Concept analysis of conscience-based nursing care: a hybrid approach of Schwartz-Barcott and Kim's hybrid model.

IF 3 1区 哲学 Q1 ETHICS BMC Medical Ethics Pub Date : 2024-06-18 DOI:10.1186/s12910-024-01070-8
Soheyla Kalantari, Mahnaz Modanloo, Abbas Ebadi, Homeira Khoddam
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Abstract

Background: The nursing profession considers conscience as the foundation and cornerstone of clinical practice, which significantly influences professional decision-making and elevates the level of patient care. However, a precise definition of conscience in the nursing field is lacking, making it challenging to measure. To address this issue, this study employed the hybrid approach of Schwartz Barcott and Kim to analyze the concept of conscience-based nursing care.

Methods: This approach involves a three-phase process; theoretical, fieldwork, and analytical. A systematic literature review was conducted using electronic databases during the first phase to find relevant papers. The content of 42 articles that met the inclusion criteria was extracted to determine the attributes, antecedents, and consequences of consciousness care using thematic analysis. Based on the working definition as a product of this phase, the plan of doing the fieldwork phase was designed. During this phase, data were collected through interviews with nurses all of whom were responsible for patient care in hospitals. In this phase, 5 participants were chosen for in-depth interviewing by purposeful sampling. Data were analyzed using directed content analysis. The findings of the theoretical and fieldwork phases were integrated and the final definition was derived.

Results: The integration of the theoretical and fieldwork phases resulted in identifying four key characteristics of conscience-based nursing care. Firstly, it involves providing professional care with a conscientious approach. Secondly, ethics is at the core of conscience-based care. Thirdly, external spirituality plays a significant role in shaping one's conscience in this context. Finally, conscience-based nursing care is both endogenous and exogenous, with professional commitment being the central focus of care.

Conclusion: Conscience-based nursing care is an essential component of ethical care, which elevates clinical practice to professional care. It requires the integration of individual and social values, influenced by personal beliefs and cultural backgrounds, and supported by professional competence, resources, and a conducive organizational atmosphere in the healthcare field. This approach leads to the provision of responsive care, moral integrity, and individual excellence, ultimately culminating in the development of professionalism in nursing.

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良心护理的概念分析:Schwartz-Barcott 和 Kim 混合模式的混合方法。
背景:护理专业认为良知是临床实践的基础和基石,它对专业决策和提升患者护理水平具有重要影响。然而,护理领域缺乏对 "良知 "的准确定义,因此衡量 "良知 "具有挑战性。为解决这一问题,本研究采用了 Schwartz Barcott 和 Kim 的混合方法来分析基于良知的护理概念:该方法包括三个阶段:理论、实地考察和分析。第一阶段使用电子数据库进行了系统的文献综述,以查找相关论文。对符合纳入标准的 42 篇文章的内容进行提取,利用主题分析法确定良心护理的属性、前因和后果。根据这一阶段得出的工作定义,设计了实地调查阶段的工作计划。在这一阶段,通过对医院中负责病人护理的护士进行访谈来收集数据。在这一阶段,通过有目的的抽样,选择了 5 名参与者进行深入访谈。数据采用定向内容分析法进行分析。综合了理论阶段和实地调查阶段的结果,得出了最终定义:综合理论阶段和实地调查阶段的结果,确定了良心护理的四个主要特征。首先,良心护理涉及以认真负责的态度提供专业护理。第二,伦理是良心护理的核心。第三,在这种情况下,外部精神力量在塑造个人良知方面发挥着重要作用。最后,良心护理既是内源性的,也是外源性的,专业承诺是护理的核心:基于良知的护理是伦理护理的重要组成部分,它将临床实践提升为专业护理。它需要整合个人和社会价值观,受到个人信仰和文化背景的影响,并得到专业能力、资源和医疗领域有利的组织氛围的支持。这种方法可提供有针对性的护理、道德诚信和个人卓越,最终实现护理专业化的发展。
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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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