University of Alberta, Edmonton, AB, Canada.
Western University, London, ON, Canada.
J Adv Nurs. 2019 Mar;75(3):594-602. doi: 10.1111/jan.13869. Epub 2018 Oct 16.
To explore the meaning of conscience for nurses in the context of conscientious objection (CO) in clinical practice.
Interpretive phenomenology was used to guide this study.
Data were collected from 2016 - 2017 through one-on-one interviews from eight nurses in Ontario. Iterative analysis was conducted consistent with interpretive phenomenology and resulted in thematic findings.
Iterative, phased analysis using line-by-line and sentence highlighting identified key words and phrases. Cumulative summaries of narratives thematic analysis revealed how nurses made meaning of conscience in the context of making a CO.
Conscience issues and CO are current, critical issues for nurses. For Canadian nurses this need has been recently heightened by the national legalization of euthanasia, known as Medical Assistance in Dying in Canada. Ethics education, awareness, and respect for nurses' conscience are needed in Canada and across the profession to support nurses to address their issues of conscience in professional practice.
Ethical meaning emerges for nurses in their lived experiences of encountering serious ethical issues that they need to professionally address, by way of conscience-based COs.
This is the first study to explore what conscience means to nurses, as shared by nurses themselves and in the context of CO. Nurse participants expressed that support from leadership, regulatory bodies, and policy for nurses' conscience rights are indicated to address nurses' conscience issues in practice settings.
在临床实践中的出于良心拒服兵役的背景下，探讨护士的良心意义。
解释现象学被用来指导这项研究。
2016 年至 2017 年，通过对安大略省的 8 名护士进行一对一访谈收集数据。按照解释现象学进行迭代分析，得出主题发现。
使用逐行和逐句突出显示的迭代、分阶段分析，确定关键词和短语。对叙事主题分析的累积总结揭示了护士在做出出于良心拒服兵役的情况下如何赋予良心意义。
良心问题和出于良心拒服兵役是当前护士面临的关键问题。对于加拿大护士来说，最近加拿大安乐死的合法化（在加拿大称为医疗辅助死亡）使这一需求更加迫切。加拿大和整个护理行业都需要进行伦理教育，提高对护士良心的认识和尊重，以支持护士在专业实践中处理自己的良心问题。
伦理意义在护士遇到他们需要专业解决的严重伦理问题的实际经验中浮现出来，这是基于良心的出于良心拒服兵役的方式。
这是第一项探讨护士的良心意味着什么的研究，这是由护士自己在出于良心拒服兵役的背景下分享的。护士参与者表示，领导、监管机构和政策对护士的良心权利的支持表明，在实践环境中解决护士的良心问题是必要的。
