What does surgical conscience mean to perioperative nurses: An interpretive description.

Surgical Conscience is a unique concept that is central to the clinical practice of perioperative nurses. It is an abstract phenomenon that explains a nurse's moral obligation to safeguard surgical asepsis and patient safety. Despite being deeply rooted in perioperative tradition, the phenomenon is...

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Publicado en:Collegian Vol. 29; no. 2; pp. 147 - 154
Autores principales: Duff, Jed, Bowen, Lynette, Gumuskaya, Oya
Formato: research Journal Article
Publicado: Elsevier B.V. Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Elsevier B.V.
      place: New York, New York
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        155377858
        155377858
        155377858
        10.1016/j.colegn.2021.07.007
        155377858
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        atl: What does surgical conscience mean to perioperative nurses: An interpretive description.
      aug:
        au:
          Duff, Jed
          Bowen, Lynette
          Gumuskaya, Oya
        affil: Queensland University of Technology, Centre for Healthcare Transformation, School of Nursing, Kelvin Grove, Queensland, Australia
      sug:
        subj:
          Perioperative Nursing
          Conscience
          Ethics, Nursing
          Nurse Attitudes
          Work Experiences
          Human
          Phenomenological Research
          Semi-Structured Interview
          Australia
          Thematic Analysis
          Patient Safety
          Models, Theoretical
      ab: Surgical Conscience is a unique concept that is central to the clinical practice of perioperative nurses. It is an abstract phenomenon that explains a nurse's moral obligation to safeguard surgical asepsis and patient safety. Despite being deeply rooted in perioperative tradition, the phenomenon is poorly understood and inadequately described. To generate insight into the phenomenon of Surgical Conscience by interpreting the experiences and perceptions of perioperative nurses. Semistructured in-depth interviews were conducted with 15 Australian perioperative nurses. Interview transcripts were reviewed to identify themes and patterns within the experiences and perceptions of the participants. These were then synthesised into a conceptual model of Surgical Conscience. Surgical Conscience was defined as 'the moral obligation to uphold and defend surgical asepsis and perioperative safety no matter the cost or consequence'. The conceptual model illustrates that a Surgical Conscience is dependent on the presence of three constructs: consciousness (knowing), conscience (feeling), and agency (acting) and is moderated by contextual factors such as education, training, mentorship, environment, culture, and support. New insight into this phenomenon makes it evident that nurturing a Surgical Conscience requires a multifaceted approach that targets each of the constructs (knowing, feeling, acting) and the contextual factors. To optimise surgical asepsis and patient safety, perioperative leaders should evaluate their staff and department against the conceptual model and develop an evidence-informed program to address identified deficits.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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