Klinik Araştırma
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BİR PANDEMİ HASTANESİNDE ÇALIŞAN HEMŞİRELERİN DAMGALANMA ALGISI

Yıl 2023, Cilt: 1 Sayı: 3, 27 - 43, 31.12.2023

Öz

Amaç: Covid-19 pandemi sürecinde ön saflarda bulunan sağlık çalışanlarına birebir bakım sağlayan hemşirelerin, kahraman ilan edilirken aşağılayıcı tutumlara ve davranışlara maruz kaldığı gözlemlenmiştir. Bu çalışma, pandemi kliniklerinde çalışan hemşirelerin stigmatizasyon algısını ve deneyimini, Covid-19 pandemi sürecinde stigmatizasyonla ilgili hislerini, düşüncelerini ve bakış açılarını belirlemeyi amaçlamaktadır. Yöntem: Bu çalışma, 15 katılımcı hemşire ile yapılan nitel bir çalışmadır. Veriler, yarı yapılandırılmış seri mülakatlar aracılığıyla elde edilmiş ve içerik analizi yöntemiyle analiz edilmiştir. Bulgular: Veriler, stigmatizasyon algısı ve Covid-19 hastalarına bakım veren hemşirelerin görüşleri doğrultusunda dört tema altında analiz edilmiştir: 'aşağılayıcı tutumlar ve davranışlar', 'stigmatizasyona duygusal tepkiler', 'destek sistemleri' ve 'beklentiler'. Sonuç: Hemşireler, Covid-19 ile mücadeledeki yoğun ve uzun saatler çalışan ön saflardaki profesyonel sağlık ekibinin vazgeçilmez bir parçası olmuş ve toplum ve aileleri tarafından stigmaya maruz kalmışlardır. Bu nedenle, hemşireler mutsuzluk, geri çekilme, tükenmişlik veya öfke gibi duygusal dalgalanmalar yaşamışlardır.

Kaynakça

  • Abdelhafizand, A. & Alorabi, M. (2020). Social stigma: The hidden threat of COVID-19. front, Public Health, 8(1): 429. doi: https://doi.org/10.3389/fpubh.2020.00429.
  • Bardfarm, R. & Zandıfar, A. (2020). Stigma over COVID-19: New conception beyond individual sense. Archives of Medical Research, 51, 593-594. doi: 10.1016/j.arcmed.2020.05.006.
  • Bobie, P., Sy, F., Holton, K., Govert, B. & Liang, A. (2004). Fear and stigma: The epidemic within the SARS outbreak. Emerging Infectious Diseases, 10(2):358-63. DOI: 10.3201/eid1002.030750.
  • Braun, V. & Clarke V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2):77–101. DOI:10.1191/1478088706qp063oa.
  • Brooks, S., Webster, R., Smith, L. & Woodland, L. (2020). The psychological ımpact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395(10227) :912–920. doi: 10.1016/S0140-6736(20)30460-8.
  • Cresswell, K., Ramalingam, S., & Sheikh, A. (2020). Can robots improve testing capacity for SARS-CoV-2?. Journal of medical Internet research, 22(8), e20169.
  • Diaz M. (2020). Coronavirus: Health workers face violent attacks in Mexico. BBC News. Available: https://www.bbc.com/news/world-latin- america-52676939. Accessible: 12/12/2020.
  • Doğanavşargil Baysal, Ö. (2013). Stigma and mentol health. Archives Medical Review Journal, 22(2):239-251. Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7(4): 300–302. doi: 10.1016/S2215-0366(20)30073-0.
  • Dye, T., Alacantara, L., Siddqi, S. & Barbosu, M. (2020). Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: An analytical crosssectional global study. BMJ Open. doi:10.1136/bmjopen-2020-046620.
  • Fawaz, M. & Samaha, A. (2020). The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. International Journal of Social Psychiatry, 66(6): 560–565. doi: 10.1177/0020764020932202.
  • Fischer, L., Mansergh, G., Lynch, J. & Santibanez S. (2019). Addressing disease-related stigma during İnfectious disease outbreaks. Disaster Medical Public Health Prep, 5-6: 989-994. DOI: 10.1017/dmp.2018.157.
  • Graneheim, U.H. & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2): 105-12. doi: 10.1016/j.nedt.2003.10.001.
  • Halcomb, E., Mclness, S., Williams, A. & Ashley, C. (2020). The experiences of primary healthcare nurses during the COVID-19 pandemic in Australia. Journal of Nursing Scholarship, 55(3): 553-563. doi: 10.1111/jnu.12589.
  • Khalid, I., Khalid, T. J., Qabajah, M. R. & Barnard, A. G. (2016). Healthcare worker's emotions, per- ceived stressors, and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, 14(1): 7–14. doi: 10.3121/cmr.2016.1303
  • Liu, Q., Luo, D., Haase, J., Guo, Q. & Wang, X. (2020). The experiences of healthcare providers during the COVID-19 crisis in China: a qualitative study. The Lancet, l (8). doi: 10.1016/S2214-109X(20)30204-7.
  • Öztürk, F. (2018). Damgalanma kavramı ve tüberküloz. International Refereed Journal of Nursing Research, 13. Doi: 10.17371/UHD.2018.2.10.
  • Pachya, A. T., Pachya, U., Thapa, N., Tandukar, R., Shrestha, J. S., Thapa, J. & Subedi, M. (2020). Challenges and opportunities for nurses during the COVID-19 pandemic. Journal of Karnali Academy of Health Sciences, 3: 1-6.
  • Peprah, P. & Gyasi, RM. (2021). Stigma and COVID-19 crisis: a wake-up call. International Journal Health Plann Management, 1: 215-218. doi: 10.1002/hpm.3065.
  • Ramaci, T., Barattucci, M., Ledda, C. & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12: 3834. doi:10.3390/su12093834.
  • Singh, R. & Subedi, M. (2020). COVID-19 and stigma: Social discrimination towards frontline healthcare providers and COVID-19 recovered patients in Nepal. Asian Journal of Psychiatry, June. doi: 10.1016/j.ajp.2020.102222.
  • Sotgiu, G. & Dobler, C. (2020). Social stigma in the time of coronovirüs disease 2019. Eur Respir Journal, 56: 2002461. doi: 10.1183/13993003.02461-2020.
  • Spiegelberg, H. (1960). Husserl's phenomenology and existentialism. The journal of Philosophy, 57(2), 62-74.
  • Taylor, S., Landry, G., Rachor, G. & Paluszek, M. (2020). Fear and avoidance of healthcare workers: An important, under-recognized form of stigmatization during the COVID-19 pandemic. Journal of Anxiety Disorders, 75: 102289. doi: 10.1016/j.janxdis.2020.102289.
  • Tong, A., Sainsbury, P. & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6): 349–357. https:// doi.org/10.1093/intqhc/mzm042.
  • Xiong, Y. & Peng, L. (2020). Focusing on healthcare providers' experiences in the COVID-19 crisis. The Lancet, 8(6). doi.org/10.1016/S2214-109X(20)30214-X.
  • Xu, M. C., & Zhang, Y. (2020). Psychological survey of the first-line clinical front-line support nurses to combat new coronavirus-infected pneumonia. Nursing Research of China, 34(3): 368–370. doi.org/10.3389/fpsyt.2020.598712.
  • Yılmaz, Y., Erdoğan, A. & Hocaoğlu, Ç. (2021). COVID-19 and stigma. Kocaeli Medical Journal, 10 (1): 47-55. DOI: 10.5505/ktd.2021.99266.

PERCEIVED STIGMA OF NURSES WORKING IN A PANDEMIC HOSPITAL

Yıl 2023, Cilt: 1 Sayı: 3, 27 - 43, 31.12.2023

Öz

Objective: It has been observed that the nurses responsible for providing one-to-one care with the health workers, who are at the forefront during the Covid-19 pandemic process, are exposed to stigmatizing attitudes and behaviors while being declared heroes. The study aims to determine the perception and experience of stigmatization of nurses working in pandemic clinics and their feelings, thoughts, and perspectives regarding stigmatization during the covid-19 pandemic process. Method: This study was qualitative with 15 participant nurses. Data were obtained through semi-structured serial interviews and analysed using the content analysis method. Results: The data were analyzed according to the perception of stigma and the views of nurses caring for COVID-19 patients under four themes: ‘stigmatizing attitudes and behaviors’, ‘emotional reactions to stigmatization’, ‘support systems’, and ‘expectations’. Conclusion: The nurses have been an essential component of the professional healthcare team who are at the frontlines of the battle with Covid-19 working with intense and long hours during the pandemic period were exposed to stigma by society and their families. Therefore, the nurses experienced unstable emotional oscillations in their moods like unhappiness, withdrawal, burnout, or anger.

Kaynakça

  • Abdelhafizand, A. & Alorabi, M. (2020). Social stigma: The hidden threat of COVID-19. front, Public Health, 8(1): 429. doi: https://doi.org/10.3389/fpubh.2020.00429.
  • Bardfarm, R. & Zandıfar, A. (2020). Stigma over COVID-19: New conception beyond individual sense. Archives of Medical Research, 51, 593-594. doi: 10.1016/j.arcmed.2020.05.006.
  • Bobie, P., Sy, F., Holton, K., Govert, B. & Liang, A. (2004). Fear and stigma: The epidemic within the SARS outbreak. Emerging Infectious Diseases, 10(2):358-63. DOI: 10.3201/eid1002.030750.
  • Braun, V. & Clarke V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2):77–101. DOI:10.1191/1478088706qp063oa.
  • Brooks, S., Webster, R., Smith, L. & Woodland, L. (2020). The psychological ımpact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395(10227) :912–920. doi: 10.1016/S0140-6736(20)30460-8.
  • Cresswell, K., Ramalingam, S., & Sheikh, A. (2020). Can robots improve testing capacity for SARS-CoV-2?. Journal of medical Internet research, 22(8), e20169.
  • Diaz M. (2020). Coronavirus: Health workers face violent attacks in Mexico. BBC News. Available: https://www.bbc.com/news/world-latin- america-52676939. Accessible: 12/12/2020.
  • Doğanavşargil Baysal, Ö. (2013). Stigma and mentol health. Archives Medical Review Journal, 22(2):239-251. Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7(4): 300–302. doi: 10.1016/S2215-0366(20)30073-0.
  • Dye, T., Alacantara, L., Siddqi, S. & Barbosu, M. (2020). Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: An analytical crosssectional global study. BMJ Open. doi:10.1136/bmjopen-2020-046620.
  • Fawaz, M. & Samaha, A. (2020). The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. International Journal of Social Psychiatry, 66(6): 560–565. doi: 10.1177/0020764020932202.
  • Fischer, L., Mansergh, G., Lynch, J. & Santibanez S. (2019). Addressing disease-related stigma during İnfectious disease outbreaks. Disaster Medical Public Health Prep, 5-6: 989-994. DOI: 10.1017/dmp.2018.157.
  • Graneheim, U.H. & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2): 105-12. doi: 10.1016/j.nedt.2003.10.001.
  • Halcomb, E., Mclness, S., Williams, A. & Ashley, C. (2020). The experiences of primary healthcare nurses during the COVID-19 pandemic in Australia. Journal of Nursing Scholarship, 55(3): 553-563. doi: 10.1111/jnu.12589.
  • Khalid, I., Khalid, T. J., Qabajah, M. R. & Barnard, A. G. (2016). Healthcare worker's emotions, per- ceived stressors, and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, 14(1): 7–14. doi: 10.3121/cmr.2016.1303
  • Liu, Q., Luo, D., Haase, J., Guo, Q. & Wang, X. (2020). The experiences of healthcare providers during the COVID-19 crisis in China: a qualitative study. The Lancet, l (8). doi: 10.1016/S2214-109X(20)30204-7.
  • Öztürk, F. (2018). Damgalanma kavramı ve tüberküloz. International Refereed Journal of Nursing Research, 13. Doi: 10.17371/UHD.2018.2.10.
  • Pachya, A. T., Pachya, U., Thapa, N., Tandukar, R., Shrestha, J. S., Thapa, J. & Subedi, M. (2020). Challenges and opportunities for nurses during the COVID-19 pandemic. Journal of Karnali Academy of Health Sciences, 3: 1-6.
  • Peprah, P. & Gyasi, RM. (2021). Stigma and COVID-19 crisis: a wake-up call. International Journal Health Plann Management, 1: 215-218. doi: 10.1002/hpm.3065.
  • Ramaci, T., Barattucci, M., Ledda, C. & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12: 3834. doi:10.3390/su12093834.
  • Singh, R. & Subedi, M. (2020). COVID-19 and stigma: Social discrimination towards frontline healthcare providers and COVID-19 recovered patients in Nepal. Asian Journal of Psychiatry, June. doi: 10.1016/j.ajp.2020.102222.
  • Sotgiu, G. & Dobler, C. (2020). Social stigma in the time of coronovirüs disease 2019. Eur Respir Journal, 56: 2002461. doi: 10.1183/13993003.02461-2020.
  • Spiegelberg, H. (1960). Husserl's phenomenology and existentialism. The journal of Philosophy, 57(2), 62-74.
  • Taylor, S., Landry, G., Rachor, G. & Paluszek, M. (2020). Fear and avoidance of healthcare workers: An important, under-recognized form of stigmatization during the COVID-19 pandemic. Journal of Anxiety Disorders, 75: 102289. doi: 10.1016/j.janxdis.2020.102289.
  • Tong, A., Sainsbury, P. & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6): 349–357. https:// doi.org/10.1093/intqhc/mzm042.
  • Xiong, Y. & Peng, L. (2020). Focusing on healthcare providers' experiences in the COVID-19 crisis. The Lancet, 8(6). doi.org/10.1016/S2214-109X(20)30214-X.
  • Xu, M. C., & Zhang, Y. (2020). Psychological survey of the first-line clinical front-line support nurses to combat new coronavirus-infected pneumonia. Nursing Research of China, 34(3): 368–370. doi.org/10.3389/fpsyt.2020.598712.
  • Yılmaz, Y., Erdoğan, A. & Hocaoğlu, Ç. (2021). COVID-19 and stigma. Kocaeli Medical Journal, 10 (1): 47-55. DOI: 10.5505/ktd.2021.99266.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Sermin Dinç

Suna Uysal Yalçın 0000-0002-1048-1448

Duygu Gözen

Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 14 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 1 Sayı: 3

Kaynak Göster

APA Dinç, S., Uysal Yalçın, S., & Gözen, D. (2023). PERCEIVED STIGMA OF NURSES WORKING IN A PANDEMIC HOSPITAL. İstanbul Rumeli Üniversitesi Sağlık Bilimleri Dergisi, 1(3), 27-43.