Table 4 Consequences related to the concept of conscience-based nursing care

Responsive care

- Responsible care

- Understanding patient needs

- Individual conscience acts as a promoting factor to perform appropriate nursing practices while prohibiting wrong practices [5,6,7,8].

- Conscience promotes nurses' responsibility and accountability towards medical errors. In addition, it helps nurses to identify client's demand and enable them to develop care plan [9].

Promotion of professional ethics

- Moral integrity

- Moral courage

- Patient rights

- Conscience was the driving force behind courageous acts, giving courage to discuss difficult subjects. Conscience strengthened nurses' ability to stick to their values and set boundaries to their actions. It helps to question prevailing practices and opinions [19].

- Conscience is a prerequisite to ethical behavior and has an important role in providing accurate and secure nursing care [68]

- Conscience as an “act of high quality care” nurses promote patients' rights to receive quality care believing that nurses are responsible for ensuring this [16]

emotional consequences

- Positive emotions

- Negative emotions

- Promotion of conscience—based practice in nursing helps nurses closely adhere to ethical standards, develops their professional roles and justice seeking, and gives them feelings of calmness, happiness, satisfaction and inner peace [1, 7].

- Nurses' experiences of powerlessness also meant that they had to deaden their conscience [48].

- If we do not follow conscience, blaming and expostulation phenomenon seen clearly. Clearance and consistency of this phenomenon is more than other consciousness phenomena. Absolutely blaming is the aspect of conscience that protects our ideal personality, and promotes it more than ever is an antecedent for psychological development. This phenomenon is the greatest humanistic condition that human being has a clear conscience. These people benefit from all conscience activities [64]