The intent behind this dissertation is to look into whether there is a connection between “stress of conscience” – that is, stress associated to a troubled conscience – and burnout, and to get the enhanced information about factors associated with stress of conscience and burnout in healthcare. Of the 4 “studies” included, one uses qualitative research methods and the others use quantitative research methods. The data depend on cross-sectional questionnaire studies (I, II, and IV) and open-ended interviews (III). We could find no appropriate instrument for measuring troubled conscience in healthcare, and so we built and tested the “Stress of Conscience Questionnaire” (SCQ) (I), a nine-item instrument for evaluating stressful situations and the degree to which they trouble the conscience. We included 164 individuals in the pilot studies, an additional 444 in the main analysis, and 55 in the test-retest verification. Participants had different occupational backgrounds and were recruited from different parts. The results indicate that the SCQ is a valid and reliable measurement for use in various healthcare contexts…..
Contents
ORIGINAL PAPERS
INTRODUCTION
Objectives and outline of the thesis
BACKGROUND
Conscience
Troubled conscience
Moral sensitivity
Troubled conscience in healthcare
Stress
Stress in healthcare
Moral distress in healthcare
Burnout
Burnout in healthcare
Protective factors
Theoretical presumptions underlying the thesis
Rationale for the thesis
AIMS OF THE THESIS
METHOD
Setting and participants
Ethical approval
Collection of data
Measures
Interviews
Analysis of data
Statistical methodology
Interpretation of text
RESULTS
Paper I
Paper II
Paper III
Paper IV
DISCUSSION
Methodological and ethical considerations
Reflections on the results
Implicatio…….
Source: Umea University
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