COVID-19 pandemic experiences, ethical conflict and decision-making process in critical care professionals (Quali-Ethics-COVID-19 research part 1) : An international qualitative study / Anna Falcó-Pegueroles, Alejandro Bosch-Alcaraz, Stefano Terzoni, Francesco Fanari, Elena Viola, Gemma Via-Clavero, Sara Gonzalez-Del Hoyo, Anna Maria Parini, Silvia Poveda-Moral, Mauro Parozzi, Joan Guàrdia-Olmos, Loris Bonetti
Creator: Falcó-Pegueroles, Anna [autor]
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Creators: Bosch-Alcaraz, Alejandro [autor] | Fanari, Francesco [autor] | Viola, Elena [autor] | Via-Clavero, Gemma [autor] | González-Del Hoyo, Sara [autor] | Parini, Anna Maria [autor] | Poveda-Moral, Silvia, https://orcid.org/0000-0003-3447-7627 [autor] | Parozzi, Mauro [autor] | Guàrdia Olmos, Joan [autor] | Bonetti, Loris [autor] | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa.
Material type: 
ArticleContent type: text Media type: informàtic Carrier type: recurs en líneaNew identifier: doi: 10.1111/jocn.16633Subject(s): COVID-19 (Malaltia) | Ètica infermera | Ètica mèdica | Cures intensives | Humanització en salut | Investigació qualitativa | Professors -- EUIT | Ethical conflict | Health care | Humanisation | Intensive care unit | Moral distress | Pandemic | Qualitative research | Conflicto ético | Cuidado de la salud | Humanización | Unidad de cuidados intensivos | Angustia moral | Pandemia | Investigación cualitativaGenre/Form: info:eu-repo/semantics/article | info:eu-repo/semantics/publishedVersionOnline resources: Enllaç permanent | Accés lliure pdf | Accés lliure (adreça alternativa) | Almetric: Cites | Google Acadèmic: Cites | OpenCitations: Cites | PubMed: Cites | Scimago: Mètriques | Scopus: Mètriques | Semantic Scholar: Cites | WoS: Cites i ús -- Informació de la revista (accés lliure previ registre) | The Lens: Registre complet | The Lens: Influència social
In:
Journal of Clinical Nursing 2023;32(15-16):5185–5200.Summary: Aim and objectives: The aim of this study was to explore the sources of ethical conflict and the decision-making processes of ICU nurses and physicians during the first and subsequent waves of the COVID-19 pandemic.
Background: Depside several studies exploring ethical conflicts during COVID-19 pandemic, few studies have explored in depth the perceptions and experiences of critical care professionals regarding these conflicts, the decision-making process or which have analysed the complexity of actually implementing the recommendations of scientific societies and professional/healthcare institutions in interdisciplinary samples.
Design: A descriptive phenomenological study.
Methods: Thirty-eight in-depth interviews were conducted with critical care nurses and physicians from five hospitals in Spain and Italy between December 2020 and May 2021. A thematic content analysis of the interview transcripts was conducted by two researchers. Consolidated criteria for reporting qualitative research (COREQ) were employed to ensure the quality and transparency of this study.
Results: Two main themes emerged as sources of ethical conflict: the approach to end of life in exceptional circumstances and the lack of humanisation and care resources. The former comprised two subthemes: end-of-life care and withholding and withdrawal of life-sustaining treatment; the latter comprised three subthemes: the impossibility of guaranteeing the same opportunities to all, fear of contagion as a barrier to taking decisions and the need to humanise care.
Conclusions: Professionals sought to take their decisions in line with professional ethics and bioethical principles, but, nevertheless, they experienced moral dilemmas and moral distress when not being able to care for, or to treat, their patients as they believed fit.
Relevance to clinical practice: Further education and training are recommended on the provision of end-of-life and post-mortem care, effective communication techniques via video calls, disclosure of bad news and bioethical models for decision-making in highly demanding situations of uncertainty, such as those experienced during the COVID-19 pandemic.
| Item type | Current library | Collection | Call number | URL | Status | Notes | Date due | Barcode | |
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Journal article
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Dipòsit Digital EUIT Biblioteca | Fitxer informàtic | Text complet | Not for loan | 0010173127664 | ||||
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Journal article
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Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Not for loan | 0101731409718 | ||||
Journal
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Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Not for loan | Alguns articles són en accés lliure | 0001017285275 |
Anna Falcó‐Pegueroles, Elena Viola, Silvia Poveda‐Moral, Dolors Rodríguez‐Martín, Gemma Via‐Clavero, Serena Barello, Alejandro Bosch‐Alcaraz, Loris Bonetti, Protective factors of ethical conflict during a pandemic—Quali‐Ethics‐COVID‐19 research part 2: An international qualitative study, Journal of Clinical Nursing, 10.1111/jocn.16754.
This study was awarded a Bioethics Research Grant from the Víctor Grífols y Lucas Foundation for 5.000 euros, from a competitive initiative in 2020.
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© 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
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