Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study
Background. Front-line Covid-19 nurses developed a sense of belonging and professional loyalty to the newly established Covid-19 wards, often resisting a return to their original wards after the first wave. Objective. This study explores the psychosocial processes shaping their loyalty, with a f...
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Milano University Press
2025-07-01
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| Series: | Dissertation Nursing |
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| Online Access: | https://riviste.unimi.it/index.php/dissertationnursing/article/view/28708 |
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| author | Lara Pierboni Domenica Gazineo Riccardo Triani Pamela Bagli Lea Godino |
| author_facet | Lara Pierboni Domenica Gazineo Riccardo Triani Pamela Bagli Lea Godino |
| author_sort | Lara Pierboni |
| collection | DOAJ |
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Background. Front-line Covid-19 nurses developed a sense of belonging and professional loyalty to the newly established Covid-19 wards, often resisting a return to their original wards after the first wave.
Objective. This study explores the psychosocial processes shaping their loyalty, with a focus on the evolution of their personal and professional identity.
Methods. A qualitative study based on Strauss and Corbin’s Grounded Theory was performed. Data were analysed using coding techniques, constant comparison and memo-writing. Interviews were conducted until data saturation was reached.
Results. Analysis of 25 semi-structured interviews identified a theoretical model describing the process through which frontline nurses developed professional loyalty in Covid-19 wards. This model comprises four interconnected themes: “Awareness of the importance of their role”, “Confidence acquired”, “Satisfaction with the work accomplished” and ‘Relationships established’, which emerged as the core category. Findings indicate that professional relationships, characterized by mutual support, trust, and shared experiences, were central to fostering loyalty, reinforcing nurses’ identification with their team and workplace, and shaping their long-term professional commitment.
Conclusions. These findings highlight the crucial role of a supportive work environment in strengthening team cohesion and long-term commitment. From a practical perspective, fostering strong peer relationships, structured support programs, and clear career progression pathways may enhance nurse retention and mitigate post-crisis attrition. Beyond immediate applications, this study contributes to the broader discussion on workforce resilience in healthcare, emphasizing the need for further research on the long-term impact of crisis deployments on career trajectories and healthcare systems worldwide.
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| format | Article |
| id | doaj-art-795c5e9a22bd4064926de5aa4e2e8cdf |
| institution | DOAJ |
| issn | 2785-7263 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Milano University Press |
| record_format | Article |
| series | Dissertation Nursing |
| spelling | doaj-art-795c5e9a22bd4064926de5aa4e2e8cdf2025-08-20T03:15:16ZengMilano University PressDissertation Nursing2785-72632025-07-014210.54103/dn/28708Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Lara Pierboni0Domenica Gazineo1https://orcid.org/0000-0003-1866-3358Riccardo Triani2https://orcid.org/0009-0007-0499-7695Pamela Bagli3https://orcid.org/0009-0003-2709-4553Lea Godino4https://orcid.org/0000-0002-3763-9372Direzione Infermieristica e Tecnica, AUSL Romagna, Rimini, ItalyGoverno Clinico e Qualità, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy Direzione Generale, Risk manager, AUSL Romagna, Cesena, ItalyU.O. Oncologia, AUSL Romagna, Rimini, ItalyMedical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna Background. Front-line Covid-19 nurses developed a sense of belonging and professional loyalty to the newly established Covid-19 wards, often resisting a return to their original wards after the first wave. Objective. This study explores the psychosocial processes shaping their loyalty, with a focus on the evolution of their personal and professional identity. Methods. A qualitative study based on Strauss and Corbin’s Grounded Theory was performed. Data were analysed using coding techniques, constant comparison and memo-writing. Interviews were conducted until data saturation was reached. Results. Analysis of 25 semi-structured interviews identified a theoretical model describing the process through which frontline nurses developed professional loyalty in Covid-19 wards. This model comprises four interconnected themes: “Awareness of the importance of their role”, “Confidence acquired”, “Satisfaction with the work accomplished” and ‘Relationships established’, which emerged as the core category. Findings indicate that professional relationships, characterized by mutual support, trust, and shared experiences, were central to fostering loyalty, reinforcing nurses’ identification with their team and workplace, and shaping their long-term professional commitment. Conclusions. These findings highlight the crucial role of a supportive work environment in strengthening team cohesion and long-term commitment. From a practical perspective, fostering strong peer relationships, structured support programs, and clear career progression pathways may enhance nurse retention and mitigate post-crisis attrition. Beyond immediate applications, this study contributes to the broader discussion on workforce resilience in healthcare, emphasizing the need for further research on the long-term impact of crisis deployments on career trajectories and healthcare systems worldwide. https://riviste.unimi.it/index.php/dissertationnursing/article/view/28708Grounded TheoryNursesLoyaltyCovid-19Psychosocial adaptationJob Satisfaction |
| spellingShingle | Lara Pierboni Domenica Gazineo Riccardo Triani Pamela Bagli Lea Godino Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Dissertation Nursing Grounded Theory Nurses Loyalty Covid-19 Psychosocial adaptation Job Satisfaction |
| title | Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study |
| title_full | Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study |
| title_fullStr | Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study |
| title_full_unstemmed | Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study |
| title_short | Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study Exploring Front-line nurses’ loyalty in Covid-19 Emergency wards: a Grounded Theory study |
| title_sort | exploring front line nurses loyalty in covid 19 emergency wards a grounded theory study exploring front line nurses loyalty in covid 19 emergency wards a grounded theory study |
| topic | Grounded Theory Nurses Loyalty Covid-19 Psychosocial adaptation Job Satisfaction |
| url | https://riviste.unimi.it/index.php/dissertationnursing/article/view/28708 |
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