TY - JOUR T1 - Karantinanın Arka Yüzü: COVID-19 Salgını Sırasında Yoğun Bakım Sağlık Çalışanlarının Deneyimleri, Psikososyal Sorunları ve Baş Etme Stratejileri TT - The Back Side of Quarantine: Experiences, Psychosocial Problems and Coping Strategies of Intensive Health Care Workers During the COVID-19 Pandemic AU - Yılmaz, Hülya AU - Çevik Özdemir, Dr. Öğr. Üyesi Hamide Nur AU - Nair Aktaş, Fatma AU - Şenol, Kazım PY - 2024 DA - September DO - 10.37989/gumussagbil.1367666 JF - Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi JO - Gümüşhane Sağlık Bilimleri Dergisi PB - Gumushane University WT - DergiPark SN - 2146-9954 SP - 1263 EP - 1276 VL - 13 IS - 3 LA - tr AB - COVID-19 salgını nedeniyle dünya çapında sağlık sistemleri zorlu koşullar altında kalmıştır. Doktorlar ve hemşireler, COVID-19 ile mücadelede ön saflarda yer aldıkları için yoğun bakım ünitelerinde ihtiyaç duyulan uzman hasta bakımını sağlamada büyük bir sorumluluğa sahiptir.Bu çalışmanın amacı COVID-19 pandemi sürecinde yoğun bakım ünitesinde çalışan sağlık çalışanlarının deneyimlerini, psikososyal sorunlarını ve başa çıkma stratejilerini ortaya koymaktır.Fenomenolojik tasarımdaki araştırma Mayıs 2021 - Eylül 2021 tarihleri arasında Yoğun Bakım Ünitesi’nde COVID-19 hastalara sağlık hizmeti sunan 16 sağlık profesyoneli (hemşire, hekim) ile yürütülmüştür. Katılımcılar ile yarı yapılandırılmış görüşmeler yüz yüze görüşme tekniğiyle, ses kaydı alınarak gerçekleştirilmiştir. Veriler tümevarımsal içerik analizi tekniğiyle Colaizzi'nin yedi aşamalı yöntemi kullanılarak analiz edilmiştir.Katılımcılar, pandeminin etkileri (a), başa çıkma stratejileri (b), mesleğe bakış açısı (c) ve beklentiler (d) olmak üzere dört ana tema bildirmiştir. Pandemi sürecinde yoğun bakım sağlık çalışanları korku, stres, kaygı gibi psikososyal sorunlar yaşadığını ve izolasyon sürecinden etkilendiğini ifade etmiştir. Yoğun bakım sağlık çalışanları psikososyal desteğe, koruyucu ekipmana ve iyileştirilmiş çalışma koşullarına ihtiyacı olduğunu paylaşmıştır.Yoğun bakım sağlık çalışanları, COVID-19 pandemisi nedeniyle zor koşullar ve yoğun stres altında çalışmaktadır. Gelecekte yaşanabilecek doğal afetler, felaketler, kazalar ve salgın hastalıklar karşısında yoğun bakım sağlık çalışanları için kaliteli ve etkili klinik protokoller hazırlanmalı, kaynak yönetimi optimize edilmeli, psikolojik destek ve yeterli eğitim sağlanmalıdır. KW - Yoğun bakım sağlık çalışanları KW - COVID-19 KW - Psikososyal sorunlar KW - Baş etme stratejileri N2 - The COVID-19 outbreak has been under challenging conditions, healthcare systems around the world. Doctors and nurses have a dramatic responsibility in providing the expert patient care needed in intensive care units as they are on the front lines of the fight against COVID-19. This study was planned to determine the experiences, psychosocial problems and coping strategies of intensive health care workers during the COVID-19 pandemic. The research in phenomenological design was conducted with 16 healthcare workers (nurses, physicians) who provided healthcare services to COVID-19 patients in the Intensive Care Unit between May 2021 and September 2021. Semi-structured interviews with the participants were conducted using face-to-face interview technique and audio recording. The data were analyzed using Colaizzi's seven-step method with inductive content analysis technique.Participants reported four main themes: effects of the pandemic (a), coping strategies (b), perspective on the profession (c) and expectations (d). During the pandemic, intensive care healthcare professionals stated that they experienced psycho-social problems such as fear, stress, anxiety and were affected by the isolation process. Intensive care healthcare workers shared that they need psycho-social support, protective equipment and improved working conditions.Intensive care healthcare workers work under difficult conditions and intense stress due to the COVID-19 pandemic. In case of natural disasters, disasters, accidents and epidemics that may occur in the future, quality and effective clinical protocols should be prepared for intensive care healthcare professionals resource management should be optimized, psychological support and adequate training should be provided. CR - 1. Lacroix, V. (2012). “All About Pandemics: Epidemic of Infectious Disease”. Delhi: University Publications. CR - 2. Kelly, J. (2006). “The Great Mortality. An Intimate History of the Black Death, the Most Devastating Plague of All Time”. London-New York: Harper Perennial. CR - 3. Labrague, L.J. and De los Santos, J.A.A. (2020). “COVID-19 Anxiety Among Front-Line Nurses: Predictive Role of Organizational Support, Personal Resilience and Social Support”. Journal of Nursing Management, 28 (7), 1653–1661. https://doi.org/10.1111/jonm.13121 CR - 4. Biber, J, Ranes, B, Lawrence, S, Malpani, V, Trinh, T.T, Cyders, A, English, S, Staub, C.L, McCausland, K.L, Kosinski, M. and Baranwal, N. (2022). “Mental Health Impact on Healthcare Workers Due to the COVID-19 Pandemic: A US Cross-Sectional Survey Study”. Journal of Patient-Reported Outcomes, 6 (1), 1-14. https://doi.org/10.1186/s41687-022-00467-6 CR - 5. Shechter, A, Diaz, F, Moise, N, Anstey, D.E, Ye, S, Agarwal, S, Birk, J.L, Brodie, D, Cannone, D.E, Chang, B. and Claassen, J. (2020). “Psychological Distress, Coping Behaviors, and Preferences for Support Among New York Healthcare Workers During the COVID-19 Pandemic”. General Hospital Psychiatry, 66 (1), 1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007 CR - 6. Chew, Q.H, Chia, F.A, Ng, W.K, Lee, W.C.I, Tan, P.L.L, Wong, C.S, Puah, S.H, Shelat, V.G, Seah, E.J, Huey, C.W.T, Phua, E.J. and Sim, K. (2020). “Perceived Stress, Stigma, Traumatic Stress Levels and Coping Responses Among st Residents in Training Across Multiple Specialties During COVID-19 Pandemic—a Longitudinal Study”. International Journal of Environmental Research and Public Health, 17 (18), 6572. https://doi.org/10.3390/ijerph17186572 CR - 7. Shen, X, Zou, X, Zhong, X, Yan, J and Li, L. (2020). “Psychological Stress of ICU Nurses in the Time of COVID-19”. Critical Care, 24, 1-3. https://doi.org/10.1186/s13054-020-02926-2 CR - 8. Yifan, T, Ying, L, Chunhong, G, Jing, S, Rong, W, Zhenyu, L, Zejuan, G. and Peihung, L. (2020). “Symptom Cluster of ICU Nurses Treating COVID-19 Pneumonia Patients in Wuhan, China”. Journal of Pain Symptom Management, 60 (1), 48–53. https://doi.org/10.1016/j.jpainsymman.2020.03.039 CR - 9. Liu, S, Yang, L, Zhang, C, Xiang, Y.T, Liu, Z, Hu, S. and Zhang, B. (2020). “Online Mental Health Services in China During the COVID-19 Outbreak”. The Lancet Psychiatry, 7 (4), 17-18. https://doi.org/10.1016/S2215-0366(20)30077-8 CR - 10. Baduge, M.S.P, Morphet, J. and Moss, C. (2018). “Emergency Nurses' and Department Preparedness for an Ebola Outbreak: A (narrative) Literature Review”. International Emergency Nursing, 38, 41–49. https://doi.org/10.1016/j.ienj.2017.12.002 CR - 11. Kang, L, Ma, S, Chen, M, Yang, J, Wang, Y, Li, R, Yao, L, Bai, H, Cai, Z, Yang, B. X. and Hu, S. (2020). “Impact on Mental Health and Perceptions of Psychological Care Among Medical and Nursing Staff in Wuhan During the 2019 Novel Coronavirus Disease Outbreak: A cross-sectional study”. Brain, Behavior, and Immunity, 87, 11-17. https://doi.org/10.1016/j.bbi.2020.03.028 CR - 12. Jafarzadeh‐Kenarsari, F, Ghahiri, A, Zargham‐Boroujeni, A. and Habibi, M. (2015). “Exploration of the Counseling Needs of Infertile Couples: A Qualitative Study”. Iranian Journal of Nursing and Midwifery Research, 20 (5), 552. https://doi.org/10.4103/1735-9066.164506 CR - 13. Creswell, J.W. and Poth, C.N. (2016). “Qualitative Inquiry and Research Design: Choosing among Five Approaches”. Thousand Oaks-London-New Delhi: Sage Publications. CR - 14. Saunders, B, Sim, J, Kingstone, T, Baker, S, Waterfield, J, Bartlam, B, Burroughs, H. and Jinks, C. (2018). “Saturation in Qualitative Research: Exploring its Conceptualization and Operationalization”. Quality and Quantity, 52, 1893-1907. https://doi.org/10.1007/s11135-017-0574-8 CR - 15. Marshall, C. and Rossman, G.B. (2014). “Designing Qualitative Research”. London: Sage Publications. CR - 16. Xiang, Y.T, Yang, Y, Li, W, Zhang, L, Zhang, Q, Cheung, T. and Ng, C.H. (2020). “Timely Mental Health Care for the 2019 Novel Coronavirus Outbreak is Urgently Needed”. The Lancet Psychiatry, 7 (3), 228-229. https://doi.org/10.1016/S2215-0366(20)30046-8 CR - 17. Colaizzi, P.F. (1978). “Psychological Research as the Phenomenologist Views It”. New York: Oxford University Press. CR - 18. Lincoln, Y.S. and Guba E.G. (1985). “Naturalistic Inquiry”. Thousand Oaks: Sage Publications. https://doi.org/10.1016/0147-1767(85)90062-8 CR - 19. Başkale, H. (2016). “Nitel Araştırmalarda Geçerlik, Güvenirlik ve Örneklem Büyüklüğünün Belirlenmesi”. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9 (1), 23-28. CR - 20. Raskind, I.G, Shelton, R.C, Comeau, D.L, Cooper, H.L, Griffith, D.M. and Kegler, M.C. (2019). “A Review of Qualitative Data Analysis Practices in Health Education and Health Behavior Research”. Health Education and Behavior, 46 (1), 32-39. https://doi.org/10.1177/1090198118795019 CR - 21. Crowe, S, Howard, A.F, Vanderspank-Wright, B, Gillis, P, McLeod, F, Penner, C. and Haljan, G. (2021). “The Effect of COVID-19 Pandemic on the Mental Health of Canadian Critical Care Nurses Providing Patient Care During the Early Phase Pandemic: A Mixed Method Study”. Intensive and Critical Care Nursing, 63, 102999. https://doi.org/10.1016/j.iccn.2020.102999 CR - 22. Galehdar, N, Toulabi, T, Kamran, A. and Heydari, H. (2021). “Exploring Nurses’ Perception of Taking Care of Patients with Coronavirus Disease (COVID-19): A Qualitative Study”. Nursing Open, 8 (1), 171–179. https://doi.org/10.1002/nop2.616 CR - 23. LoGiudice, J.A, Bartos, S. (2021). “Experiences of Nurses During the COVID-19 Pandemic: A Mixed-Methods Study”. AACN Advanced Critical Care, 32 (1), 14–26. https://doi.org/10.4037/aacnacc2021816 CR - 24. Kackin, O, Ciydem, E, Aci, O.S. and Kutlu, F.Y. (2021). Experiences and Psychosocial Problems of Nurses Caring for Patients Diagnosed with COVID-19 in Turkey: A Qualitative Study”. International Journal of Social Psychiatry, 67 (2), 158-167. https://doi.org/10.1177/0020764020942788 CR - 25. Spiegel, H.X. (1944). “Preventive Psychiatry with Combat Troops”. American Journal of Psychiatry, 101 (3), 310–315. https://doi.org/10.1176/ajp.101.3.310 CR - 26. Lazarus, R.S, Folkman, S. (1987). “Transactional Theory and Research on Emotions and Coping”. European Journal of Personality, 1 (3), 141–169. https://doi.org/10.1002/per.2410010304 CR - 27. Labrague, L.J, Hammad, K, Gloe, D.S., McEnroe-Petitte, D.M, Fronda, D.C, Obeidat, A.A, Leocadio, M.C, Cayaban, A.R. and Mirafuentes, E.C. (2018). “Disaster Preparedness Among Nurses: A Systematic Review of Literature”. International Nursing Review, 65 (1), 41–53. https://doi.org/10.1111/inr.12369 CR - 28. Ha, D.G. and Sung, M.H. (2018). “Impact of Job Stress, Coping Behavior, Hardiness on Burnout in Nurses in the Emergency Department”. Korean Journal of Occupational Health Nursing, 27 (4), 215–223. CR - 29. Huang, L, Wang, Y, Liu, J, Ye, P, Cheng, B, Xu, H, Qu, H. and Ning, G. (2020). “Factors Associated with Resilience Among Medical Staff in Radiology Departments During the Outbreak of 2019 Novel Coronavirus Disease (COVID-19): A Cross-Sectional Study”. Medical Science Monitor, 26, e925669-1. https://doi.org/10.12659/MSM.925669 CR - 30. Karadeniz, H, Durmuş, A, Gündüz, C.S, Bilgiç, G. ve Gürkan, Ö.C. (2022). “COVID-19 Pandemisinin Hemşirelerin Mesleki İmaj Algısına Etkisi”. Balıkesir Sağlık Bilimleri Dergisi, 11 (2), 255-261. https://doi.org/10.53424/balikesirsbd.1022453 CR - 31. Jia, Y, Chen, O, Xiao, Z, Xiao, J, Bian, J. and Jia, H. (2021). “Nurses’ Ethical Challenges Caring for People with COVID-19: A Qualitative Study”. Nursing Ethics, 28 (1), 33–45. https://doi.org/10.1177/0969733020944453 CR - 32. Sperling, D. (2021). “Ethical Dilemmas, Perceived Risk, and Motivation Among Nurses During the COVID-19 Pandemic”. Nursing Ethics, 28 (1), 9-22. https://doi.org/10.1177/0969733020956376 CR - 33. Leider, J.P, DeBruin, D, Reynolds, N, Koch, A. and Seaberg, J. (2017). “Ethical Guidance for Disaster Response, Specifically Around Crisis Standards of Care: A Systematic Review”. American Journal of Public Health, 107 (9), 1-9. https://doi.org/10.2105/AJPH.2017.303882 CR - 34. Greenberg, N, Docherty, M, Gnanapragasam, S. and Wessely, S. (2020). “Managing Mental Health Challenges Faced by Healthcare Workers During COVID-19 Pandemic”. British Medical Journal, Mar 26, 368. https://doi.org/10.1136/bmj.m1211 CR - 35. Park, S.H. (2020). “Personal Protective Equipment for Healthcare Workers During the COVID-19 Pandemic”. Infection & Chemotherapy, 52 (2), 165–182. https://doi.org/10.3947/ic.2020.52.2.165 CR - 36. Arık, Ö. ve Aydoğdu, A. (2021). “Sağlık Bakanlığı Tarafından Yapılan COVID-19 Ek Ödemesi Hakkında Sağlık Personeli Görüşlerinin İncelenmesi.” Journal of Academic Value Studies, 7 (3), 231-242. https://doi.org/10.29228/javs.52433 CR - 37. T.C. Sağlık Bakanlığı. (2020). “COVID-19 Pandemisi Nedeniyle Sağlık Tesislerinde Ek Ödeme Yapılmasına İlişkin Usul ve Esaslar”. Erişim adresi: https://khgmekodemedb.saglik.gov.tr/Eklenti/37085/0/covid-19-pandemisi-nedeniyle-ek- odeme-usul-ve esaslaripdf.pdf? _tag1=5B606BDBE7C1C9B547350A7B2FF7340A5826118D. (Erişim Tarihi:23/08/2023). UR - https://doi.org/10.37989/gumussagbil.1367666 L1 - https://dergipark.org.tr/en/download/article-file/3439252 ER -