Learning to deal constructively with troubled conscience related to care providers' perceptions of
deficient teamwork in residential care of older people - a participatory action research study
Engelsk titel: Learning to deal constructively with troubled conscience related to care providers' perceptions of
deficient teamwork in residential care of older people - a participatory action research study
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Författare:
Ericson-Lidman, Eva
;
Strandberg, Gunilla
Email: eva.ericson-lidman@umu.se
Språk: Nor
Antal referenser: 70
Dokumenttyp:
Artikel
UI-nummer: 15061320
Sammanfattning
Conscience can be perceived as an asset that helps care providers to provide good care, but it
can also be a burden that generates stress of conscience (stress related to a troubled conscience).
Participatory action research (PAR) has been shown to be successful in supporting care providers in
residential care of older people to learn to deal with their troubled conscience in challenging and
demanding care situations. The aim of the study was to describe an intervention process to assist
care providers in residential care of older people to constructively deal with their troubled conscience
related to perceptions of deficient teamwork. The study design was grounded in PAR. Nine enrolled
nurses (ENs), two nursing aids (NAs), one Registered Nurse (RN) and their manager participated in 12
PAR sessions. All sessions were tape-recorded, and a domain analysis of the transcriptions was
performed. Findings show that a PAR-based intervention can support care providers to understand,
handle and take measures against deficient teamwork. Using troubled conscience as a driving force
can increase the opportunities to improve quality of care in residential care for older people. During
the PAR process, participants raised their awareness of the need to view the team in a wider sense
and that the manager and the Registered Nurse should also be members of the team to improve team
outcome. To improve clinical practice, we suggest that teams in residential care of older people
should be enabled to share and reflect on challenging situations that generate troubled conscience.
However, as shown in this study, care providers might need support in order to facilitate and promote
sharing and reflecting on what their conscience tells them. Published by arrangement with John
Wiley & Sons.