Relationship Between Psychological Flexibility and Professional Quality of Life in Nurses Working in Psychiatric Clinic

Year 2024, Issue: 9, 11 - 20, 30.08.2024

Lale Ünver Aydın , Erman Yıldız

https://doi.org/10.58252/artukluhealth.1540356

Abstract

Introduction: This study aims to evaluate the association between psychological flexibility and the professional quality of life of nurses working in a mental clinic.
Methods: In an eastern Turkish mental health facility, 151 nurses participated in this descriptive and correlational study. Surveys prepared through Google Forms were shared with nurses using WhatsApp groups. The study used the “Personal Information Form”, “Psychological Flexibility Scale” and “Professional Quality of Life Scale”, to evaluate the psychological flexibility and quality of life of psychiatric nurses. The data was collected online and analyzed in the SPSS 26.0 program.
Results: Based on the results of the analysis, nurses' psychological flexibility levels were found to be above average, professional satisfaction levels were found to be below average, and burnout and empathy fatigue levels were found to be moderate. Psychological flexibility, occupational satisfaction, and empathy fatigue were found to be significantly positively correlated; however, burnout was not found to be significantly correlated. Psychological flexibility explained 20.3% of professional satisfaction and 7.8% of professional quality of life.
Conclusion: This study showed that the psychological flexibility of psychiatric nurses positively affected their professional quality of life. Implementation of psychosocial approaches based on acceptance and mindfulness strategies to increase the psychological flexibility of nurses and to improve professional satisfaction.

Keywords

Psychiatric nursing, Professional quality of life, Psychological flexibility, Empathy fatigue, Professional satisfaction

Ethical Statement

Ethical approval was received from the Inonu University Health Sciences Non-Interventional Clinical Research Ethics Committee (Date: 28.07.2020, REF: 2020/998). In addition, institution permission was obtained from the Elazig Mental Health and Diseases Hospital (REF: E.483). After necessary explanations were made to the nurses who agreed to participate in the research about the purpose, duration, scope and application method of the research, written consent was obtained from those who agreed. Ethical principles including the principle of “Confidentiality and Protection of Confidentiality” were fulfilled by stating that the information obtained would be kept confidential, and the principle of “Respect for Autonomy” was fulfilled by recruiting those who wanted to participate in the research voluntarily. Since individual rights must be protected in the research, the Helsinki Declaration of Human Rights was adhered to during the study. In addition, written permission has been obtained for scale writers. *Derived from master thesis.

Supporting Institution

This Research was supported by Inonu University Scientific Research Projects Unit with the project code TYL-2021- 2534.

Project Number

TYL-2021-2534

Thanks

We thank all nurses who participated in the study

Psikiyatri Kliniğinde Çalışan Hemşirelerde Psikolojik Esneklik ve Profesyonel Yaşam Kalitesi Arasındaki İlişki

Abstract

Giriş: Bu çalışma, psikiyatri servislerinde hizmet veren hemşirelerin psikolojik esneklikleri ile profesyonel yaşam kaliteleri ilişkisini araştırmayı amaçlamaktadır.
Yöntem: Tanımlayıcı ve ilişkisel olan bu çalışma, Türkiye’nin doğusunda bir ruh sağlığı hastanesinde 151 hemşire ile yapılmıştır. Google formlar aracılığıyla hazırlanan anketler WhatsApp grupları kullanılarak servis hemşirelerine toplu olarak iletilmiştir. Araştırmada, psikiyatri hemşirelerinin psikolojik esneklik ve yaşam kalitelerini değerlendirmek amacıyla “Kişisel Bilgi Formu”, “Psikolojik Esneklik Ölçeği” ve “Profesyonel Yaşam Kalitesi Ölçeği” kullanılmıştır. Veriler online olarak toplanmış ve SPSS 26.0 programında analiz edilmiştir.
Bulgular: Analiz sonucunda elde edilen bulgulara göre hemşirelerin psikolojik esneklik düzeyleri ortalamanın üstünde, mesleki tatmin düzeyleri ortalamanın altında, tükenmişlik ve eş duyum yorgunluğu düzeyleri ise orta düzeyde bulunmuştur. Psikolojik esneklik ile eş duyum yorgunluğu ve mesleki tatmin arasında anlamlı ilişki saptanmış, ancak tükenmişlik ile anlamlı ilişki bulunmamıştır. Psikolojik esneklik, mesleki tatminin %20.3’ünü, profesyonel yaşam kalitesinin %7.8’ini açıklamıştır.
Sonuç: Bu çalışma, psikiyatri hemşirelerinin psikolojik esnekliğinin profesyonel yaşam kalitelerini olumlu etkilediğini göstermiştir. Hemşirelerin psikolojik esnekliğini arttırmak için kabul ve farkındalık stratejilerine dayalı psikososyal yaklaşımların uygulanması ve mesleki tatminlerini arttırmak için kurumsal destek sağlanması önerilmektedir.

Keywords

Psikiyatri hemşireliği, Profesyonel yaşam kalitesi, Psikolojik esneklik, Eş duyum yorgunluğu, Mesleki tatmin

Ethical Statement

Etik kurul onayı İnönü Üniversitesi Sağlık Bilimleri Girişimsel Olmayan Klinik Araştırma Etik Kurulu'ndan alınmıştır. (Tarih: 28.07.2020, Sayı: 2020/998). Ayrıca Elazığ Valiliği, Ruh Sağlığı ve Hastalıkları Hastanesi'nden kurum izni alınmıştır (Sayı: E.483). Araştırmaya katılmayı kabul eden hemşirelere araştırmanın amacı, süresi, kapsamı, araştırmanın yöntemi gereği ve uygulaması hakkında gerekli açıklamalar yapıldıktan sonra araştırmaya katılmayı kabul edenlerden yazılı onay alınmıştır. “Gizlilik ve Gizliliğin Korunması” ilkesi, yerine getirilmiştir, elde edilen bilgilerin gizli tutulacağını belirterek “Özerkliğe Saygı” ilkesi yerine getirilmiştir. Araştırmaya katılmak isteyenler gönüllü olarak çalışmaya alınmıştır. Çalışmada Helsinki İnsan Hakları Bildirgesi'ne bağlı kalınmıştır. Ayrıca, ölçekler için yazarlardan yazılı izin alınmıştır. *Yüksek lisans tezinden türetilmiştir.

Supporting Institution

Bu Araştırma İnönü Üniversitesi Bilimsel Araştırma Projeleri Birimi tarafından TYL-2021- 2534 proje kodu ile desteklenmiştir.

Project Number

TYL-2021-2534

Thanks

Çalışmaya katılan tüm hemşirelere teşekkür ederiz.

References

• Arslan, B. Ş., and Buldukoğlu, K. (2021). Being a nurse working in a psychiatric department: A qualitative study. Journal of Psychiatric Nursing, 12(1), 67-75. https://doi.org/10.14744/Phd.2020.00236
• Chachula, K. M. (2021). Professional quality of life factors and relationships in nursing and psychiatric nursing students: An exploratory study. Sage Open Nursing, 7, 2377960821994394. https://doi.org/10.1177/2377960821994394
• Cheung, T., Fong, T. K., and Bressington, D. (2020) Covid‐19 under the sars cloud: mental health nursing during the pandemic in Hong Kong. J Psychiatr Ment Health Nurs. https://doi.org/10.1111/jpm.12639
• Cihan, S. Examination of the Relationship Between Personality, Compassion Fatigue and Empathy in Nurses Working in Psychiatric Services, V. International IX. National Psychiatric Nursing Congress Oral Presentation.
• Coşkun, S., Şarlak, K., and Taştan, H. (2015). Learned resourcefulness level and quality of work life in psychiatric nurses: a comparative study applications. Gümüşhane University Journal of Health Sciences, 4(1), 84-101.
• Çam, O., and Engin E. Overview of Mental Health and Diseases. Mental Health and Disease Nursing Art of Care Book. In (1st Edition, pp. 5-19). Istanbul Medical Bookstore
• Doman, M. M. (2010). Compassion fatigue, burn out, compassion satisfaction and subjective happiness in mental health providers. A Dissertation Submitted İn Partial Fulfillment Of The Requirements for the Degree Doctor of Psychology, University of La Verne.
• Donosa, L., Jimenez, B., Pereira, G., and Garrosa, E. (2020). Effects of co-worker and supervisor support on nurses’ energy and motivation through role ambiguity and psychological flexibility. The Spanish Journal of Psychology, 22, E25. https://doi.org/10.1017/sjp.2019.10
• Duarte, J., and Pinto-Gouveia, J. (2017). Correlates of psychological inflexibility mediate the relation between alexithymic traits and positive emotions. Journal of Contextual Behavioral Science, 6(1), 96-103. http://dx.doi.org/10.1016/j. jcbs.2016.12.002
• Durmaz, H., Orak, O., and Gökalp K., (2017). Violent behavior in psychiatric clinics and the effects of violence on healthcare workers. Türkiye Clinics Psychiatric Nursing - Special Topics, - Vol. 3- 2.
• Foster, K., Roche, M., Delgado, C., Cuzzillo, C., Giandinoto, J. A., and Furness, T. (2019). Resilience and mental health nursing: An integrative review of international literature. International Journal Of Mental Health Nursing, 28(1), 71–85. https://doi.org/10.1111/inm.12548
• Fox, J., and Weisberg, S. (2018). An R companion to applied regression. Sage publications.
• Giles, C. W. (2011). Compassion Fatigue in Home Care Nurses. The Faculty of Gardner, Webb University School of Nursing, Master's Thesis, North Carolina, United States.
• Gök, Y. (2015). The unbearable weight of compassion: Compassion fatigue in nurses. Journal of Süleyman Demirel University Faculty of Economics and Administrative Sciences, 20(2), 299-313.
• Holmberg, J., Kemani, M. K., Holmström, L., Öst, L. G., and Wicksell, R. K. (2020). Psychological flexibility and its relationship to distress and work engagement among intensive care medical staff. Frontiers in Psychology, 11, 603986. https://doi.org/10.3389/fpsyg.2020.603986
• Hooper C, Craig J, Janvrin Dr, Wetsel Ma, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs. (2010, September), 36(5), 420-7. https://doi.org/10.1016/j.jen.2009.11.027
• Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Chan, X., Devane, D., and Biesty, L. M. (2020). Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis. The Cochrane Database of Systematic Reviews, 4(4), Cd013582. https://doi.org/10. 1002/14651858.cd013582
• Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., and Mcmillan, D. (2017). Acceptance and commitment therapy (ACT) for chronic pain: A systematic review and meta-analyses. The Clinical Journal Of Pain, 33(6), 552–568. https://doi.org/10.1097/ajp.0000000000000425
• Jones, T. K., and Lippmann, S. (2019). Yes, Nurse Practitioners Deliver Psychiatric Services. The Primary Care Companion For Cns Disorders, 21(4), 18l02417. https://doi.org/10.4088/pcc.18l02417
• Kara Y., and Düzgün, D. (2020). The correlation between work satisfaction and quality of life in nurses and risks in the work environment: a university hospital example.
• Karakaş S. A., Polat H., Ay E., and Küçükoğlu S. (2017). Examination of the relationship between the attitudes of nurses working in a psychiatric hospital in Turkey towards ındividuals with mental problems and their burnout. Bozok Medical Journal, 7(1), 40–48.
• Karakuş, S., and Akbay, S. (2020). Psychological flexibility scale: Adaptation, validity and reliability study. Mersin University Faculty of Education Journal, 16 (1), 32-43. https://doi.org/10.17860/mersinefd.665406
• Kaya, F., Bostancı Daştan, N., Atakoğlu, A. G., and Aydın Polat, S. (2022). Validity and reliability study of the psychiatric nursing job stress scale turkish form in nurses working in psychiatric services. Journal of Research and Development in Nursing, 21(1-2), 35-46.
• Kayaoglu K., and Aslanoglu, E. (2021). Determining the relationship between burnout syndrome and compassion fatigue in psychiatric nurses. Türkiye Clinics Journal of Nursing Sciences, 13(3), 676 - 682. https://doi.org/10.5336/nurses.2020-79250
• Konttila, J., Kähkönen, O., and Tuomikoski, A. M. (2020). Nurses' experiences of workplace violence in psychiatric nursing: A qualitative review protocol. JBI Evidence Synthesis, 18(9), 2025–2030. https://doi.org/10.11124/jbısrır-d-19-00254
• López-López, I. M., Gómez-Urquiza, J. L., Cañadas, G. R., De La Fuente, E. I., Albendín-García, L., and Cañadas-De La Fuente, G. A. (2019). Prevalence of burnout in mental health nurses and related factors: A systematic review and meta-analysis. International Journal of Mental Health Nursing, 28(5), 1032–1041. https://doi.org/10.1111/inm.12606
• Maben, J., and Bridges, J. (2020). Covid‐19: supporting nurses’ psychological and mental Health. J Clin Nurs. https://doi.org/10.1111/jocn.15307
• Montaner, X., Tárrega, S., Pulgarin, M., and Moix, J. (2021). Effectiveness of acceptance and commitment therapy (ACT) in professional dementia caregivers burnout. Clinical Gerontologist. https://doi.org/10.1080/07317115.2021.1920530
• Mcateer, G., and Gillanders, D. (2019). Investigating the role of psychological flexibility, masculine self-esteem and stoicism as predictors of psychological distress and quality of life in men living with prostate cancer. European Journal of Cancer Care, 28(4), E13097. https://doi.org/10.1111/ecc.13097
• O'Connor, K., Muller Neff, D., and Pitman, S. (2018). Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry: The Journal of the Association of European Psychiatrists, 53, 74–99. https://doi.org/10.1016/j.eurpsy.2018.06.003
• Oğuzberk M., and Aydın, A. (2008). Burnout in mental health professionals. J Clin Psychiatry, 11(4): 167-179
• Öcel, H. (2017). Relationships between stigma, conscious awareness and psychological well-being in working women diagnosed with breast cancer: the moderating role of psychological flexibility. Turkish Journal of Psychology, 32(80), 116-133.
• Paradis-Gagné, E., and Pariseau-Legault, P. (2020). Psychiatry, risk and vulnerability: the significance of robert castel's work for nursing. Nursing Philosophy: An International Journal for Healthcare Professionals, 21(2), E12295. https://doi.org/10.1111/nup.12295
• Pérez-Fuentes Mdc, Molero Jurado Mdm, Del Pino Rm And Gázquez Linares Jj (2019). Emotional ıntelligence, self-efficacy and empathy as predictors of overall self-esteem in nursing by years of experience. Front. Psychol. 10, 2035. https://doi.org/10.3389/fpsyg.2019.02035
• Puolakanaho, A., Tolvanen, A., Kinnunen, S. M., and Lappalainen, R. (2020). A psychological flexibility based intervention for burnout: a randomized controlled trial. Journal of Contextual Behavioral Science, 15(3), 52-67. https://doi.org/10.1016/j.jcbs.2019.11.007
• Pisa, N. (2020) Dramatic Pic Of Exhausted Coronavirus Nurse Collapsed On Her Desk Captures Italy’s Gruelling Battle Against Killer Bug. The Sun. (2020).
• https://www.thesun.co.uk/news/11139511/coronavirus‐italy‐nurse‐exhausted‐collapsed‐desk/ Ramaci, T., Bellini, D., Presti, G., and Santisi, G. (2019). Psychological flexibility and mindfulness as predictors of ındividual outcomes in hospital health workers. Frontiers in Psychology, 10, 1302. https://doi.org/10.3389/fpsyg.2019.01302
• Stamm, B. (2005). The professional quality of life scale: Compassion satisfaction, burnout & compassion fatigue/secondary trauma scales.
• Songur, C., Saylavcı E., and Kıran Ş. (2017). Comparative examination of mental health services in Europe and Turkey. Social Sciences Studies Journal (Sssjournal), 3(4), 276-289
• Toprak, T., Arıcak, O. T., and Yavuz, K. F. (2020). Examination of the relationship between degree of burnout, psychological flexibility and values in medical faculty students. Journal of Cognitive Behavioral Psychotherapy and Research, 9(1), 16-27. https://doi.org/10.5455/jcbpr.26978
• Uslu E. (2020). Compassion Fatigue in Pandemics. Psychiatric Nursing in Pandemic. 1st Edition. Ankara: Turkey Clinics, P.19-23.
• Yeşil, A., Ergün, Ü., Amasyalı, C., Er, F., Olgun, N. N., and Aker, A. T. (2010). The study on the reliability and validity of the Turkish form of scale professional quality of life. Noropsychiatry Archive, 47(2), 111-117. https://doi.org/10.4274/npa.5210.