5303e7f42551361292159c269648b1dc 301296.pdf 7f50c128dc6333da4c02a21883a8e0deb529a323 301296.pdf 6f1470f536e36a282e36f8bdce65f34851f62f7066fce8327f7fef0c8f44aa84 301296.pdf Title: Moral Breakdowns and Ethical Dilemmas of Perioperative Nurses during COVID-19: COREQ-Compliant Study Subject: (1) Background: The COVID-19 pandemic has led to an increase in the complexity of caregiving, resulting in challenging situations for perioperative nurses. These situations have prompted nurses to assess their personal and professional lives. The aim of this study was to explore the experiences of perioperative nurses during the first wave of the COVID-19 pandemic, with a specific focus on analyzing moral breakdowns and ethical dilemmas triggered by this situation. (2) Methods: A qualitative design guided by a hermeneutical approach was employed. Semi-structured interviews were conducted with 24 perioperative nurses. The interviews were transcribed and thematically analysed following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. (3) Results: The findings revealed three main categories and ten subcategories. These categories included the context in which moral breakdowns emerged, the ethical dilemmas triggered by these breakdowns, and the consequences of facing these dilemmas. (4) Conclusions: During the first wave of COVID-19, perioperative nurses encountered moral and ethical challenges, referred to as moral breakdowns, in critical settings. These challenges presented significant obstacles and negatively impacted professional responsibility and well-being. Future studies should focus on identifying ethical dilemmas during critical periods and developing strategies to enhance collaboration among colleagues and provide comprehensive support. Keywords: COVID-19 pandemic; ethical dilemmas; moral dilemmas; nurses; nursing; qualitative study Author: Amalia Sillero Sillero, Raquel Ayuso Margañon, Maria Gil Poisa, Neus Buil, Eva Padrosa, Esther Insa Calderón, Elena Marques-Sule and Carlota Alcover Van de Walle Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Tue Jul 4 14:00:39 2023 CEST ModDate: Tue Jul 4 14:05:43 2023 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 14 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 300553 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- WIDCSB+URWPalladioL-Bold Type 1 Custom yes yes no 10 0 VYLZUW+URWPalladioL-Roma Type 1 Custom yes yes no 15 0 CILLBC+URWPalladioL-Ital Type 1 Custom yes yes no 19 0 SOZKOC+VnURWPalladioL-Bold Type 1 Custom yes yes no 23 0 XAOEUN+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 42 0 NQHFUT+VnURWPalladioL Type 1 Custom yes yes no 95 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-05 02:49:03 CEST RepresentationInformation: 301296.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-10-04 10:46:13 CEST Size: 300553 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 311 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design and Participants Destination: subsection.2.1 Item: Title: Data Collection Destination: subsection.2.2 Item: Title: Data Analysis Destination: subsection.2.3 Item: Title: Ethical Considerations Destination: subsection.2.4 Item: Title: Results Destination: section.3 Children: Item: Title: Context in Which Moral Breakdowns Emerged Destination: subsection.3.1 Item: Title: Ethical Dilemmas Triggered by Moral Breakdowns Destination: subsection.3.2 Item: Title: Consequences of Facing Ethical Dilemmas Destination: subsection.3.3 Item: Title: Discussion Destination: section.4 Children: Item: Title: Limitations and Strengths Destination: subsection.4.1 Item: Title: Implications of Findings Destination: subsection.4.2 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.A. Info: Title: Moral Breakdowns and Ethical Dilemmas of Perioperative Nurses during COVID-19: COREQ-Compliant Study Author: Amalia Sillero Sillero, Raquel Ayuso Margañon, Maria Gil Poisa, Neus Buil, Eva Padrosa, Esther Insa Calderón, Elena Marques-Sule and Carlota Alcover Van de Walle Subject: (1) Background: The COVID-19 pandemic has led to an increase in the complexity of caregiving, resulting in challenging situations for perioperative nurses. These situations have prompted nurses to assess their personal and professional lives. The aim of this study was to explore the experiences of perioperative nurses during the first wave of the COVID-19 pandemic, with a specific focus on analyzing moral breakdowns and ethical dilemmas triggered by this situation. (2) Methods: A qualitative design guided by a hermeneutical approach was employed. Semi-structured interviews were conducted with 24 perioperative nurses. The interviews were transcribed and thematically analysed following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. (3) Results: The findings revealed three main categories and ten subcategories. These categories included the context in which moral breakdowns emerged, the ethical dilemmas triggered by these breakdowns, and the consequences of facing these dilemmas. (4) Conclusions: During the first wave of COVID-19, perioperative nurses encountered moral and ethical challenges, referred to as moral breakdowns, in critical settings. These challenges presented significant obstacles and negatively impacted professional responsibility and well-being. Future studies should focus on identifying ethical dilemmas during critical periods and developing strategies to enhance collaboration among colleagues and provide comprehensive support. 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