بررسی مفهوم وجدان از نگاه پرستاران
مجله اخلاق پزشکی - علمی پژوهشی,
دوره 18 (1403),
29 ژوئیهٔ 2024
,
صفحه 1-13
https://doi.org/10.22037/mej.v18i-.45317
چکیده
زمینه و هدف: وجدان بسته به درک پرستار میتواند عامل مهمی برای ارائه مراقبتهای پرستاری باکیفیت باشد. توجه به مفهوم وجدان در واقع توجه به اخلاق میباشد و اخلاق هم باعث تعهد در ارائه کار میشود. هدف از این مقاله تبیین مفهوم وجدان از نگاه پرستاران میباشد.
روش: این مطالعه به روش مروری انجام شد. اطلاعات با استفاده از بانكهای اطلاعاتی Magiran، مقالات علوم پزشكی ایران (Iran Medex) و پایگاه الکترونیكی جهاد دانشگاهی (SID) و پایگاههای بینالمللی Medline، Google Scholar، Science Direct با واژگان کلیدی Conscience، Nursing و Perception از سال 2008 تا 2024 مورد جستجو قرار گرفت. مقالات انتخابشده بر اساس اهداف، مورد تحلیل قرار گرفت.
ملاحظات اخلاقی: در تمام مراحل پژوهش، رعایت اصالت متون و امانتداری در نقل قول رعایت شده است.
یافتهها: مفاهیم مربوط به نگاه پرستاران به وجدان شامل موجودیت وجدان، ارتقای وجدان، اعمال وجدان و استقرار وجدان و زیرطبقههای آن باعث میشود، افراد نسبت به وظایف خود به بهترین شكل، بدون وجود عامل كنترل خارجی حساس باشند و در جهت تحقق اهداف نظام سلامت گام بردارند. همچنین توجه به عوامل متعدد در ایجاد و تقویت وجدان حین انجام کار میتواند چراغ راه پرستاران در این مسیر به دلیل حساسیت حرفهای و ضرورت دقت در ارائه مراقبتها باشد که آن هم به نوبه خود میتواند با انجام تحقیقات بیشتر با تهیه چهارچوبهای معین و حتی محتواهای تخصصی، درک بیشتر آن در بالین را باعث گردد.
نتیجهگیری: وجدان برای پرستاران میتواند به عنوان یک راهنما برای ارائه مراقبتهای بالینی در پرستاری باشد، فهم و درک وجدان در پرستاری کاربرد فراوانی داشته که پرستار میتواند بیشترین بهره را از آن ببرد.
- وجدان
- پرستاری
- ادراک
ارجاع به مقاله
مراجع
Johnstone MJ. Bioethics: a nursing perspective. 6th ed. Chatswood: Elsevier Health Sciences; 2019.
Dahlqvist V, Söderberg A, Norberg A. Facing inadequacy and being good enough: psychiatric care providers' narratives about experiencing and coping with troubled conscience. Journal of Psychiatric and Mental Health Nursing. 2009;16(3):242-7.
Dahlqvist V, Eriksson S, Glasberg AL, Lindahl E, Lü tzén K, Strandberg G, et al. Development of the perceptions of conscience questionnaire. Nursing Ethics. 2007;14(2):181-93.
King CD. Matter of Conscience, A. 1991;28:955.
Jensen A, Lidell E. The influence of conscience in nursing. Nursing Ethics. 2009;16(1):31-42.
Mardanian Dehkordi L, Khoshkesht S, Hashemi N, Yaghoobzadeh A. Explaining the Lived Experience of Nursing Students of Ethical Courage in Clinical Environments. Avicenna Journal of Nursing and Midwifery Care. 2024;32(1):39-50. [Persian]
Jodaki K, Esmaeili M, Cheraghi MA, Pashaeypoor S, Hoseini AS. Clarifying the concept of conscience in nurses’ ethical performance in Iran: a concept analysis study. Journal of Medical Ethics and History of Medicine. 2021;14:14.
Sadat Hoseini AS, Razaghi N, Khosro Panah AH, Dehghan Nayeri N. A concept analysis of spiritual health. Journal of Religion and Health. 2019;58:1025-46.
Sadat Hoseini AS, Khosropanah A, Negarandeh R. A Explanation the concept of carein Islamic document and explain of deferent of it with caring theories. Iranian Journal of Nursing Research. 2014;9(3):48-61. [Persian]
Ghorbangholi T, Sanagoo A, Pahlavanzadeh B, Jouybari L. The relationship between ethical climate with job conscience in nurses of intensive care units of educational and medical centers of Golestan University of Medical Sciences. Medical Ethics. 2021;15(46):e12. [Persian]
Sørlie V, Jansson L, Norberg A. The meaning of being in ethically difficult care situations in paediatric care as narrated by female registered nurses. Scandinavian journal of caring sciences. 2003;17(3):285-92.
Gustafsson G, Eriksson S, Strandberg G, Norberg A. Burnout and perceptions of conscience among health care personnel: a pilot study. Nursing Ethics. 2010;17(1):23-38.
Davidson LA, Pettis CT, Joiner AJ, Cook DM, Klugman CM. Religion and conscientious objection: a survey of pharmacists’ willingness to dispense medications. Social Science & Medicine. 2010;71(1):161-5.
Curlin FA, Nwodim C, Vance JL, Chin MH, Lantos JD. To die, to sleep: US physicians' religious and other objections to physician-assisted suicide, terminal sedation, and withdrawal of life support. American Journal of Hospice and Palliative Medicine. 2008;25(2):112-20.
von Post I. Perioperative nurses' encounter with value conflicts: A descriptive study. Scandinavian Journal of Caring Sciences. 1998;12(2):81-8.
Alexander KE. Matters of Conscience, Matters of Unity, Matters of Orthodoxy: Trinity and Water Baptism in Early Pentecostal Theology and Practice. Journal of Pentecostal Theology. 2008;17(1):48-69.
Levy SS. Thomas Reid's Defense of Conscience. History of Philosophy Quarterly. 1999;16(4):413-35.
Sørlie V, Kihlgren AL, Kihlgren M. Meeting ethical challenges in acute care work as narrated by enrolled nurses. Nursing Ethics. 2004;11(2):179-88.
Glasberg AL, Eriksson S, Norberg A. Burnout and ‘stress of conscience’among healthcare personnel. Journal of Advanced Nursing. 2007;57(4):392-403.
Sørlie V, Kihlgren A, Kihlgren M. Meeting ethical challenges in acute nursing care as narrated by registered nurses. Nursing Ethics. 2005;12(2):133-42.
Ledermann EK. Conscience and bodily awareness: Disagreements with Merleau-Ponty. Journal of the British Society for Phenomenology.1982;13(3):286-95.
Vacek E. Do'Good People'Need Confession?. America. 2002;186(6):11-6.
Shamshiry M, Saadatmand Z. Explaining the Components of Sincerity with Emphasis on the Explanation of Nahjah al-Balaghah by Allama Mohammad Taqi Jafari. Bi-quarterly Journal of Quran and Hadith Studies. 2022;15(2):179-212. [Persian]
May T. Rights of conscience in health care. Social Theory and Practice. 2001;27(1):111-28.
Curtin LL. Conscience and clinical care. Nursing Management. 1993;24(8):26.
Hasani P, Jalali R, Abedsaeedi Z. Nurses’ experience of the perception of nursing conscience: a phenomenological study. Iranian Journal of Nursing Research. 2013;8(3):1-9. [Persian]
Liaghatda MJ, Bakhtiar Nasrabadi H, Samiee F, Hashemi BB. The study of effective factors on work commitment based on students, perceptions in Isfahan universities. Journal of Applied Sociology. 2011;22(1):27-40. [Persian]
Cleary M, Lees D. The role of conscience in nursing practice. Issues in Mental Health Nursing. 2019;40(3):281-3.
Lak S, Zahedi S, Davodabady F, Khosravani M. Conscience understanding among nurses working at education hospital of Arak. Revista Latinoamericana de Hipertensión. 2018;13(3):246-50.
Lamb C, Evans M, Babenko‐Mould Y, Wong C, Kirkwood K. Nurses’ use of conscientious objection and the implications for conscience. Journal of Advanced Nursing. 2019;75(3):594-602.
Kadioglu F, Yalçin S, Selim K. Professional differences between dental and nursing students' views on conscience. Journal of Education and Ethics in Dentistry. 2016;6:8-13.
Jalali R, Hasani P, Abedsaeedi ZH. Nurses’ experiences of the factors leading to commit unconscionable acts: a phenomenological study. Journal of Inflammatory Diseases. 2013;17(5):56-61. [Persian]
Allahyari Bayatiani F, Fayazi S, Jahani S, Saki Malehi A. The relationship between the personality characteristics and the professional values among nurses affiliated to Ahwaz University of Medical Sciences in 2014. Journal of Rafsanjan University of Medical Sciences. 2015;14(5):367-78. [Persian]
Imani J, Rezae HH, Mirzai M. Evaluation the effect of work conscientiousness and moral sensitivity with ethical stress in nurses working in intensive care units in educational and therapeutic centers affiliated to Zahedan University of Medical Sciences. Quarterly Journal of Iranian Society Anaesthesiology and Intensive Care Quarterly. 2018;2(4):20-7. [Persian]
Hossieni SF, Soltani F. The Relationship of Emotional Stability with Job Conscience and Professional Commitment. Iranian Journal of Nursing Research. 2018;13(1):33-9. [Persian]
Barati Ahmadabadi H, Oreizi HR. Relationship between organization climate and work conscientiousness with job performance. Journal of Applied Psychology. 2010;4(1):65-81. [Persian]
Jasemi M, Aazami S, Hemmati Maslak Pak M, Habibzadeh H, Esmaeili Zabihi R. Factors affecting conscience-based nursing practices: a qualitative study. Nursing Ethics. 2019;26(5):1350-60.
Juthberg C, Eriksson S, Norberg A, Sundin K. Perceptions of conscience, stress of conscience and burnout among nursing staff in residential elder care. Journal of Advanced Nursing. 2010;66(8):1708-18.
Tuvesson H, Eklund M, Wann-Hansson C. Stress of conscience among psychiatric nursing staff in relation to environmental and individual factors. Nursing Ethics. 2012;19(2):208-19.
Charles J. Mandatory overtime: conflicts of conscience?. JONA's Healthcare Law, Ethics and Regulation. 2002;4(1):10-2.
Butts JB, Rich KL. Nursing ethics: Across the curriculum and into practice. Burlington: Jones & Bartlett Learning; 2019.
Reisert JR. Kant and Rousseau on moral education. In: Roth K, Surprenant C, Editors. Kant and education: Interpretations and commentary. 1 st edition. London: Routledge; 2012. p. 12-25.
Galyani-Moghaddam G, Jafari H, Sattarzadeh A. Publications by faculty members indexed in Science Citation Index and Scopus: an Iranian case study. The Electronic Library. 2017;35(6):1247-58.
Jalali R, Hasani P, Abedsaeedi Z. Nurses' Experience of the Perception of Nursing Conscience: A Phenomenological Study. Asian Bioethics Review. 2012;4(3):210-25.
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