Pediatri Hemşirelerinde Ahlaki Duyarlılık ve Merhamet Yorgunluğu: Tanımlayıcı-Korelasyonel Bir Araştırma

Yıl 2025, Cilt: 7 Sayı: 3, 675 - 685, 19.12.2025

Tuğba Özdemir , Selen Özakar Akça

https://doi.org/10.46413/boneyusbad.1508639

https://izlik.org/JA53ZP34XD

Öz

Amaç: Bu çalışmada amaç pediatri hemşirelerinin ahlaki duyarlılığı ile merhamet yorgunluğu düzeylerinin belirlenmesi ve bu iki değişken arasındaki ilişkinin incelenmesidir.
Gereç ve Yöntem: Bu çalışma; tanımlayıcı-korelasyonel niteliktedir. Kasım 2021-Mayıs 2022 tarihleri arasında araştırmaya katılmayı kabul eden pediatri kliniklerinde çalışan 110 hemşire ile yürütülmüştür. Araştırmada veriler toplanırken Kişisel Bilgi Formu, Ahlaki Duyarlılık Anketi ve Merhamet Yorgunluğu Kısa Ölçeği kullanılmıştır. Veriler One-Sample Kolmogorov-Smirnov testi, Bağımsız Örneklem T testi, Mann-Whitney U testi ve Kruskal-Wallis H testi kullanılarak analiz edildi.
Bulgular: Hemşirelerin Ahlaki Duyarlılık Anketi (70.5 ± 17.7) ve Merhamet Yorgunluğu Kısa Ölçeği (86.8 ± 13.9) toplam puanları yüksektir. 1-5 yıl arasında çalışan pediatri hemşirelerinin, 6-10 yıl arasında çalışanlara, mesleği sevmeden yapanların severek yapanlara ve mesleği istemeden seçenlerin isteyerek seçenlere göre Ahlaki Duyarlılık Anket puan ortalamaları anlamlı düzeyde yüksektir (p<0.05). 40 yaş üzeri hemşirelerin 29 yaş ve altı hemşirelere, 1 yıldan az çalışanların 11 yıl ve üzeri çalışma yılına sahip olanlara göre Merhamet Yorgunluğu Kısa Ölçeği puan ortalamaları anlamlı düzeyde yüksektir (p<0,05). Hemşirelerin ahlaki duyarlılığı ile merhamet yorgunluğu puanları arasında negatif yönde, düşük düzeyde bir ilişki vardır (r=-0.193, p<0.05).
Sonuç: Pediatri hemşirelerinin ahlaki duyarlılığı ile merhamet yorgunluğu düzeyleri yüksektir. Hemşirelerin ahlaki duyarlılıkları azaldıkça merhamet yorgunlukları artmaktadır. Hemşirelerde ahlaki duyarlılığı ile merhamet yorgunluğu düzeylerinin belirlenmesi ve aralarındaki ilişkinin incelenmesi için yapılacak çalışmaların, daha büyük örneklem grubuyla, geniş çeşitliliğe sahip tanıtıcı özellikler gösteren hemşireler üzerinde gerçekleştirilmesi önerilmektedir.

Anahtar Kelimeler

Ahlaki duyarlılık , Pediatri Hemşireliği , Merhamet Yorgunluğu

Etik Beyan

Bu çalışma için etik kurul onayı Hitit Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu'ndan alınmıştır (Tarih: 09.04.2021 ve Sayı No: 2021-92). Bu çalışma "Pediatri hemşirelerinin etik duyarlılığı ile merhamet yorgunluğu arasındaki ilişki" başlıklı tezden türetilmiştir.

Destekleyen Kurum

Bulunmamaktadır.

Moral Sensitivity and Compassion Fatigue Among Pediatric Nurses: A Descriptive Correlational Study

https://izlik.org/JA53ZP34XD

Öz

Aim: This study aims to determine the levels of moral sensitivity and compassion fatigue among pediatric nurses and to examine the relationship between these two variables.
Material and Method: This study employs a descriptive-correlational design. It was conducted between November 2021 and May 2022 with 110 nurses working in pediatric clinics who agreed to participate in the study. Personal Information Form, Moral Sensitivity Questionnaire and Compassion Fatigue Short Scale were used to collect data. Data were analyzed using One-Sample Kolmogorov-Smirnov test, Independent Sample T test, Mann-Whitney U test and Kruskal-Wallis H test.
Results: The total scores of the Moral Sensitivity Questionnaire (70.5 ± 17.7) and Compassion Fatigue Short Scale (86.8 ± 13.9) were high. The mean scores of the Moral Sensitivity Questionnaire of pediatric nurses who have been working between 1-5 years are significantly higher than those who have been working between 6-10 years, those who do the profession without liking the profession than those who do it willingly, and those who choose the profession involuntarily than those who choose it willingly (p<0.05). Nurses over 40 years of age had significantly higher mean scores on the Compassion Fatigue Short Scale than nurses aged 29 years and younger, and nurses with less than 1 year of employment had significantly higher mean scores on the Compassion Fatigue Short Scale than nurses with 11 or more years of employment (p<0.05). There is a negative, low-level relationship between moral sensitivity and compassion fatigue scores of nurses (r=-0.193, p<0.05).
Conclusion: Pediatric nurses have high levels of moral sensitivity and compassion fatigue. As the moral sensitivity of nurses decreases, their compassion fatigue increases. It is recommended that future studies to determine the levels of moral sensitivity and compassion fatigue in nurses and to examine the relationship between them should be carried out with a larger sample group on nurses with a wide variety of descriptive characteristics.

Anahtar Kelimeler

Pediatric Nursing , Compassion Fatigue , Moral Sensitivity

Etik Beyan

This study is derived from the thesis titled “The relationship between pediatric nurses' ethical sensitivity and compassion fatigue”.

Kaynakça

• Adams, R. E., Boscarino, J. A., Figley, C. R. (2006). Compassion fatigue and psychological distress among social workers:a validation study. The American Journal of Orthopsychiatry, 76(1), 103-108. doi: 10.1037/0002-9432.76.1.103
• Ağralı, C., Ünal, E., Kapıkıran, G., Çetin, Y. (2024). The effect of compassion fatigue on empathic anger levels in nurses. Journal of Health and Nursing Management, 11(1), 171-179. doi: 0.54304/SHYD.2024.01488
• Aksu, T., Akyol, A. (2011). Investigation of the moral sensibility of nurses in İzmir. Turkiye Klinikleri Jounal of Medical Ethics-Law and History, 19(1), 16-24.
• Arıkan, A., Işık Esenay, F. (2023). Compassion fatigue and burnout in Turkish pediatric emergency nurses during the COVID-19 pandemic. Journal of Pediatric Nursing, 71, 120-126. doi: 10.1016/j.pedn.2022.11.004
• Aslan, Ş., Yağcı Özen, M. (2021). Emotional intelligence and compassion fatigue in health workers in the context of socio-demographic variables. Ekev Akademi Dergisi, 85, 435-452.
• Atay, M. E., Yurttaş, A. (2021). Investigation of the relationship between ethical sensitivity of nurses and individualized care perceptions. Türkiye Klinikleri Journal of Medical Ethics- Law and History, 29(1), 66-77.
• Aydın, N. (2018). The ethical aspects of pediatric intensive care unit and the advocacy role of the pediatric nurse. Turkiye Klinikleri Journal of Pediatric Nursing- Special Topics, 4(1), 19-24.
• Aydoğan, A., Ceyhan, Ö. (2019). Moral sensitivity of health care providers in emergency departments. Acıbadem University Health Sciences Journal, 10(2), 182-189.
• Bagnasco, A., Cadorin, L., Barisone, M., Bressan, V., Iemmi, M., Prandi, M., … Sasso, L. (2018). Ethical dimensions of paediatric nursing: A rapid evidence assessment. Nursing Ethics, 25(1), 111-122. doi: 10.1177/0969733016631161
• Bayrak Aykan, E., Eren Fidancı, B., Yıldız, D. (2019). Evaluation of moral maturity and ethical sensitivity in nursing students. University of Health Sciences Journal of Nursing, 1(2), 84-91.
• Berger, J., Polivka, B., Smoot E. A., Owens H. (2015). Compassion fatigue in pediatric nurses, Journal of Pediatric Nursing, 30(6), 11-17. doi: 10.1016/j.pedn.2015.02.005
• Borhani, F., Abbaszadeh, A., Mohsenpour M. (2013). Nursing students’ understanding of factors influencing ethical sensitivity: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 18(4), 310-315.
• Bülbüloğlu, S., Çınar, F. (2021). The Effect of compassion fatigue on care satisfaction in surgical nurses. Journal of Anatolia Nursing and Health Sciences, 24(2), 255-263. doi: 10.17049/ataunihem.866886
• Cerit, B., Öztürk, E. (2021). Determination of the relationship between intensive care nurses' moral sensitivity and ethical decision making level. E-Journal of Dokuz Eylul University Nursing Faculty, 14(2), 116-123. doi: 10.46483/deuhfed.763525
• Dinç, S., Ekinci, M. (2019). Turkish adaptation, validity and reliability of compassion fatigue short scale. Current Approaches in Psychiatry, 11, 192-202. doi: 10.18863/pgy.590616
• Dülgerler, Ş., Durgu, N., Güler, C. (2020). Ethical sensitivity levels of employed and student nurses and effective factors. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 28(3), 345-353. doi: 10.5336/mdethic.2020-73700
• Ernstmeyer, K., Christman, E. (2022). Nursing management and professional concepts: Ethical practice. Eau Claire (WI): Chippewa Valley Technical College. (Chapter 6).
• Filizöz, B., Mesci, G., Aşçı, A., Bağcıvan, E. (2015). Nurses’ ethical sensitivity: research on central public hospitals in Sivas province. Turkish Journal of Business Ethics, 8(1), 47-66. doi: 10.12711/tjbe.2015.8.1.0144
• Franza, F., Buono, G. D., Pellegrino, F. (2015). Psychiatric caregiver stress: clinical implications of compassion fatigue. Psychiatria Danubina, 27, 321-327.
• Güdük, Ö., Özaydın, Ö., Vural, A. (2022). Examination of the level of compassion in nurses and nursing students. Gevher Nesibe Journal of Medical & Health Sciences, 7(20): 158-168. doi: 10.5281/zenodo.713362
• Gürdoğan, E. P., Aksoy, B., Kınıcı, E. (2018). The Relationship between moral sensitivity levels and professional values of nursing students. Journal of Health and Nursing Management, 5(3), 147-154. doi: 10.5222/SHYD.2018.147
• Haddad, L. M., Geiger, R. A. (2024). Nursing ethical considerations. Treasure Island (FL): StatPearls Publishing. Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursing, 36, 420-427. doi: 10.1016/j.jen.2009.11.027
• Işik, M.T., Özdemir, R.C., Serinkaya, D. (2022). Ethical attitudes of intensive care nurses during clinical practice and affecting factors. Indian Society of Critical Care Medicine, 26(3), 288-293. doi: 10.5005/jp-journals-10071-24143.
• İlter, S., Ovayolu, Ö., Serçe, S., Ovayolu, N. (2022). An investigation of the relationship between compassion fatigue and moral sensitivity of intensive care nurses. Omega (Westport), doi: 10.1177/00302228221107976
• Tural Büyük, E., Ünaldı & Baydın, N. (2020). Association between ethical sensitivity and attitudes towards recording and protecting personal data in nursing students. Turkish Journal of Bioethics, 7(4), 198-210.
• Jakimowicz, S., Perry, L., Lewis, J. (2018). Compassion satisfaction and fatigue: a cross- sectional survey of Australian intensive care nurses. Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses, 31(6), 396-405. doi: 10.1016/j.aucc.2017.10.003
• Kabunga, A., Anyayo, L.G., Okalo, P., Apili, B., Nalwoga, V., Udho, S. (2021) Prevalence and contextual factors associated with compassion fatigue among nurses in Northern Uganda. PLoS One, 16(9), Be0257833. doi: 10.1371/journal.pone.0257833
• Kahriman, İ., & Yeşilçiçek Çalık, K. (2017). Ethical sensitivity of clinical nurses. Gümüşhane University Journal of Health Sciences, 6(3), 111-121.
• Karaca, T. (2018). The moral sensibility of nursing students. Journal of Health Sciences and Professions, 5(1), 24-30. doi: 10.17681/hsp.319379
• Karakurt, P., Fırat, M., Yıldırım, S. (2022). Determining conscience perception and compassion fatigue among the nurses who worked at pandemic clinics: sample of city hospital. Gevher Nesıbe Journal of Medical and Health Sciences, 7(16), 60-68. doi: 10.46648/gnj.309
• Kılıç, D., Bakan, A. B., Aslan, G., Uçar, F. (2020). An investigation the relationship between ethical sensitivity and compassion fatigue in nurses who working in oncology units and intensive care units. Journal of Adnan Menderes University Health Sciences Faculty, 4(1), 20-29.
• Kurt, D. (2021). Privacy consciousness and ethical sensitivity in nursing students. Turkish Journal of Bioethics, 8(3), 144-153.
• Lützen, K., Johansson, A., Nordström, G. (2000). Moral sensitivity: some differences between nurses and physicians. Nursing Ethics, 7(6), 520-530. doi: 10.1177/096973300000700607
• Nilsen, P., Seing, I., Ericsson, C. Birken S. A., Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Services Research, 147 (2020). doi: 10.1186/s12913-020-4999-8
• Okgün Alcan, A., Yıldız, K. (2021). Intensive care nursing during the pandemia process: the effect of perceived stress on compassion fatigue. Forbes Journal of Medicine, 2(3), 175-181. doi: 10.4274/forbes.galenos.2021.53825
• Ondrejková, N., & Halamová, J. (2022). Qualitative analysis of compassion fatigue and coping strategies among nurses. International Journal of Nursing Sciences, 9(4), 467-480. doi: 10.1016/j.ijnss.2022.09.007.
• Östman, L., Näsman, Y., Eriksson, K., Nyström, L. (2019). Ethos: The heart of ethics and health. Nursing Ethics, 26(1), 26-36. doi: 10.1177/0969733017695655
• Özakar Akça, S., & Gözen, D. (2013). Advocacy role of the pediatric nurse. Florence Nightingale Journal of Nursing, 21(3), 213-218.
• Özkan, M., Adana, F. (2023). Intercultural and ethical sensitivity levels of healthcare professionals and related factors. Florence Nightingale Journal of Nursing, 31(1), 11-17. doi: 10.5152/FNJN.2022.21275
• Öztürk, E. A., Şener, A., Koç, Z., Duran, L. (2019). Factors influencing the ethical sensitivity of nurses working in a university hospital. Eastern Journal of Medicine, 24(3), 257-264. doi: 10.5505/ejm.2019.05025
• Savcı, C., & Karaaslan, Y. (2022). Ethical sensitivity of physicians and nurses in care/treatment practices: descriptive research. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 30(2), 143-150. doi: 10.5336/mdethic.2021-87424
• Sevin, S., Elmaoğlu, E., Sungur, M., Özdemir, S. (2024). The correlation between the compassion and moral sensitivities of nurses during covid-19 pandemic. Journal of Nursing Effect,17(1), 85-98. doi: 10.46483/deuhfed.1198498Tanrıkulu, G., & Ceylan, B. (2021). Level of compassion and compassion fatigue in nurses working in pediatric clinics. Journal of Health Sciences, 30(1), 31-36. doi: 10.34108/eujhs.727445
• Taşdemir, H.İ, Aydın, R., Dursun Ergezen, F., Taşdemir, D., Ergezen, Y. (2024). Unveiling the burden of compassion fatigue in nurses. Nursing Ethics, 31(2-3), 371-387. doi:10.1177/09697330231200571
• Tosun, H. (2018). Moral Sensitivity Questionnaire (MSQ): Turkish adaptation of the validity and reliability. Journal of Contemporary Medicine, 8(4), 316-321. doi: 10.16899/gopctd.467052
• Utlu, N. (2016). Ethical approach and ethical dilemmas of nurses working in hospitals. Journal of İstanbul Aydın University, 29, 17-35. doi: 10.17932/IAU.IAUD.m.13091352.2016.8/29.17-35
• Xu, Z., Zhao, B., Zhang, Z., Wang, X., Jiang, Y., Zhang, M. et al. (2024). Prevalence and associated factors of secondary traumatic stress in emergency nurses: a systematic review and meta-analysis. European Journal of Psychotraumatology, 15(1), 2321761. doi: 10.1080/20008066.2024.2321761.
• Wakefield M. K., Williams, D. R., Menestrel, S. L., Lalitha Flaubert, J. (2021). National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020-2030: The role of nurses in improving health care access and quality. Washington (DC): National Academies Press (US).
• Ye, L., Tang, X., Li, Y. Yutong, Z., Shen, J., Ying, Z. et al. (2024). The prevalence and related factors of compassion fatigue among nursing interns: a cross-sectional study. BioMed Central Nursing, 23, 762. doi: 10.1186/s12912-024-02384-z