Abstract
Summary
Intruduction: Self-awareness helps the nurses to cope with
stressors such as clinical decision-making and staffing concerns, which
inevitably lead to burnout, tension and fatigue. Laboratory and field studies
indicate that stress affects the organism through the hormones adrenaline and
cortisol. Relaxation techniques are effective in coping with general anxiety. It
has been shown by various studies that the magnetic energy applied at different
frequencies has a healing effect.
Aim: At the end of this
study, the effect of self-awareness training on nurses will have been studied
in depth. With self-awareness training, we aim to achieve reduction in anxiety
and cortisol levels and increase in serotonin hormone.
Methods: The study was conducted semi-experimental between
December 2015 and June 2016. The sample of the study consisted of nurses
working in a private hospital in Istanbul, who agreed to participate in this
study and completed the 6-week program. Demographic data collection form, Questionnaire on
Study, Beck Anxiety Inventory, Maschlach Burnout Inventory, and Blood Test for
Cortisol and Serotonin were applied to the experimental group. The results of
the research were evaluated by using the percentage, frequency, chi-square Independence
test, Kruskall Wallis H and Wilcoxon tests in the SPSS 22.0 program.
Results: As a result of the Maschlach burnout scale; It was
observed that emotional burnout and desensitization decreased after each test,
and that there was a significant difference between the scores obtained after
the survey for anxiety, but the scoring of the scale decreased in the first
period after training and increased in the following period. The level of
cortisol increased in the first part of the study and Serotonin hormone was
also increased. This study shows that there is a relationship between the anxiety
and burnout levels of the nurses in gaining their self-awareness as an
individual before serving.
Keywords
References
- 1. Aycock, N., & Boyle, D. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 13, 183-191.
- 2. Chan AO, Huak CY. Influence of work environment on emotional health in a health care setting. Occupational Medicine 2004; 54 (3): 207 – 212.
- 3. Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D., Deitrick, L., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout. Part III. Holistic Nursing Practice, 19(2), 78–87
- 4. Brathovde, A. (2006). A pilot study: Reiki for self-care of nurses and health care providers. Holistic Nursing Practice, 20(2), 95–102.
- 5. Baltaş, A., Stres ve Başaçıkma Yolları, 1997, Remzi Kitabevi syfa 298
- 6. Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Anxiety symptoms among Chinese nurses and the associated factors: A cross sectional study. BMC Psychiatry 2012; 12 (141): 1 – 9.
- 7. Hinds PS, Puckett P, Donohoe M, Milligan M, Payne K, Phipps S, Davis SE, Martin, GA. The impact of a grief workshop for pediatric oncology nurses on their grief and perceived stress. Journal of Pediatric Nursing 1994; 9 (6): 388 – 397.
- 8. Engler AJ, Cusson RM, Brockett RT, Cannon-Heinrich C, Goldberg MA, West MG, Petow W. Neonatal staff and advanced practice nurses’ perceptions of bereavement/ end-of-life care of families of critically ill and/or dying infants. American Journal of Critical Care 2004; 13 (6): 489 – 498.
- 9. Flannigan, S. (2010). From staff support to wellness empowerment: One hospice’s journey to a meaningful supportive program. Home Healthcare Nurse, 28, 587-595.
- 10. Kirschbaum, C., Prussner, J.C., Stone, A.A., Federenko, I., Gaab, J., Lintz, D., Schommer, N., Hellhammer, D.H., 1995. Persistent high cortisol responses to repeated psychological stress in a subpopulation of healthy men. Psychosom. Med. 57, 468–474.
- 11. Mackenzie CA, Poulin PA, Seidman-Carlson R. A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Applied Nursing Research 2006; 19 (2): 105 – 109.
- 12. McElligott, D., Holz, M. B., Carollo, L., Somerville, S., Baggett, M., Kuzniewski, S., & Shi, Q. (2003). A pilot feasibility study of the effects of touch therapy on nurses. Journal of the New York State Nurses Association, 34(1), 16–24.
- 13. Oschman JL. “Science and Human Energy Field”. Reiki News Magazine, 1(3), 27-44, 2002.
- 14. 0. Sabo B. (2011). Reflecting on the Concept of Compassion Fatigue. The Online Journal of Issues in Nursing, 16(1), Manuscript 1.,
- 15. Spencer, L. (1994). How do nurses deal with their own grief when a patient dies on an intensive care unit, and what help can be given to enable them to overcome their grief effectively? Journal of Advanced Nursing, 19, 1141-1150.
- 16. Starkman, M.N., Schteingart, D.E., 1981. Neuropsychiatric manifestations of patients with Cushing’s syndrome. Arch. Intern. Med. 141, 215–219.
- 17. Whelan, K., & Wishnia, G. S. (2003). Reiki therapy: The benefits to a nurse/Reiki practitioner. Holistic Nursing Practice, 17(4), 209–218.
Abstract
Özet
Giriş:
Özfarkındalık,
hemşirelerin kaçınılmaz olarak yaşadığı tükenmişliğe, gerilime ve yorgunluğa
yol açan klinik karar alma ve kadro oluşturma kaygıları gibi stres etmenleri
ile baş etmesine yardımcı olmaktadır. Genel anksiyete ile başa çıkmada gevşeme
tekniklerinin etkili olduğu ile laboratuvar ve alan çalışmaları stresin,
adrenalin ve kortizol hormonları yoluyla organizmayı etkilediğini
göstermektedir. Elektroensefalogramda farklı frekanslarda uygulanan manyetik
enerjinin şifa etkisi olduğu çeşitli çalışmalarla ortaya konulmuştur.
Amaç:
Günlük yaşamda uzun
süre beta frekansında kalan hemşirelerin özfarkındalık çalışmaları ile beyin
dalgalarını alfaya geçirmeleri sağlanarak stres, anksiyete ve kaygı
seviyelerinin düşürülmesi, tükenmişlik belirtilerinin erken fark edilmesi ve
değişen beyin dalgalarının liderlik özelliklerine katkı sağlaması amaçlanmaktadır.
Yöntem:
Çalışma Aralık
2015-Haziran 2016 tarihleri arasında yarı deneysel olarak yapılmış, örneklemini
İstanbul’da bulunan özel bir hastanede çalışan, bu araştırmaya katılmayı kabul
eden ve 6 haftalık programı tamamlayan hemşireler oluşturmuştur. Deney grubuna
Demografik Veri toplama formu, Çalışma ile ilgili Düşünceleriniz Anketi, Beck
Anksiyete Ölçeği, Maschlach Tükenmişlik
Envanteri ve Kortizol ve Serotonin için kan testi uygulanmıştır. Araştırma
sonuçları SPSS 22.0 programında yüzdelik, frekans, ki-kare Bağımsızlık testi,
Kruskall Wallis H ve Wilcoxon testleri, Friedman testi kullanılarak
değerlendirilmiştir.
Bulgular: Maschlach tükenmişlik
ölçeği uygulama sonucunda; duygusal tükenmişliğin ve duyarsızlaşmanın her testten
sonra azaldığı, kaygı için yapılan anket sonucunda alınan puanlamalar arasında
anlamlı bir fark olduğu ancak ölçeğin puanlamasının eğitimden sonraki ilk
dönemde azaldığı, daha sonraki dönemde arttığı
görülmüştür. Kortizol seviyesinin araştırmanın ilk kısmında yükseldiği,
Serotonin hormonunun da artığı görülmüştür.
Sonuç: Hemşirelerin hizmet
vermeden önce bir birey olarak öz farkındalıklarını kazanmış olmaları ile
mesleklerini yaparken yaşadıkları stres anksiyete kaygı ve tükenmişlik düzeyleri
arasında ilişki olduğu bu çalışma ile gösterilmiştir.
Keywords
References
- 1. Aycock, N., & Boyle, D. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 13, 183-191.
- 2. Chan AO, Huak CY. Influence of work environment on emotional health in a health care setting. Occupational Medicine 2004; 54 (3): 207 – 212.
- 3. Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D., Deitrick, L., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout. Part III. Holistic Nursing Practice, 19(2), 78–87
- 4. Brathovde, A. (2006). A pilot study: Reiki for self-care of nurses and health care providers. Holistic Nursing Practice, 20(2), 95–102.
- 5. Baltaş, A., Stres ve Başaçıkma Yolları, 1997, Remzi Kitabevi syfa 298
- 6. Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Anxiety symptoms among Chinese nurses and the associated factors: A cross sectional study. BMC Psychiatry 2012; 12 (141): 1 – 9.
- 7. Hinds PS, Puckett P, Donohoe M, Milligan M, Payne K, Phipps S, Davis SE, Martin, GA. The impact of a grief workshop for pediatric oncology nurses on their grief and perceived stress. Journal of Pediatric Nursing 1994; 9 (6): 388 – 397.
- 8. Engler AJ, Cusson RM, Brockett RT, Cannon-Heinrich C, Goldberg MA, West MG, Petow W. Neonatal staff and advanced practice nurses’ perceptions of bereavement/ end-of-life care of families of critically ill and/or dying infants. American Journal of Critical Care 2004; 13 (6): 489 – 498.
- 9. Flannigan, S. (2010). From staff support to wellness empowerment: One hospice’s journey to a meaningful supportive program. Home Healthcare Nurse, 28, 587-595.
- 10. Kirschbaum, C., Prussner, J.C., Stone, A.A., Federenko, I., Gaab, J., Lintz, D., Schommer, N., Hellhammer, D.H., 1995. Persistent high cortisol responses to repeated psychological stress in a subpopulation of healthy men. Psychosom. Med. 57, 468–474.
- 11. Mackenzie CA, Poulin PA, Seidman-Carlson R. A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Applied Nursing Research 2006; 19 (2): 105 – 109.
- 12. McElligott, D., Holz, M. B., Carollo, L., Somerville, S., Baggett, M., Kuzniewski, S., & Shi, Q. (2003). A pilot feasibility study of the effects of touch therapy on nurses. Journal of the New York State Nurses Association, 34(1), 16–24.
- 13. Oschman JL. “Science and Human Energy Field”. Reiki News Magazine, 1(3), 27-44, 2002.
- 14. 0. Sabo B. (2011). Reflecting on the Concept of Compassion Fatigue. The Online Journal of Issues in Nursing, 16(1), Manuscript 1.,
- 15. Spencer, L. (1994). How do nurses deal with their own grief when a patient dies on an intensive care unit, and what help can be given to enable them to overcome their grief effectively? Journal of Advanced Nursing, 19, 1141-1150.
- 16. Starkman, M.N., Schteingart, D.E., 1981. Neuropsychiatric manifestations of patients with Cushing’s syndrome. Arch. Intern. Med. 141, 215–219.
- 17. Whelan, K., & Wishnia, G. S. (2003). Reiki therapy: The benefits to a nurse/Reiki practitioner. Holistic Nursing Practice, 17(4), 209–218.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Araştırma Makaleleri |
| Authors | |
| Publication Date | April 26, 2019 |
| Published in Issue | Year 2019 Volume: 1 Issue: 1 |
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