COVID-19-related anxieties: Impact on duty to care among nurses

BackgroundDuty to care is integral to nursing practice. Personal obligations that normally conflict with professional obligations are likely amplified during a public health emergency such as COVID-19. Organizations can facilitate a nurse’s ability to fulfill the duty to care without compromising on...

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Authors: Ley, Cathaleen A (Author) ; Cintron, Christian M (Author) ; McCamant, Karen L (Author) ; Karpman, Mitchell B (Author) ; Meisenberg, Barry R (Author)
Format: Electronic Article
Language:English
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Published: Sage 2022
In: Nursing ethics
Year: 2022, Volume: 29, Issue: 4, Pages: 787-801
Further subjects:B duty to care
B Organizational Support
B Covid-19
B Nurses
B perceived stress
B COVID anxieties
Online Access: Presumably Free Access
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520 |a BackgroundDuty to care is integral to nursing practice. Personal obligations that normally conflict with professional obligations are likely amplified during a public health emergency such as COVID-19. Organizations can facilitate a nurse’s ability to fulfill the duty to care without compromising on personal obligations.Research AimThe study aimed to explore the relationships among duty to care, perception of supportive environment, perceived stress, and COVID-19-specific anxieties in nurses working directly with COVID-19 patients.Research DesignThe study design was a cross-sectional descriptive study using an online survey. It was conducted at an ANCC Magnet® designated 385-bed acute care teaching hospital located in a suburban area.Participants and Research ContextIncluded in this study were 339 medical surgical nurses working directly with COVID-19 patients during the early phase of the pandemic.Ethical ConsiderationsThe study was reviewed by the institution’s clinical research committee and determined to be exempt. A survey invitation letter with a voluntary implied consent agreement was sent to participants with a description of the research study attached to the anonymous survey.ResultsNurses with specific COVID-19-related anxieties were more likely to agree that it was ethical to abandon the workplace during a pandemic.ConclusionsOrganizations can and ought to mitigate the negative effects of COVID-19 on duty to care in future pandemics and healthcare emergencies by incorporating several recommendations derived from this study. 
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