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Working in psychiatric clinics during the Covid-19 pandemic: A qualitative study

Yıl 2024, Cilt: 11 Sayı: 4, 515 - 522, 31.12.2024

Öz

Introduction and Aim: This study aims to investigate the difficulties and impacts experienced by nurses and psychiatrists working in psychiatry clinics during the COVID-19 pandemic. Material and Methods: This study was designed as a qualitative study. Data were collected through face-to-face, semi-structured interviews with 16 psychiatrists and nurses working in psychiatry clinics in Turkey in 2021. The data were analysed using the MAXQDA 20th program. Results: The three themes that were established during the analysis were the changes made during the COVID-19 process, the difficulties experienced, and recommendations about the problems. Conclusion: The study clearly defined the precautions and changes made during the COVID-19 pandemic process and revealed the impact and difficulties faced by healthcare personnel. It was determined that the process can be managed better by strengthening the physical conditions of the clinics, increasing the number of protective equipment, organizing the working conditions, and providing therapeutic interventions for the staffs by the managers.

Etik Beyan

Ethics committee approval was received for this study from the University of Health Sciences Hamidiye Scientific Research Ethics Committee. (Decision Number: 21/378 Date: 09.07.2021).

Kaynakça

  • Akcan, F.A., Oneç, K., Annakkaya, A., Pehlivan, M., Karaduman, Z.O., Balbay, Ö. et al. (2020). Düzce University Hospital in the pandemic process: From the perspective of chief medical doctor. Konuralp Medical Journal, 12(1), 354–357. https://doi.org/10.1371/10.18521/ktd.768865
  • Collaizzi, P. (1978). Psychological research as a phenomenologist views it. Valle RS , King M, editors. Existential-phenomenological Alternatives for Psychology. Oxford University Press.
  • Csigó, K., Ritzl, A. (2021). First reactions and attitudes of psychiatric workers in Budapest Psychiatric Care Units regarding the COVID-19 pandemic. Prim Care Companion CNS Disord, 23(3). https://doi.org/10.4088/PCC.20m02850
  • Chen, J., Xiong, M., O, Z., Shi ,W., Yue, Y., He, M., et al. (2020a). The enclosed ward management strategies in psychiatric hospitals during COVID-19 outbreak. Globalization and Health, 16(1). https://doi.org/10.1186/s12992-020-00586-z
  • Chen, Y., Zhou, H., Zhou, Y., Zhou, F. (2020b). Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. Psychiatry Res, 288. https://doi.org/10.1016/j.psychres.2020.113005
  • Chun, J.Y., Jun, J.Y., Choi, J., Jo, M., Kwak, K., Jeong, Y., et al. (2021). Coronavirus disease 2019 outbreak in a psychiatric closed ward: What we have to learn. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.579235
  • Druss, B.G. (2020). Addressing the COVID-19 pandemic in populations with serious mental illness. JAMA Psychiatry, 77(9), 891–892. https://doi.org/10.1001/jamapsychiatry.2020.0894
  • Ergun, G., Isik, I., Dikec, G. (2019). The examination of some aspects of the therapeutic environment of psychiatric ınpatient clinics in Turkey. Clin Exp Health Sci, 9(1), 14-20. https://doi.org/10.5152/clinexphealthsci.2018.790
  • Kackin, O., Ciydem, E., Aci, O.S., Kutlu, F.Y. (2021). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study, Int J Soc Psychiatry, 67(2), 158-167. https://doi.org/10.1177/0020764020942788
  • Kavoor, A.R. (2020). COVID-19 in people with mental illness: challenges and vulnerabilities. Asian J Psychiatr, 51, e102051. https://doi.org/10.1016/j.ajp.2020.102051
  • Kushal, S,A., Amin, Y.M., Mubassara, L., Alam, M.M., Chakraborty, P.A. (2020). Managing SARS-CoV-2 outbreak challenges in psychiatric hospitals of Bangladesh. Public Health in Practice, 1, e100041. https://doi.org/10.1016/j.puhip.2020.100041
  • Li, L., Roberts, S.C., Kulp, W., Wing, A., Barnes, T., Colandrea, N., et al. (2021). Epidemiology, infection prevention, testing data, and clinical outcomes of COVID-19 on five inpatient psychiatric units in a large Academic Medical Center. Psychiatry Res, 298, e113776. https://doi.org/10.1016/j.psychres.2021.113776 Lincoln, Y., Guba, E. (1985). Naturalistic inquiry. SAGE Publications.
  • Liu, Q., Luo, D., Haase, J.E., Guo, Q., Wang, X.Q., Liu, S. et al. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health,b8(6),be790–e798. https://doi.org/10.1016/S2214-109X(20)30204-7
  • Loewenstein, K., Saito, E., Linder, H. (2020). Lessons learned from a mental health hospital: Managing COVID-19. J Nurs Adm, 50(11), 598–604. https://doi.org/10.1097/NNA.0000000000000943 National Institute of Mental Health and Neurosciences (NIMHN). (2020). Guidelines on Managing Mental Illness in Hospital Setting during COVID-19. https://www.mohfw.gov.in/pdf/GuidelinesforDeliveryofMentalMentalHealthcareServicesduringtheCOVID19.pdf
  • Psychiatric Association of Turkey (PHT). (2020). Precautions to be taken regarding COVID-19 in psychiatric inpatient clinics. https://psikiyatri.org.tr/2149/psikiyatri-yatan-hasta-kliniklerinde-covid-19-ile-ilgili-alinabilecek-onlemler
  • Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S. et al. (2020). Psychological impact of the Covid-19 pandemic on healthcare workers: A cross-sectional study in China. Gen Psychiatr, 33(3), e100259. https://doi.org/10.1136/gpsych-2020-100259
  • Republic of Turkey Ministry of Health (RTMH). (2021, March 9). Guidelines for Working in Health Institutions and Infection Control Measures in the COVID-19 Pandemic, Turkey Republic of Ministry of Health. https://covid19.saglik.gov.tr/Eklenti/40282/0/covid19-saglikkurumlarindacalismarehberiveenfeksiyonkontrolonlemleripdf.pdf
  • Seyedin, H., Rostamian, M., Shirazi, G.B., Larijani, H.A. (2023). Challenges of providing health care in complex emergencies: a systematic review. Disaster Medicine and Public Health Preparedness,17, e56. https://doi.org/10.1017/dmp.2021.312
  • Shao, Y., Shao, Y., Fei, J.M. (2020). Psychiatry hospital management facing COVID-19: From medical staff to patients. Brain, Behav Immun, 88, 947. https://doi.org/10.1016/j.bbi.2020.04.018
  • Simsek Arslan, B., Buldukoglu, 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
  • Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L. et al. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
  • Sverd, S.S., Gardner, L.E., Cabassa, J.A., Schneider, M., Noone, R.H., Jahdi, M.H. et al. (2021). A Bronx tale: Exposure, containment and care on inpatient psychiatry units during COVID-19. General Hospital Psychiatry, 69, 121–123. https://doi.org/10.1016/j.genhosppsych.2020.07.010
  • Tong, A., Sainsbury, P., Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
  • Turkozer, H.B., Ongur, D. (2020). A projection for psychiatry in the post-COVID-19 era: Potential trends, challenges, and directions. Molecular Psychiatry, 25, 2214–2219. https://doi.org/10.1038/s41380-020-0841-2
  • Wu, D., Jiang, C., He, C. (2020) Stressors of nurses in psychiatric hospitals during the COVID-19 outbreak. Psychiatry Research, 288. https://doi.org/10.1016/j.psychres.2020.112956
  • Xiang, Y.T., Zhao, Y.J., Liu, Z.H., Li, X.H., Zhao, N., Cheung, T., et al. (2020). The COVID-19 outbreak and psychiatric hospitals in China: Managing challenges through mental health service reform. Int J Biol Sci, 16(10), 1741–1744. https://doi.org/10.7150/ijbs.45072
  • Yucesan, B., Ozkan, O. (2020). Evaluation of the COVID-19 pandemic process in terms of health management. Eurasian, 3(COVID-19 Special Issue), 134–139.
  • Zhang, W.R., Wang, K., Yin, L., Zhao, W.F., Xue, Q., Peng, M. et al. (2020). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom, 89(4), 242–250. https://doi.org/10.1159/000507639
  • Zhu, Y., Chen, L., Ji, H., Xi, M., Fang, Y., Li, Y. (2020). The risk and prevention of novel coronavirus pneumonia infections among inpatients in psychiatric hospitals. Neuroscience Bulletin, 36(3), 299–302. https://doi.org/10.1007/s12264-020-00476-9

COVID-19 pandemisinde psikiyatri kliniklerinde çalışmak: Niteliksel bir çalışma

Yıl 2024, Cilt: 11 Sayı: 4, 515 - 522, 31.12.2024

Öz

Giriş ve Amaç: Bu çalışma, psikiyatri kliniklerinde çalışan hemşire ve psikiyatristlerin COVID-19 salgını sırasında yaşadıkları zorlukları ve etkilerini araştırmayı amaçlamaktadır. Gereç ve Yöntemler: Bu çalışma nitel bir çalışma olarak tasarlandı. Veriler, 2021 yılında Türkiye'deki psikiyatri kliniklerinde çalışan 16 hemşire ve psikiyatrist ile yüz yüze, yarı yapılandırılmış görüşmeler yoluyla toplandı. Veriler, MAXQDA 20. programı kullanılarak analiz edildi. Bulgular: Analiz sonucunda COVID-19 sürecinde yapılan değişiklikler, yaşanan zorluklar ve sorunlara yönelik öneriler olmak üzere üç tema belirlendi.
Sonuç: Çalışma sonuçları COVID-19 pandemisi sürecinde alınan önlemleri ve değişiklikleri net bir şekilde tanımlayarak sağlık personelinin karşılaştığı etkiyi ve zorlukları ortaya koymaktadır. Kliniklerin fiziki koşullarının güçlendirilmesi, koruyucu ekipman sayısının artırılması, çalışma koşullarının düzenlenmesi, personele yönelik tedavi edici müdahalelerin yöneticiler tarafından sağlanmasıyla sürecin daha iyi yönetilebileceği düşünülmektedir.

Kaynakça

  • Akcan, F.A., Oneç, K., Annakkaya, A., Pehlivan, M., Karaduman, Z.O., Balbay, Ö. et al. (2020). Düzce University Hospital in the pandemic process: From the perspective of chief medical doctor. Konuralp Medical Journal, 12(1), 354–357. https://doi.org/10.1371/10.18521/ktd.768865
  • Collaizzi, P. (1978). Psychological research as a phenomenologist views it. Valle RS , King M, editors. Existential-phenomenological Alternatives for Psychology. Oxford University Press.
  • Csigó, K., Ritzl, A. (2021). First reactions and attitudes of psychiatric workers in Budapest Psychiatric Care Units regarding the COVID-19 pandemic. Prim Care Companion CNS Disord, 23(3). https://doi.org/10.4088/PCC.20m02850
  • Chen, J., Xiong, M., O, Z., Shi ,W., Yue, Y., He, M., et al. (2020a). The enclosed ward management strategies in psychiatric hospitals during COVID-19 outbreak. Globalization and Health, 16(1). https://doi.org/10.1186/s12992-020-00586-z
  • Chen, Y., Zhou, H., Zhou, Y., Zhou, F. (2020b). Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. Psychiatry Res, 288. https://doi.org/10.1016/j.psychres.2020.113005
  • Chun, J.Y., Jun, J.Y., Choi, J., Jo, M., Kwak, K., Jeong, Y., et al. (2021). Coronavirus disease 2019 outbreak in a psychiatric closed ward: What we have to learn. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.579235
  • Druss, B.G. (2020). Addressing the COVID-19 pandemic in populations with serious mental illness. JAMA Psychiatry, 77(9), 891–892. https://doi.org/10.1001/jamapsychiatry.2020.0894
  • Ergun, G., Isik, I., Dikec, G. (2019). The examination of some aspects of the therapeutic environment of psychiatric ınpatient clinics in Turkey. Clin Exp Health Sci, 9(1), 14-20. https://doi.org/10.5152/clinexphealthsci.2018.790
  • Kackin, O., Ciydem, E., Aci, O.S., Kutlu, F.Y. (2021). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study, Int J Soc Psychiatry, 67(2), 158-167. https://doi.org/10.1177/0020764020942788
  • Kavoor, A.R. (2020). COVID-19 in people with mental illness: challenges and vulnerabilities. Asian J Psychiatr, 51, e102051. https://doi.org/10.1016/j.ajp.2020.102051
  • Kushal, S,A., Amin, Y.M., Mubassara, L., Alam, M.M., Chakraborty, P.A. (2020). Managing SARS-CoV-2 outbreak challenges in psychiatric hospitals of Bangladesh. Public Health in Practice, 1, e100041. https://doi.org/10.1016/j.puhip.2020.100041
  • Li, L., Roberts, S.C., Kulp, W., Wing, A., Barnes, T., Colandrea, N., et al. (2021). Epidemiology, infection prevention, testing data, and clinical outcomes of COVID-19 on five inpatient psychiatric units in a large Academic Medical Center. Psychiatry Res, 298, e113776. https://doi.org/10.1016/j.psychres.2021.113776 Lincoln, Y., Guba, E. (1985). Naturalistic inquiry. SAGE Publications.
  • Liu, Q., Luo, D., Haase, J.E., Guo, Q., Wang, X.Q., Liu, S. et al. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health,b8(6),be790–e798. https://doi.org/10.1016/S2214-109X(20)30204-7
  • Loewenstein, K., Saito, E., Linder, H. (2020). Lessons learned from a mental health hospital: Managing COVID-19. J Nurs Adm, 50(11), 598–604. https://doi.org/10.1097/NNA.0000000000000943 National Institute of Mental Health and Neurosciences (NIMHN). (2020). Guidelines on Managing Mental Illness in Hospital Setting during COVID-19. https://www.mohfw.gov.in/pdf/GuidelinesforDeliveryofMentalMentalHealthcareServicesduringtheCOVID19.pdf
  • Psychiatric Association of Turkey (PHT). (2020). Precautions to be taken regarding COVID-19 in psychiatric inpatient clinics. https://psikiyatri.org.tr/2149/psikiyatri-yatan-hasta-kliniklerinde-covid-19-ile-ilgili-alinabilecek-onlemler
  • Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S. et al. (2020). Psychological impact of the Covid-19 pandemic on healthcare workers: A cross-sectional study in China. Gen Psychiatr, 33(3), e100259. https://doi.org/10.1136/gpsych-2020-100259
  • Republic of Turkey Ministry of Health (RTMH). (2021, March 9). Guidelines for Working in Health Institutions and Infection Control Measures in the COVID-19 Pandemic, Turkey Republic of Ministry of Health. https://covid19.saglik.gov.tr/Eklenti/40282/0/covid19-saglikkurumlarindacalismarehberiveenfeksiyonkontrolonlemleripdf.pdf
  • Seyedin, H., Rostamian, M., Shirazi, G.B., Larijani, H.A. (2023). Challenges of providing health care in complex emergencies: a systematic review. Disaster Medicine and Public Health Preparedness,17, e56. https://doi.org/10.1017/dmp.2021.312
  • Shao, Y., Shao, Y., Fei, J.M. (2020). Psychiatry hospital management facing COVID-19: From medical staff to patients. Brain, Behav Immun, 88, 947. https://doi.org/10.1016/j.bbi.2020.04.018
  • Simsek Arslan, B., Buldukoglu, 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
  • Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L. et al. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
  • Sverd, S.S., Gardner, L.E., Cabassa, J.A., Schneider, M., Noone, R.H., Jahdi, M.H. et al. (2021). A Bronx tale: Exposure, containment and care on inpatient psychiatry units during COVID-19. General Hospital Psychiatry, 69, 121–123. https://doi.org/10.1016/j.genhosppsych.2020.07.010
  • Tong, A., Sainsbury, P., Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
  • Turkozer, H.B., Ongur, D. (2020). A projection for psychiatry in the post-COVID-19 era: Potential trends, challenges, and directions. Molecular Psychiatry, 25, 2214–2219. https://doi.org/10.1038/s41380-020-0841-2
  • Wu, D., Jiang, C., He, C. (2020) Stressors of nurses in psychiatric hospitals during the COVID-19 outbreak. Psychiatry Research, 288. https://doi.org/10.1016/j.psychres.2020.112956
  • Xiang, Y.T., Zhao, Y.J., Liu, Z.H., Li, X.H., Zhao, N., Cheung, T., et al. (2020). The COVID-19 outbreak and psychiatric hospitals in China: Managing challenges through mental health service reform. Int J Biol Sci, 16(10), 1741–1744. https://doi.org/10.7150/ijbs.45072
  • Yucesan, B., Ozkan, O. (2020). Evaluation of the COVID-19 pandemic process in terms of health management. Eurasian, 3(COVID-19 Special Issue), 134–139.
  • Zhang, W.R., Wang, K., Yin, L., Zhao, W.F., Xue, Q., Peng, M. et al. (2020). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom, 89(4), 242–250. https://doi.org/10.1159/000507639
  • Zhu, Y., Chen, L., Ji, H., Xi, M., Fang, Y., Li, Y. (2020). The risk and prevention of novel coronavirus pneumonia infections among inpatients in psychiatric hospitals. Neuroscience Bulletin, 36(3), 299–302. https://doi.org/10.1007/s12264-020-00476-9
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma
Yazarlar

Elvan Emine Ata 0000-0002-5920-8207

Merve Sarıtaş 0000-0002-9489-3553

Azize Gözde Atakoğlu 0000-0001-7083-6514

Yayımlanma Tarihi 31 Aralık 2024
Gönderilme Tarihi 9 Mayıs 2024
Kabul Tarihi 28 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 4

Kaynak Göster

APA Ata, E. E., Sarıtaş, M., & Atakoğlu, A. G. (2024). Working in psychiatric clinics during the Covid-19 pandemic: A qualitative study. Sağlık Akademisyenleri Dergisi, 11(4), 515-522.
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