Aim: The aim of this cross-sectional, descriptive study was to compare assessments and relationships of stress of conscience, perceptions of conscience, burnout and social support between healthcare personnel (HCP) working in two different organisations for care of older people.
Methods: This cross-sectional, descriptive comparative study was performed among Registered Nurses and nurse assistants working in two different organisations (n(1) = 98, n(2) = 488) for residential care of older people. The organisations were chosen to be as different as possible, and data were collected using four different questionnaires. Hierarchical cluster analysis with multiscale bootstrap resampling was used to compare the associations between all items in the questionnaires. Descriptive statistics, 95% confidence intervals, chi-squared tests, Cohen's d, Cramer's V and the φ coefficient were all used to judge differences between the organisations.
Results: The associations between stress of conscience, perceiving one's conscience as a burden, and burnout were similar in both organisations. Perceiving one's conscience as far too strict and having a troubled conscience from being unable to live up to one's standards were associated with stress of conscience and burnout in one organisation. Women had higher levels of stress of conscience and reported lower social support from co-workers compared with men.
Conclusions: This study shows that associations between perceptions of conscience, stress of conscience and burnout are common experiences that are similar among HCP despite great differences in the characteristics of organisations. It can be burdensome for HCP to be unable to realise their ambitions to provide good care, and sex/gender can be an important factor to consider in the development of measures against the negative effects of stress of conscience. More studies are needed about how HCP's ambition to provide good care and sex/gender are related to perceptions of conscience, stress of conscience and burnout.
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http://dx.doi.org/10.1111/scs.12161 | DOI Listing |
J Am Vet Med Assoc
January 2025
3Center for Bioethics, Harvard Medical School, Harvard University, Boston, MA.
Objective: To document veterinary technicians' (VTs') experiences with medical futility and its subsequent impact on moral distress and attrition from the profession.
Methods: A cross-sectional study using a 56-question web-based, confidential and anonymous survey was distributed through the National Association of Veterinary Technicians in America between January 19 and February 15, 2023.
Results: There were 1,944 responses from approximately 8,500 members (22% response rate).
Front Psychol
November 2024
California Institute of Integral Studies, San Francisco, CA, United States.
Conscience is the indestructible core of one's personal identity and their sense of agency in the world. When it passes judgment against them, it generates inner conflict (i.e.
View Article and Find Full Text PDFInt Emerg Nurs
February 2025
Bolu Abant Izzet Baysal University, Faculty of Health Sciences, Nursing Department, Bolu, Turkey. Electronic address:
Background: Examining factors affecting nursing care is vital for enhancing practices, improving care quality, and achieving desired patient outcomes.
Aim: To explore emergency nurses' perceptions of care quality, compassion fatigue and conscience stress levels; and evaluate the mediating role of conscience stress between compassion fatigue and perception of nursing care quality.
Methods: This cross-sectional and descriptive study was conducted between April 1 and September 1, 2022, with 384 nurses working in emergency departments across Turkey.
J Eval Clin Pract
September 2024
Department of Health Management, Faculty of Health Sciences, University of Health Sciences, İstanbul, Turkey.
Purpose: The stress of conscience occurs in stressful situations that are often encountered in healthcare, leading to an uncomfortable conscience in healthcare workers. They may not be able to control their emotions and feel burnout. Therefore, the aim of this study is to evaluate the effect of stress of conscience on burnout in healthcare workers.
View Article and Find Full Text PDFJ Adv Nurs
September 2024
Department of Holistic Care and Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland.
Aim: To assess the level of stress of conscience experienced by Polish nurses and midwives and its determinants.
Design: Descriptive cross-sectional study.
Methods: The study was conducted from March 2019 to December 2020 and included convenience sampling of nurses and midwives working in hospitals in south-eastern Poland.
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