Research Article
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The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices

Year 2022, , 588 - 597, 31.12.2022
https://doi.org/10.5961/higheredusci.1062203

Abstract

Aim: The study was conducted to determine the effect of COVID-19 fear and death anxiety on intern nursing students before they enter clinical practice, focusing on changes in their professional values.
Method: The population of this descriptive and cross-sectional study included a total of 218 intern nursing students from a university in Turkey, the sample of the study consisted of 215, which is among the top five provinces where the COVID-19 pandemic is felt most intense in Turkey.
Results: The students had moderate COVID-19 fear and death anxiety and good professional values. A positive correlation was found between the level of the COVID-19 Fear Scale and both the Abdel-Khalek Death Anxiety Scale and the safety sub-dimension of professional values. All of the sub-dimensions of professional values and fear of COVID-19 median were found to be higher in the students who desire to clinical practice. The factors affecting the Death Anxiety Scale included caring for bedridden patients. Further, fear of COVID-19 factors affecting was the desire for clinical practice negatively.
Conclusion: During the pandemic process, it was determined COVID-19 fear and death anxiety. It was determined that the professional values of the students were not affected and those with high human dignity, responsibility, and safety values wanted to start clinical practice. So, it is thought that psychological counseling and pieces of training for the development of professional values will be beneficial in the prevention of leaving the profession or in the development of values during the pandemic process.

References

  • Abdel-Khalek, AM. (2004).The Arabic scale of death anxiety (ASDA): its development, validation and results in three Arab countries, Death Stud, 28, 435-457.
  • Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 Scale: development and initial validation. Int J Ment Health Addict, 27,1–9.
  • Akman, Ö., Yildirim, D., & Sarikaya, A. (2020).The effect of COVID-19 pandemic on nursing students’ anxiety levels. IGUSABDER,12, 379-97.
  • Alkaya S. A., Yaman, Ş.,& Simones J. (2018). Professional values and career choice of nursing students. Nursing Ethics, 25(2), 243-252.
  • Altun İ. (2002). Burnout and nurses personal and professional values. Nursing Ethics, 9(3), 269-78.
  • Aslan, H., &Pekince, H. (2020). Nursing students' views on the COVID 19 pandemic and their percieved stress levels. Perspect Psychiatr Care, First published: 17 August 2020 https://doi.org/10.1111/ppc.12597
  • Ayhan, D. (2013). The Effect of situation and frequency of encounter with death in nursing practices on nurses' attitudes towards death. Unpublished master's thesis, Ankara, Gazi University.
  • Bahçecioğlu, T.G., Özer, Z., & Çiftçi B. (2021). Analysis of anxiety levels and attitudes of nursing students toward the nursing profession during the COVID 19 pandemic. Perspect Psychiatr Care, 57(4), 1913-1921
  • Bang K. S., Kang J. H., Jun, & M. H.(2011). Professional values in Korean undergraduate nursing students. Nurse Educ. Today, 31(1), 72-75.
  • Bogossian, F., McKenna, L.,& Levett-Jones T.(2020). Mobilising the nursing student workforce in COVID-19: The value proposition. Collegian, 27(2),147-49.
  • Cooper, J., Barnett, M.(2005). Aspects of caring dying patients which cause anxiety to first year student nurses. International Journal of Palliative Nursing, 11(8), 423-30.
  • Davidson, P.M., Shattell, M., &Nolan, M. T.(2020). Does COVID-19 really call for an overhaul of nursing curricula or promoting the power, status, and representation of nursing? Journal of Advanced Nursing, 76(10), 2460–61.
  • Fowler, K., &Wholeben, M.(2020). COVID-19: Outcomes for trauma-impacted nurses and nursing students. Nurse Educ Today, 93, 104525.
  • Heung, Y Y., Wrong, K., &Kwong, W. (2005). Severe acute respiratory syndrome outbreak promotes a strong sense of professional identity among nursing students. Nurse Educ. Today,2, 112–18.
  • Ibrahimoglu, O., Mersin, S., Kilic, H. S., & Kahraman, B. B.(2020). Professional values of nursing students in Turkey. International Journal of Caring Sciences,13(2), 878-84.
  • Iranmanesh, S., Savenstedt, S., &Abbaszadeh, A. (2008). Student nurses’ attitudes towards death and dying in South-east Iran. IJPN, 14(5), 214-20.
  • Karadağ, A., Hisar, F., Çelik, B., & Baykara, Z. G. (2016). Determining professionalism in Turkish students nurses. International Journal of Human Sciences,13(1), 674-82.
  • Karaöz, S. (2013). General overwiew of clinical evaluation in nursing education: challanges and recommendations DEUHYOED, 6(3),149-58.
  • Ladikli, N., Bahadır, E., Yumuşak, F, Akkuzu, H., Karaman,G.,….. & Türkkan, Z. (2020). The reliability and validity of Turkish version of Coronavirus Anxiety Scale. International Journal of Social Science, 3 (2), 71-80.
  • Labrague, L. J. (2021). Resilience as a mediator in the relationship between stress-associated with the Covid-19 pandemic, life satisfaction, and psychological well-being in student nurses: A cross-sectional study. Nurse Educ Pract., doi: 10.1016/j.nepr.2021.103182.
  • Mechili, E. A., Saliaj, A., Kamberi, F., Girvalaki, C., Peto, E., Patelarou, A. E., ...& Patelarou, E.(2020). Is the mental health of young students and their family members affected during the quarantine period? Evidence from the COVID19 pandemic Albania. J Psychiatr Ment Health Nurs, doi: 10.1111/jpm.12672
  • Nie, S., Sun, C., Wang, L., & Wang, X. (2021). The Professional identity of nursing students and their intention to leave the nursing profession during the coronavirus disease (COVID-19) pandemic. Nurs Res. 29(2), e139. doi: 10.1097/jnr.0000000000000424
  • Orak Sahin, N.,& Ecevit, Alpar, Ş. (2012). Validity and reliability of the nurses’ professional values scale’s Turkish version. MÜSBED, 2, 22-31.
  • Özdelikara, A., Ağaçdiken, S., Mumcu, Boğa N., & Şahin, D.(2016). Death anxiety in student nurse. Ondokuz Mayıs University Journal of Health Sciences, 1(1), 117-32.
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E.,& Katsaounou, F. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–07.
  • Patelarou, A., Mechili, E. A., Galanis, P., Zografakis-Sfakianakis, M., Konstantinidis, T., Saliaj, A., ... &Patelarou, E. (2021). Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries. Journal of Mental Health, 30 (2), 164-69.
  • Pickles, D., Lacey, SD.,& King, L. (2019). Conflict between nursing student's personal beliefs and professional nursing values. Nurs Ethics, 26(4),1087-1100.
  • Ruiz Fernández, M. D., Ramos Pichardo, J. D., Ibáñez Masero, O., Cabrera Troya, J., Carmona Rega, M. I., &Ortega Galán, Á. M.(2020). Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID19 health crisis in Spain. Journal of Clinical Nursing, 29(21), 4321-30.
  • Sariçiçek, A.A., Gülseren, Ş., Özyil, Öztürk, S.,& Özen, Ç. (2015). Reliability and validity of the Turkish version of Abdel-Khalek’s death anxiety scale among college students. Arch Neuropsychiatr, 52, 371-75.
  • Shiow-Ching, S. H. U. N.(2021). COVID-19 pandemic: The challenges to the professional identity of nurses and nursing education. Journal of Nursing Research, 29(2), e138.
  • Torales, J,, O’Higgins, M., &Castaldelli-Maia, JM.(2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Social Psychiatry,66(4), 317-20.
  • Tural, Büyük E., Rızalar, S., & Sezgin, S. (2014). Opinions and suggestions of nurses about ınternship. Balıkesır Health Sciences Journal, 3(3), 135-40.
  • Turale, S., Meechamnan, C., &Kunaviktikul, W.(2020). Challenging times: ethics, nursing and the COVID-19 pandemic. International Nursing Review, 67(2), 164–67.
  • Weis, D., Schanki MJ. (2000). An Instrument to measure professional nursing values. J Nurs Scholarsh, 32(2), 201-04.
  • Wong, J. G., Cheung, E. P., Cheung, V., Cheung, C., Chan, M. T., Chua, S. E., ... & Ip, M. S. (2004). Psychological responses to the SARS outbreak in healthcare students in Hong Kong. Medical Teacher, 26(7), 657-59.
  • World Health Organization, Key messages and actions for COVID-19 prevention and control in schools, https://www.who.int/docs/default-source/coronaviruse/key-messages-and-actions-for-COVID-19-prevention-and-control-in-schools-march-2020.pdf?sfvrsn=baf81d52_4, Access Date; 12.01.2022
  • Zandian, H., Alipouri-Sakha, M., Nasiri, E., &Zahirian Moghadam, T.(2021). Nursing work intention, stress, and professionalism in response to the COVID-19 outbreak in Iran: A cross-sectional study. Work, 68(4), 969-79.

İntörn Hemşirelik Öğrencilerinin Klinik Uygulama Öncesi Yaşadıkları Covid-19 Korku Düzeyi ve Ölüm Anksiyetesinin Profesyonel Değerlere Etkisi

Year 2022, , 588 - 597, 31.12.2022
https://doi.org/10.5961/higheredusci.1062203

Abstract

Amaç: Bu çalışma intörn hemşirelik öğrencilerinin klinik uygulama öncesi yaşadıkları COVID-19 korku düzeyi ve ölüm anksiyetesinin profesyonel değerlere etkisini belirlemek amacı ile yapıldı.
Yöntem: Bu tanımlayıcı ve kesitsel tipteki çalışmanın evrenini, Türkiye’de Covid-19 salgının en yoğun yaşandığı ilk beş il arasında yer alan bir üniversitenin hemşirelik bölümünde öğrenim gören 218 intörn öğrenci, örneklemini de 215 (%98.6) öğrenci oluşturdu.
Bulgular: Öğrencilerin COVID-19 korku ve ölüm kaygıları orta ve mesleki değerleri iyi düzeydedir. COVID-19 Korkusu Ölçeği düzeyi ile hem Abdel-Khalek Ölüm Kaygısı Ölçeği ve hem de mesleki değerlerin güvenlik alt boyutu arasında pozitif ilişki bulunmuştur. Mesleki değerler ve COVID-19 korkusu alt boyutları, klinik uygulama yapmak isteyen öğrencilerde daha yüksek bulunmuştur. Yatağa bağımlı hastalara bakım verenlerde, Ölüm Kaygısı Ölçeği puanları etkilenmiştir. Ayrıca, öğrencilerde COVID-19 korkusu, klinik uygulama isteğini olumsuz yönde etkilemiştir.
Sonuç: Pandemi sürecinde, öğrencilerde COVID-19 korku ve ölüm kaygısı tespit edildi. Öğrencilerin mesleki değerlerinin etkilenmediği, insan onuru, sorumluluk ve güvenlik değerleri yüksek olanların klinik uygulamaya başlamak istedikleri saptandı. Bu nedenle, pandemi sürecinde, mesleki değerlerin geliştirilmesine yönelik psikolojik danışmanlık ve eğitimlerin meslekten ayrılmanın önlenmesinde veya değerlerin geliştirilmesinde faydalı olacağı düşünülmektedir.

References

  • Abdel-Khalek, AM. (2004).The Arabic scale of death anxiety (ASDA): its development, validation and results in three Arab countries, Death Stud, 28, 435-457.
  • Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 Scale: development and initial validation. Int J Ment Health Addict, 27,1–9.
  • Akman, Ö., Yildirim, D., & Sarikaya, A. (2020).The effect of COVID-19 pandemic on nursing students’ anxiety levels. IGUSABDER,12, 379-97.
  • Alkaya S. A., Yaman, Ş.,& Simones J. (2018). Professional values and career choice of nursing students. Nursing Ethics, 25(2), 243-252.
  • Altun İ. (2002). Burnout and nurses personal and professional values. Nursing Ethics, 9(3), 269-78.
  • Aslan, H., &Pekince, H. (2020). Nursing students' views on the COVID 19 pandemic and their percieved stress levels. Perspect Psychiatr Care, First published: 17 August 2020 https://doi.org/10.1111/ppc.12597
  • Ayhan, D. (2013). The Effect of situation and frequency of encounter with death in nursing practices on nurses' attitudes towards death. Unpublished master's thesis, Ankara, Gazi University.
  • Bahçecioğlu, T.G., Özer, Z., & Çiftçi B. (2021). Analysis of anxiety levels and attitudes of nursing students toward the nursing profession during the COVID 19 pandemic. Perspect Psychiatr Care, 57(4), 1913-1921
  • Bang K. S., Kang J. H., Jun, & M. H.(2011). Professional values in Korean undergraduate nursing students. Nurse Educ. Today, 31(1), 72-75.
  • Bogossian, F., McKenna, L.,& Levett-Jones T.(2020). Mobilising the nursing student workforce in COVID-19: The value proposition. Collegian, 27(2),147-49.
  • Cooper, J., Barnett, M.(2005). Aspects of caring dying patients which cause anxiety to first year student nurses. International Journal of Palliative Nursing, 11(8), 423-30.
  • Davidson, P.M., Shattell, M., &Nolan, M. T.(2020). Does COVID-19 really call for an overhaul of nursing curricula or promoting the power, status, and representation of nursing? Journal of Advanced Nursing, 76(10), 2460–61.
  • Fowler, K., &Wholeben, M.(2020). COVID-19: Outcomes for trauma-impacted nurses and nursing students. Nurse Educ Today, 93, 104525.
  • Heung, Y Y., Wrong, K., &Kwong, W. (2005). Severe acute respiratory syndrome outbreak promotes a strong sense of professional identity among nursing students. Nurse Educ. Today,2, 112–18.
  • Ibrahimoglu, O., Mersin, S., Kilic, H. S., & Kahraman, B. B.(2020). Professional values of nursing students in Turkey. International Journal of Caring Sciences,13(2), 878-84.
  • Iranmanesh, S., Savenstedt, S., &Abbaszadeh, A. (2008). Student nurses’ attitudes towards death and dying in South-east Iran. IJPN, 14(5), 214-20.
  • Karadağ, A., Hisar, F., Çelik, B., & Baykara, Z. G. (2016). Determining professionalism in Turkish students nurses. International Journal of Human Sciences,13(1), 674-82.
  • Karaöz, S. (2013). General overwiew of clinical evaluation in nursing education: challanges and recommendations DEUHYOED, 6(3),149-58.
  • Ladikli, N., Bahadır, E., Yumuşak, F, Akkuzu, H., Karaman,G.,….. & Türkkan, Z. (2020). The reliability and validity of Turkish version of Coronavirus Anxiety Scale. International Journal of Social Science, 3 (2), 71-80.
  • Labrague, L. J. (2021). Resilience as a mediator in the relationship between stress-associated with the Covid-19 pandemic, life satisfaction, and psychological well-being in student nurses: A cross-sectional study. Nurse Educ Pract., doi: 10.1016/j.nepr.2021.103182.
  • Mechili, E. A., Saliaj, A., Kamberi, F., Girvalaki, C., Peto, E., Patelarou, A. E., ...& Patelarou, E.(2020). Is the mental health of young students and their family members affected during the quarantine period? Evidence from the COVID19 pandemic Albania. J Psychiatr Ment Health Nurs, doi: 10.1111/jpm.12672
  • Nie, S., Sun, C., Wang, L., & Wang, X. (2021). The Professional identity of nursing students and their intention to leave the nursing profession during the coronavirus disease (COVID-19) pandemic. Nurs Res. 29(2), e139. doi: 10.1097/jnr.0000000000000424
  • Orak Sahin, N.,& Ecevit, Alpar, Ş. (2012). Validity and reliability of the nurses’ professional values scale’s Turkish version. MÜSBED, 2, 22-31.
  • Özdelikara, A., Ağaçdiken, S., Mumcu, Boğa N., & Şahin, D.(2016). Death anxiety in student nurse. Ondokuz Mayıs University Journal of Health Sciences, 1(1), 117-32.
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E.,& Katsaounou, F. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–07.
  • Patelarou, A., Mechili, E. A., Galanis, P., Zografakis-Sfakianakis, M., Konstantinidis, T., Saliaj, A., ... &Patelarou, E. (2021). Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries. Journal of Mental Health, 30 (2), 164-69.
  • Pickles, D., Lacey, SD.,& King, L. (2019). Conflict between nursing student's personal beliefs and professional nursing values. Nurs Ethics, 26(4),1087-1100.
  • Ruiz Fernández, M. D., Ramos Pichardo, J. D., Ibáñez Masero, O., Cabrera Troya, J., Carmona Rega, M. I., &Ortega Galán, Á. M.(2020). Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID19 health crisis in Spain. Journal of Clinical Nursing, 29(21), 4321-30.
  • Sariçiçek, A.A., Gülseren, Ş., Özyil, Öztürk, S.,& Özen, Ç. (2015). Reliability and validity of the Turkish version of Abdel-Khalek’s death anxiety scale among college students. Arch Neuropsychiatr, 52, 371-75.
  • Shiow-Ching, S. H. U. N.(2021). COVID-19 pandemic: The challenges to the professional identity of nurses and nursing education. Journal of Nursing Research, 29(2), e138.
  • Torales, J,, O’Higgins, M., &Castaldelli-Maia, JM.(2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Social Psychiatry,66(4), 317-20.
  • Tural, Büyük E., Rızalar, S., & Sezgin, S. (2014). Opinions and suggestions of nurses about ınternship. Balıkesır Health Sciences Journal, 3(3), 135-40.
  • Turale, S., Meechamnan, C., &Kunaviktikul, W.(2020). Challenging times: ethics, nursing and the COVID-19 pandemic. International Nursing Review, 67(2), 164–67.
  • Weis, D., Schanki MJ. (2000). An Instrument to measure professional nursing values. J Nurs Scholarsh, 32(2), 201-04.
  • Wong, J. G., Cheung, E. P., Cheung, V., Cheung, C., Chan, M. T., Chua, S. E., ... & Ip, M. S. (2004). Psychological responses to the SARS outbreak in healthcare students in Hong Kong. Medical Teacher, 26(7), 657-59.
  • World Health Organization, Key messages and actions for COVID-19 prevention and control in schools, https://www.who.int/docs/default-source/coronaviruse/key-messages-and-actions-for-COVID-19-prevention-and-control-in-schools-march-2020.pdf?sfvrsn=baf81d52_4, Access Date; 12.01.2022
  • Zandian, H., Alipouri-Sakha, M., Nasiri, E., &Zahirian Moghadam, T.(2021). Nursing work intention, stress, and professionalism in response to the COVID-19 outbreak in Iran: A cross-sectional study. Work, 68(4), 969-79.
There are 37 citations in total.

Details

Primary Language English
Subjects Other Fields of Education
Journal Section Research Articles
Authors

Sennur Kula Şahin 0000-0002-3939-1382

Zeynep Erdoğan 0000-0002-7298-7559

Publication Date December 31, 2022
Published in Issue Year 2022

Cite

APA Kula Şahin, S., & Erdoğan, Z. (2022). The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices. Yükseköğretim Ve Bilim Dergisi, 12(3), 588-597. https://doi.org/10.5961/higheredusci.1062203
AMA Kula Şahin S, Erdoğan Z. The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices. J Higher Edu Sci. December 2022;12(3):588-597. doi:10.5961/higheredusci.1062203
Chicago Kula Şahin, Sennur, and Zeynep Erdoğan. “The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices”. Yükseköğretim Ve Bilim Dergisi 12, no. 3 (December 2022): 588-97. https://doi.org/10.5961/higheredusci.1062203.
EndNote Kula Şahin S, Erdoğan Z (December 1, 2022) The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices. Yükseköğretim ve Bilim Dergisi 12 3 588–597.
IEEE S. Kula Şahin and Z. Erdoğan, “The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices”, J Higher Edu Sci, vol. 12, no. 3, pp. 588–597, 2022, doi: 10.5961/higheredusci.1062203.
ISNAD Kula Şahin, Sennur - Erdoğan, Zeynep. “The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices”. Yükseköğretim ve Bilim Dergisi 12/3 (December 2022), 588-597. https://doi.org/10.5961/higheredusci.1062203.
JAMA Kula Şahin S, Erdoğan Z. The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices. J Higher Edu Sci. 2022;12:588–597.
MLA Kula Şahin, Sennur and Zeynep Erdoğan. “The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices”. Yükseköğretim Ve Bilim Dergisi, vol. 12, no. 3, 2022, pp. 588-97, doi:10.5961/higheredusci.1062203.
Vancouver Kula Şahin S, Erdoğan Z. The Effect of Covid-19 Fear and Death Anxiety on the Professional Values of Intern Nursing Students Before Clinical Practices. J Higher Edu Sci. 2022;12(3):588-97.