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Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust

This article presents an analysis of personal diaries kept by health‐care staff within a specialist NHS Trust in England during the initial 3 months of the COVID‐19 pandemic. It adopts a moral sensemaking perspective to explore how NHS employees mobilised and reframed ideas of right and wrong in ord...

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Autores principales: Faux‐Nightingale, Alice, Kelemen, Mihaela, Lilley, Simon, Stewart, Caroline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9878263/
https://www.ncbi.nlm.nih.gov/pubmed/36369855
http://dx.doi.org/10.1111/1467-9566.13586
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author Faux‐Nightingale, Alice
Kelemen, Mihaela
Lilley, Simon
Stewart, Caroline
author_facet Faux‐Nightingale, Alice
Kelemen, Mihaela
Lilley, Simon
Stewart, Caroline
author_sort Faux‐Nightingale, Alice
collection PubMed
description This article presents an analysis of personal diaries kept by health‐care staff within a specialist NHS Trust in England during the initial 3 months of the COVID‐19 pandemic. It adopts a moral sensemaking perspective to explore how NHS employees mobilised and reframed ideas of right and wrong in order to make sense of unprecedented uncertainty and displacement. By focussing on how the macro and micro politics of the pandemic were played out in the organisation, the study finds that polarised moral judgements were invoked in order to justify and rationalise a broad array of associated emergent emotions, intuitions, behaviours and practices. This polarisation of moral responses could be seen as a desire to bring order out of chaos and put matters back into place following displacement. This is inevitably an ongoing, complex and variegated enterprise whose results can be as often discomforting as they can be reassuring. Indeed, while moral sensemaking was partly beneficial for staff in that it promoted a greater sense of camaraderie and support for others, it also appeared to have darker consequences in terms of staff wellbeing and the development of more impermeable social boundaries across the organisation through processes of moral ‘othering’.
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spelling pubmed-98782632023-01-26 Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust Faux‐Nightingale, Alice Kelemen, Mihaela Lilley, Simon Stewart, Caroline Sociol Health Illn Original Article This article presents an analysis of personal diaries kept by health‐care staff within a specialist NHS Trust in England during the initial 3 months of the COVID‐19 pandemic. It adopts a moral sensemaking perspective to explore how NHS employees mobilised and reframed ideas of right and wrong in order to make sense of unprecedented uncertainty and displacement. By focussing on how the macro and micro politics of the pandemic were played out in the organisation, the study finds that polarised moral judgements were invoked in order to justify and rationalise a broad array of associated emergent emotions, intuitions, behaviours and practices. This polarisation of moral responses could be seen as a desire to bring order out of chaos and put matters back into place following displacement. This is inevitably an ongoing, complex and variegated enterprise whose results can be as often discomforting as they can be reassuring. Indeed, while moral sensemaking was partly beneficial for staff in that it promoted a greater sense of camaraderie and support for others, it also appeared to have darker consequences in terms of staff wellbeing and the development of more impermeable social boundaries across the organisation through processes of moral ‘othering’. John Wiley and Sons Inc. 2022-11-11 /pmc/articles/PMC9878263/ /pubmed/36369855 http://dx.doi.org/10.1111/1467-9566.13586 Text en © 2022 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Faux‐Nightingale, Alice
Kelemen, Mihaela
Lilley, Simon
Stewart, Caroline
Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title_full Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title_fullStr Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title_full_unstemmed Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title_short Sensemaking in the early stages of the COVID‐19 pandemic: A narrative exploration of polarised morality in an NHS Trust
title_sort sensemaking in the early stages of the covid‐19 pandemic: a narrative exploration of polarised morality in an nhs trust
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9878263/
https://www.ncbi.nlm.nih.gov/pubmed/36369855
http://dx.doi.org/10.1111/1467-9566.13586
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