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Indian J Palliat Care. 2019 Oct-Dec;25(4):517-522. doi: 10.4103/IJPC.IJPC_65_19.

Nurses' Strategies for Conscience-based Care Delivery: A Qualitative Study.

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1
Faculty of Nursing and Midwifery, Medical Surgical Urmia University of Medical Sciences, Urmia, Iran.

Abstract

Introduction:

Conscience is the core of ethical values. It helps nurses protect patients' rights and provide quality dignified care. Therefore, assessing nurses' strategies for conscience-based care may help facilitate conscience-based care delivery.

Aim:

This study aimed to explore nurses' strategies for conscience-based care delivery.

Methods:

This qualitative study was conducted in 2018 on twelve hospital nurses purposively recruited from four teaching hospitals in Urmia, Iran. Data were collected through in-depth interviews and inductively analyzed through conventional content analysis.

Ethical Considerations:

This study was approved by the Ethics Committee of Urmia University of Medical Sciences. All the participants were informed of the aim of the study and a written consent was obtained from each of them. Participation in the study was entirely voluntary and the participants could withdraw at any stage of the study.

Results:

Participants' strategies for conscience-based care delivery were grouped into two main themes, namely self-empowerment for clinical role performance and attempt to deliver care beyond the routines.

Conclusion:

Clinical self-empowerment and attempt to deliver care beyond the routines are nurses' main psychosocial strategies for conscience-based care delivery. Mentorship programs are recommended for the development of nurses' time management and clinical skills and thereby, empower them for conscience-based care delivery. Moreover, continuing education programs and curricular revisions are recommended to strengthen their religious beliefs.

KEYWORDS:

Care; conscience; content analysis; nursing; qualitative study

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