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Value conflicts in perioperative practice.

Ann-Catrin Blomberg1, Birgitta Bisholt1, Lillemor Lindwall1

  • 1Karlstad University, Sweden.

Nursing Ethics
|October 23, 2018
PubMed
Summary

Operating theatre nurses face ethical value conflicts when their professional input is disregarded, impacting patient care and leading to personal distress. This can result in dissatisfaction and potential resignations within the perioperative team.

Keywords:
Care ethicsperioperative practicetheatre nursesvalue conflicts

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Area of Science:

  • Nursing Ethics
  • Perioperative Care
  • Healthcare Professional Experience

Background:

  • Nursing practice is founded on respect for human rights, ethical values, and dignity.
  • Perioperative settings present rapid, challenging situations requiring complex ethical judgments.
  • Nurses may experience internal conflicts when forced to act against their professional principles.

Purpose of the Study:

  • To describe operating theatre nurses' lived experiences of ethical value conflicts in perioperative practice.

Main Methods:

  • Qualitative research design utilizing narrative data.
  • Involved 15 operating theatre nurses.
  • Hermeneutic text interpretation was employed for analysis.

Main Results:

  • Value conflicts emerged when nurses were excluded from the perioperative nursing process due to established practices.
  • Patient care became depersonalized when healthcare professionals failed to communicate and collaborate effectively.
  • Nurses' competence was ignored, leading to a breakdown in patient advocacy.

Conclusions:

  • Ethical conflicts intensified when nurses perceived a lack of continuity in patient care.
  • Despite compassion and willingness to take responsibility, nurses experienced despair and powerlessness.
  • These conflicts contributed to job dissatisfaction and potential staff resignations.