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  1. Developing the Concept of Moral Sensitivity in Health Care Practice.Kim Lützén, Vera Dahlqvist, Sture Eriksson & Astrid Norberg - 2006 - Nursing Ethics 13 (2):187-196.
    The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the (...)
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  2.  78
    Development and Initial Validation of the Stress of Conscience Questionnaire.Ann-Louise Glasberg, Sture Eriksson, Vera Dahlqvist, Elisabeth Lindahl, Gunilla Strandberg, Anna Söderberg, Venke Sørlie & Astrid Norberg - 2006 - Nursing Ethics 13 (6):633-648.
    Stress in health care is affected by moral factors. When people are prevented from doing ‘good’ they may feel that they have not done what they ought to or that they have erred, thus giving rise to a troubled conscience. Empirical studies show that health care personnel sometimes refer to conscience when talking about being in ethically difficult everyday care situations. This study aimed to construct and validate the Stress of Conscience Questionnaire (SCQ), a nine-item instrument for assessing stressful situations (...)
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  3.  53
    Perceptions of Conscience in Relation To Stress of Conscience.Christina Juthberg, Sture Eriksson, Astrid Norberg & Karin Sundin - 2007 - Nursing Ethics 14 (3):329-343.
    Every day situations arising in health care contain ethical issues influencing care providers' conscience. How and to what extent conscience is influenced may differ according to how conscience is perceived. This study aimed to explore the relationship between perceptions of conscience and stress of conscience among care providers working in municipal housing for elderly people. A total of 166 care providers were approached, of which 146 (50 registered nurses and 96 nurses' aides/enrolled nurses) completed a questionnaire containing the Perceptions of (...)
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  4.  53
    Burnout and perceptions of conscience among health care personnel: A pilot study.Gabriella Gustafsson, Sture Eriksson, Gunilla Strandberg & Astrid Norberg - 2010 - Nursing Ethics 17 (1):23-38.
    Although organizational and situational factors have been found to predict burnout, not everyone employed at the same workplace develops it, suggesting that becoming burnt out is a complex, multifaceted phenomenon. The aim of this study was to elucidate perceptions of conscience, stress of conscience, moral sensitivity, social support and resilience among two groups of health care personnel from the same workplaces, one group on sick leave owing to medically assessed burnout (n = 20) and one group who showed no indications (...)
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  5.  50
    Women Physicians' Narratives About Being in Ethically Difficult Care Situations in Paediatrics.Venke Sørlie, Anders Lindseth, Gigi Udén & Astrid Norberg - 2000 - Nursing Ethics 7 (1):47-62.
    This study is part of a comprehensive investigation of ethical thinking among male and female physicians and nurses. Nine women physicians with different levels of expertise, working in various wards in paediatric clinics at two of the university hospitals in Norway, narrated 37 stories about their experience of being in ethically difficult care situations. All of the interviewees’ narrations were concerned with problems relating to both action ethics and relation ethics. The main focus was on problems in a relation ethics (...)
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  6.  49
    Development of the Perceptions of Conscience Questionnaire.Vera Dahlqvist, Sture Eriksson, Ann-Louise Glasberg, Elisabeth Lindahl, Kim Lü tzén, Gunilla Strandberg, Anna Söderberg, Venke Sørlie & Astrid Norberg - 2007 - Nursing Ethics 14 (2):181-193.
    Health care often involves ethically difficult situations that may disquiet the conscience. The purpose of this study was to develop a questionnaire for identifying various perceptions of conscience within a framework based on the literature and on explorative interviews about perceptions of conscience (Perceptions of Conscience Questionnaire). The questionnaire was tested on a sample of 444 registered nurses, enrolled nurses, nurses’ assistants and physicians. The data were analysed using principal component analysis to explore possible dimensions of perceptions of conscience. The (...)
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  7.  47
    Nurses as Guests or Professionals in Home Health Care.Stina Öresland, Sylvia Määttä, Astrid Norberg, Marianne Winther Jörgensen & Kim Lützén - 2008 - Nursing Ethics 15 (3):371-383.
    The aim of this study was to explore and interpret the diverse subject of positions, or roles, that nurses construct when caring for patients in their own home. Ten interviews were analysed and interpreted using discourse analysis. The findings show that these nurses working in home care constructed two positions: `guest' and `professional'. They had to make a choice between these positions because it was impossible to be both at the same time. An ethics of care and an ethics of (...)
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  8.  34
    Transforming Desolation into Consolation: the meaning of being in situations of ethical difficulty in intensive care.Anna Söderberg, Fredricka Gilje & Astrid Norberg - 1999 - Nursing Ethics 6 (5):357-373.
    The purpose of this phenomenological-hermeneutic study was to illuminate the meaning of being in ethically difficult care situations. The participants were 20 enrolled nurses employed in six intensive care units in Sweden. The results reveal a complex human process manifested in relation to one’s inner self and the other person, which transforms desolation into consolation through becoming present to the suffering other when perceiving fragility rather than tragedy. The main point of significance here is for all health professionals to create (...)
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  9.  25
    Longitudinal relationships between stress of conscience and concepts of importance.Johan Åhlin, Eva Ericson-Lidman, Sture Eriksson, 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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  10.  78
    Nurses as 'guests'– a study of a concept in light of Jacques Derrida's philosophy of hospitality.Stina Öresland, Kim Lutzén, Astrid Norberg, Birgit H. Rasmussen & Sylvia Määttä - 2013 - Nursing Philosophy 14 (2):117-126.
  11.  39
    Revalidation of the Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ).Johan Åhlin, Eva Ericson-Lidman, Astrid Norberg & Gunilla 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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  12.  28
    Home-based nursing: An endless journey.Stina Öresland, Sylvia Määttä, Astrid Norberg & Kim Lützén - 2011 - Nursing Ethics 18 (3):408-417.
    The aim of this study was to explore metaphors for discovering values and norms held by nurses in home-based nursing care. Ten interviews were analysed and interpreted in accordance with a metaphor analytical method. In the analysis, metaphoric linguistic expressions and two entailments emerged, grounded in the conceptual metaphor ‘home-based nursing care is an endless journey’, which were created in a cross-domain mapping between the two conceptual domains of home-based nursing care and travel. The metaphor exposed home-based nursing care as (...)
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  13.  14
    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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  14.  38
    Patients as `Safeguard' and Nurses as `Substitute' in Home Health Care.Stina Öresland, Sylvia Määttä, Astrid Norberg & Kim Lützén - 2009 - Nursing Ethics 16 (2):219-230.
    One aim of this study was to explore the role, or subject position, patients take in the care they receive from nurses in their own home. Another was to examine the subject position that patients say the nurses take when giving care to them in their own home. Ten interviews were analysed and interpreted according to a discourse analytical method. The findings show that patients constructed their subject position as `safeguard', and the nurses' subject position as `substitute' for themselves. These (...)
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  15.  31
    Struggling to Become Ready for Consolation: experiences of suicidal patients.Anne-Grethe Talseth, Fredricka Gilje & Astrid Norberg - 2003 - Nursing Ethics 10 (6):614-623.
    Although there has been a vast amount of research about suicide, very few studies focus on the inner world of the suicidal patient. A secondary analysis of two exemplar narrative interviews with Norwegian patients reveals a glimpse of the inner world of suicidal patients’ longing for consolation. The results of a phenomenological hermeneutic study inspired by Ricoeur’s philosophy reveal five themes and one main theme. The themes are: ‘longing for closeness’, ‘desiring connectedness’, ‘struggling to open up inner dialogue’, ‘breaking into (...)
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  16.  34
    A Model of Consolation.Astrid Norberg, Monica Bergsten & Berit Lundman - 2001 - Nursing Ethics 8 (6):544-553.
    Consolation is needed when a human being suffers (i.e. feels alienated from him-or herself, from other people, from the world or from his or her ultimate source of meaning). The aim of this study was to illuminate the meaning of consolation. Tape-recorded narrative interviews were carried out with 18 professionals from various spheres. The transcribed interviews were interpreted hermeneutically. A model of consolation is outlined in a drawing. It states that the mediator and the receiver of consolation must become ready (...)
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  17.  25
    Understanding between care providers and patients with stroke and aphasia: a phenomenological hermeneutic inquiry.Karin Sundin, Lilian Jansson & Astrid Norberg - 2002 - Nursing Inquiry 9 (2):93-103.
    Understanding between care providers and patients with stroke and aphasia: a phenomenological hermeneutic inquiry The present study illuminates the understanding in communication between formal care providers and patients with stroke and aphasia. Five care providers and three such patients participated in the study. Video recordings were made during conversations about pictures (n = 15), and the care providers were also interviewed (n = 15) after the video‐recorded conversations. A phenomenological hermeneutic method of interpretation of the interview text was used. The (...)
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  18.  18
    Retired Registered Nurses' Stories About Being in Ethically Difficult Care Situations.Eva Melchert, Gigi Udén & Astrid Norberg - 1997 - Nursing Ethics 4 (2):123-134.
    Twelve retired nurses were asked to narrate a care situation in which it had been difficult for them as nurses to know what was the right and good thing to do. The transcribed interviews were examined by content analyses. Physicians were the central coactors in the nurses’ stories. Colleagues were seldom mentioned. Other ward staff were mainly called ‘the girls’. The patient was central and referred to with respect. All the nurses focused on experiential learning. Guiding ethical principles are listed.
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  19.  25
    (2 other versions)Editorial Comment.Astrid Norberg - 2002 - Nursing Ethics 9 (1):2-2.
  20.  23
    Nurses' ethical reflections on caring for people with malodorous exuding ulcers.Elisabeth Lindahl, Fredricka Gilje, Astrid Norberg & Anna Söderberg - 2010 - Nursing Ethics 17 (6):777-790.
    The aim of this study was to illuminate nurses’ reflections on obstacles to and possibilities for providing care as desired by people with malodorous exuding ulcers. Six nurses who took part in a previous study were interviewed. The participants were shown an illustration with findings from a study that elucidated the meaning of living with malodorous exuding ulcers. They were asked to reflect on the obstacles to and possibilities of providing the care desired by the patients. Twelve audio-recorded transcribed interviews (...)
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  21.  21
    From perpetrator to victim in a violent situation in institutional care for elderly persons: exploring a narrative from one involved care provider.Åsa Sandvide, Siv Fahlgren, Astrid Norberg & Britt-Inger Saveman - 2006 - Nursing Inquiry 13 (3):194-202.
    In order to reach a more comprehensive understanding of the dynamics in violent situations in institutional care for elderly people the aim of this study was to explore involved parties’ positions, and to illuminate forces and moves related to these positions. One involved care provider's narrative was analysed using narrative analysis and positioning theory. In the narrative the involved parties’ positions were fluid and often overlapping, and not exclusively as victim or perpetrator. Across the narrative the narrator altered the involved (...)
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