Edgework emotion management: A constructivist grounded theory of organ donation nurses’ experiences and practices

Aims and Objectives To explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice. Background Organ donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, speci...

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Vydáno v:Journal of clinical nursing Ročník 31; číslo 23-24; s. 3510 - 3522
Hlavní autoři: Avilés, Lissette, Kean, Susanne, Tocher, Jennifer
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley Subscription Services, Inc 01.12.2022
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ISSN:0962-1067, 1365-2702, 1365-2702
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Abstract Aims and Objectives To explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice. Background Organ donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses’ experiences on approaching families to guide nursing practice was found. Design Constructivist grounded theory. Methods Between October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz’ constructivist grounded theory. The COREQ checklist was followed in reporting the study. Results Edgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses’ experiences and practices on managing their emotions. Conclusions Organ donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation. Relevance to Clinical Practice The experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.
AbstractList To explore nurses' experiences when approaching families for organ donation authorisation to guide nursing practice. Organ donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses' experiences on approaching families to guide nursing practice was found. Constructivist grounded theory. Between October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz' constructivist grounded theory. The COREQ checklist was followed in reporting the study. Edgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses' experiences and practices on managing their emotions. Organ donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation. The experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.
Aims and Objectives To explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice. Background Organ donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses’ experiences on approaching families to guide nursing practice was found. Design Constructivist grounded theory. Methods Between October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz’ constructivist grounded theory. The COREQ checklist was followed in reporting the study. Results Edgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses’ experiences and practices on managing their emotions. Conclusions Organ donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation. Relevance to Clinical Practice The experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.
Aims and ObjectivesTo explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice.BackgroundOrgan donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses’ experiences on approaching families to guide nursing practice was found.DesignConstructivist grounded theory.MethodsBetween October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz’ constructivist grounded theory. The COREQ checklist was followed in reporting the study.ResultsEdgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses’ experiences and practices on managing their emotions.ConclusionsOrgan donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation.Relevance to Clinical PracticeThe experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.
To explore nurses' experiences when approaching families for organ donation authorisation to guide nursing practice.AIMS AND OBJECTIVESTo explore nurses' experiences when approaching families for organ donation authorisation to guide nursing practice.Organ donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses' experiences on approaching families to guide nursing practice was found.BACKGROUNDOrgan donation after brainstem death implies that bereaved families are approached to discuss organ donation authorisation, and in many countries, specialist nurses do this approach. The literature describes the social, psychological and emotional challenges of health professionals in this role. However, lack of conceptual clarity regarding nurses' experiences on approaching families to guide nursing practice was found.Constructivist grounded theory.DESIGNConstructivist grounded theory.Between October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz' constructivist grounded theory. The COREQ checklist was followed in reporting the study.METHODSBetween October 2017 and July 2019, seven months of observations were conducted across two large public hospitals in Chile. Field notes, documents (n = 80), interviews (n = 27) and focus groups (n = 14) with 71 participants (51 healthcare professionals and 20 bereaved families) were included. Data collection and analysis followed the principles and practices of Charmaz' constructivist grounded theory. The COREQ checklist was followed in reporting the study.Edgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses' experiences and practices on managing their emotions.RESULTSEdgework emotion management of organ donation nurses was developed as a threefold process: 1) being present to recognise inner and family emotions, 2) being on an emotional edge when approaching families and 3) extending the emotional edge to make sense of their experiences. The grounded theory was conceptualised using edgework emotion management by Lois (2003), which allowed to elucidate organ donation nurses' experiences and practices on managing their emotions.Organ donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation.CONCLUSIONSOrgan donation nurses develop a sophisticated and complex emotional regulation process to approach and care for families when negotiating organ donation authorisation for transplantation.The experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.RELEVANCE TO CLINICAL PRACTICEThe experiences of specialist organ donation nurses entail a sophisticated emotion management process, which may explain the complexities of a critical role within healthcare institutions. Findings can be locally and internationally used to understand, educate and guide nursing practice, in an area of increasing specialisation and staffing shortages such as organ donation and transplantation.
Author Kean, Susanne
Tocher, Jennifer
Avilés, Lissette
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  surname: Tocher
  fullname: Tocher, Jennifer
  organization: The University of Edinburgh, Doorway 6 Old Medical School
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34931389$$D View this record in MEDLINE/PubMed
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ISSN 0962-1067
1365-2702
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Issue 23-24
Keywords nursing theory
clinical nurse specialist
emotional aspects
grounded theory
theory-practice gap
transplantation
nurse
end-of-life care
Language English
License 2021 John Wiley & Sons Ltd.
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This research was funded by the Agencia Nacional de Investigacion y Desarrollo, Becas Chile, Chile (Folio N. 72160141)
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Snippet Aims and Objectives To explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice. Background Organ...
To explore nurses' experiences when approaching families for organ donation authorisation to guide nursing practice. Organ donation after brainstem death...
Aims and ObjectivesTo explore nurses’ experiences when approaching families for organ donation authorisation to guide nursing practice.BackgroundOrgan donation...
To explore nurses' experiences when approaching families for organ donation authorisation to guide nursing practice.AIMS AND OBJECTIVESTo explore nurses'...
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crossref
wiley
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StartPage 3510
SubjectTerms Blood & organ donations
clinical nurse specialist
Death & dying
emotional aspects
Emotions
end‐of‐life care
Families & family life
Grounded theory
nurse
Nurses
Nursing
nursing theory
theory‐practice gap
transplantation
Title Edgework emotion management: A constructivist grounded theory of organ donation nurses’ experiences and practices
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjocn.16179
https://www.ncbi.nlm.nih.gov/pubmed/34931389
https://www.proquest.com/docview/2731919491
https://www.proquest.com/docview/2612387098
Volume 31
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