Pandeminin Ortasında Temel Sağlık Hizmetlerinde Çalışanlarda Tükenmişlik ve Covid Korkularının Belirlenmesi

Year 2024, , 371 - 387, 30.12.2024

Ayşegül Özcan , Hakan Lafçı

https://doi.org/10.47115/jshs.1384858

Abstract

Amaç: Araştırmada sağlık çalışanlarında tükenmişlik ve COVID korku düzeyleri ve buna bağlı etkileyen faktörlerin belirlenmesi amaçlanmıştır.
Yöntem: Tanımlayıcı ve kesitsel tipteki bu araştırmanın evrenini, İç Anadolu’da bulunan bir ilde birinci basamak sağlık hizmetlerinde çalışan sağlık çalışanlarının tümü oluşturmaktadır. Araştırmada örneklem seçimine gidilmeyip, araştırmaya katılmayı kabul eden birinci basamak sağlık çalışanları (n=500) örnekleme dâhil edilmiştir. Araştırmada veriler araştırmacılar tarafından oluşturulan sosyodemogafik soru formu, COVID Korku Ölçeği ve Maslach Tükenmişlik Envanteri ile sağlık çalışanlarından toplanmıştır. Verilerin değerlendirilmesinde tek yönlü MANOVA, Duncan testi ve Pearson korelasyonu kullanılmıştır. Araştırmaya başlamadan önce, Nevşehir Hacı Bektaş Veli Üniversitenin girişimsel olmayan klinik araştırmalar yayın etik kurulundan izin alınmıştır (Sayı:2021.07.214). Veriler tek yönlü MANOVA, Duncan testi ve Pearson korelasyonu kullanılarak değerlendirilmiştir.
Bulgular: COVID geçiren sağlık çalışanlarında duyarsızlaşma tükenmişliği alt boyut puanlarının, yakın çevresinden ve mahalle sakinlerinden dışlayıcı davranışlar hissedenlerde duygusal tükenmişlik alt boyut puanları daha yüksek, gelir düzeyi düşük olanlarda ise kişisel başarı tükenmişliği alt boyut puanları daha düşük olduğu saptanmıştır (p<0.05).
Sonuçlar ve Öneriler: Aile Sağlığı Merkezinde ve kadın sağlık çalışanlarında COVID korkusunun anlamlı düzeyde yüksek olduğu bulunmuştur. Sağlık çalışanlarının hastalık korkusunun, Kovid ile ilgili yazılı veya sözlü haberlere maruz kalma arttıkça arttığı, Kovid korkusu arttıkça mesleki tükenmişlik puanının da arttığı belirlendi. Salgın döneminde sağlık çalışanlarının mesleki tükenmişliğini azaltmak için harekete geçilmelidir.

Keywords

COVID, Sağlık çalışanları, Tükenmişlik, Birinci basamak sağlık hizmetleri

DETERMINATION OF FEARS OF BURNOUT AND COVID EMPLOYEE IN PRIMARY HEALTH SERVICES IN THE MIDDLE OF THE PANDEMIC

Abstract

Aim: This study aimed to assess healthcare workers' burnout levels and fear of COVID, along with the associated factors.
Method: This descriptive and cross-sectional study focuses on all healthcare workers employed in primary healthcare services within a province in Central Anatolia. Instead of using a sampling method, the study included primary healthcare workers who agreed to participate (n=500).In the study, data were collected from healthcare professionals using a sociodemographic questionnaire, COVID-19 Fear Scale and Maslach Burnout Inventory. Before the research began, study Ethics Committee approval was obtained from the Nevşehir Hacı Bektaş Veli University Non-invasive Research Ethics Committee (Approval No. 2021.07.214). Data were analyzed using one-way MANOVA, Duncan's test, and Pearson correlation.
Results: The study revealed that healthcare workers who had contracted COVID reported higher scores in the depersonalization burnout sub-dimension. Emotional burnout scores were significantly higher among those who experienced exclusionary behaviors from their immediate circle or neighbors, while personal achievement burnout scores were lower among those with lower income levels (p<0.05).
Conclusions and Suggestions: Fear of COVID was found to be significantly higher among female healthcare workers and those working at Family Health Centers. Increased exposure to written or spoken news about COVID was associated with heightened fear of the disease, which, in turn, correlated with higher occupational burnout scores. Interventions should be implemented to reduce occupational burnout among healthcare workers during the pandemic.

Keywords

COVID, Healthcare workers, Burnout, Primary health services

References

• Abdelghani, M., El-Gohary H.M., Fouad, E., Hassan, M. (2020). Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sampleof Egyptian physicians during COVID-19 pandemic: a cross-sectional study. Middle East Curr Psychiatry, 27:70, 2-9.
• 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. International Journal of Mental Health and Addiction, 27, 1-9.
• Akbolat, M., Işık, O. (2008). The levels of burnout of health employees: Sample of a public hospital. Hacettepe Journal of Health Administration, 11(2), 229-254.
• Arpacıoğlu, S.,Baltalı, Z.,Ünübol, B.(2021). Burnout, fear of COVID, depression, occupational satisfaction levels and related factors in healthcare professionals in the COVID-19 pandemic. Cukurova Medical Journal, 46(1), 88-100.
• Avan, M., & Şantaş, F. (2024). Determining the pandemic attitude, professional burnout, and intention to leave among family medicine workers during the COVID-19 pandemic. Çankırı Karatekin University Journal of the Faculty of Economics & Administrative Sciences, 14(1).
• Bakioğlu, F., Korkmaz, O., Ercan, H. (2020). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 1-14.
• Barbosa-Camacho, F. J., García-Reyna, B.,Cervantes-Cardona, G. A.,Cervantes-Pérez, E., Havarria-Avila, E., Pintor-Belmontes, K. J.,… Guevara, G. C. (2021). Comparison of fear of COVID-19 in medical and nonmedical personnel in a public hospital in Mexico: A brief report. International Journal of Mental Health and Addiction 21, 383–394.
• Bulut, H., Bozkurt, C., Kamiloğlu, D., & Kızıloğlu, İ. (2024). Examining the relationship between COVID-19 fear and burnout among healthcare workers in a pandemic hospital. Sağlık Akademisi Kastamonu, 9(1), 46-60.
• Çalışkan, P. S., & Metintaş, S. (2020). Healthcare workers during the COVID-19 pandemic. ESTÜDAM Halk Sağlığı Dergisi, 5 (COVID-19 Special Issue), 0-2.
• Çevik, O., Özbalcı, A.A. (2020). The relationship between burnout levels and demographic characteristics of health workers: The case of Samsun. Manas Journal of Social Studies, 9(3), 1773-1787.
• Chen, J., Liu, X., Wang, D., Jin, Y., He, M., Yanling, M.,…Hou, X. (2021). Risk factors for depression and anxiety in healthcare workers deployed during the COVID-19 outbreak in China. Social Psychiatry and Psychiatric Epidemiology, 56, 47-55.
• Çam, O. (1991). Hemşirelerde tükenmişlik sendromunun araştırılması (Unpublished doctoral thesis). Ege University, Institute of Health Sciences.
• Ergin, C. (1993). Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. In R. Bayraktar & I. Dağ (Eds.), VII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları (pp. 143-160). Ankara: VII. Ulusal Psikoloji Kongresi Düzenleme Kurulu ve Türk Psikologlar Derneği Yayını.
• Ergin, C. (1996). Maslach tükenmişlik ölçeğinin Türkiye sağlık personeli normları. 13. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi, 4(1), 28-33.
• Dagne, H., Atnafu, A., Alemu, K., Azale, T., Yitayih, S., Dagnew, B.,…Simegn, W. (2021). Anxiety and associated factors among Ethiopian health professionals at early stage of COVID-19 pandemic in Ethiopia. Plos One, 16(6), e0252664.
• Demir, E., Saatçioğlu, Ö., İmrol, F. (2016). Uluslararası dergilerde yayımlanan eğitim araştırmalarının normallik varsayımları açısından incelenmesi. Current Research in Education, 2(3), 130-148.
• Dunlop, C., Howe, A., Li, D., Allen, L. N. (2020). The coronavirus outbreak: The central role of primary care in emergency preparedness and response.BJGP Open, 4(1), bjgpopen20X101041.
• Dyer, G. S. M., Harris, M.B. (2020). What’s important: Facing fear in the time of COVID-19. The Journal of Bone and Joint Surgery, 102(11), 929–930.
• Enli, T. F., Koyuncu, E.,Özel, Ş. (2020). A review of protective and risk factors affecting psychosocial health of healthcare workers in pandemics. Ankara Medical Journal, 20(2), 488-504.
• Ergin, C. (1992). Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal Psikoloji Kongresi, September 22, 1992, Ankara, Turkey. (Internet).
• Göksu, Ö., Kumcağız, H. (2020). Perceived stress level and anxiety levels in individuals during the COVID-19 pandemic. Turkish Studies Journal, 15(4), 463–479.
• Hoşgör, D.G.,Tanyel, T.Ç.,Cin,S.,Bozkurt, S. (2021). Burnout in healthcare professionals during the COVID-19 pandemic: A case of Istanbul province. Eurasian Journal of Researches in Social and Economics, 8(2), 372-386.
• Hoşgör, H., & Yaman, M. (2021). Investigation of the relationship between psychological resilience and job performance in Turkish nurses during the COVID-19 pandemic in terms of descriptive characteristics. Journal of Nursing Management, 30, 44–52.
• Huang, J. Z., Han, M. F., Luo, T. D., Ren, A. K., & Zhou, X. P. (2020). Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Chinese Journal of Industrial Hygiene and Occupational Diseases, 38(3), 192-195.
• Gürer, A.,& Gemlik, H. N.(2020). A qualitative study on the problems and solution proposals of healthcare employees in the field during the COVID-19 pandemic process. Journal of Health Services and Education, 4(2), 45-52.
• Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., &Yang, X. B. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3), e14.
• Karahan, H. (2020). Frequency and demographic characteristics of burnout syndrome in healthcare professionals working in emergency. Anatolian Journal of Emergency Medicine, 3(3), 81-84.
• LaFaver, K., Miyasaki, J. M., Keran, C. M., Rheaume, C., Gulya, L., Levin, K. H.,… Busis N.A. (2018). Age and sex differences in burnout, career satisfaction, and well-being in US neurologists. Neurology, 0(0), 1-14.
• Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N.,….Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976.
• Lu, W., Wang, H., Lin, Y., & Li, L.(2020). Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research, 288, 112936.
• Maslach, C., & Jackson, S. E.(1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113.
• Maslach, C., Schaufeli, W. B., & Leiter, M. P.(2001). Job burnout. Annual Review of Psychology, 52, 397-422.
• Mora-Magana, I., Lee, S. A., Maldonado-Castellanos, I., Jiménez-Gutierrez, C., Mendez-Venegas, J., Maya-Del-Moral, A.,… Jobe, C. M. (2022). Coronaphobia among healthcare professionals in Mexico: A psychometric analysis. Death Studies, 46(2), 280-289.
• Nabi, R. L., & Myrick, J. G.(2019). Uplifting fear appeals: Considering the role of hope in fear-based persuasive messages. Health Communication, 34(4), 463–474.
• Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S.,…Christine, A. S.(2021). Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study. EClinical Medicine, 35, 1-9.
• Purvanova, R. K., & Muros, J. P.(2010). Gender differences in burnout: A meta-analysis. Journal of Vocational Behavior, 77(2), 168.
• Sasangoha, F., Jones, S. L., Masud, F. N., Vahidy, F. S., & Kash, B. A.(2020). Provider burnout and fatigue during the COVID-19 pandemic: Lessons learned from a high-volume intensive care unit. Anesthesia & Analgesia, 131(1), 106-111.
• Shaukat, N., Ali, D. M., & Razzak, J.(2020). Physical and mental health impacts of COVID-19 on healthcare workers: A scoping review. International Journal of Emergency Medicine, 13(1), 1-8.
• Satici, B., Gocek-Tekin, E., Deniz, M. E., & Satici, S. A.(2020). Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction, 19(6), 1-9.
• Stanetić, K., Petrović, V., Marković, B., & Stanetić, B.(2019). The presence of stress, burnout syndrome, and the most important causes of working stress among physicians in primary health care—An observational study from Banja Luka, Bosnia and Herzegovina. Acta Medica Academica, 48(2), 159-166.
• Varol, G., & Tokuç, B.(2020). The evaluation of COVID-19 pandemic course in Turkey in public health aspects. Namık Kemal Medical Journal, 8(3), 579-594.
• Türkili, S., Uysal, Y., Tot, Ş., & Mert, E.(2021). Examination of challenges, anxiety, and burnout among family physicians due to the coronavirus outbreak. Turkish Journal of Family Medicine and Primary Care, 15(2), 348-356.
• Xiang, Y. T., Jin, Y., Wang, Y., Zhang, Q., Zhang, L., & Cheung, T.(2020). Tribute to health workers in China: A group of respectable populations during the outbreak of the COVID-19. International Journal of Biological Sciences, 16(10), 1739-1740.
• Van Bavel, J. J., Baicker, K., Boggio, P. S., Capraro, V., Cichocka, A., Cikara, M.(2020). Using social and behavioral science to support COVID-19 pandemic response. Nature Human Behavior, 4(5), 460-471.
• WHO. Coronavirus Disease Situation Report. https://www.worldometers.info/coronavirus ( Verified 28 August 2023).
• Yüncü, V.,Yılan, Y.(2020). Investigating the impacts of COVID-19 pandemic on healthcare staff: A case study. Igdır University Journal of Social Sciences, 2, 373-374.