Intensive care unit nurses' conflict of conscience: Walking the Razor's edge.

Autor: Jodaki K; PhD Candidate of Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran., Esmaeili M; Associate Professor, Nursing and Midwifery care research center, School of Nursing and Midwifery, Tehran University of Medical Sciences; Health Sciences Phenomenology Association, Ministry of Health and Medical Education, Tehran, Iran., Cheraghi MA; Associate Professor, Nursing and Midwifery care research center, School of Nursing and Midwifery, Tehran University of Medical Sciences; Health Sciences Phenomenology Association, Ministry of Health and Medical Education, Tehran, Iran., Mazaheri M; Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Department of Health Sciences, The Swedish Red Cross University College, Huddinge, Sweden.
Jazyk: angličtina
Zdroj: Nursing & health sciences [Nurs Health Sci] 2022 Mar; Vol. 24 (1), pp. 265-273. Date of Electronic Publication: 2022 Jan 31.
DOI: 10.1111/nhs.12921
Abstrakt: The study aimed to explore the conditions that accompany conflict of conscience experienced by nurses in intensive care units. A qualitative approach guided the study, which was undertaken between April 2020 and April 2021. A total of 15 registered nurses working in intensive care units were recruited through purposive sampling. Individual semistructured interviews were conducted. The data were analyzed using a qualitative content analysis. The analysis revealed two themes: "conflict of conscience in relation to the structure" and "conflict of conscience based on context." Conflict of conscience in relation to the structure consisted of two categories: conflict of interest and conflict of conscience and law. Conflict of conscience based on context consisted of two categories: care dilemmas and arbitrary behaviors with end-stage patients. A variety of factors were accompanied by a conflict of conscience for nurses in intensive care units. Given that conflict of conscience has negative consequences for the health and quality of nursing care, health care managers need to tailor strategies to reduce the negative consequences considering the findings of the study.
(© 2022 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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