THE EFFECTS OF COVID-19 PANDEMIC ON HEALTH MANAGEMENT SYSTEM AND INTERPERSONAL RELATIONS: A MIXED METHOD STUDY OF THE EXPERIENCES OF MIDWIVES AND NURSES

Abstract

Purpose: This study aims to explore how nurses and midwives construct the meanings of the changes due to the pandemic and their post-traumatic stress and secondary traumatic stress in the COVID-19 pandemic. Methods: The study is a mixed method study that consist cross-sectional data and individual interview data. The study was conducted in Turkey, during February 2021. Midwiferies and nurses completed a survey form, Post-Traumatic Stress Disorder Short Scale and Secondary Traumatic Stress Scale at the first stage. Qualitative stage of the study was designed by informing the socio-ecological theory by focusing on participants’ the individual, organizational and societal level experiences. At the second stage, semi-structured interviews with midwives and nurses via video communications were conducted. The thematic analysis was used. Results: Our study showed that midwiferies and nurses experience above of the average post-traumatic stress and secondary traumatic stress during COVID-19 pandemic. In the examination of the lived experiences of nurses and midwives on adaptions of the pandemic conditions, three themes were emerged including: The roles of health managers on pandemic conditions, influences of health-care policies and effects of pandemic on interpersonal relations. Conclusions: This study shows that health organization and management system need to be well adapted to the pandemic conditions for health-care workers’ well-being and effective practices. Successful health management can provide quick and beneficial tools for enhancing well-being among not only healthcare workers but also patients.

Keywords

• Covid-19 Pandemic
• Health Management;
• Midwives;
• Nurses;
• Organization

COVID-19 PANDEMİSİNİN SAĞLIK YÖNETİM SİSTEMİ VE KİŞİLERARASI İLİŞKİLER ÜZERİNDEKİ ETKİLERİ: EBE VE HEMŞİRE DENEYİMLERİNİN KARMA YÖNTEMLE İNCELENMESİ

Öz

Amaç: Bu çalışma, Covid-19 pandemisinin sağlik yönetim sistemi ve kişilerarasi ilişkiler üzerindeki etkilerini belirlemeyi, pandeminin ebe ve hemşirelerde post-travmatik stres ve ikincil travmatik stress oluşumuna nasıl katkı sağladığını keşfetmeyi amaçlamıştır. Yöntem: Çalışma, kesitsel veriler ve bireysel görüşme verilerinden oluşan karma yöntemli bir çalışmadır. Çalışma Türkiye'de Şubat 2021'de gerçekleştirildi. Ebeler ve hemşireler ilk aşamada anket formu, Travma Sonrası Stres Bozukluğu Kısa Ölçeği ve İkincil Travmatik Stres Ölçeği doldurdu. Araştırmanın niteliksel aşaması, katılımcıların bireysel, örgütsel ve toplumsal düzeydeki deneyimlerine odaklanılarak sosyo-ekolojik kurama dayandırılarak tasarlanmıştır. İkinci aşamada ebe ve hemşirelerle görüntülü iletişim yoluyla yarı yapılandırılmış görüşmeler yapılmıştır. Tematik analiz kullanılmıştır. Bulgular: Çalışmamız, ebelerin ve hemşirelerin COVID-19 salgını sırasında ortalamanın üzerinde travma sonrası stres ve ikincil travmatik stres yaşadıklarını göstermiştir. Hemşire ve ebelerin pandemi koşullarına uyum konusunda yaşadıkları deneyimlerin incelenmesinde sağlık yöneticilerinin pandemi koşullarındaki rolleri, sağlık politikalarının etkileri ve pandeminin kişilerarası ilişkilere etkileri olmak üzere üç tema ortaya çıkmıştır. Sonuç: Bu çalışma, sağlık çalışanlarının refahı ve etkili uygulamaları için sağlık organizasyonu ve yönetim sisteminin pandemi koşullarına iyi adapte edilmesi gerektiğini göstermektedir. Başarılı sağlık yönetimi, yalnızca sağlık çalışanları için değil hastalar için de refahı artırmak için hızlı ve faydalı araçlar sağlayabilir.

Anahtar Kelimeler

• Covid-19 pandemisi
• Ebeler
• Hemşireler
• Organizasyon
• Sağlık Yönetimi

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