Nurses' Experiences of Tranquility and Troubled Conscience during Caring: A Phenomenological Study

Parkhide Hasani, Rostam Jalali, Jila abedsaeidi

Abstract


152

Background and Objectives: Nurses are obliged to try for the promotion of methods to access the safe, desirable and qualitative healthcare. The professional obligation and conscientious conflict in the nurses cause a troubled conscience. The nurses' experiences of their reactions to the behaviors for and against conscience may help to understand the meaning of conscience's reaction.

Materials and Methods: The phenomenological research was performed by the participation of 9 volunteer clinical nurses. The structureless interviews were recorded simultaneously and then transcribed. The Coalizzi method was used to analyze the data. The accuracy of the data was verified by using creditability, confirmability, reliability and transferability measures.

Findings: by the continuous analyzation of data and analyzing the handwritings obtained from the interviews on the nurses' experiences and beliefs about the conscience reaction, the tranquility contents including tranquility, gladness and consent subclasses and the subclasses of troubled conscience including sense of guilt, discomfort, mental engagement and worrisomeness and contents of reaction including subclasses of expressiveness, compensation and lack of repeat emerged.

Conclusion: The nurses, in their experiences, expressed calmness and gladness when performing works conformed to conscience and showed discomfort and conscience trouble when performing works against conscience and tried to compensate a practice against conscience.


Keywords


Nurses' experience; phenomenology; conscience trouble; conscience calmness; nursing

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References


Burkhardt MA, Nathaniel AK (2008) Ethics Issues in Contemporary Nursing. 3rd Edition, Delmar Cengage Learning, London.

Costigane H. A history of the Western idea of conscience. In: Hoose J. Conscience in world religions. -Curtin L.(1993). Conscience and clinical care.Nursing Management,; 24(8): 26-9.

Fawcett J( 2005 )Analysis and Evaluation of Contemporary Nursing Knowledge :Nursing Models and Theories .Canada, F.A.Davis Co.

Gaylin W. Conscience: knowing good and doing good. The Hastings Center Report, 1994; 24(3): 36.

Jafari M.T. (2009). Conscience, Fourth edition.Institute for the publication of AllamehJafari’s works, Tehran, (Persian).

Jensen A, Lidell E (2009).The influence of conscience in nursing. Nursing Ethics; 16(1)31-42.

Juthberg,C.,Eriksson,S.,Norberg,A.,Sundin,K.,(2008). Stress of conscience and perceptions of conscience in relation to burnout among care providers in older care. Journal of Clinical Nursing 17 (13), 1897–1906.

Johnston M-J (2006). Bioethics: a nursing perspective. 4th edition, Churchill Livingstone, London.

Juthberg C, Sundin K (2010). Registered nurses' and nurse assistants' lived experience of troubled conscience in their work in elderly care-a phenomenological hermeneutic study. International Journal of Nursing Studies; 47:20-29.

Kelly B(1998). Preserving moral integrity: a follow-up study with new graduate nurses. Journal of Advanced Nursing 28, 1134–1145.

Lederman E. (2003). Conscience And Bodily Awareness: Disagreements With Merleau-Ponty. Journal of the British Society for Phenomenology; 13(3): 286-295.

Levy S. Thomas Reid's defense of conscience. History of Philosophy Quarterly, 1999; 16(4): 413-35.

May T. (2001). Rights of Conscience in Health Care. Social theory & Practice. 27(1): 111-118.

Post, I. (1998). Perioperative nurses’ encounter with value conflicts: a descriptive study. Scandinavian Journal of Caring Sciences, 12 (2): 81-88.

Rose, S. (1999). Towards the Development of an Internalized Conscience: Theoretical Perspectives on Socialization. Journal of Human Behavior in the Social Environment. 2(3): 15-27.

Sincox K (2005) The conscience of the health care system. Michigan Nurse, Augest: available at: www.minurses.org.

Sorlie V, JanssonL,Norberg A (2003). The meaning of being in ethically difficult care situations in paediatric care as narrated by female Registered Nurse.Scandinavian Journal of Caring Sciences;17:285-292.

Streubert H, Carpenter DR (2007). Qualitative Research in Nursing., 4th edition Lippincott William and Wilkins, Philadelphia.

www.plato.stanford.edu/enteries/conscience-medieval/


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