Department of Medical History and Ethics, Faculty of Medicine, 63994Baskent University, Ankara, Turkey.
Department of Fundamentals of Nursing, Faculty of Nursing, 37515Hacettepe University, Ankara, Turkey.
Nurs Ethics. 2022 Nov-Dec;29(7-8):1615-1633. doi: 10.1177/09697330221085771. Epub 2022 May 14.
Conscientious objection is a person's refusal to fulfill a legal duty due to their ethical values, religious beliefs, or ideological affiliations. In nursing, it refers to a nurse's refusal to perform an action or participate in a particular situation based on their conscience. Conscientious objection has become a highly contested topic in recent years.
This study had four objectives: (1) eliciting information on how Turkish nurses perceive conscientious objection, (2) revealing whether their moral beliefs affect the care they provide, (3) determining their experiences with conscientious objection, and (4) identifying existing or potential issues of conscientious objection.
This qualitative study collected data through semi-structured interviews. The data were analyzed using thematic content analysis.
The sample consisted of 21 nurses.
The study was approved by an ethics committee. Confidentiality and anonymity were guaranteed. Participation was voluntary.
The analysis revealed four themes: (1) universal values of nursing (professional values), (2) experiences with conscientious objection (refusing to provide care/not providing care), (3) possible effects of conscientious objection (positive and negative), and (4) scope of conscientious objection (grounded and groundless).
Participants did not want to provide care due to (1) patient characteristics or (2) their own religious and moral beliefs. Participants stated that conscientious objection should be limited in the case of moral dilemmas and accepted only if the healthcare team agreed on it. Further research is warranted to define conscientious objection and determine its possible effects, feasibility, and scope in Turkey.
出于道德价值观、宗教信仰或意识形态的原因，拒绝履行法律义务被称为出于良心的拒绝。在护理中，这是指护士根据自己的良心拒绝执行某项行动或参与特定情况。出于良心的拒绝在近年来已成为一个极具争议的话题。
本研究有四个目的：（1）了解土耳其护士对出于良心的拒绝的看法；（2）揭示他们的道德信仰是否影响他们提供的护理；（3）确定他们对出于良心的拒绝的经历；（4）确定出于良心的拒绝的现有或潜在问题。
本定性研究通过半结构化访谈收集数据。使用主题内容分析对数据进行分析。
样本由 21 名护士组成。
该研究获得了伦理委员会的批准。保证了保密性和匿名性。参与是自愿的。
分析揭示了四个主题：（1）护理的普遍价值观（专业价值观）；（2）出于良心的拒绝的经历（拒绝提供护理/不提供护理）；（3）出于良心的拒绝的可能影响（积极和消极）；（4）出于良心的拒绝的范围（有根据和无根据）。
参与者因（1）患者特征或（2）自己的宗教和道德信仰而不想提供护理。参与者表示，出于良心的拒绝应在道德困境的情况下受到限制，并且只有在医疗保健团队同意的情况下才可以接受。有必要进一步研究以在土耳其定义出于良心的拒绝，并确定其可能的影响、可行性和范围。
