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Hemşireler Pandemilerde Neler Yaşıyor? Bir Ölçek Geliştirme Çalışması

Yıl 2022, Sayı: 17, 440 - 457, 29.08.2022
https://doi.org/10.38079/igusabder.1056082

Öz

Amaç: Hemşirelerin pandemi sürecinde karşılaştıkları güçlükleri belirlemek için geçerli ve güvenilir bir ölçüm aracı geliştirmektir.
Yöntem: Çalışma kesitsel ve metodolojik bir tasarımdadır. Karma yöntem kullanılarak 15 Mayıs-15 Ağustos 2020 tarihleri arasında İstanbul'da 405 hemşire ile gerçekleştirilmiştir. Veriler, Kişisel Bilgi Formu ve Taslak Ölçek ile çevrimiçi olarak toplanmıştır. Tanımlayıcı istatistikler, geçerlik güvenirlik analizi ve toplam puan ortalamaları SPSS 21 ve AMOS 22 programları kullanılarak değerlendirilmiştir.
Bulgular: 38 madde dört boyutta gruplandırılmıştır. Varyans oranı %66,88 idi. Uyum istatistikleri uygundu. Madde toplam korelasyon puanları 0.42-0.82 arasındaydı (p<0.001). Cronbach'ın alfa değeri 0.92 idi. Ölçümler arasında oldukça anlamlı bir korelasyon bulunurken (r:0.88 p<0.001), test-tekrar test ortalama puanları arasında anlamlı fark yoktu (t:1.349, p:0.188). Ölçeğin genel ortalama puanı 3.50±0.62 idi.
Sonuç: Geçerli ve güvenilir olan ölçek, hemşirelere, sağlık kurumları yöneticilerine ve politika yapıcılara güçlüklerle başa çıkma stratejileri geliştirmede yardımcı olabilir.

Kaynakça

  • Fawaz M, Anshasi H, Samaha A. Nurses at the front line of COVID-19: Roles, responsibilities, risks, and rights. Am J Trop Med Hyg. 2020;103(4):1341-1342. doi:10.4269/ajtmh.20-0650.
  • International Council of Nurses. Nurses: A Voice to Lead - Nursing the World to Health. https://2020.icnvoicetolead.com/wp-content/uploads/2020/03/IND_Toolkit_120320.pdf.Published 2020. Accessed 17 July 2021.
  • World Health Organization. State of the world’s nursing 2020: Investing in education, jobs and leadership. https://www.who.int/publications/i/item/9789240003279. Published 2020. Accessed 19 September 2021.
  • Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3). doi:10.1001/jamanetworkopen.2020.3976.
  • Fernandez R, Lord H, Halcomb E, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111. doi:10.1016/j.ijnurstu.2020.103637.
  • World Health Organization. Novel Coronavirus (2019-NCoV) Situation Report-1.; 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports Published 2020. Accessed 23 September 2021.
  • World Health Organization. Coronavirus disease 2019 (COVID-19) situation report-51. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Published 2020. Accessed 22 September 2021.
  • Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733. doi:10.1056/nejmoa2001017.
  • Buheji M, Buhaid N. Nursing Human Factor During COVID-19 Pandemic. Int J Nurs Sci. 2020;10(1):12-24. doi:10.5923/j.nursing.20201001.02.
  • Corless IB, Nardi D, Milstead JA, et al. Expanding nursing’s role in responding to global pandemics 5/14/2018. Nurs Outlook. 2018;66(4):412-415. doi:10.1016/j.outlook.2018.06.003.
  • American Nurses Association. Nurses responding to global pandemics. https://onlinenursing.duq.edu/blog/nurses-responding-to-global-pandemics/. Published 2020. Accessed 4 July 2021.
  • Mo Y, Deng L, Zhang L, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28(5):1002-1009. doi:10.1111/jonm.13014.
  • Kang L, Li Y, Hu S, et al. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-473. doi:10.1016/S0140-6736(20)30185-9.
  • Tsamakis K, Rizos E, Manolis A, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020;19(6):3451-3453. doi:10.3892/etm.2020.8646.
  • Bai YM, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55(9):1055-1057. doi:10.1176/appi.ps.55.9.1055.
  • Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368. doi:10.1136/bmj.m1211.
  • Liu Z, Han B, Jiang R, et al. Mental health status of doctors and nurses during COVID-19 epidemic in China. SSRN. https://ssrn.com/abstract=3551329 Yayınlanma tarihi 2020.
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-907. doi:10.1016/j.bbi.2020.05.026.
  • Baumgaertner E, Karlamangla S. Doctors and nurses brace for coronavirus onslaught: ‘What happens if I end up on a ventilator? Los Angeles Times. https://www.latimes.com/california/story/2020-03-20/coronavirus-doctors-nurses-fears-ventilator-icu-emergency. Published 2020. Accessed May 15, 2021.
  • Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-1499. doi:10.1016/j.ijsu.2014.07.013.
  • De Loë RC, Melnychuk N, Murray D, Plummer R. Advancing the state of policy delphi practice: A systematic review evaluating methodological evolution, ınnovation, and opportunities. Technol Forecast Soc Change. 2016;104:78-88. doi:10.1016/j.techfore.2015.12.009.
  • Belton I, Macdonald A, Wright G, Hamlin I. Improving the practical application of the Delphi method in group-based judgement: A six-step prescription for a well-founded and defensible process. Technological Forecasting and Social Change. 2019; 147:72-82. doi:10.1016/J.TECHFORE.2019.07.002
  • Soron TR. Validation of bangla montgomery asberg depression rating scale (MADRSB). Asian J Psychiatr. 2017;28:41-46. doi:10.1016/j.ajp.2017.03.019.
  • Ametepey SO, Aigbavboa CO, Thwala WD. Assessment of the Use of Delphi Technique in Sustainable Infrastructure Development Research. In: Periodica Polytechnica Budapest University of Technology and Economics; 2019:646-655. doi:10.3311/ccc2019-089.
  • Vernon W. The Delphi technique: A review. Int J Ther Rehabil. 2009;16(2):69-76. doi:10.12968/ijtr.2009.16.2.38892.
  • Courtenay M, Deslandes R, Harries-Huntley G, Hodson K, Morris G. Classic e-Delphi survey to provide national consensus and establish priorities with regards to the factors that promote the implementation and continued development of non-medical prescribing within health services in Wales. BMJ Open. 2018;8(9):e024161. doi:10.1136/bmjopen-2018-024161.
  • Harmancı Seren AK, Ünaldı Baydın N. Validity and reliability study of the compulsory citizenship behaviour scale in Turkish: A study among nurses. Sağlık ve Hemşirelik Yönetimi Derg. 2017; 4(2): 43-49. doi:10.5222/shyd.2017.043.
  • Williams B, Onsman A, Brown T. Exploratory factor analysis: A five‐step guide for novices. Aust J Paramed. 2010;8(3). doi:10.33151/ajp.8.3.93.
  • Hair Jr JF, Hult GTM, Ringle C, Sarstedt M. A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Second. Sage publications; 2016. https://us.sagepub.com/en-us/nam/a-primer-on-partial-least-squares-structural-equation-modeling-pls-sem/book244583. Accessed January 7, 2021.

What Do Nurses Experience in Pandemics? A Scale Development Study

Yıl 2022, Sayı: 17, 440 - 457, 29.08.2022
https://doi.org/10.38079/igusabder.1056082

Öz

Aim: To develop a valid and reliable measurement tool to identify the challenges nurses face during pandemics.
Method: The study has a cross-sectional and methodological design. Using a multi-method approach, it was conducted with 405 nurses in Istanbul between May 15 and August 15, 2020. Data were collected online via the Personal Information Form and Draft Scale. Descriptive statistics, validity reliability analysis, and total score averages were evaluated for data analysis using SPSS 21 and AMOS 22 programs.
Results: 38 items were grouped into four dimensions. The variance rate was found as 66.88%. Goodness-of-fit statistics were appropriate. The total correlation scores of the items were between 0.42-0.82 (p<0.001). Cronbach's alpha value was 0.92. There was no significant difference between the test-retest mean scores (t:1.349, p:0.188), while a highly significant correlation was found between the measurements (r:0.88 p<0.001). The overall mean score of the scale was 3.50±0.62.
Conclusions: The valid and reliable scale can assist nurses, managers of healthcare institutions, and policymakers in developing coping strategies for the challenges.

Kaynakça

  • Fawaz M, Anshasi H, Samaha A. Nurses at the front line of COVID-19: Roles, responsibilities, risks, and rights. Am J Trop Med Hyg. 2020;103(4):1341-1342. doi:10.4269/ajtmh.20-0650.
  • International Council of Nurses. Nurses: A Voice to Lead - Nursing the World to Health. https://2020.icnvoicetolead.com/wp-content/uploads/2020/03/IND_Toolkit_120320.pdf.Published 2020. Accessed 17 July 2021.
  • World Health Organization. State of the world’s nursing 2020: Investing in education, jobs and leadership. https://www.who.int/publications/i/item/9789240003279. Published 2020. Accessed 19 September 2021.
  • Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3). doi:10.1001/jamanetworkopen.2020.3976.
  • Fernandez R, Lord H, Halcomb E, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111. doi:10.1016/j.ijnurstu.2020.103637.
  • World Health Organization. Novel Coronavirus (2019-NCoV) Situation Report-1.; 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports Published 2020. Accessed 23 September 2021.
  • World Health Organization. Coronavirus disease 2019 (COVID-19) situation report-51. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Published 2020. Accessed 22 September 2021.
  • Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733. doi:10.1056/nejmoa2001017.
  • Buheji M, Buhaid N. Nursing Human Factor During COVID-19 Pandemic. Int J Nurs Sci. 2020;10(1):12-24. doi:10.5923/j.nursing.20201001.02.
  • Corless IB, Nardi D, Milstead JA, et al. Expanding nursing’s role in responding to global pandemics 5/14/2018. Nurs Outlook. 2018;66(4):412-415. doi:10.1016/j.outlook.2018.06.003.
  • American Nurses Association. Nurses responding to global pandemics. https://onlinenursing.duq.edu/blog/nurses-responding-to-global-pandemics/. Published 2020. Accessed 4 July 2021.
  • Mo Y, Deng L, Zhang L, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28(5):1002-1009. doi:10.1111/jonm.13014.
  • Kang L, Li Y, Hu S, et al. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-473. doi:10.1016/S0140-6736(20)30185-9.
  • Tsamakis K, Rizos E, Manolis A, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020;19(6):3451-3453. doi:10.3892/etm.2020.8646.
  • Bai YM, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55(9):1055-1057. doi:10.1176/appi.ps.55.9.1055.
  • Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368. doi:10.1136/bmj.m1211.
  • Liu Z, Han B, Jiang R, et al. Mental health status of doctors and nurses during COVID-19 epidemic in China. SSRN. https://ssrn.com/abstract=3551329 Yayınlanma tarihi 2020.
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-907. doi:10.1016/j.bbi.2020.05.026.
  • Baumgaertner E, Karlamangla S. Doctors and nurses brace for coronavirus onslaught: ‘What happens if I end up on a ventilator? Los Angeles Times. https://www.latimes.com/california/story/2020-03-20/coronavirus-doctors-nurses-fears-ventilator-icu-emergency. Published 2020. Accessed May 15, 2021.
  • Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-1499. doi:10.1016/j.ijsu.2014.07.013.
  • De Loë RC, Melnychuk N, Murray D, Plummer R. Advancing the state of policy delphi practice: A systematic review evaluating methodological evolution, ınnovation, and opportunities. Technol Forecast Soc Change. 2016;104:78-88. doi:10.1016/j.techfore.2015.12.009.
  • Belton I, Macdonald A, Wright G, Hamlin I. Improving the practical application of the Delphi method in group-based judgement: A six-step prescription for a well-founded and defensible process. Technological Forecasting and Social Change. 2019; 147:72-82. doi:10.1016/J.TECHFORE.2019.07.002
  • Soron TR. Validation of bangla montgomery asberg depression rating scale (MADRSB). Asian J Psychiatr. 2017;28:41-46. doi:10.1016/j.ajp.2017.03.019.
  • Ametepey SO, Aigbavboa CO, Thwala WD. Assessment of the Use of Delphi Technique in Sustainable Infrastructure Development Research. In: Periodica Polytechnica Budapest University of Technology and Economics; 2019:646-655. doi:10.3311/ccc2019-089.
  • Vernon W. The Delphi technique: A review. Int J Ther Rehabil. 2009;16(2):69-76. doi:10.12968/ijtr.2009.16.2.38892.
  • Courtenay M, Deslandes R, Harries-Huntley G, Hodson K, Morris G. Classic e-Delphi survey to provide national consensus and establish priorities with regards to the factors that promote the implementation and continued development of non-medical prescribing within health services in Wales. BMJ Open. 2018;8(9):e024161. doi:10.1136/bmjopen-2018-024161.
  • Harmancı Seren AK, Ünaldı Baydın N. Validity and reliability study of the compulsory citizenship behaviour scale in Turkish: A study among nurses. Sağlık ve Hemşirelik Yönetimi Derg. 2017; 4(2): 43-49. doi:10.5222/shyd.2017.043.
  • Williams B, Onsman A, Brown T. Exploratory factor analysis: A five‐step guide for novices. Aust J Paramed. 2010;8(3). doi:10.33151/ajp.8.3.93.
  • Hair Jr JF, Hult GTM, Ringle C, Sarstedt M. A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Second. Sage publications; 2016. https://us.sagepub.com/en-us/nam/a-primer-on-partial-least-squares-structural-equation-modeling-pls-sem/book244583. Accessed January 7, 2021.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Makaleler
Yazarlar

Hilal Kuşcu Karatepe 0000-0001-9237-2714

Tuğba Öztürk Yıldırım 0000-0002-6853-8996

Hanife Tiryaki Şen 0000-0003-3350-1701

Yayımlanma Tarihi 29 Ağustos 2022
Kabul Tarihi 9 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Sayı: 17

Kaynak Göster

JAMA Kuşcu Karatepe H, Öztürk Yıldırım T, Tiryaki Şen H. What Do Nurses Experience in Pandemics? A Scale Development Study. IGUSABDER. 2022;:440–457.

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