{"id":16946,"date":"2010-01-09T13:32:00","date_gmt":"2010-01-09T21:32:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=16946"},"modified":"2023-02-22T07:42:36","modified_gmt":"2023-02-22T15:42:36","slug":"registered-nurses-and-nurse-assistants-lived-experience-of-troubled-conscience-in-their-work-in-elderly-care-a-phenomenological-hermeneutic-study","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=16946","title":{"rendered":"Registered nurses’ and nurse assistants’ lived experience of troubled conscience in their work in elderly care-A phenomenological hermeneutic study"},"content":{"rendered":"\n

C Juthberg, K Sundin<\/h4>\n\n\n
\n
\"Registered
International Journal of Nursing Studies<\/figcaption><\/figure>\n<\/div>\n\n\n

Abstract<\/strong>
Background: <\/strong>In elderly care registered nurses (RNs) and nurse assistants (NAs) face ethical challenges which may trouble their conscience. <\/p>\n\n\n\n

Objective: <\/strong>This study aimed to illuminate meanings of RNs’ and NAs’ lived experience of troubled conscience in their work in municipal residential elderly care. <\/p>\n\n\n\n

Design:<\/strong> Interviews with six RNs and six NAs were interpreted separately using a phenomenological hermeneutic method. <\/p>\n\n\n\n

Settings:<\/strong> Data was collected in 2005 among RNs and NAs working in special types of housings for the elderly in a municipality in Sweden. <\/p>\n\n\n\n

Participants: <\/strong>The RNs and NAs were selected for participation had previously participated in a questionnaire study and their ratings in the questionnaire study constituted the selection criteria for the interview study. <\/p>\n\n\n\n

Results: <\/strong>The RNs’ lived experience of troubled conscience was formulated in two themes. The first theme is ‘being trapped in powerlessness’ which includes three sub-themes: being restrained by others’ omission, being trapped in ethically demanding situations and failing to live up to others’ expectations. The second theme is ‘being inadequate’ which includes two sub-themes: lacking courage to maintain one’s opinion and feeling incompetent. The NAs’ lived experience of troubled conscience was formulated in the two themes. The first is ‘being hindered by pre-determined conditions’ which includes two sub-themes: suffering from lack of focus in one’s work and being restrained by the organisation. The second theme is ‘being inadequate’ which includes two sub-themes: lacking the courage to object and being negligent. <\/p>\n\n\n\n

Conclusions:<\/strong> The RNs’ lived experience of troubled conscience were feelings of being trapped in a state of powerlessness, caught in a struggle between responsibility and authority and a sense of inadequacy fuelled by feelings of incompetence, a lack of courage and a fear of revealing themselves and endangering residents’ well-being. The NAs’ lived experience of troubled conscience was feelings of being hindered by pre-determined conditions, facing a fragmented work situation hovering between norms and rules and convictions of their conscience. To not endangering the atmosphere in the work-team they are submissive to the norms of their co-workers. They felt inadequate as they should be model care providers. The findings were interpreted in the light of Fromm’s authoritarian and humanistic conscience. <\/p>\n\n\n\n

\n\n\n\n

Juthberg C, Sundin K. Registered nurses’ and nurse assistants’ lived experience of troubled conscience in their work in elderly care-A phenomenological hermeneutic study<\/a>. Int J Nurs Stud. 2010 Jan;47(1):20-29. <\/p>\n","protected":false},"excerpt":{"rendered":"

C Juthberg, K Sundin AbstractBackground: In elderly care registered nurses (RNs) and nurse assistants (NAs) face ethical challenges which may trouble their conscience. Objective: This study aimed to illuminate meanings of RNs’ and NAs’ lived experience of troubled conscience in their work in municipal residential elderly care. Design: Interviews with six RNs and six NAs … Continue reading “Registered nurses’ and nurse assistants’ lived experience of troubled conscience in their work in elderly care-A phenomenological hermeneutic study”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,1595,2,964],"tags":[1943,1945],"post_folder":[],"class_list":["post-16946","post","type-post","status-publish","format-standard","hentry","category-ethics","category-geriatrics","category-journal-article","category-nursing","tag-christina-juthberg","tag-karin-sundin"],"yoast_head":"\r\nRegistered nurses' and nurse assistants' lived experience of troubled conscience in their work in elderly care-A phenomenological hermeneutic study - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"Nurses' troubled conscience reflected hindrance by 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