Speaking up during the COVID‐19 pandemic: Nurses' experiences of organizational disregard and silence

Abstract

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‘There was a pivotal moment’. The dynamics, transitions, adaptations and trajectories of nursing at the front-line in the UK during the COVID-19 pandemic

“…Again, the nurses felt able to use their own agency to effect change, but the environmental conditions of the organisation were not optimal for these concerns to be acted upon, which caused feelings of disillusion resulting in the taking of an active decision to leave their organisations. We have explored the non-optimal environmental conditions nurses experienced regarding speaking out within their organisations during the pandemic in Abrams et al, [ 42 ]. It can be argued that raising concerns without these being acted upon by managers and organisations made nurses realise that they were not valued and therefore the need to protect their psychological wellbeing prompted their ‘job hopping’ action.…”

What are ‘emerging methodologies’ in nursing research? Our perspectives as early career researchers

“…Research questions about ‘how’ and ‘why’ are becoming pertinent to nurses amidst the challenge to address global health in the context of increased complexity in nursing research. To address this demand, JAN is increasingly publishing ‘borrowed’ qualitative research approaches from other fields, such as longitudinal qualitative research (LQR) methodology (Abrams et al, 2023; Grant et al, 2023) and qualitative realist evaluations (Strachan et al, 2022). LQR methodology answers questions about ‘how’ and ‘why’ nursing phenomena change over time, while realist evaluation addresses ‘how’ and ‘why’ complex nursing interventions do or do not work.…”

Self-Deception in Clinical Nursing Practice: A Concept Analysis

“… Morley et al (2022) found that some nurses faced various ethical challenges regarding patients dying alone, surrogate decision-making, imbalance (of power), and injustice between professionals and were able to provide “good” care by drawing upon their strength and ethical values. However, in exploring nurses’ experiences of speaking up about concerns during the pandemic, Abrams et al (2023) highlighted that nurses felt they had no agency or choice. Speaking up was often met with disciplinary actions or reprimands.…”