When caring breeds contempt: The impact of moral emotions on healthcare professionals' commitment during a pandemic.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2023-08-01 DOI:10.1177/09514848231165894
Morgan Davidson, Meena Andiappan
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Abstract

The novel coronavirus (COVID-19) pandemic is a major heath crisis that continues to impact healthcare organizations worldwide. As infection rates surged, there was a global shortage of personal protective equipment, critical medications, ventilators, and hospital beds, meaning that healthcare professionals faced increasingly difficult workplace conditions. In this conceptual study, we argue these situations can lead to healthcare professionals experiencing moral emotions - defined as specific emotions which relate, or occur in response, to the interest or welfare of others - towards their organizations. This paper explores the three moral emotions of contempt, anger and disgust, and their potential influence on healthcare professionals' workplace commitment in the context of a pandemic. Drawing from the moral emotions and organizational commitment literature, we develop a process model to demonstrate how healthcare professionals' affective and continuous commitment are likely to decrease while, paradoxically, normative, and professional commitment may become amplified. The possible potential for positive outcomes from negative moral emotions is discussed, followed by theoretical and practical contributions of the model, and finally, directions for future research.

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当关怀滋生轻蔑:大流行期间道德情绪对医护人员承诺的影响。
新型冠状病毒(COVID-19)大流行是一场持续影响全球医疗保健组织的重大健康危机。随着感染率飙升,全球个人防护装备、关键药物、呼吸机和病床短缺,这意味着医疗保健专业人员面临越来越困难的工作条件。在这一概念性研究中,我们认为这些情况可能导致医疗保健专业人员体验道德情绪-定义为与他人的利益或福利相关或在响应中发生的特定情绪-对其组织。本文探讨了轻视、愤怒和厌恶这三种道德情绪,以及它们在大流行背景下对医护人员工作场所承诺的潜在影响。从道德情绪和组织承诺文献中,我们开发了一个过程模型来证明医疗保健专业人员的情感和持续承诺如何可能减少,而矛盾的是,规范和专业承诺可能会被放大。讨论了消极道德情绪可能产生的积极结果,然后讨论了该模型的理论和实践贡献,最后讨论了未来的研究方向。
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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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