Surgical Conscience: Still Pertinent

Girard, Nancy J.

doi:10.1016/j.aorn.2007.06.006

Cited by 4 publications

(21 citation statements)

References 1 publication

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“…Each team member must develop, follow, and maintain their indi vidual surgical conscience. 37,45 The patient will continue to benefit from the collective surgical conscience of the entire team 26 working together in a culture of safety. 36,51 Surgical conscience provides a broader framework for morals, ethics, and advocacy in a critical area in which additional safeguards are needed.…”

Section: Synthesized Definition Of Surgical Consciencementioning

confidence: 99%

“…Surgical conscience is known in perioperative nursing as an additional framework for behaving ethically, endorsing patient safety, and doing the right thing even when no external monitors are present. 26 The ethical and moral decisions made when using surgical conscience directly benefit the patient and will often in volve the need for courage. A patient who is anesthetized, unable to speak for themself, and then placed into the challenging OR environment requires an advocate.…”

Section: Logical Principlementioning

confidence: 99%

“…53,56 Punitive cultures are not conducive to realizing the full scope and benefits of surgical conscience. 26 Fear of nega tive feedback or consequences and the belief that change will not occur regardless of speaking up are some rea sons that nurses may not act according to their surgical conscience. 36…”

Section: Implications For Nursingmentioning

confidence: 99%

“…Although the author of a 2007 editorial indicated that surgical conscience was still a pertinent concept, 26 there is a paucity of current literature on the phenomenon and how it is introduced, developed, maintained, and improved. A strong surgical conscience with attention to aseptic practices may help optimize perioperative patient outcomes 6,26‐29 . Perioperative personnel may be aware of the importance of a surgical conscience; however, they still may take shortcuts, including donning a gown from the back table, failing to view all items when counting, failing to pay attention during the time‐out process, performing tasks at a sterile field without a properly tied surgical gown, and leaving a sterile field unattended or uncovered. …”

mentioning

confidence: 99%

“…A strong surgi cal conscience with attention to aseptic practices may help optimize perioperative patient outcomes. 6,[26][27][28][29] Perioperative personnel may be aware of the importance of a surgical conscience; however, they still may take shortcuts, including…”

mentioning

confidence: 99%

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Surgical Conscience: A Concept Analysis for Perioperative Nurses

Quintana¹

2022

AORN Journal

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A concept analysis was performed on surgical conscience in perioperative nursing using the Penrod and Hupcey principle-based method. The analysis included framing surgical conscience according to the epistemological, prag matic, linguistic, and logical principles and showed that surgical conscience falls into several domains, including nursing, surgery, anesthesiology, surgical technology, and interventional radiology. Although some perioperative nurses consider surgical conscience a fundamental principle in the OR, there is limited published literature on how surgical conscience is introduced, learned, improved, or measured. The literature search for this concept analysis did not produce a published operationalization of the concept. Therefore, this concept analysis provides a com prehensive definition of surgical conscience to guide the future research that is needed to reinforce surgical con science and prevent conceptual dogma-a situation in which attributes of a concept lack the support of additional investigation but are still used and reinforced over time.

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