Pencere ve Gün Işığı, Yoğun Bakım Çalışanlarında Tükenmişlik Sendromunu Azaltıyor

Öz

Amaç: Yoğun bakım ünitelerinde (YBÜ) çalışan sağlık personelinde tükenmişlik sendromu yaygın olup bu durum sağlık çalışanlarının mesleki bakım kalitesini ve performansını etkileyebilmektedir. Bu çalışma yoğun bakım ortamında gün ışığı faktörünün tükenmişlik sendromuna etkisini incelemek amacıyla planlanmıştır. 

Materyal ve Metot: Yoğun bakım ünitesinde çalışan doktor ve hemşirelere iki bölümden oluşan anket formu uygulanmıştır. Anketin ilk bölümünde sosyo-demografik veriler, çalıştıkları yoğun bakımın koşulları ve yoğun bakım ortamı ile ilgili sorular, ikinci bölümde ise “Maslach Tükenmişlik Ölçeği” bulunmaktadır. Çalışmada pencereli ve penceresiz YBÜ’de çalışanlar iki gruba ayrılarak karşılaştırıldı.
Bulgular: Araştırmaya gün ışığı alan olan üst YBÜ’nde çalışan 46 ve penceresiz olan alt YBÜ’lerde çalışan 59; toplam 105 kişi katıldı. Yaş ortalaması sırasıyla 31,17±6.00 ve 28,53±5,23 (p=0,02) bulundu. Katılanların 75'i (%71,4) hemşire ve 30'u (%28,6) doktordu. Katılımcıların %98'i "çalışma ortamınızda pencere bulunsun mu?" sorusuna evet cevabını verdi, %89' u ise ortam gün ışığının performansını olumlu etkileyeceğini belirtti. Alt katlarda bulunan penceresiz YBÜ’de çalışanlarda duygusal tükenmişlik ve duyarsızlaşma gün ışığı alan üst kat YBÜ çalışanlarına göre anlamlı oranda yüksek bulundu (sırasıyla p=0,02, p=0,002).

Sonuç: Yoğun bakım ünitelerinin gün ışığı alacak şekilde düzenlenmesi, tükenmişlik sendromu gelişme oranını azaltarak YBÜ’nde çalışan sağlık personelinin iş performans ve verimliğini arttıracağı gibi, tıbbi hata yapma olasılıklarını da azaltacaktır. 

Anahtar Kelimeler

• Gün ışığı,tükenmişlik sendromu,yoğun bakım ünitesi çalışanları.

Window and Day Light, Reduce Burnout Syndrome in Intensive Care Staff

Abstract

Objectives: Burnout syndrome is widespread among health care workers working in intensive care units (ICU), which can affect the quality of patient care and performance. This study was planned to investigate the effect of windows and daylight on burnout syndrome in an intensive care setting.

Materials and Methods: A questionnaire consisting of two parts was applied to doctors and nurses working in intensive care units. In the first part of the questionnaire, questions about socio-demographic data, intensive care conditions and intensive care environment were studied, and the second part was the "Maslach Burnout Scale". Two groups, workers in the ICU with and without windows were compared in the study.

Results: There are 46 workers in the upper ICU who are taking daylight and 59 workers in the lower ICU without windows; a total of 105 people attended to the research. The mean age was 31.17±6.00 and 28.53±5.23, respectively and 75 (71.4%) of the participants were nurses, 30 (28.6%) were doctors. To the question "Do you want a window in your working environment?" 98.1% of respondents gave the answer yes and 89.5% stated that the ambient daylight would have a positive effect on their performance. Exhaustion and cynicism were significantly higher at the lower floor ICU workers than the upper floor ICU workers (p=0.02, p=0.002). 

Conclusion: Arranging ICUs with windows to receive daylight is a useful way to increase the work performance and productivity and to decrease medical mistakes of health staff who works in ICUs by reducing the incidence of burnout syndrome. 

Keywords

• Daylight,burnout syndrome,intensive care unit staff

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