Conflict management in COVID-19 Vaccination: A critical reflection
DOI:
https://doi.org/10.56294/hl2024.74Keywords:
Ethics in Nursing, Nurses, Vaccination, Patient Safety, Decision-makingAbstract
Healthcare professionals work in dynamic and complex environments to make ethical decisions, which are guided by fundamental principles such as beneficence, non-maleficence, autonomy and justice, in addition to local laws and professional codes of ethics.
The COVID-19 pandemic has brought unprecedented challenges, raising ethical concerns in various areas of care provision, and which in the field of nursing has raised ethical and personal conflicts.
Objective: To reflect on specific nursing interventions during the COVID-19 vaccination that generated conflicts, positive and negative contributions and the management strategies used.
Methodology: Critical reflection supported by a bibliographic review of relevant scientific literature.
Conclusion: During the COVID-19 vaccination, the lack of continuity of care by the same professional, the pressure to meet targets and the lack of resources placed nurses in situations of intrapersonal conflict, jeopardizing the fundamental principles of the profession and the safety of users.
Ensuring continuity of care, strengthening the ethical training of professionals and promoting dialogue between the different actors involved in crisis management decision-making, will contribute to better management of future challenges.
References
Cruz RM, Borges-Andrade JE, Andrade ALD, Moscon DCB, Viseu J, Micheletto MRD, et al. Ciência e Conflitos Éticos na Gestão da Pandemia da COVID-19. Rev. Psicol., Organ. Trab. 2021;21(3):I-III. https://doi.org/10.5935/rpot/2021.3.editorial
Selvakumar S, Kenny B. Ethics of care and moral resilience in health care practice: a scoping review. Clin. Ethics. 2023 Mar;18(1):88-96. https://doi.org/10.1177/1477750921106184
Rainer J, Schneider JK, Lorenz RA. Ethical dilemmas in nursing: An integrative review. J. Clin. Nurs. 2018;27(19-20):3446–61. https://doi.org/10.1111/jocn.14542
de Souza IM, dos Reis Oliveira LG, de Oliveira Cavalcante K, Fernandes DC, da Silva Barbosa E, França AH, Chaves MJ, de Oliveira Grangeiro RF. Impacto na saúde dos profissionais de enfermagem na linha de frente da pandemia de covid-19. Braz. J. Health Rev. 2021;4(2):6631-9. https://doi.org/10.34119/bjhrv4n2-214
Ferreira CA, Neto MT. Gestão de conflitos nas organizações: um olhar para a saúde. Rev. Gest. Saúde. 2015 Oct 6;6(3):2799-2818. Available from: https://periodicos.unb.br/index.php/rgs/article/view/3263
Ordem dos Enfermeiros. Código Deontológico da Ordem dos Enfermeiros. Lisboa: Ordem dos Enfermeiros; 2019. Available from: https://www.ordemenfermeiros.pt/arquivo/legislacao/Documents/LegislacaoOE/CodigoDeontologico.pdf
World Health Organization. Princípios orientadores para as actividades de vacinação durante a pandemia de COVID19. Geneve: World Health Organization; 2020. Available from: https://iris.who.int/bitstream/handle/10665/331590/WHO-2019-nCoV-immunization_services-2020.1-por.pdf
World Health Organization. Framework for decision-making: implementation of mass vaccination campaigns in the context of COVID-19: interin guidance. Geneve: World Health Organization; 2020. Available from: https://iris.who.int/handle/10665/332159
Nora CG, Zoboli EL, Vieira MM. Deliberação ética em saúde: revisão integrativa da literatura. Rev. Bioét. 2015; 23 (1): 114-23. https://doi.org/10.1590/1983-80422015231052
Hellmann F. A pandemia e a ética: uma resenha de'Bioética, Biodireito & Biopolítica'no contexto da COVID-19. ethic@-An international J. Moral Philos. 2023;22(3):1262-75. https://doi.org/10.5007/1677-2954.2023.e98470
Published
Issue
Section
License
Copyright (c) 2024 Ana Gama, Ana Raposo, Andreia Milreu, Maria João Santos, Sandy Severino, Luís Sousa (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.