethical conflict can have a range of psychological consequences.Design: A qualitative design based on phenomenological approach.Methods: A total of 38 nurses and physicians who were regular staff members of Barcelona and Milan's public tertiary university hospitals and working in intensive care units during the first wave of the COVID-19 pandemic. Semi-structured online indepth interviews were conducted. A thematic analysis was performed by two independent researchers following the seven steps of Colaizzi's methods. We adhere COREQ guidelines.Results: One theme 'Protective factors of ethical conflict in sanitary crisis' and four subthemes emerged from the data: (1) knowledge of the infectious disease, (2) good communication environment, (3) psychological support and (4) keeping the same work team together. Conclusions: Four elements can be considered protective factors of ethical conflict for healthcare professionals during a sanitary crisis. While some of these factors have already been described, the joint identification of this set of four factors as a single element is, in itself, novel. This should help in ensuring the right mechanisms are inplace to face future pandemics and should serve to improve institutional organisation and guarantee safe and high-quality patient care in times of heath care crisis. Relevance to Clinical Practice: Future strategies for the prevention of ethical conflict during sanitary crises, pandemics or other catastrophes need to consider a set of four factors as a single element. These factors are the knowledge of the infectious disease,a good communication environment, psychological support and keeping the same work team together into joint consideration.John Wiley & Sons2023202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13 p.application/pdfhttps://hdl.handle.net/2445/198271Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1111/jocn.16754Journal of Clinical Nursing, 2023, p. 1-13https://doi.org/10.1111/jocn.16754cc by-nc-nd (c) Falcó Pegueroles, Anna M. et al., 2023https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1982712026-05-29T05:05:01Z
dc.title.none.fl_str_mv Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
title Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
spellingShingle Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
Falcó Pegueroles, Anna M. (Anna Marta)
COVID-19
Unitats de cures intensives
Infermeria
COVID-19
Intensive care units
Nursing
title_short Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
title_full Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
title_fullStr Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
title_full_unstemmed Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
title_sort Protective factors of ethical conflict during a pandemic-quali-ethics-COVID-19 research part 2: an international qualitative study
dc.creator.none.fl_str_mv Falcó Pegueroles, Anna M. (Anna Marta)
Viola, Elena
Poveda-Moral, Silvia
Rodríguez-Martín, Dolors
Via-Clavero, Gemma
Barello, Serena
Bosch Alcaraz, Alejandro
Bonetti, Loris
author Falcó Pegueroles, Anna M. (Anna Marta)
author_facet Falcó Pegueroles, Anna M. (Anna Marta)
Viola, Elena
Poveda-Moral, Silvia
Rodríguez-Martín, Dolors
Via-Clavero, Gemma
Barello, Serena
Bosch Alcaraz, Alejandro
Bonetti, Loris
author_role author
author2 Viola, Elena
Poveda-Moral, Silvia
Rodríguez-Martín, Dolors
Via-Clavero, Gemma
Barello, Serena
Bosch Alcaraz, Alejandro
Bonetti, Loris
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Unitats de cures intensives
Infermeria
COVID-19
Intensive care units
Nursing
topic COVID-19
Unitats de cures intensives
Infermeria
COVID-19
Intensive care units
Nursing
description Aims and Objectives: To determine which factors can be considered protective ofethical conflicts in intensive care unit healthcare professionals during a pandemic. Background: The COVID-19 pandemic gave rise to new ethical concerns in relation to the management of public health and the limitations on personal freedom. Continued exposure to ethical conflict can have a range of psychological consequences.Design: A qualitative design based on phenomenological approach.Methods: A total of 38 nurses and physicians who were regular staff members of Barcelona and Milan's public tertiary university hospitals and working in intensive care units during the first wave of the COVID-19 pandemic. Semi-structured online indepth interviews were conducted. A thematic analysis was performed by two independent researchers following the seven steps of Colaizzi's methods. We adhere COREQ guidelines.Results: One theme 'Protective factors of ethical conflict in sanitary crisis' and four subthemes emerged from the data: (1) knowledge of the infectious disease, (2) good communication environment, (3) psychological support and (4) keeping the same work team together. Conclusions: Four elements can be considered protective factors of ethical conflict for healthcare professionals during a sanitary crisis. While some of these factors have already been described, the joint identification of this set of four factors as a single element is, in itself, novel. This should help in ensuring the right mechanisms are inplace to face future pandemics and should serve to improve institutional organisation and guarantee safe and high-quality patient care in times of heath care crisis. Relevance to Clinical Practice: Future strategies for the prevention of ethical conflict during sanitary crises, pandemics or other catastrophes need to consider a set of four factors as a single element. These factors are the knowledge of the infectious disease,a good communication environment, psychological support and keeping the same work team together into joint consideration.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/198271
url https://hdl.handle.net/2445/198271
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1111/jocn.16754
Journal of Clinical Nursing, 2023, p. 1-13
https://doi.org/10.1111/jocn.16754
dc.rights.none.fl_str_mv cc by-nc-nd (c) Falcó Pegueroles, Anna M. et al., 2023
https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Falcó Pegueroles, Anna M. et al., 2023
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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