COVID-19 SÜRECİNDE HEMŞİRELERDE MERHAMET YORGUNLUĞU VE BAKIM DAVRANIŞLARI

Abstract

Amaç: Bu çalışma, COVID-19 pandemisi sırasında ön safta çalışan hemşirelerde merhamet yorgunluğu ile bakım davranışları arasındaki ilişkiyi incelemeyi amaçlamaktadır. Yöntem: Bu çalışma tanımlayıcı ve ilişkisel bir araştırma olarak tasarlanmıştır. Araştırma, Türkiye'nin batısında orta büyüklükte bir ilde bulunan bir pandemi hastanesinde ön safta çalışan 122 hemşire ile yürütülmüştür. Veriler Kişisel Bilgi Formu, Merhamet Yorgunluğu Kısa Ölçeği ve Bakım Davranışları Envanteri-24 kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Pearson ve Spearman korelasyon analizleri kullanılmış; korelasyon bulgularının sağlamlığı %95 bootstrap güven aralıkları ile değerlendirilmiştir. Çalışma STROBE Bildirimi doğrultusunda raporlanmıştır. Bulgular: Hemşirelerin merhamet yorgunluğu puan ortalaması 77.29 ± 24.25, bakım davranışları puan ortalaması ise 4.69 ± 0.78 olarak belirlenmiştir. Pearson korelasyon analizinde merhamet yorgunluğu ile bakım davranışları arasında istatistiksel olarak anlamlı, negatif yönlü ve zayıf düzeyde bir ilişki bulunmuştur (r = -0.292, p = 0.001). Spearman korelasyon analizi de bu bulguyu doğrulamıştır (ρ = -0.288, p = 0.001). Sonuç: COVID-19 hastalarına bakım veren hemşirelerin merhamet yorgunluğu düzeylerinin ortalamanın üzerinde, bakım davranışlarının ise yüksek olduğu belirlenmiştir. Merhamet yorgunluğu ile bakım davranışları arasında negatif yönlü ve zayıf düzeyde bir ilişki bulunmuştur. Bu bulgu, merhamet yorgunluğunun bakım davranışlarıyla sınırlı düzeyde ilişkili olabileceğini göstermektedir. Gelecekte yapılacak müdahale çalışmalarında, merhamet yorgunluğuna yönelik farkındalığı artırmayı veya merhamet yorgunluğunu azaltmayı amaçlayan girişimlerin bakım davranışları üzerindeki etkisinin incelenmesi önerilmektedir.

Keywords

• Bakım davranışları
• Merhamet yorgunluğu
• Hemşire
• Pandemi

COMPASSION FATIGUE AND CARING BEHAVIOURS IN NURSES DURING COVID- 19

Abstract

Aim: To examine the relationship between compassion fatigue and caring behaviors among nurses working on the front line during the COVID-19 pandemic. Methods: This descriptive and correlational study was conducted with 122 nurses working on the front line in a pandemic hospital located in western Türkiye. Data were collected using a Personal Information Form, the Compassion Fatigue-Short Scale, and the Caring Behaviors Inventory-24. Descriptive statistics, Pearson correlation analysis, and Spearman correlation analysis were performed. The robustness of the correlation findings was further evaluated using 95% bootstrap confidence intervals. The study was reported in accordance with the STROBE Statement. Results: The nurses' mean compassion fatigue score was 77.29 ± 24.25, whereas the mean caring behaviors score was 4.69 ± 0.78. Pearson correlation analysis demonstrated a statistically significant weak negative correlation between compassion fatigue and caring behaviors (r = −0.292, p = .001). Spearman correlation analysis confirmed this finding (ρ = −0.288, p = .001). Conclusion: Nurses providing care to COVID-19 patients had above-average compassion fatigue and high caring behavior scores. Compassion fatigue was weakly and negatively associated with caring behaviors, suggesting that compassion fatigue may be associated with caring behaviors to a limited extent. Future intervention studies should examine whether interventions aimed at increasing awareness of or reducing compassion fatigue influence caring behaviors.

Keywords

• Care behaviors
• Compassion fatigue
• Nurses
• COVID-19 pandemic.

References

1. 1. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020;8(6):e790-8.
2. 2. Schroeder K, Norful AA, Travers J, Aliyu S. Nursing perspectives on care delivery during the early stages of the COVID-19 pandemic: a qualitative study. Int J Nurs Stud Adv. 2020;2:100006.
3. 3. Pérez-García E, Ortega-Galán ÁM, Ibáñez-Masero O, Ramos-Pichardo JD, Fernández-Leyva A, Ruiz-Fernández MD. Qualitative study on the causes and consequences of compassion fatigue from the perspective of nurses. Int J Ment Health Nurs. 2021;30(2):469-78.
4. 4. Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, et al. Compassion fatigue in healthcare providers: a systematic review and meta-analysis. Nurs Ethics. 2020;27(3):639-65.
5. 5. Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galán ÁM. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs. 2020;29(21-22):4321-30.
6. 6. Süzen H, Çevik K. Relationship between nurses’ professional values and compassion and patience levels. Turkiye Klinikleri J Nurs Sci. 2020;12(4):528-35.
7. 7. Şirin M, Yurttaş A. Cost of nursing care: compassion fatigue. E-J Dokuz Eylul Univ Nurs Fac. 2015;8(2):123-30.
8. 8. Turale S, Meechamnan C, Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev. 2020;67(2):164-7.

9. 9. Joinson C. Coping with compassion fatigue. Nursing. 1992;22(4):116, 118-20.
10. 10. Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs. 2020;29(15-16):2762-4.
11. 11. Aslan ZT, Baykara Mat ST. Examining the relationship between compassion fatigue and caring behaviors in nurses: a cross-sectional study. J Health Nurs Manag. 2024;11(2):362-71.
12. 12. Alankaya N, Atay S, Durmuş N. Investigation of the relationship between the nurses’ compassion fatigue and caring behaviors: a descriptive-correlational study. Mediterr Nurs Midwifery. 2026;6(3):218-24.
13. 13. Yılmaz SG, Bozkul G, Uğraş GA, Doğan H, Kalem HF. Impact of compassion fatigue on care behaviors in intensive care nurses. Bezmialem Sci. 2025;13(2):103-9.
14. 14. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007;370(9596):1453-7.
15. 15. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60.
16. 16. Cohen J. Statistical power analysis for the behavioral sciences [Internet]. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988 [cited 2024 Jan 12]. Available from: https://utstat.toronto.edu/~brunner/oldclass/378f16/readings/CohenPower.pdf
17. 17. Zhan YX, Zhao SY, Yuan J, Liu H, Liu YF, Gui LL, et al. Prevalence and influencing factors on fatigue of first-line nurses combating with COVID-19 in China: a descriptive cross-sectional study. Curr Med Sci. 2020;40(4):625-35.
18. 18. Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsychiatry. 2006;76(1):103-8.
19. 19. Dinç S, Ekinci M. Turkish adaptation, validity and reliability of Compassion Fatigue Short Scale. Curr Approaches Psychiatry. 2019;11(Suppl 1):192-202.
20. 20. Wu Y, Larrabee JH, Putman HP. Caring Behaviors Inventory: a reduction of the 42-item instrument. Nurs Res. 2006;55(1):18-25.
21. 21. Kurşun Ş, Kanan N. Validity and reliability study of the Turkish version of Caring Behaviors Inventory-24. J Anatolia Nurs Health Sci. 2012;15(4):229-35.
22. 22. Demir S. Comparison of normality tests in terms of sample sizes under different skewness and kurtosis coefficients. Int J Assess Tools Educ. 2022;9(2):397-409.
23. 23. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
24. 24. Xia W, Defang W, Xiaoli G, Jinrui C, Weidi W, Junya L, et al. Compassion satisfaction and compassion fatigue in frontline nurses during the COVID-19 pandemic in Wuhan, China. J Nurs Manag. 2022;30(7):2537-48.
25. 25. Zeng L, Liu D, Liang X, Li L, Peng Y, Jin M, et al. The levels and influencing factors of compassion fatigue among new nurses during the COVID-19 pandemic. J Nurs Manag. 2023;2023:4362841.
26. 26. Sevinç E, Çerçi S, Uyurdağ N, Kırmacı M, Şahin BS. Effect of compassion fatigue on caring behaviors in nurses: example of Istanbul. J Nurs Effect. 2025;18(3):392-405.
27. 27. Hamarat AU, Karagözoğlu Ş. Compassion fatigue and coronavirus burnout level among nurses: descriptive study. J Health Sci Inst. 2025;10(2):120-8.
28. 28. Uslu E, Kendirkıran G. Compassion fatigue and risk factors in nurses in the COVID-19 pandemic. E-J Dokuz Eylul Univ Nurs Fac. 2022;15(3):298-306.
29. 29. Darvishpour A, Mahdavi Fashtami S. Investigation of caring behavior and caring burden and their associated factors among nurses who cared for patients with COVID-19 in East Guilan, the north of Iran. Nurs Res Pract. 2023;2023:8567870.
30. 30. Daulay W, Sitanggang R. Caring behavior of nurses in providing nursing care patients during the COVID-19 pandemic. Caring Indones J Nurs Sci. 2023;5(1):24-33.
31. 31. Zahaki Arasteh S, Rezapour-Nasrabad R, Mousavizadeh SN, Nasiri M. Assessment of nurses’ caring behaviors from the perspective of COVID-19 patients. J Patient Exp. 2023;10:1-7.
32. 32. Papasin J. Compassionate care skills among healthcare workers during emerging and re-emerging diseases. Int J Health Bus Anal. 2026;2(1):1-21.
33. 33. Cerit B, Uzun LN. Being a nurse at the ground zero of care in Turkey during the COVID-19 pandemic: a qualitative study. J Relig Health. 2022;61:827-50.
34. 34. Acar D, Askeroğlu A. Exploration of Turkish ICU nurses’ care experiences during the COVID-19 pandemic: a qualitative study. Rev Esc Enferm USP. 2026;60:e20250274.
35. 35. Gurdap Z, Cengiz Z. Compassion fatigue and ethical attitudes in nursing care in intensive care nurses during the COVID-19 pandemic: a cross-sectional study. J Nurs Care Qual. 2023;38(4):312-8.
36. 36. Shirvani A, Sadooghiasl A, Kazemnejad A. The relationship between self-compassion and caring behaviors of nurses working in selected hospitals affiliated to Iran University of Medical Sciences during the COVID-19 pandemic. Iran J Nurs. 2023;36(142):158-71.
37. 37. Ilumo OA. Compassion fatigue among nurses: a systematic literature review [bachelor’s thesis on the Internet]. Vaasa: Novia University of Applied Sciences; 2025 [cited 2026 Jan 26]. Available from: https://urn.fi/URN:NBN:fi:amk-2025121837906.