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Abstract：
BACKGROUND: The nursing profession considers conscience as the foundation and cornerstone of clinical practice, which significantly influences professional decision-making and elevates the level of patient care. However, a precise definition of conscience in the nursing field is lacking, making it challenging to measure. To address this issue, this study employed the hybrid approach of Schwartz Barcott and Kim to analyze the concept of conscience-based nursing care.
METHODS: This approach involves a three-phase process; theoretical, fieldwork, and analytical. A systematic literature review was conducted using electronic databases during the first phase to find relevant papers. The content of 42 articles that met the inclusion criteria was extracted to determine the attributes, antecedents, and consequences of consciousness care using thematic analysis. Based on the working definition as a product of this phase, the plan of doing the fieldwork phase was designed. During this phase, data were collected through interviews with nurses all of whom were responsible for patient care in hospitals. In this phase, 5 participants were chosen for in-depth interviewing by purposeful sampling. Data were analyzed using directed content analysis. The findings of the theoretical and fieldwork phases were integrated and the final definition was derived.
RESULTS: The integration of the theoretical and fieldwork phases resulted in identifying four key characteristics of conscience-based nursing care. Firstly, it involves providing professional care with a conscientious approach. Secondly, ethics is at the core of conscience-based care. Thirdly, external spirituality plays a significant role in shaping one\'s conscience in this context. Finally, conscience-based nursing care is both endogenous and exogenous, with professional commitment being the central focus of care.
CONCLUSIONS: Conscience-based nursing care is an essential component of ethical care, which elevates clinical practice to professional care. It requires the integration of individual and social values, influenced by personal beliefs and cultural backgrounds, and supported by professional competence, resources, and a conducive organizational atmosphere in the healthcare field. This approach leads to the provision of responsive care, moral integrity, and individual excellence, ultimately culminating in the development of professionalism in nursing.
METHODS: This approach involves a three-phase process; theoretical, fieldwork, and analytical. A systematic literature review was conducted using electronic databases during the first phase to find relevant papers. The content of 42 articles that met the inclusion criteria was extracted to determine the attributes, antecedents, and consequences of consciousness care using thematic analysis. Based on the working definition as a product of this phase, the plan of doing the fieldwork phase was designed. During this phase, data were collected through interviews with nurses all of whom were responsible for patient care in hospitals. In this phase, 5 participants were chosen for in-depth interviewing by purposeful sampling. Data were analyzed using directed content analysis. The findings of the theoretical and fieldwork phases were integrated and the final definition was derived.
RESULTS: The integration of the theoretical and fieldwork phases resulted in identifying four key characteristics of conscience-based nursing care. Firstly, it involves providing professional care with a conscientious approach. Secondly, ethics is at the core of conscience-based care. Thirdly, external spirituality plays a significant role in shaping one\'s conscience in this context. Finally, conscience-based nursing care is both endogenous and exogenous, with professional commitment being the central focus of care.
CONCLUSIONS: Conscience-based nursing care is an essential component of ethical care, which elevates clinical practice to professional care. It requires the integration of individual and social values, influenced by personal beliefs and cultural backgrounds, and supported by professional competence, resources, and a conducive organizational atmosphere in the healthcare field. This approach leads to the provision of responsive care, moral integrity, and individual excellence, ultimately culminating in the development of professionalism in nursing.
摘要：
背景：护理专业认为良心是临床实践的基础和基石，这极大地影响了专业决策并提高了患者护理水平。然而,在护理领域缺乏对良心的精确定义，这使得衡量具有挑战性。为了解决这个问题，这项研究采用SchwartzBarcott和Kim的混合方法来分析基于良心的护理概念。
方法：这种方法涉及一个三阶段过程；理论，实地考察,和分析。在第一阶段，使用电子数据库进行了系统的文献综述，以查找相关论文。提取符合纳入标准的42篇文章的内容，确定属性，前身，以及使用主题分析的意识护理的后果。根据作为这一阶段产物的工作定义，进行实地考察阶段的计划设计。在这个阶段,数据是通过与所有负责医院患者护理的护士的访谈收集的.在这个阶段,通过有目的的抽样选择了5名参与者进行深入访谈。使用定向内容分析对数据进行分析。将理论和实地考察阶段的发现进行了整合，并得出了最终定义。
结果：理论和实地考察阶段的整合导致确定了基于良心的护理的四个关键特征。首先,它涉及以认真的方式提供专业护理。其次,道德是基于良心的关怀的核心。第三，在这种背景下，外在的灵性在塑造一个人的良知中起着重要的作用。最后,基于良心的护理是内源性和外源性的，专业承诺是护理的中心焦点。
结论：基于良心的护理是伦理护理的重要组成部分，将临床实践提升为专业护理。它需要个人和社会价值观的整合，受个人信仰和文化背景的影响，在专业能力的支持下，资源,以及医疗保健领域有利的组织氛围。这种方法导致提供响应性护理，道德操守,和个人卓越，最终导致护理专业精神的发展。
方法：这种方法涉及一个三阶段过程；理论，实地考察,和分析。在第一阶段，使用电子数据库进行了系统的文献综述，以查找相关论文。提取符合纳入标准的42篇文章的内容，确定属性，前身，以及使用主题分析的意识护理的后果。根据作为这一阶段产物的工作定义，进行实地考察阶段的计划设计。在这个阶段,数据是通过与所有负责医院患者护理的护士的访谈收集的.在这个阶段,通过有目的的抽样选择了5名参与者进行深入访谈。使用定向内容分析对数据进行分析。将理论和实地考察阶段的发现进行了整合，并得出了最终定义。
结果：理论和实地考察阶段的整合导致确定了基于良心的护理的四个关键特征。首先,它涉及以认真的方式提供专业护理。其次,道德是基于良心的关怀的核心。第三，在这种背景下，外在的灵性在塑造一个人的良知中起着重要的作用。最后,基于良心的护理是内源性和外源性的，专业承诺是护理的中心焦点。
结论：基于良心的护理是伦理护理的重要组成部分，将临床实践提升为专业护理。它需要个人和社会价值观的整合，受个人信仰和文化背景的影响，在专业能力的支持下，资源,以及医疗保健领域有利的组织氛围。这种方法导致提供响应性护理，道德操守,和个人卓越，最终导致护理专业精神的发展。
