Factors affecting conscience-based nursing practices: A qualitative study

Jasemi, Madineh; Aazami, Sanaz; Pak, M Hemmati Maslak; Habibzadeh, Hossein; Zabihi, Roghayeh Esmaeili

doi:10.1177/0969733018761173

Cited by 14 publications

(16 citation statements)

References 25 publications

(29 reference statements)

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“…Another study in Iran in the field of nursing considered conscience as a guide that influenced by environmental, occupational, and personal factors. This study found workload, personality type, history of hospitalization (individuals or their relatives) as the factors affecting conscience ( 31 - 33 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 87%

Clarifying the concept of conscience in nurses’ ethical performance in Iran: a concept analysis study

Jodaki¹,

Cheraghi²,

Pashaeypoor³

et al. 2021

jmehm

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Although conscience, as an ethical concept, has emerged widely in the field of nursing, its functional meaning and its effects on nurses' performance are not clear. Therefore, the present study aimed to analyze the concept of conscience in the context of Iranian nurses’ ethical performance. This study used a hybrid model including theoretical, fieldwork, and final analytic stages. In the theoretical phase, English and Persian articles published up to 2020 and indexed by scientific databases were analyzed. In the fieldwork phase, semi-structured in-depth interviews were conducted on nurse participants. The last two stages were jointly considered to draw the study’s conclusions. In the theoretical phase, conscience was considered as a context-dependent concept, an inner voice, and a criterion for distinguishing right from wrong. The fieldwork phase’ results were categorized into three themes: “perception of conscience”, “commands of conscience”, and “obedience to conscience. The final definition was reached by merging the theoretical and field stages. This article aimed at investigating the relevance of conscience to ethical practice in the nursing field. Findings show that conscience is an inner feeling or voice that plays a vital role in providing ethical care by nurses.

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Section: Resultsmentioning

confidence: 87%

Clarifying the concept of conscience in nurses’ ethical performance in Iran: a concept analysis study

Jodaki¹,

Cheraghi²,

Pashaeypoor³

et al. 2021

jmehm

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show abstract

“…In qualitative studies in Iran, NS described nursing as a spiritual profession and a divine blessing. They believed that spirituality is a kind of internal commitment related to God or conscience (48) and that religious beliefs impact their conscience-based care (17). In Swedish, Turkish, and Iranian studies, NS considered their conscience as a voice that must be interpreted rather than God's voice (10,12,49).…”

Section: Insert Figure 2 Discussionmentioning

confidence: 99%

“…They perceived their conscience as moral, a guardian, a director, caring, or a re ection of conscience (16). The nurses in Iran expressed that professional commitment, responsibility, and religious beliefs may affect their conscience-based care to help prevent a troubled conscience (17). Enrolled nurses (ENs) with an Iranian background, who provided care for older people with Iranian backgrounds in Swedish residential care settings, perceived their conscience as an inner voice that was primarily nurtured by parents and underwent changes throughout their life cycle (18).…”

Section: Introductionmentioning

confidence: 99%

Perceptions and Stress of Conscience in Relation to Burnout Among Nursing Staff in Older People Care Settings: A Quantitative Study

Nazari

Strandberg

Åhlin

et al. 2022

Preprint

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Background Considering cultural influences, it is important to study the perceptions and stress of conscience in different contexts. This study aimed to investigate the association between perceptions of conscience, stress of conscience, and burnout among nursing staff working in older people care settings in Tehran. Methods This was a descriptive, cross-sectional study. A total of 161 participants completed the Perceptions of Conscience Questionnaire, Stress of Conscience Questionnaire, and Oldenburg Burnout Inventory. Results Nursing staff mainly perceived their conscience as an authority, asset, and warning signal. Furthermore, the influence of workload on family life was the most common source of stress. Dealing with incompatible demands, the impact of workload on family life, witnessing insulated patients, inability to meet one’s standards in providing care, and perception of conscience as a burden were strongly associated with burnout. Conclusions Perceiving conscience as a warning signal or authority may serve as a buffer against burnout among nursing staff. This study highlights the need for further exploration of perceptions of conscience in different cultural and social backgrounds.

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“…Hemşirelerin hastanede yatma deneyimleri, dini inançları, mesleki bağlılıkları ve karakter yapıları gibi bireysel faktörler ile aşırı iş yükü, acemi hemşireler ve klinik ortam gibi profesyonel performans çevresinin vicdanlarını güçlendirmede etkili olduğu belirlenmiştir. 13 Ülkemizde sağlık bakım profesyonellerinin vicdan algısına ilişkin yapılmış yalnızca bir çalışmaya ulaşılabilmiştir. Kadıoğlu ve Öner Yalçın çalışmalarında, hemşire ve hekimlerin tıbbi eylemlerinde vicdanın rolünü incelemişlerdir.…”

Section: Hemşirelik Bakiminda Vicdanunclassified

Is Conscientious Objection Possible in Nursing Care?

Boz¹

2020

Turkiye Klinikleri J Med Ethics

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Factors affecting conscience-based nursing practices: A qualitative study

Abstract: It is necessary to emphasize on religious beliefs, professional commitment, and communication skills in educational training structure. Also, establishing appropriate management systems will help nurses to provide moral care.

Cited by 14 publications

References 25 publications

Clarifying the concept of conscience in nurses’ ethical performance in Iran: a concept analysis study

Clarifying the concept of conscience in nurses’ ethical performance in Iran: a concept analysis study

Perceptions and Stress of Conscience in Relation to Burnout Among Nursing Staff in Older People Care Settings: A Quantitative Study

Is Conscientious Objection Possible in Nursing Care?

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