Value conflicts in perioperative practice.
Care ethics
perioperative practice
theatre nurses
value conflicts
Journal
Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357
Informations de publication
Date de publication:
Historique:
pubmed:
23
10
2018
medline:
31
3
2020
entrez:
23
10
2018
Statut:
ppublish
Résumé
The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional principles, and this creates ethical conflicts in themselves. This study describes operating theatre nurses' experiences of ethical value conflicts in perioperative practice. Qualitative design, narratives from 15 operating theatre nurses and hermeneutic text interpretation. The study followed ethical principles in accordance with the Helsinki Declaration and approval was granted by the local university ethics committee. The result showed that value conflicts arose in perioperative practice when operating theatre nurses were prevented from being present in the perioperative nursing process, because of current habits in perioperative practice. The patient's care became uncaring when health professionals did not see and listen to each other and when collaboration in the surgical team was not available for the patient's best. This occurred when operating theatre nurses' competence was not taken seriously and was ignored in patient care. Value conflicts arose when operating theatre nurses experienced that continuity of patient care was lacking. They experienced compassion with the patient but still had the will and ability to be there and take responsibility for the patient. This led to feelings of despair, powerlessness and of having a bad conscience which could lead to dissatisfaction, and even resignations.
Sections du résumé
BACKGROUND
BACKGROUND
The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional principles, and this creates ethical conflicts in themselves.
OBJECTIVES
OBJECTIVE
This study describes operating theatre nurses' experiences of ethical value conflicts in perioperative practice.
RESEARCH DESIGN
METHODS
Qualitative design, narratives from 15 operating theatre nurses and hermeneutic text interpretation.
ETHICAL CONSIDERATION
UNASSIGNED
The study followed ethical principles in accordance with the Helsinki Declaration and approval was granted by the local university ethics committee.
FINDINGS
RESULTS
The result showed that value conflicts arose in perioperative practice when operating theatre nurses were prevented from being present in the perioperative nursing process, because of current habits in perioperative practice. The patient's care became uncaring when health professionals did not see and listen to each other and when collaboration in the surgical team was not available for the patient's best. This occurred when operating theatre nurses' competence was not taken seriously and was ignored in patient care.
CONCLUSION
CONCLUSIONS
Value conflicts arose when operating theatre nurses experienced that continuity of patient care was lacking. They experienced compassion with the patient but still had the will and ability to be there and take responsibility for the patient. This led to feelings of despair, powerlessness and of having a bad conscience which could lead to dissatisfaction, and even resignations.
Identifiants
pubmed: 30345880
doi: 10.1177/0969733018798169
doi:
Types de publication
Journal Article
Langues
eng