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Self-Deception in Clinical Nursing Practice: A Concept Analysis.

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Nurses use self-deception as a coping strategy in challenging clinical situations. This phenomenon reveals tensions in healthcare settings, impacting nurses' ability to advocate for patients and the profession.

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Area of Science:

  • Nursing
  • Psychology
  • Sociology

Background:

  • Nurses face significant dissonance, distress, and conflicting situations in clinical practice.
  • Self-deception is a coping mechanism that may be employed in response to these challenges.
  • Understanding this phenomenon is crucial for addressing systemic issues in healthcare.

Purpose of the Study:

  • To explore the phenomenon of self-deception in nursing.
  • To examine how nurses utilize self-deception as a coping strategy in challenging clinical environments.
  • To analyze the underlying causes and implications of self-deception in nursing practice.

Main Methods:

  • Utilized Rodgers' evolutionary method of concept analysis.
  • Focused on nurses' lived experiences in demanding clinical settings.
  • Conducted a conceptual analysis of self-deception within the nursing context.

Main Results:

  • Self-deception is identified as a common coping strategy among nurses.
  • The analysis revealed tensions between different healthcare paradigms and expectations.
  • Power dynamics and subservience contribute to the use of self-deception.

Conclusions:

  • Self-deception in nursing practice reflects broader systemic issues within healthcare.
  • It highlights conflicts arising from hierarchical structures and competing professional demands.
  • Addressing self-deception requires examining and mitigating power imbalances and fostering advocacy.