{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:31:05Z","timestamp":1791538265242,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T00:00:00Z","timestamp":1673827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000386","name":"Burdett Trust for Nursing","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000386","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000856","name":"Colt Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000856","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000665","name":"Florence Nightingale Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To critically examine nurses' experiences of speaking up during COVID\u201019 and the consequences of doing so.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Longitudinal qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were purposively sampled to represent differing geographical locations, specialities, settings and redeployment experiences. They were interviewed (remotely) between July 2020 and April 2022 using a semi\u2010structured interview topic guide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three key themes were identified inductively from our analysis including: (1) Under threat: The ability to speak up or not; (2) Risk tolerance and avoidance: Consequences of speaking up; and (3) Deafness and hostility: Responses to speaking up. Nurses reported that their attempts to speak up typically focused on PPE, patient safety and redeployment. Findings indicate that when NHS Trusts and community services initiated their pandemic response policies, nurses' opportunities to speak up were frequently thwarted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Accounts presented in this article include nurses' feeling a sense of futility or of suffering in silence in relation to speaking up. Nurses also fear the consequences of speaking up. Those who did speak up encountered a \u2018deaf\u2019 or hostile response, leaving nurses feeling disregarded by their organization. This points to missed opportunities to learn from those on the front line.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Speaking up interventions need to focus on enhancing the skills to both speak up, and respond appropriately, particularly when power, hierarchy, fear and threat might be concerned.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Nurses working clinically during COVID\u201019 were involved in the development of this study. Participants were also involved in the development of our interview topic guide and comments obtained from the initial survey helped to shape the study design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15526","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T07:19:51Z","timestamp":1673853591000},"page":"2189-2199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Speaking up during the COVID\u201019 pandemic: Nurses' experiences of organizational disregard and silence"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2974-7859","authenticated-orcid":false,"given":"Ruth","family":"Abrams","sequence":"first","affiliation":[{"name":"University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Conolly","sequence":"additional","affiliation":[{"name":"University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7454-2262","authenticated-orcid":false,"given":"Emma","family":"Rowland","sequence":"additional","affiliation":[{"name":"King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4377-5063","authenticated-orcid":false,"given":"Ruth","family":"Harris","sequence":"additional","affiliation":[{"name":"King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9550-1913","authenticated-orcid":false,"given":"Bridie","family":"Kent","sequence":"additional","affiliation":[{"name":"University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1847-0655","authenticated-orcid":false,"given":"Daniel","family":"Kelly","sequence":"additional","affiliation":[{"name":"Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Couper","sequence":"additional","affiliation":[{"name":"University of Warwick and University Hospitals Birmingham NHS Foundation Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6168-0455","authenticated-orcid":false,"given":"Jill","family":"Maben","sequence":"additional","affiliation":[{"name":"University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Adams M. 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