Exploring conscientious stress and objection among women's health nurses and midwives.
Background: The concepts of conscientious stress and conscientious objection in nursing and midwifery create an ethical and legal debate in terms of balancing the continuity of patient care and the individual rights of healthcare professionals. Aim: This study aimed to determine the levels of consci...
| Publicado en: | Nursing Ethics Vol. 33; no. 5; pp. 1417 - 1438 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195687238&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195687238 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09697330 31K jtl: Nursing Ethics issn: 09697330 maglogo: Y pubinfo: dt: Aug2026 vid: 33 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 195687238 192067320 195687238 195687238 10.1177/09697330261424348 195687238 ppf: 1417 ppct: 21 formats: tig: atl: Exploring conscientious stress and objection among women's health nurses and midwives. aug: au: Arıöz, Dilan Boz, İlkay affil: Antalya City Hospital, Antalya, Turkey sug: subj: Stress, Occupational Evaluation Conscience Refusal to Treat Ethical Issues Women's Health Nurse Practitioners Ethical Issues Midwives Ethical Issues Women's Health Nurse Practitioners Psychosocial Factors Midwives Psychosocial Factors Nurse Attitudes Evaluation Midwife Attitudes Evaluation Work Experiences Evaluation Human Adult Female Multimethod Studies Scales Phenomenological Research Job Satisfaction Work Environment Thematic Analysis Motivation Stress, Occupational Risk Factors Quality Improvement Turkiye Questionnaires Bivariate Statistics Multiple Regression Data Analysis Software Descriptive Statistics Unpaired T-Tests Analysis of Variance Pearson's Correlation Coefficient Step-Wise Multiple Regression Purposive Sample Self Report Semi-Structured Interview Personnel Shortage Ethical Dilemmas Right to Life Burnout, Professional Task Performance and Analysis Nursing Skills Clinical Competence Patient Advocacy Fear Spirituality Motherhood Achievement Coping Patient Safety Workload Physicians Psychological Distress Multicenter Studies Academic Medical Centers Hospitals, Public Adult: 19-44 years Female ab: Background: The concepts of conscientious stress and conscientious objection in nursing and midwifery create an ethical and legal debate in terms of balancing the continuity of patient care and the individual rights of healthcare professionals. Aim: This study aimed to determine the levels of conscientious stress and to explore the specific forms and contexts of conscientious objection experienced by nurses and midwives working in women's health using an explanatory sequential mixed-methods design. Research Design: An explanatory sequential method, which is one of the mixed method designs. Participants and Research Context: There were 45 nurses and 35 midwives in the quantitative phase, and 7 nurses, 4 midwives in the qualitative phase. Data were collected using Conscience Stress Scale (CSS) and individual semi-structured interview form. Statistical Analysis System was used in the analysis of quantitative data, and content interpretive phenomenological analysis method was used in the analysis of qualitative data. Ethical Considerations: The study followed the principles of the Helsinki Declaration. It was approved by the Ethics Committee of Akdeniz University Faculty of Medicine (KAEK-235, 30.03.2022). Findings: The mean scores of the participants' CSS total scores depend on the institution they work in (p =.0021), the adequacy of the number of nurses/midwives (p =.0129) and level of satisfaction with the working environment (p =.0425). 5 themes and 12 sub-themes were obtained in the qualitative analysis. The themes are 'situations causing conscience stress', 'consequences of conscientious stress, 'conscientious objection actions', 'motivations for conscientious objection' and 'consequences of conscientious objection'. Conclusion: It has been determined that nurses and midwives working in the field of women's health experience moderate conscientious stress, as a result of which they often resort to conscientious objection and that they carry out their conscientious objection experiences in order to increase the quality of patient care by considering the benefit of the patient. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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