Registered nurses' and nurse assistants' lived experience of troubled conscience in their work in elderly care-A phenomenological hermeneutic study

International Journal of Nursing Studies

Volumn 47, Issue 1, 2010, Pages 20-29

  Juthberg, C ^a   Sundin, K ^a  

^a UMEÅ UNIVERSITY   (Sweden)

Author keywords

Conscience; Geriatric nursing; Nursing assistants; Phenomenological hermeneutics; Registered nurses; Work environment

Indexed keywords

AGED; ARTICLE; GERIATRIC NURSING; HUMAN; MANPOWER; NURSE; NURSING ASSISTANT; PSYCHOLOGICAL ASPECT; SWEDEN; VERBAL COMMUNICATION;

AGED; GERIATRIC NURSING; HUMANS; NARRATION; NURSES; NURSES' AIDES; SWEDEN;

EID: 71149101395     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2009.06.001     Document Type: Article

References (39)

1. Åström, G., 1995. The meaning of caring as narrated, lived, moral experience. Doctoral dissertation. Umeå University, Umeå.
2. Bowers B.J., Lauring C., and Jacobson N. How nurses manage time and work in long-term care. Journal of Advanced Nursing 33 4 (2001) 484-491
3. Childress J.F. Appeals to conscience. Ethics 89 4 (1979) 315-335
4. Dahlqvist V., Eriksson S., Glasberg A., Lindahl E., Lützén K., Strandberg G., Söderberg A., Sørlie V., and Norberg A. Development of the perceptions of conscience questionnaire. Nursing Ethics 14 2 (2007) 181-193
5. Dahlqvist V., Soderberg A., and Norberg A. Dealing with stress: patterns of self-comfort among healthcare students. Nurse Education Today 28 4 (2008) 476-484
6. Dahlqvist V., Söderberg A., and Norberg A. Facing inadequacy and being 'good enough': psychiatric therapists' narratives about living with a troubled conscience. Journal of Psychiatric and Mental Health Nursing 16 3 (2009) 242-247
7. Edberg A.-K., Bird M., Richards D.A., Woods R., Keeley P., and Davis-Quarrell V. Strain in nursing care of people with dementia: nurses' experience in Australia, Sweden and United Kingdom. Aging and Mental Health 12 2 (2008) 236-243
8. Ericson-Lidman E., and Strandberg G. Burnout: co-workers' perceptions of signs preceding workmates' burnout. Journal of Advanced Nursing 60 2 (2007) 199-208
9. Frankl V.E. The Unconscious God: Psychotherapy and Theology (1975), Simon and Schuster, New York
10. Freud S. Civilization and its discontents. In: Strachey J. (Ed). The Standard Edition of the Complete Psychological Works of Sigmund Freud (1989), Norton, New York 5-112
11. Fromm E. Man for Himself: An Inquiry Into the Psychology of Ethics (1990), Owl Books, New York
12. Glasberg A.L., Eriksson S., Dahlqvist V., Lindahl E., Strandberg G., Söderberg A., Sørlie V., and Norberg A. Development and initial validation of the stress of conscience questionnaire. Nursing Ethics 13 6 (2006) 633-648
13. Glasberg A.L., Eriksson S., and Norberg A. Burnout and 'stress of conscience' among healthcare personnel. Journal of Advanced Nursing 57 4 (2007) 392-403
14. Glasberg A.L., Eriksson S., and Norberg A. Factors associated with 'stress of conscience' in healthcare. Scandinavian Journal of Caring Science 22 2 (2008) 249-258
15. Glasberg A.L., Norberg A., and Soderberg A. Sources of burnout among healthcare employees as perceived by managers. Journal of Advanced Nursing 60 1 (2007) 10-19
16. Graneheim U.H., Isaksson U., Ljung I.M., and Jansson L. Balancing between contradictions: the meaning of interaction with people suffering from dementia and "behavioral disturbances". International Journal of Aging & Human Development 60 2 (2005) 145-157
17. Häggstrom E., Skovdahl K., Fläckman B., Kihlgren A.L., and Kihlgren M. To feel betrayed and to feel that you are betraying the older residents: caregivers' experiences at a newly opened nursing home. Journal of Clinical Nursing 13 6 (2004) 687-696
18. Jansson L., Norberg A., Sandman P.O., and Åström G. When the severely ill elderly patient refuses food. Ethical reasoning among nurses. International Journal of Nursing Studies 32 1 (1995) 68-78
19. Juthberg C., Eriksson S., Norberg A., and Sundin K. Perceptions of conscience in relation of stress of conscience. Nursing Ethics 14 3 (2007) 329-343
20. Juthberg C., Eriksson S., Norberg A., and Sundin K. Stress of conscience and perceptions of conscience in relation to burnout among care providers in older care. Journal of Clinical Nursing 17 13 (2008) 1897-1906
21. Karlsson, I., 2007. Förväntningar och realitet för sjuksköterskor verksamma på äldreboenden (Expectations of and reality for registered nurses in residential care homes for older people). Doctoral dissertation. Karolinska Institutet, Stockholm (in Swedish).
22. Kihlgren A.L., Fagerberg I., Skovdahl K., and Kihlgren M. Referrals from home care to emergency hospital care: basis for decisions. Journal of Clinical Nursing 12 1 (2003) 28-36
23. Lindseth A., and Norberg A. A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal of Caring Sciences 18 2 (2004) 145-153
24. Lützén K., Dahlqvist V., Eriksson S., and Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics 13 2 (2006) 187-196
25. Maslach C., Jackson S.E., and Leiter M.P. Maslach Burnout Inventory Manual (1996), Consulting Psychologists Press, Palo Alto, California
26. Mishler E. Research Interviewing: Context and Narrative (1986), Harvard University Press, Cambridge
27. Nordam A., Torjuul K., and Sorlie V. Ethical challenges in the care of older people and risk of being burned out among male nurses. Journal of Clinical Nursing 14 10 (2005) 1248-1256
28. Patton M.Q. Qualitative Research and Evaluation Methods. 3rd edition (2002), Sage Publication, London
29. Pendry P.S. Moral distress: recognizing it to retain nurses. Nursing Economy 25 4 (2007) 217-221
30. Ricoeur P. Interpretation Theory: Discourse and the Surplus of Meaning (1976), University Press, Fort Worth, Texas
31. Skovdahl K., Kihlgren A.L., and Kihlgren M. Dementia and aggressiveness: stimulated recall interviews with caregivers after video-recorded interactions. Journal of Clinical Nursing 13 4 (2004) 515-525
32. Sørlie V., Kihlgren A., and Kihlgren M. Meeting ethical challenges in acute nursing care as narrated by registered nurses. Nursing Ethics 12 2 (2005) 133-142
33. Sørlie V., Kihlgren A.L., and Kihlgren M. Meeting ethical challenges in acute care work as narrated by enrolled nurses. Nursing Ethics 11 2 (2004) 179-188
34. Tangney J.P., and Dearing R.L. Shame and Guilt (2002), Guilford Press, New York
35. Tangney J.P., Stuewig J., and Mashek D.J. Moral emotions and moral behavior. Annual Review of Psychology 58 (2007) 345-372
36. Törnquist, A., 2004. Vad man ska kunna och hur man ska vara: en studie om enhetschefers och vårdbiträdens yrkeskompetens inom äldreomsorgens särskilda boendeformer (What to do and how to be). Doctoral dissertation. HLS förlag, Stockholm (in Swedish).
37. Venturato L., Kellett U., and Windsor C. Nurses' experiences of practice and political reform in long-term aged care in Australia: implications for the retention of nursing personnel. Journal of Nursing Management 15 1 (2007) 4-11
38. Westin L., and Danielson E. Nurses' experiences of caring encounters with older people living in Swedish nursing homes. International Journal of Older People Nursing 1 (2006) 3-10
39. Wreder, M., 2005. I omsorgens namn: tre diskurser om äldreomsorg (In the name of care: three discourses on elderly care). Doctoral dissertation. Karlstad University, Karlstad (in Swedish).