Ebelerde Mesleki Aidiyetin Merhamet Yorgunluğu ve Yaşam Kalitesine Etkisi
Yıl 2024,
Sayı: 10, 19 - 28, 23.12.2024
İpek Turan
,
Hacer Ünver Koca
Öz
Giriş: Araştırma, ebelerde mesleki aidiyetin merhamet yorgunluğu ve yaşam kalitesine etkisini belirlemek amacıyla yapıldı.
Yöntem: İlişkisel tanımlayıcı nitelikte olan bu araştırma 01.03.2020 ve 15.07.2021 tarihleri arasında Malatya ilinde bulunan 1. ve 2. Basamak sağlık kurumlarında çalışan 410 ebe ile yürütüldü. Veriler çevrimiçi olarak gönderilen web tabanlı bir anket kullanılarak toplandı. Veriler Kişisel Tanıtım Formu, Ebelik Aidiyet Ölçeği, Merhamet Yorgunluğu Kısa Ölçeği ve Çalışanlar için Yaşam Kalitesi Ölçeği ile toplandı.
Bulgular: Araştırmadaki ebelerin yaş ortalaması 33.02, %76.6’ ı lisans mezunu, %62.4’ü evli, %46.8’inin gelir durumunun gidere eşit olduğu, %50.0’ının çocuk sahibi olmadığı, %90.7’sinin ebe olarak aldığı maaşı yeterli bulmadığı, %58.3’ünün iş bulma sorunu yaşamamak için ebelik mesleğini tercih ettiği, %30.7’sinin şuan ASM de çalıştığı, %89.8’nin kurumda idari görevi olmadığı, %48.5’inin vardiya usulü çalıştığı, toplam hizmet süresinin ortalama %9.08 olduğu bulunmuştur. Ebelerin mesleki aidiyet toplam puan ortalaması (75.99 ± 18.94) ile yaşam kalitesi alt boyutu olan tükenmişlik (23.23 ± 5.89) arasında düşük düzeyde negatif yönde, mesleki tatmin (28.91 ± 10.06) ile orta düzeyde pozitif yönde istatistiksel olarak önemli ilişki saptandı (p<0.001). Ayrıca ebelerdeki mesleki tatminin ebelik aidiyetini açıklamada % 20 oranında (p˂0.001), tükenmişliğin ise ebelik aidiyetini açıklamada % 8 oranında istatistiksel öneme sahip olduğu belirlendi (p˂0.05)
Sonuç: Bu araştırma, ebeler arasında mesleki aidiyetin artması ile birlikte mesleki yaşam kalitesinin tükenmişlik alt ölçeğinin azaldığını ve mesleki memnuniyetin arttığını bulmuştur. Ebeler arasında mesleki aidiyeti artırmak için tükenmişlik ve mesleki tatmin kavramlarının vurgulanması ve bu konuda kurumsal politikaların izlenmesi önemlidir.
Kaynakça
- Adams, R.E., Boscarino, J.A., and Figley, C.R. (2006). Compassion fatigue and psychological distress among social workers: A validation study. Am J Orthopsychiatry, 76(1), 103-108. https://doi.org/10.1037/0002-9432.76.1.103
- Ağapınar, S., and Şahin, H.G. (2014). The effects of the levels of burnout midwives working in ağrı on the job satisfaction and empathic tendencies of them. TAF Preventive Medicine Bulletin, 13(2), 141-150. https://doi.org/10.5455/pmb.1-1362145578
- Aktürk, S.O., Kızılkaya, T., Çelik, M., and Yılmaz, T. (2021). Professional belonging levels of midwifery department fınal-year students and affecting factors: a cross-sectional study. J Midwifery and Health Sci, 4(1), 23-33.
- Alrawashdeh, H.M., Al-Tammemi, A.B., Alzawahreh, M.K., Tamimi, A., Elkholy, M., Sarireh, F.A., Abusamak, M., Elehamer, N., Malkawi, A., Al-Dolat, W., Abu-Ismail, L., Al-Far, A., Ghoul, I. (2021). Occupational burnout and job satisfaction among physicians in times of COVİD-19 crisis: a convergent parallel mixed-method study. BMC Public Health 21(1), 811. https://doi.org/10.1186/s12889-021-10897-4
- Arpacıoğlu, S., Baltalı, Z., and Ünübol, B. (2021). Burnout, fear of COVİD, depression, occupational satisfaction levels and related factors in healthcare professionals in the COVİD-19 pandemic. Cukurova Medical Journa, 46(1), 88-100. https://doi:10.17826/cumj.785609
- Aydınol, P., and Üredi, L. (2020). Investigation of the relationship between the primary school teachers' feelings of professional belonging and their satisfaction levels: Mersin province case. International Journal of Society Researches, 16(10), 5681-5703. https://doi.org/10.26466/opus.755487
- Başkaya, Y. (2018). The relationship between Turkish midwives' professional belonging and burnout levels. Institute of Health Sciences, Department of Midwifery. PhD Thesis, Eskişehir: Osmangazi University. doi:10.1007/s10389-023-02031-y
- Başkaya, Y., Sayıner, F.D., and Filiz, Z. (2020). How much do I belong to my profession? A scale development study: Midwifery Belonging Scale. Health Care Women Int 2, 41(8), 883-898. https://doi.org/10.1080/07399332.2020.1716765
- Bay, F., and Ataş, A.N. (2021) 2020 International year of midwifery and nursing: midwifery profession in the shadow of COVID-19. Journal of İzmir Katip Çelebi University Faculty of Health Sciences, 6(1), 49-53.
- Bozgeyikli, H. (2016). Examination of special education teachers’ professional life quality according to demographic features. International Journal of Contemporary Educational Studies, 2 (1), 94-110.
- Cihan, S. (2020). Investigation of the relationship between personality, mercury, and empathy in nurses working in psychiatric services. Institute of Health Sciences, Department of Nursing. Master Thesis, Ankara: Sakarya University.
- Demirbilek, Ö., and Uzman, E. (2021). Compassion fatigue, compassion satisfaction and burnout among 112 emergency health workers - the case of the province of Kayseri. Gümüşhane University Journal of Health Sciences, 10(1), 56-69. https://doi.org/10.37989/gumussagbil.818651
- Derin, N., Ilkım, N.Ş., and Yayan, H. (2018). Expression of professional adherence by professional prestige in nurses. Journal of Hacettepe University Faculty of Nursing, 4(3), 24-37.
- Dikmen, Y., and Aydın, Y. (2016). Compassıon fatıgue ın nurses: What? How? What to do? J Hum Rhythm, 13(2), 14-20. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/3752
- Dinç, S., and Ekinci, M. (2019). Turkish adaptation, validity and reliability of compassion fatigue short scale. Current Approaches in Psychiatry, 11(1), 192-202.
- Evans, J., Taylor, J., Browne, J., Ferguson, S., Atchan, M., Maher, P., Homer, C.S., and Davis, D. (2020). The future in their hands: Graduating student midwives' plans, job satisfaction and the desire to work in midwifery continuity of care. Women Birth, 33(1), e59–e66. https://doi.org/10.1016/j.wombi.2018.11.011
- Gümüşdaş, M., Lazoğlu, M., and Apay, S.E. (2021). X and Y generation: the relationship between nurses 'professional solidarity and job satisfaction. Health and Nursing Management Journal, 8(1), 77-85. https://doi.org/10.17681/hsp.296974
- Hoşgör, D.G., Tanyel, T.Ç., CİN, S., and Bozkurt, S. (2021). Burnout in healthcare professionals during the COVID-19 pandemic: a case of İstanbul province. Eurasian Journal of Researches in Social and Economics, 8(2), 372-386.
- İnce, B., and Yılmaz , S. (2024). Determination Of Belonging, Compassion and Burnout Levels Of Midwives. Selçuk Health Journal, 5(2), 199-217.
- Karaca, Ş. (2019). The effect of mercury fatıgue on patıent safety ın nurses working in intensive care unit. Institute of Health Sciences, Department of Surgical Nursing. Master Thesis, İstanbul: İstinye University, 2019.
- Karakurt, N., and Oral, M. (2021). Investigation of the relationship between occupational satisfaction and mental health status of the staff working in corporate care services in terms of some variables. Bozok Medical Journal Dergisi 2021, 11(1), 108-118. https://doi:10.16919/bozoktip.814069
- Kase, S.M., Waldman, E.D,, and Weintraub, A.S. (2019). A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States. Palliat Support Care, 17(3), 269 – 275. https://doi:10.1017/S1478951517001237
- Kelly, L., Runge, J., and Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. J Nurs Scholarsh, 47(6), 522–8. https://doi.org/10.1111/jnu.12162
- Koca, F. (2018). Investigation of compassion fatigue and related factors in nurses. Health Sciences Institute, Surgical Diseases Nursing Program Master Thesis. Yüksek lisans tezi, İstanbul: Maltepe University.
- Mason, V.M., Leslie, G., Clark, K, Lyons, P, Walke, E., Butler, C, and Griffin, M. (2014). Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. Dimens Crit Care Nurs, 33: 215–225. https://doi: 10.1097/dcc.00000000000000056
- Okoli, C., Seng, S., Otachi, J.K., Higgins, J.T., Lawrence, J., Lykins, A., and Bryant, E. (2020). A cross-sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre. Int J Ment Health Nurs, 29(3), 476–487. doi: https://doi.org/10.1111/inm.12682
- Rice, H., and Warland, J. (2013). Bearing witness: Midwives experiences of witnessing traumatic birth. Midwifery, 29(9), 1056-63. https://doi.org/10.1016/j.midw.2012.12.003
- Sacco, T.L., Ciurzynski, S.M., Harvey, M.E., and Ingersoll, G.L. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Critical care nurse 2015, 35(4), 32–43. https://doi.org/10.4037/ccn2015392
- Sökmen, Y., and Taşpınar, A. (2021). Perception of mercury fatigue in midwifery working in the delivery room: a single case study. Journal of Samsun Health Sciences1, 6(3), 55-62. https://doi.org/10.47115/jshs.775349
- Stamm, B.H. (2005). Professional quality of life scale. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/t05192-000
- Şah n, Ö. (2020). Determı ned to compassı on fatı gue and burnout levels of nurses. Institute of Health Sciences, Department of Community Mental Health Nursing. Master Thesis, Hatay: Hatay Mustafa Kemal University.
- Şeremet, G., and Ekinci, N. (2021). Compassion fatigue, compassion satisfaction and fears of compassion in healthcare employees. Süleyman Demirel University Visionary Journal, 12(29), 330-344. https://doi: 10.21076/vizyoner.722874
- Tanrıkulu, G., and Ceylan, B. (2021). Level of compassion and compassion fatigue in nurses working in pediatric clinics. Journal Of Health Scıences 2021, 30(1), 31-6. https://doi.org/10.34108/eujhs.727445
- Tümkaya, G.S. (2024). Examining the relationship between professional commitment and burnout levels of special education teachers, Çukurova University Journal of Social Sciences Institute, 33 (2),1-19. https://doi.org/10.35379/cusosbil.1297671
- Ulusal, D. (2021). Analysis of the problems experienced by female healthcare professionals during the COVID-19 pandemic. Int J Soc Res, 14(17), 954-965.
- Ünver, H., Aksoy Derya, Y., and Ucar, T. (2020). Relationship between work-related tension level and burnout, organizational commitment and justice levels of the midwives working in delivery units. Journal of Inonu University Health Services Vocational School, 8(3), 893-905. https://doi:10.33715/inonusaglik.747322
- Üzen Cura, Ş., Doğu, Ö., and Karadas, A. (2024). Factors affecting nurses' compassion fatigue: A path analysis study. Arch Psychiatr Nurs, 49:32-37. https://doi:10.1016/j.apnu.2024.01.014.
- Yeşil, A., Ergün, Ü., Amasyalı, C., Er, F., Olgun, N.N., and Aker, A.T. (2010). Validity and reliability of the Turkish version of the professional quality of life scale. Archives of Neuropsychiatry, 47: 111-7. https://doi:10.4274/npa.5210
Effect of Professional Ownership on Compassion Fatigue and Quality of Life among Midwives
Yıl 2024,
Sayı: 10, 19 - 28, 23.12.2024
İpek Turan
,
Hacer Ünver Koca
Öz
Introduction: This study aims to examine the effect of professional belonging on compassion fatigue and quality of life among midwives.
Methods: This relational descriptive study was conducted with 410 midwives working in 1st and 2nd level health institutions in Malatya province between 01.03.2020 and 15.07.2021. Data were collected using a web-based survey sent online. Data were collected using the Personal Introduction Form, Midwifery Belonging Scale, Compassion Fatigue Brief Scale, and Quality of Life Scale for Employees.
Results: The average age of the midwives in the study was 33.02, 76.6% had a bachelor's degree, 62.4% were married, 46.8% had an income equal to their expenses, 50.0% did not have children, 90.7% did not find the salary they received as a midwife sufficient, 58.3% chose the midwifery profession in order not to have problems finding a job, 30.7% were currently working at ASM, 89.8% did not have an administrative position at the institution, 48.5% worked in shifts, and the average total service period was 9.08%. A statistically significant relationship was found between the midwives' professional sense of belonging total mean score (75.99 ± 18.94) and the quality of life sub-dimension burnout (23.23 ± 5.89) at a low level negatively, and a moderately positive relationship with professional satisfaction (28.91 ± 10.06) (p<0.001). In addition, it was determined that professional satisfaction among midwives had a statistical significance of 20% in explaining midwifery affiliation (p˂0.001), while burnout had a statistical significance of 8% in explaining midwifery affiliation (p˂0.05).
Conclusion: This study found that the burnout sub-scale of professional quality of life decreased and professional satisfaction increased with the increase in professional belonging among midwives. The important to emphasize the concepts of burnout and professional satisfaction and to follow institutional policies about this issue to increase professional belonging among midwives.
Etik Beyan
Prior to the study, approval was obtained from the Malatya İnönü University Scientific Research and Publication Ethical Committee (2020/946). In addition, written approvals were obtained from the Provincial Directorate of Health (Number: E.22493).
Destekleyen Kurum
This research was funded by the Inonu University, Scientific Research Projects Unit with project number 2021 / 2517.
Teşekkür
We would like to thank all midwives who participated and supported our research.
Kaynakça
- Adams, R.E., Boscarino, J.A., and Figley, C.R. (2006). Compassion fatigue and psychological distress among social workers: A validation study. Am J Orthopsychiatry, 76(1), 103-108. https://doi.org/10.1037/0002-9432.76.1.103
- Ağapınar, S., and Şahin, H.G. (2014). The effects of the levels of burnout midwives working in ağrı on the job satisfaction and empathic tendencies of them. TAF Preventive Medicine Bulletin, 13(2), 141-150. https://doi.org/10.5455/pmb.1-1362145578
- Aktürk, S.O., Kızılkaya, T., Çelik, M., and Yılmaz, T. (2021). Professional belonging levels of midwifery department fınal-year students and affecting factors: a cross-sectional study. J Midwifery and Health Sci, 4(1), 23-33.
- Alrawashdeh, H.M., Al-Tammemi, A.B., Alzawahreh, M.K., Tamimi, A., Elkholy, M., Sarireh, F.A., Abusamak, M., Elehamer, N., Malkawi, A., Al-Dolat, W., Abu-Ismail, L., Al-Far, A., Ghoul, I. (2021). Occupational burnout and job satisfaction among physicians in times of COVİD-19 crisis: a convergent parallel mixed-method study. BMC Public Health 21(1), 811. https://doi.org/10.1186/s12889-021-10897-4
- Arpacıoğlu, S., Baltalı, Z., and Ünübol, B. (2021). Burnout, fear of COVİD, depression, occupational satisfaction levels and related factors in healthcare professionals in the COVİD-19 pandemic. Cukurova Medical Journa, 46(1), 88-100. https://doi:10.17826/cumj.785609
- Aydınol, P., and Üredi, L. (2020). Investigation of the relationship between the primary school teachers' feelings of professional belonging and their satisfaction levels: Mersin province case. International Journal of Society Researches, 16(10), 5681-5703. https://doi.org/10.26466/opus.755487
- Başkaya, Y. (2018). The relationship between Turkish midwives' professional belonging and burnout levels. Institute of Health Sciences, Department of Midwifery. PhD Thesis, Eskişehir: Osmangazi University. doi:10.1007/s10389-023-02031-y
- Başkaya, Y., Sayıner, F.D., and Filiz, Z. (2020). How much do I belong to my profession? A scale development study: Midwifery Belonging Scale. Health Care Women Int 2, 41(8), 883-898. https://doi.org/10.1080/07399332.2020.1716765
- Bay, F., and Ataş, A.N. (2021) 2020 International year of midwifery and nursing: midwifery profession in the shadow of COVID-19. Journal of İzmir Katip Çelebi University Faculty of Health Sciences, 6(1), 49-53.
- Bozgeyikli, H. (2016). Examination of special education teachers’ professional life quality according to demographic features. International Journal of Contemporary Educational Studies, 2 (1), 94-110.
- Cihan, S. (2020). Investigation of the relationship between personality, mercury, and empathy in nurses working in psychiatric services. Institute of Health Sciences, Department of Nursing. Master Thesis, Ankara: Sakarya University.
- Demirbilek, Ö., and Uzman, E. (2021). Compassion fatigue, compassion satisfaction and burnout among 112 emergency health workers - the case of the province of Kayseri. Gümüşhane University Journal of Health Sciences, 10(1), 56-69. https://doi.org/10.37989/gumussagbil.818651
- Derin, N., Ilkım, N.Ş., and Yayan, H. (2018). Expression of professional adherence by professional prestige in nurses. Journal of Hacettepe University Faculty of Nursing, 4(3), 24-37.
- Dikmen, Y., and Aydın, Y. (2016). Compassıon fatıgue ın nurses: What? How? What to do? J Hum Rhythm, 13(2), 14-20. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/3752
- Dinç, S., and Ekinci, M. (2019). Turkish adaptation, validity and reliability of compassion fatigue short scale. Current Approaches in Psychiatry, 11(1), 192-202.
- Evans, J., Taylor, J., Browne, J., Ferguson, S., Atchan, M., Maher, P., Homer, C.S., and Davis, D. (2020). The future in their hands: Graduating student midwives' plans, job satisfaction and the desire to work in midwifery continuity of care. Women Birth, 33(1), e59–e66. https://doi.org/10.1016/j.wombi.2018.11.011
- Gümüşdaş, M., Lazoğlu, M., and Apay, S.E. (2021). X and Y generation: the relationship between nurses 'professional solidarity and job satisfaction. Health and Nursing Management Journal, 8(1), 77-85. https://doi.org/10.17681/hsp.296974
- Hoşgör, D.G., Tanyel, T.Ç., CİN, S., and Bozkurt, S. (2021). Burnout in healthcare professionals during the COVID-19 pandemic: a case of İstanbul province. Eurasian Journal of Researches in Social and Economics, 8(2), 372-386.
- İnce, B., and Yılmaz , S. (2024). Determination Of Belonging, Compassion and Burnout Levels Of Midwives. Selçuk Health Journal, 5(2), 199-217.
- Karaca, Ş. (2019). The effect of mercury fatıgue on patıent safety ın nurses working in intensive care unit. Institute of Health Sciences, Department of Surgical Nursing. Master Thesis, İstanbul: İstinye University, 2019.
- Karakurt, N., and Oral, M. (2021). Investigation of the relationship between occupational satisfaction and mental health status of the staff working in corporate care services in terms of some variables. Bozok Medical Journal Dergisi 2021, 11(1), 108-118. https://doi:10.16919/bozoktip.814069
- Kase, S.M., Waldman, E.D,, and Weintraub, A.S. (2019). A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States. Palliat Support Care, 17(3), 269 – 275. https://doi:10.1017/S1478951517001237
- Kelly, L., Runge, J., and Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. J Nurs Scholarsh, 47(6), 522–8. https://doi.org/10.1111/jnu.12162
- Koca, F. (2018). Investigation of compassion fatigue and related factors in nurses. Health Sciences Institute, Surgical Diseases Nursing Program Master Thesis. Yüksek lisans tezi, İstanbul: Maltepe University.
- Mason, V.M., Leslie, G., Clark, K, Lyons, P, Walke, E., Butler, C, and Griffin, M. (2014). Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. Dimens Crit Care Nurs, 33: 215–225. https://doi: 10.1097/dcc.00000000000000056
- Okoli, C., Seng, S., Otachi, J.K., Higgins, J.T., Lawrence, J., Lykins, A., and Bryant, E. (2020). A cross-sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre. Int J Ment Health Nurs, 29(3), 476–487. doi: https://doi.org/10.1111/inm.12682
- Rice, H., and Warland, J. (2013). Bearing witness: Midwives experiences of witnessing traumatic birth. Midwifery, 29(9), 1056-63. https://doi.org/10.1016/j.midw.2012.12.003
- Sacco, T.L., Ciurzynski, S.M., Harvey, M.E., and Ingersoll, G.L. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Critical care nurse 2015, 35(4), 32–43. https://doi.org/10.4037/ccn2015392
- Sökmen, Y., and Taşpınar, A. (2021). Perception of mercury fatigue in midwifery working in the delivery room: a single case study. Journal of Samsun Health Sciences1, 6(3), 55-62. https://doi.org/10.47115/jshs.775349
- Stamm, B.H. (2005). Professional quality of life scale. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/t05192-000
- Şah n, Ö. (2020). Determı ned to compassı on fatı gue and burnout levels of nurses. Institute of Health Sciences, Department of Community Mental Health Nursing. Master Thesis, Hatay: Hatay Mustafa Kemal University.
- Şeremet, G., and Ekinci, N. (2021). Compassion fatigue, compassion satisfaction and fears of compassion in healthcare employees. Süleyman Demirel University Visionary Journal, 12(29), 330-344. https://doi: 10.21076/vizyoner.722874
- Tanrıkulu, G., and Ceylan, B. (2021). Level of compassion and compassion fatigue in nurses working in pediatric clinics. Journal Of Health Scıences 2021, 30(1), 31-6. https://doi.org/10.34108/eujhs.727445
- Tümkaya, G.S. (2024). Examining the relationship between professional commitment and burnout levels of special education teachers, Çukurova University Journal of Social Sciences Institute, 33 (2),1-19. https://doi.org/10.35379/cusosbil.1297671
- Ulusal, D. (2021). Analysis of the problems experienced by female healthcare professionals during the COVID-19 pandemic. Int J Soc Res, 14(17), 954-965.
- Ünver, H., Aksoy Derya, Y., and Ucar, T. (2020). Relationship between work-related tension level and burnout, organizational commitment and justice levels of the midwives working in delivery units. Journal of Inonu University Health Services Vocational School, 8(3), 893-905. https://doi:10.33715/inonusaglik.747322
- Üzen Cura, Ş., Doğu, Ö., and Karadas, A. (2024). Factors affecting nurses' compassion fatigue: A path analysis study. Arch Psychiatr Nurs, 49:32-37. https://doi:10.1016/j.apnu.2024.01.014.
- Yeşil, A., Ergün, Ü., Amasyalı, C., Er, F., Olgun, N.N., and Aker, A.T. (2010). Validity and reliability of the Turkish version of the professional quality of life scale. Archives of Neuropsychiatry, 47: 111-7. https://doi:10.4274/npa.5210