When caring breeds contempt: The impact of moral emotions on healthcare professionals’ commitment during a pandemic

• Published in: Health services management research : an official journal of the Association of University Programs in Health Administration 2023-08, Vol.36 (3), p.215-227
• Main Authors: Davidson, Morgan, Andiappan, Meena
• Format: Article
• Language: English
• Subjects: Beds; Coronaviruses; COVID-19; Disgust; Emotions; Hate; Health care industry; Medical personnel; Organizational commitment; Pandemics; Professionals; Theoretical or Conceptual Development; Ventilators; Welfare; Workplaces
• ISSN: 0951-4848; 1758-1044
• DOI: 10.1177/09514848231165894

The novel coronavirus (COVID-19) pandemic is a major heath crisis that continues to impact healthcare organizations worldwide. As infection rates surged, there was a global shortage of personal protective equipment, critical medications, ventilators, and hospital beds, meaning that healthcare professionals faced increasingly difficult workplace conditions. In this conceptual study, we argue these situations can lead to healthcare professionals experiencing moral emotions - defined as specific emotions which relate, or occur in response, to the interest or welfare of others - towards their organizations. This paper explores the three moral emotions of contempt, anger and disgust, and their potential influence on healthcare professionals’ workplace commitment in the context of a pandemic. Drawing from the moral emotions and organizational commitment literature, we develop a process model to demonstrate how healthcare professionals’ affective and continuous commitment are likely to decrease while, paradoxically, normative, and professional commitment may become amplified. The possible potential for positive outcomes from negative moral emotions is discussed, followed by theoretical and practical contributions of the model, and finally, directions for future research.