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 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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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 |
| Author_xml | – sequence: 1 givenname: Lissette orcidid: 0000-0002-0610-0665 surname: Avilés fullname: Avilés, Lissette email: laviles@ed.ac.uk organization: The University of Edinburgh, Doorway 6 Old Medical School – sequence: 2 givenname: Susanne orcidid: 0000-0002-3717-9740 surname: Kean fullname: Kean, Susanne organization: The University of Edinburgh, Doorway 6 Old Medical School – sequence: 3 givenname: Jennifer orcidid: 0000-0002-2654-1310 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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| Copyright | 2021 John Wiley & Sons Ltd 2021 John Wiley & Sons Ltd. Copyright © 2022 John Wiley & Sons Ltd |
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| Keywords | nursing theory clinical nurse specialist emotional aspects grounded theory theory-practice gap transplantation nurse end-of-life care |
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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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| 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 |
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