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  1. The Sensible Health Care Professional: A Care Ethical Perspective on the Role of Caregivers in Emotionally Turbulent Practices.Vivianne Baur, Inge van Nistelrooij & Linus Vanlaere - 2017 - Medicine, Health Care and Philosophy 20 (4):483-493.
    This article discusses the challenging context that health care professionals are confronted with, and the impact of this context on their emotional experiences. Care ethics considers emotions as a valuable source of knowledge for good care. Thinking with care ethical theory and looking through a care ethical lens at a practical case example, the authors discern reflective questions that shed light on a care ethical approach toward the role of emotions in care practices, and may be used by practitioners and (...)
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  • The Relationship Between Nurses’ Conscientious Intelligence Levels and Care Behaviors: A Cross-Sectional Study.Sadiye Ozcan - forthcoming - Clinical Ethics:147775092199428.
    Background Nurses are the main protectors of goodness, honesty and morality in patient care. Conscience allows nurses to be understanding and careful while they provide patient care. In this research the researcher aimed to determine the relationship between conscientious intelligence levels and caring behaviours of nurses and to determine the factors affecting the conscientious intelligence levels and caring behaviours. Methods This research designed as a descriptive, cross-sectional and correlation study included 314 nurses working at three hospitals in eastern Turkey. The (...)
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  • Clear Conscience Grounded in Relations: Expressions of Persian-Speaking Nurses in Sweden.Monir Mazaheri, Eva Ericson-Lidman, Ali Zargham-Boroujeni, Joakim Öhlén & Astrid Norberg - 2017 - Nursing Ethics 24 (3):349-361.
    Background: Conscience is an important concept in ethics, having various meanings in different cultures. Because a growing number of healthcare professionals are of immigrant background, particularly within the care of older people, demanding multiple ethical positions, it is important to explore the meaning of conscience among care providers within different cultural contexts. Research objective: The study aimed to illuminate the meaning of conscience by enrolled nurses with an Iranian background working in residential care for Persian-speaking people with dementia. Research design: (...)
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  • Conflicts of Conscience in the Neonatal Intensive Care Unit: Perspectives of Alberta.Natalie J. Ford & Wendy Austin - 2018 - Nursing Ethics 25 (8):992-1003.
    Background: Limited knowledge of the experiences of conflicts of conscience found in nursing literature. Objectives: To explore the individual experiences of a conflict of conscience for neonatal nurses in Alberta. Research design: Interpretive description was selected to help situate the findings in a meaningful clinical context. Participants and research context: Five interviews with neonatal nurses working in Neonatal Intensive Care Units throughout Alberta. Ethical consideration: Ethics approval from the Health Research Ethics Board at the University of Alberta. Findings: Three common (...)
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  • Implementing Structured, Multiprofessional Medical Ethical Decision-Making in a Neonatal Intensive Care Unit.Jacoba de Boer, Geja van Blijderveen, Gert van Dijk, Hugo J. Duivenvoorden & Monique Williams - 2012 - Journal of Medical Ethics 38 (10):596-601.
    Background In neonatal intensive care, a child's death is often preceded by a medical decision. Nurses, social workers and pastors, however, are often excluded from ethical case deliberation. If multiprofessional ethical case deliberations do take place, participants may not always know how to perform to the fullest. Setting A level-IIID neonatal intensive care unit of a paediatric teaching hospital in the Netherlands. Methods Structured multiprofessional medical ethical decision-making (MEDM) was implemented to help overcome problems experienced. Important features were: all professionals (...)
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  • A Clear Case for Conscience in Healthcare Practice.Giles Birchley - 2012 - Journal of Medical Ethics 38 (1):13-17.
    The value of conscience in healthcare ethics is widely debated. While some sources present it as an unquestionably positive attribute, others question both the veracity of its decisions and the effect of conscientious objection on patient access to health care. This paper argues that the right to object conscientiously should be broadened, subject to certain previsos, as there are many benefits to healthcare practice in the development of the consciences of practitioners. While effects such as the preservation of moral integrity (...)
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  • Ethical Conflicts and Their Characteristics Among Critical Care Nurses.Teresa Lluch-Canut, Carlos Sequeira, Anna Falcó-Pegueroles, José António Pinho, Albina Rodrigues-Ferreira, Joan Guàrdia Olmos & Juan Roldan-Merino - forthcoming - Nursing Ethics:096973301985778.
    Introduction: Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. Aim: The objectives of this study were, first, to obtain a transcultural Portuguese-language adaptation and validation of the Ethical Conflict Nursing Questionnaire–Critical Care Version and, second, to analyse Portuguese critical care nurses’ level of exposure to ethical conflict and its (...)
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  • Ethical Problems and Moral Sensitivity in Physiotherapy.Kati Kulju, Riitta Suhonen & Helena Leino-Kilpi - 2013 - Nursing Ethics 20 (5):568-577.
    This study identified and described ethical problems encountered by physiotherapists in their practice and physiotherapists’ moral sensitivity in ethical situations. A questionnaire-based survey was constructed to identify ethical problems, and the Moral Sensitivity Questionnaire Revised version was used to measure moral sensitivity. Physiotherapists (n = 116) working in public health services responded to the questionnaire. Based on the results, most of the physiotherapists encounter ethical problems weekly. They concern mainly financial considerations, equality and justice, professionalism, unethical conduct of physiotherapists or (...)
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  • Stress of Conscience Among Psychiatric Nursing Staff in Relation to Environmental and Individual Factors.H. Tuvesson, Mona Eklund & C. Wann-Hansson - 2012 - Nursing Ethics 19 (2):208-219.
    The present study aimed at investigating the relationship between environmental and individual factors and Stress of Conscience among nursing staff in psychiatric in-patient care. A questionnaire involving six different instruments measuring Stress of Conscience, the ward atmosphere, the psychosocial work environment, Perceived Stress, Moral Sensitivity, and Mastery was answered by 93 nursing staff at 12 psychiatric in-patient wards in Sweden. The findings showed that Sense of Moral Burden, Mastery, Control at Work and Angry and Aggressive Behavior were related to Stress (...)
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  • Dealing with Troubled Conscience in Municipal Care of Older People.E. Ericson-Lidman & G. Strandberg - 2013 - Nursing Ethics 20 (3):300-311.
    Troubled conscience may jeopardize the health of healthcare personnel and, hence, the quality of care provided. Learning more about how personnel deal with their troubled conscience therefore seems important. The aim of this study was to describe personnel’s experiences of how they deal with troubled conscience generated in their daily work in municipal care of older people. Interviews were conducted with 20 care providers and analysed with a thematic content analysis. The findings show that in order to deal with troubled (...)
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  • Conscience, Conscientious Objection, and Nursing: A Concept Analysis.Christina Lamb, Marilyn Evans, Yolanda Babenko-Mould, Carol A. Wong & Ken W. Kirkwood - forthcoming - Nursing Ethics:096973301770023.
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  • Revalidation of the Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ).J. Ahlin, E. Ericson-Lidman, A. Norberg & G. Strandberg - 2012 - Nursing Ethics 19 (2):220-232.
    The Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ) have previously been developed and validated within the ‘Stress of Conscience Study’. The aim was to revalidate these two questionnaires, including two additional, theoretically and empirically significant items, on a sample of healthcare personnel working in direct contact with patients. The sample consisted of 503 healthcare personnel. To test variation and distribution among the answers, descriptive statistics, item analysis and principal component analysis (PCA) were used to examine (...)
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  • Longitudinal Relationships Between Stress of Conscience and Concepts of Importance.Johan Åhlin, Eva Ericson-Lidman, Sture Ericsson, Astrid Norberg & Gunilla Strandberg - 2013 - Nursing Ethics 20 (8):0969733013484487.
    The aim of this observational longitudinal cohort study was to describe relationships over time between degrees of stress of conscience, perceptions of conscience, burnout scores and assessments of person-centred climate and social support among healthcare personnel working in municipal care of older people. This study was performed among registered nurses and nurse assistants (n = 488). Data were collected on two occasions. Results show that perceiving one’s conscience as a burden, having feelings of emotional exhaustion and depersonalization and noticing disturbing (...)
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