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Emotional touchpoints; the feelings nurses have about explaining multi-resistant organisms to colonised patients


Harris, J and Walsh, K and Maxwell, H and Dodds, S, Emotional touchpoints; the feelings nurses have about explaining multi-resistant organisms to colonised patients, Infection, Disease & Health, 25 pp. 113-123. ISSN 2468-0451 (2020) [Refereed Article]

Copyright Statement

Copyright 2020 Australasian College for Infection Prevention and Control.

DOI: doi:10.1016/j.idh.2019.12.006


Background: Nurses face challenges when providing information about multi-resistant organisms (MROs), and related hospital policies, to patients found to be colonised, and may be concerned for their own safety when caring for MRO-colonised people. Resultant emotional responses may influence behaviours of staff caring for these patients. This study aimed to identify the feelings experienced by nurses when talking about MROs with patients. Secondary objectives were to learn about staff behaviours towards MRO-colonised patients, and to explore the utility of Emotional Touchpoints methodology in this context.

Methods: A qualitative study using an adapted Emotional Touchpoints method delivered as a paper survey tool for data collection. Content analysis and inductive coding of responses was used to identify key themes.

Results: 53 nurses participated. ‘Nervous’, ‘Concerned’ and ‘Knowledgeable’ were the most commonly selected adjectives chosen to describe their feelings. Reasons for these choices were themed as ‘Empowerment through knowledge’, ‘Performance anxiety’, ‘Concern for the patient’ and ‘Concern for professional reputation’. Social or temporal distancing, and the need for staff and other patients to be protected from contagion were key themes for the behaviours these nurses had witnessed towards patients.

Conclusion: Talking about MROs with patients can elicit strong emotional responses in nurses, and MRO-colonised patients may be treated and spoken about in a discriminatory fashion. Infection prevention and control teams should recognise this and focus on the person rather than the pathogen when educating and supporting nurses. Recommendations for practice are made to support improved wellbeing of nurses as well as MRO colonised patients.

Item Details

Item Type:Refereed Article
Keywords:emotional touchpoints, feelings, isolation, multi-resistant organisms, nursing staff
Research Division:Health Sciences
Research Group:Nursing
Research Field:Acute care
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Walsh, K (Professor Kenneth Walsh)
UTAS Author:Maxwell, H (Dr Hazel Maxwell)
ID Code:138713
Year Published:2020
Web of Science® Times Cited:2
Deposited By:Nursing
Deposited On:2020-04-24
Last Modified:2021-03-16

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