Page 205 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Proceedings. Koper: Založba Univerze na Primorskem/University of Primorska Press
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AUTHORS AIM METHOD RESULTS
Juthberg et al., Not enough time for qual-
2007 Exploring the connection ity patient care and work
Juthberg et al., between the stress of con- is too demanding to leave
2010 science, perceptions of con- Multiple questionnaires enough time for family.
science and burnout in car- 146 respondents Private life rarely interferes
Saarnio et al., with work.
2012 egivers of the elderly. Not enough time for qual-
ity patient care and work
Exploring the relation- is too demanding to leave
ship between perceptions enough time for family.
of conscience, stress of con- Same as above Private life rarely interferes
science and burnout in re- Additional statistical anal- with work.
lation to occupational be- ysis Not enough time for qual-
ity patient care and work
longing. is too demanding to leave
enough time for family.
Testing the Finnish version Survey study Health professionals rare- stress of conscience as a risk factor for burnout among icu nurses in university medical centre maribor 203
of SCQ to explore the stress Stratified sampling ly avoid patients or relatives
of conscience on staff who 436 respondents from 45 who need help.
care for elderly with de- different institutions.
mentia.

Tuvesson et al., Exploring the connection Multiple questionnaires The variability of SCQ re-
2012 between environmental 93 respondents sults is largely influenced
and individual factors and by a sense of moral burden.
the stress of conscience in Higher moral sensitivity
psychiatric nursing. has a greater impact during
ethical dilemmas, leading
to a troubled conscience.

Discussion
Nursing is associated with various stressors. In Slovenia, stress and burnout
has been studied among mental health nurses (Čuk and Klemen, 2010; Peter-
ka Novak et al., 2010; Bregar et al., 2011; Nemec and Čuček Trifkovič, 2017),
emergency nurses (Kugonič, 2013) and community nurses (Kaučič, 2002). Con-
science, troubled conscience and burnout in Slovenian nurses was described by
Pahor and Peternelj in 2003, but the results have not been published. The exist-
ing literature also does not offer any research on conscience in ICU nurses, so
the authors decided to contribute to the field with their own study. Judging by
the results of the literature review, the SCQ is suitable for our research. How-
ever, due to lack of experience in scientific research, the authors were not ful-
ly prepared for the amount of time needed before the actual start of the study.

It seems that stress of conscience is strongest when lack time for quality
patient care is present and when the complexity and shift of the job does not al-
low enough time for family. Troubled conscience appears in situations where
patients are mistreated. On the other hand, avoiding patients or their family
members is not a cause of troubled conscience, because healthcare profession-
als rarely avoid patients or relatives who need their help. Stress of conscience
is an important risk factor for burnout in nurses (Glasberg et al., 2007; Juth-
berg et al., 2010; Saarnio et al., 2012). Theoretically, we should conclude that
nurses often suppress their conscience to allow the working process to contin-
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