Author, as appears in the article.: Jiménez-Herrera MF; Llauradó-Serra M; Acebedo-Urdiales S; Bazo-Hernández L; Font-Jiménez I; Axelsson C

Department: Infermeria

URV's Author/s: Acebedo Urdiales, Maria Sagrario / Bazo Hernandez, Leticia / Font Jimenez, Maria Isabel / Jiménez Herrera, María Francisca / LLAURADÓ SERRA, MIREIA

Keywords: Nurses perceptions Moral emotions Emergency care Critical care Conflicts Care emergency care critical care

Abstract: © 2020 The Author(s). Background: Moral emotions are a key element of our human morals. Emotions play an important role in the caring process. Decision-making and assessment in emergency situations are complex and they frequently result in different emotions and feelings among health-care professionals. Methods: The study had qualitative deductive design based on content analysis. Individual interviews and focus groups were conducted with sixteen participants. Results: The emerging category emotions and feelings in caringhas been analysed according to Haidt, considering that moral emotions include the subcategories of Condemning emotions, Self-conscious emotions, Suffering emotionsand Praising emotions. Within these subcategories, we found that the feelings that nurses experienced when ethical conflicts arose in emergency situations were related to caring and decisions associated with it, even when they had experienced situations in which they believed they could have helped the patient differently, but the conditions at the time did not permit it and they felt that the ethical conflicts in clinical practice created a large degree of anxiety and moral stress. The nurses felt that caring, as seen from a nursing perspective, has a sensitive dimension that goes beyond the patient's own healing and, when this dimension is in conflict with the environment, it has a dehumanising effect. Positive feelings and satisfaction are created when nurses feel that care has met its objectives and that there has been an appropriate response to the needs. Conclusions: Moral emotions can help nurses to recognise situations that allow them to promote changes in the care of patients in extreme situations. They can also be the starting point for personal and professional growth and an evolution towards person-centred care.

Thematic Areas: Saúde coletiva Nursing (miscellaneous) Nursing (all) Nursing Medicina ii General nursing Engenharias iii Enfermagem Ciencias sociales Administração pública e de empresas, ciências contábeis e turismo

ISSN: 14726955

Author's mail: msagrario.acebedo@urv.cat isabel.font@urv.cat leticia.bazo@urv.cat maria.jimenez@urv.cat

Author identifier: 0000-0001-7837-9880 0000-0003-1951-7280 0000-0003-2599-3742

Record's date: 2023-06-09

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00438-6

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Bmc Nursing. 19 (1): 60-

APA: Jiménez-Herrera MF; Llauradó-Serra M; Acebedo-Urdiales S; Bazo-Hernández L; Font-Jiménez I; Axelsson C (2020). Emotions and feelings in critical and emergency caring situations: A qualitative study. Bmc Nursing, 19(1), 60-. DOI: 10.1186/s12912-020-00438-6

Article's DOI: 10.1186/s12912-020-00438-6

Entity: Universitat Rovira i Virgili

Journal publication year: 2020

Publication Type: Journal Publications