HEMŞİRELERİN COVID-19 TANILI HASTALAR İLE ÇALIŞMAYA İLİŞKİN GÖRÜŞLERİ VE YAŞADIKLARI ZORLUKLAR

Year 2023, , 215 - 230, 29.04.2023

Canan Sarı , Leyla Adıgüzel , Birsel Canan Demirbağ

https://doi.org/10.47115/jshs.1174621

Abstract

Amaç: Bu calışmada, hemşirelerin pandemi sürecinde COVID-19 tanılı hastalar
ile çalışmaya ilişkin görüşleri ve yaşadıkları zorlukların belirlenmesi amaçlanmıştır.
Yöntem: Tanımlayıcı ve kesitsel tipte planlanan çalışma, 05 Mart-10 Haziran
2022 tarihleri arasında çalışmaya katılmaya gönüllü 188 hemşire ile yürütüldü. Çalışmanın verileri Sosyodemografik Özellikler ve Mesleğe İlişkin Faktörler Veri Formu kullanılarak toplandı. Veriler sayı (n), yüzde (%), ortalama ve standart sapma
ve ki kare testi kullanılarak analiz edildi.
Bulgular: Hemşirelerin %81.9’u kadın, %69.1’i önlisans/lisans mezunudur.
Hemşirelerin %88.3’ünün pandemi sürecinde aile ve sosyal yaşam düzeninin değiştiğini ve %67.6’sı sosyal yaşamını kısıtlamak zorunda kaldığını ifade etti. Katılımcılar pandemi sürecinde hemşirelerin %60.1’i hasta sayısı, %55.3’ü mesai
saatleri ve %89.9’u iş yükünün arttığını ifade etti. Hemşirelerin %28.7’si hasta/yakınları tarafından sözlü şiddete maruz kaldığı belirlendi. Hemşirelerin %47.9’unun
COVID-19 hastalarının tedavi gördüğü birimlerde, %57.8’inin gönülsüz olarak ve
%79.3’ünün oryantasyon eğitimi almadan çalıştığı saptandı. Hemşirelerin %57.4’ü
haftada 40 saat yerine 20 saat çalışılması, %54.8’i daha fazla ücret ödenmesi durumunda COVID pozitif hastalarda daha istekli çalışacaklarını ifade etti. Hemşirelerin %66’sının pandemi sürecinde maske takmayan ve sosyal mesafe kurallarına
uymayan kişileri gördüğünde sağlık personeli olarak boşuna uğraştığını düşündüğünü belirlendi. COVID pozitif hastalarla çalışan hemşirelerin hasta/yakınları
tarafından daha yüksek oranda sözlü şiddete maruz kaldığı belirlendi (p<0.05).
Sonuç ve Öneriler: Bu çalışma hemşirelerin pandemi sürecinde psikososyal
açıdan olumsuz etkilendikleri belirlenmiştir. Pandemi sürecinde hemşirelerin yaşadıkları zorluklardan yola çıkılarak sağlık çalışanlarının olumsuz çalışma koşullarının iyileştirilmesine yönelik sağlık politikalarının planlanması önerilmektedir.

Keywords

COVID-19, Deneyim, Hemşirelik, Pandemi

Supporting Institution

Destekleyen kurum bulunmamaktadır.

Thanks

Çalışmanın verilerinin oluşturulmasına katkı sağlayan tüm hemşirelere teşekkür ederiz

VIEWS AND CHALLENGES OF NURSES İN WORKING WITH PATIENTS DIAGNOSED WITH COVID-19

Abstract

Aim: This study aimed to determine the views and difficulties experienced by
nurses about working with patients diagnosed with COVID-19 during the pandemic process.
Method: This descriptive and cross-sectional study was conducted with 188
nurses who agreed to participate between 05 March and 10 June 2022. The data
were collected using to “Sociodemographic Characteristics and Occupational Factors Data Form”. Collected data were evaluated via frequency, percentages, mean
standard deviation, and chi-square test.
Results: It was stated that 81.9% of the nurses were female, 69.1% were associate/undergraduate graduates. 88.3% of the nurses stated that their family and social
life order changed during the pandemic process and they mostly had to restrict
their social life (67.6%). 60.1% of the nurses increased the number of patients,
55.3% their working hours and 89.9% their workload during the pandemic process. 28.7% of the nurses were exposed to verbal violence by the patient/relatives.
It was determined that 47.9% of the nurses worked in the units where COVID-19
patients were treated, 57.8% voluntarily and 79.3% without orientation training.
57.4% of the nurses stated that they would work more willingly in COVID-positive
patients if they worked 20 hours a week instead of 40, and 54.8% of them were paid
more. 66% of the nurses think that they are trying in vain as health personnel when
they see people who do not wear masks and do not follow social distance rules
during the pandemic process. It was determined that nurses working with COVID
positive patients were exposed to verbal violence at a higher rate by the patient/
relatives (p<0.05).
Conclusion and Recommendations: In this study, it was determined that nurses were negatively affected psychosocially during the pandemic process. Based
on the difficulties experienced by nurses during the pandemic process, it is recommended to plan health policies to improve the negative working conditions of
health workers.

Keywords

COVID-19, Experience, Nursing, Pandemic

References

• Adams, J. G., & Walls, R. M. (2020). Supporting the healthcare workforce during the COVID-19 global pandemic. JAMA, 323, 1439.
• Akkuş, Y., Karacan, Y., Güney, R., & Kurt, B. (2022). Experiences of nurses working with COVID-19 patients: A qualitative study. Clinical Nursing Journal, 31 (9-10), 1243-1257.
• Aspera-Campos, T., Hernández-Carranco, R. G., Gutiérrez-Barrera, A. D. T., & Quintero-Valle, L. M. (2020). Violencia contra el personal de salud antes y durante la contingencia sanitaria COVID-19. Rev Med Inst Mex Seguro Soc, 58(2), 134-143. doi: 10.24875/RMIMSS.M20000125.
• Aygün, H., & Metin, S. (2022). Sağlık çalışanlarına yönelik şiddetin pandemi ile ilişkisi. Anatolian Journal of Emergency Medicine, 5(1), 7-12.
• Bitencourt, M. R., Alarcão, A. C. J., Silva, L. L., Dutra, A. C., Caruzzo, N. M., Roszkowski, I., Bitencourt, M. R., & Marques, V. D. (2021). Predictors of violence against health professionals during the COVID-19 pandemic in Brazil: A cross-sectional study. PLoS One, 16(6):e0253398.
• Cai, J., Sun, W., Huang, J., Gamber, M., Wu, J., & He, G. (2020). Indirect virus transmission in cluster of COVID-19 cases, Wenzhou, China, 2020. Emerging infectious diseases, 26(6), 1343.
• Chen, X., Cheng, F. Z. & Kim, B. G. (2020). Make it memorable: tourism experience, fun, recommendation and revisit ıntentions of chinese outbound tourists. Sustainability, 12(5), 1-24.
• Chew, N. W. S., Lee, G. K. H., Tan, B. Y.Q., Jing, M., Goh, Y., & Ngiam, N. J. H. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun, 88, 559-565. doi: 10.1016/j.bbi.2020.04.049.
• Cohen, P. A., Hall, L. E., John, J. N., & Rapoport, A. B. (2020, June). The early natural history of SARS-CoV-2 infection: clinical observations from an urban, ambulatory COVID-19 clinic. In Mayo Clinic Proceedings, 95(6), 1124-1126.
• Falatah, R. (2021). The impact of the coronavirus disease (COVID-19) pandemic on nurses’ turnover intention: an integrative review. Nursing Reports, 11(4), 787-810.
• Fernández‐Castillo, R. J., González‐Caro, M. D., Fernández‐García, E., Porcel‐Gálvez, A. M., & Garnacho‐Montero, J. (2021). Intensive care nurses’ experiences during the COVID‐19 pandemic: A qualitative study. Nursing in Critical Care, 26(5), 397-406.
• Galehdar, N., Toulabi, T., Kamran, A., & Haydari, H. (2021). Exploring nurses’ perception of taking care of patients with coronavirus disease (COVID‐19): A qualitative study. Nursing Open, 8(1), 171-179.
• Gautam, R. & Sharma, M. (2020). 2019-nCoV pandemic: A disruptive and stressful atmosphere for Indian academic fraternity. Brain, behavior, and immunity, 88, 948.
• Kaçkın, O., Ciydem, E., Acı, OS, & Kutlu, FY (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.
• Lancet, T. (2020). COVID-19 and China: lessons and the way forward. Lancet, 395 (10228), 922. doi: 10.1016/S0140- 6736(20)31637-8.
• Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., & Wu, J. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open, 3(3), 1-12. doi:10.1001/ jamanetworkopen.2020.3976.
• Muz, G., & Erdoğan Yüce, G. (2021). Experiences of nurses caring for patients with COVID‐19 in Turkey: A phenomenological enquiry. Journal of nursing management, 29(5), 1026-1035
• Open Epi Menu. Avaible date: 25.01.2022, Avaible from: http://www.openepi.com
• Özkan Şat, S., Akbaş, P., & Yaman Sözbir, Ş. (2021). Nurses› exposure to violence and their professional commitment during the COVID-19 pandemic. J Clin Nurs, 30(13-14):2036-2047. doi: 10.1111/jocn.15760.
• Santos, J. L. G. D., Balsanelli, A. P., Freitas, E. O., Menegon, F. H. A., Carneiro, I. A., Lazzari, D. D., Menezes, J. A. L., Erdmann, A. L., & Camponogara, S. (2021). Work environment of hospital nurses during the COVID-19 pandemic in Brazil. Int Nurs Rev. 68(2), 228-237. doi: 10.1111/inr.12662.
• Sampaio, F., Sequeira, C., & Teixeira, L. (2020). Nurses’ mental health during the Covid-19 Outbreak: A cross-sectional study. J Occup Environ Med, 62(10), 783-787. doi: 0.1097/JOM.0000000000001987.
• Sarı, C., Adıgüzel, L., & Demirbağ, B. C (2022). Opinions of students studying in associate degree departments related to health requiring professional practice and skills for web-based distance education during the pandemic period: A cross-sectional-descriptive study. Iranian Red Crescent Medical Journal, 24(1),e1374.
• Schierberl Scherr, A. E., Ayotte, B. J., & Kellogg, M. B. (2021). Moderating roles of resilience and social support on psychiatric and practice outcomes in nurses working during the COVID-19 pandemic. SAGE open nursing, 7, 23779608211024213.
• Smiley, R. A., Lauer, P., Bienemy, C., Berg, J. G., Shireman, E., Reneau, K. A., & Alexander, M. (2018). The 2017 national nursing workforce survey. Journal of Nursing Regulation, 9(3), 1-88.
• Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., ... & Wang, H. (2020). A qualitative study on the psychological e perience of caregivers of COVID-19 patients. American Journal of Infection Control, 48(6), 592-598.
• Taylor, S., Landry, C. A., Paluszek, M. M., Rachor, G. S., & Asmundson, G. J. (2020). Anxiety, avoidance and coping during the COVID-19 pandemic: A comprehensive network analysis. Journal of Anxiety Disorders, 76, 102327.
• Withnall, M., Lindelöf, E., Engkvist, O., & Chen, H. (2020). Attention and terminal message generation through neural networks for bioactivity and physico-chemical property prediction. Journal of Cheminformatics, 12(1), 1-18.
• World Health Organızatıon current coronavırus news (2022). Avaible date: 25.08.2022, Avaible from: https://www. who.int.
• Zhang, M., Zhang, P., Liu, Y., Wang, H., Hu, K., & Du, M. (2021). Influence of perceived stress and workload on work engagement in front‐line nurses during COVID‐19 pandemic. Journal of Clinical Nursing, 30(11-12), 1584-1595.