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Sökning: L773:0969 7330 > Engelska > Ersta Sköndal högskola

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2.
  • Dahlqvist, Vera, et al. (författare)
  • Development of the perceptions of conscience questionnaire.
  • 2007
  • Ingår i: Nursing Ethics. - 0969-7330. ; 14:2, s. 181-193
  • Tidskriftsartikel (refereegranskat)abstract
    • 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 results showed six dimensions, found also in theory and empirical health care studies. Conscience was perceived as authority, a warning signal, demanding sensitivity, an asset, a burden and depending on culture. We conclude that the Perceptions of Conscience Questionnaire is valid for assessing some perceptions of conscience relevant to health care providers.
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3.
  • Dwyer, Lise-Lotte, et al. (författare)
  • Three nursing home residents speak about meaning at the end of life.
  • 2008
  • Ingår i: Nursing Ethics. - 0969-7330. ; 15:1, s. 97-109
  • Tidskriftsartikel (refereegranskat)abstract
    • This article provides a deeper understanding of how meaning can be created in everyday life at a nursing home. It is based on a primary study concerning dignity involving 12 older people living in two nursing homes in Sweden. A secondary analysis was carried out on data obtained from three of the primary participants interviewed over a period of time (18-24 months), with a total of 12 interviews carried out using an inductive hermeneutic approach. The study reveals that sources of meaning were created by having a sense of: physical capability, cognitive capability, being needed, and belonging. Meaning was created through inner dialogue, communication and relationships with others. A second finding is that the experience of meaning can sometimes be hard to realize.
4.
  • Elmberger, Eva, et al. (författare)
  • Experience of Dealing with Moral Responsibility as a Mother with Cancer
  • 2005
  • Ingår i: Nursing Ethics. - 0969-7330. ; 12:3, s. 253-262
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored how women with a diagnosis of cancer (lymphoma) deal with moral concerns related to their responsibility as parents. Ten women with cancer and who had children living at home were interviewed. The interviews were analysed according to the constant comparative method used in grounded theory. In order to provide a focus for the analysis, the ethics of care and the concept of mothering were used as sensitizing concepts. The core concept 'experience of dealing with moral responsibility of being a parent with cancer by redefining oneself as a mother' was identified. The processes involved were: interrupted mothering; facing the life-threatening illness and children's reactions; striving to be a good mother; attempting to deal with moral responsibility; and coming to terms with being a mother.
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5.
  • Franklin, Lise-Lotte, et al. (författare)
  • Views on dignity of elderly nursing home residents
  • 2006
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 13:2, s. 130-146
  • Tidskriftsartikel (refereegranskat)abstract
    • Discussion about a dignified death has almost exclusively been applied to palliative care and people dying of cancer. As populations are getting older in the western world and living with chronic illnesses affecting their everyday lives, it is relevant to broaden the definition of palliative care to include other groups of people. The aim of the study was to explore the views on dignity at the end of life of 12 elderly people living in two nursing homes in Sweden. A hermeneutic approach was used to interpret the material, which was gathered during semi-structured interviews. A total of 39 interviews were transcribed. The analysis revealed three themes: (1) the unrecognizable body, (2) fragility and dependency, and (3) inner strength and a sense of coherence. © 2006 Edward Arnold (Publishers) Ltd.
6.
  • Glasberg, Ann-Louise, et al. (författare)
  • Development and initial validation of the Stress of Conscience Questionnaire.
  • 2006
  • Ingår i: Nursing Ethics. - 0969-7330. ; 13:6, s. 633-48
  • Tidskriftsartikel (refereegranskat)abstract
    • 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 and the degree to which they trouble the conscience. The items were based on situations previously documented as causing negative stress for health care workers. Content and face validity were established by expert panels and pilot studies that selected relevant items and modified or excluded ambiguous ones. A convenience sample of 444 health care personnel indicated that the SCQ had acceptable validity and internal consistency (Cronbach's alpha exceeded 0.83 for the overall scale). Explorative factor analysis identified and labelled two factors: 'internal demands' and 'external demands and restrictions'. The findings suggest that the SCQ is a concise and practical instrument for use in various health care contexts.
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7.
  • Gustafsson, Gabriella, et al. (författare)
  • Burnout and perceptions of conscience among health care personnel : a pilot study.
  • 2010
  • Ingår i: Nursing Ethics. - 0969-7330. ; 17:1, s. 23-38
  • Tidskriftsartikel (refereegranskat)abstract
    • 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 of burnout (n = 20). The results showed that higher levels of stress of conscience, a perception of conscience as a burden, having to deaden one's conscience in order to keep working in health care and perceiving a lack of support characterized the burnout group. Lower levels of stress of conscience, looking on life with forbearance, a perception of conscience as an asset and perceiving support from organizations and those around them (social support) characterized the non-burnout group.
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8.
  • Hellström, Ingrid, et al. (författare)
  • Ethical and methodological issues in interviewing persons with dementia
  • 2007
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 14:5, s. 608-619
  • Tidskriftsartikel (refereegranskat)abstract
    • People with dementia have previously not been active participants in research, with ethical difficulties often being cited as the reason for this. A wider inclusion of people with dementia in research raises several ethical and methodological challenges. This article adds to the emerging debate by reflecting on the ethical and methodological issues raised during an interview study involving people with dementia and their spouses. The study sought to explore the impact of living with dementia. We argue that there is support for the inclusion of people with dementia in research and that the benefits of participation usually far outweigh the risks, particularly when a ;safe context' has been created. The role of gatekeepers as potentially responsible for excluding people with dementia needs further consideration, with particular reference to the appropriateness of viewing consent as a primarily cognitive, universalistic and exclusionary event as opposed to a more particularistic, inclusive and context relevant process.
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9.
  • Högberg, T., et al. (författare)
  • To be a nurse or a neighbour? : A moral concern for psychiatric nurses living next door to individuals with a mental illness
  • 2005
  • Ingår i: Nursing Ethics. - 0969-7330. ; 12:5, s. 468-478
  • Tidskriftsartikel (refereegranskat)abstract
    • Several studies reveal that positive attitudes towards individuals with a mental illness are correlated with knowledge about mental illness. The aim of this study was to explore and describe psychiatric nurses' experiences of living next to people with mental health problems. In addition, it sought to identify and describe how they handle situations arising in a neighbourhood where people with a mental illness live. Two men and seven women participated in the study. The constant comparative method of grounded theory was used for data collection and analysis. The process of 'behaving as a nurse or not' was identified as a core category. Four subcategories were identified: 'receiving involuntary information', 'to take action or not', 'behaving as a mediator in the neighbourhood' and 'the freedom of choice'. The findings show that psychiatric nurses with professional knowledge about mental illness have moral concerns about their role as nurses during their leisure time. In conclusion, it is not obvious that psychiatric nurses want to live in the same neighbourhood as persons with a mental illness. However, this study shows that their knowledge about mental illness creates for them a moral dilemma consisting of a conflict between whether to care for these mentally ill persons or to preserve their own leisure time.
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10.
  • Juthberg, Christina, et al. (författare)
  • Perceptions of conscience in relation to stress of conscience.
  • 2007
  • Ingår i: Nursing Ethics. - 0969-7330. ; 14:3, s. 329-343
  • Tidskriftsartikel (refereegranskat)abstract
    • 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 Conscience Questionnaire and the Stress of Conscience Questionnaire. A multivariate canonical correlation analysis was conducted. The first two functions emerging from the analysis themselves explained a noteworthy amount of the shared variance (25.6% and 17.8%). These two dimensions of the relationship were interpreted either as having to deaden one's conscience relating to external demands in order to be able to collaborate with coworkers, or as having to deaden one's conscience relating to internal demands in order to uphold one's identity as a 'good' health care professional.
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