title: Conflicts of conscience in the neonatal intensive care unit: Perspectives of Alberta.
abstract: Limited knowledge of the experiences of conflicts of conscience found in nursing literature.
  To explore the individual experiences of a conflict of conscience for neonatal nurses in Alberta.
  Interpretive description was selected to help situate the findings in a meaningful clinical context.
  Five interviews with neonatal nurses working in Neonatal Intensive Care Units throughout Alberta.
  Ethics approval from the Health Research Ethics Board at the University of Alberta.
  Three common themes emerged from the interviews: the unforgettable conflict with pain and suffering, finding the nurse's voice, and the unique proximity of nurses.
  The nurses described a conflict of conscience when the neonate in their care experienced undermanaged pain and unnecessary suffering. During these experiences, they felt guilty, sad, hopeless, and powerless when they were unable to follow their conscience. Informal ways to follow their conscience were employed before declaration of conscientious objection was considered. This study highlights the vital importance of respecting a conflict of conscience to maintain the moral integrity of neonatal nurses and exposes the complexities of conscientious objection.
authors.affiliation: University of Alberta, Canada.
authors.forename: Natalie J
authors.initials: NJ
authors.lastname: Ford
authors.affiliation: University of Alberta, Canada.
authors.forename: Wendy
authors.initials: W
authors.lastname: Austin
mesh_terms: D000328:Adult; D000416:Alberta; D003220:Conflict, Psychological; D003242:Conscience; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008875:Middle Aged; D000072221:Nurses, Neonatal / Q000523:psychology* / Q000706:statistics & numerical data; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research
keywords: Areas of practice; conflicts of conscience; conscientious objection; moral distress; moral integrity; neonatal care; topic areas