Hemşirelerin Stres Düzeyleri ve Kişilerarası Problem Çözme Becerilerinin Belirlenmesi

Yıl 2025, Cilt: 3 Sayı: 1, 12 - 29, 01.01.2025

Cennet Kara Özçalık , Duygu Mert

https://doi.org/10.61535/bseusbfd.1384557

Öz

Bu çalışmanın amacı, hemşirelerin sağlık hizmeti sunarken yaşadıkları stres düzeylerini ve kişilerarası problem çözme becerilerini belirlemektir. Kesitsel bir tasarım kullanılmış ve veriler Mart-Mayıs 2023 tarihleri arasında yazılı bilgilendirilmiş onam veren katılımcılarla yüz yüze görüşmeler yoluyla toplanmıştır. Yüz yirmi hemşire, Hemşire Bilgi Formu, Kişilerarası Problem Çözme Envanteri ve Hemşire Stres Ölçeği'ni doldurarak bu çalışmaya gönüllü olarak katılmıştır. Elde edilen bilgiler, hemşirelerin yaş ortalamasının 28.58± 4.92 yıl olduğunu, katılımcıların %82.5'inin kadın ve %64.2'sinin bekâr olduğunu göstermiştir. Ayrıca, %66,7'si lisans derecesine, %50,8'i 1-5 yıl arası mesleki deneyime sahipti ve %79,2'si dönüşümlü vardiya düzeninde çalışıyordu. Ayrıca, hemşirelerin %73,3'ü mesleklerini gönüllü olarak seçmiş ve %27,5'i haftada 46-50 saat arasında çalışmıştır. Çalışma, hemşirelerin orta düzeyde stres seviyesine ve kişilerarası problem çözme becerilerine sahip olduğunu ortaya koymuştur.

Anahtar Kelimeler

Hemşire - Hasta Etkileşimi, Kişilerarası İletişim, Stres

Etik Beyan

Araştırma etik ilkelere uygun olarak gerçekleştirilmiştir.

Destekleyen Kurum

TÜBİTAK

Proje Numarası

1919B012204473

Teşekkür

Desteğinden dolayı TÜBİTAK'a, araştırmanın yapıldığı devlet hastanesine ve araştırmaya katkı sağlayan hemşirelere teşekkür ederiz.

Determination of Nurses’ Stress Levels and Interpersonal Problem Solving Skills

Öz

This study aims to identify the stress levels experienced by nurses in providing healthcare services and their interpersonal problem-solving skills. A cross-sectional design was employed, and data were collected between March and May 2023 via face-to-face interviews with participants who had provided written informed consent. One hundred twenty nurses participated voluntarily in this study by completing the Nurse Information Form, Interpersonal Problem-Solving Inventory, and Nurse Stress Scale. Information gathered indicated that the nurses had an average age of 28.58± 4.92 years, with 82.5% of respondents being female and 64.2% were single. Additionally, 66.7% had a bachelor’s degree, 50.8% had 1-5 years of professional experience, and 79.2% worked on a rotating shift schedule. Furthermore, 73.3 % of nurses chose their profession voluntarily, and 27.5% worked between 46-50 hours per week. The study discovered that nursing professionals have moderate stress levels and interpersonal problem-solving skills.

Anahtar Kelimeler

Interpersonal Communication, Nurse - Patient Interaction, Stress

Etik Beyan

The research was conducted in accordance with ethical principles.

Destekleyen Kurum

TUBITAK

Proje Numarası

1919B012204473

Teşekkür

We would like to thank TUBITAK for its support, the public hospital where the research was conducted, and the nurses who contributed to the research.

Kaynakça

• Abaan, S., & Altıntoprak, A. (2005). Nurses’ Perceptions of Their Problem-Solving Ability: Analysis of Self Apprasials. Journal of Hacettepe University School of Nursing, 12(1), 62-76.
• Abdollahi, A., Talib, M. A., Yaacob, S. N., & Ismail, Z. (2014). Problem-solving skills and hardiness as protective factors against stress in Iranian nurses. Issues in Mental Health Nursing, 35(2), 100–107. https://doi.org/10.3109/01612840.2013.843621
• Abualrub, R. F., Omari, F. H., & Abu Al Rub, A. F. (2009). The moderating effect of social support on the stress–satisfaction relationship among Jordanian hospital nurses. Journal of Nursing Management, 17(7), 870-878. https://doi.org/10.1111/j.1365-2834.2009.01007.x
• Akkoç, İ., Okun, O., & Türe, A. (2021). The effect of role-related stressors on nurses' burnout syndrome: The mediating role of work-related stress. Perspective in Psychiatric Care, 57, 583–596. https://doi.org/10.1111/ppc.12581
• Aksoy, G. (2021). The relationship between levels of burnout and commitment to work in nurs caring for COVID-19 patients. Unpublished master's thesis, Haliç University, Istanbul.
• Alkhawaldeh, J. M., Soh, K. L., Mukhtar, F., Peng, O. C., Alkhawaldeh, H. M., Al-Amer, R., & Anshasi, H. A. (2020). Stress management training program for stress reduction and coping improvement in public health nurses: A randomized controlled trial. Journal of Advanced Nursing, 76, 3123– 3135. https://doi.org/10.1111/jan.14506
• Ay, F., Polat, Ş., & Kashimi, T. (2020). Relationship Between the Problem-Solving Skills and Empathy Skills of Operating Room Nurses. The Journal of Nursing Research, 28(2), e75. https://doi.org/10.1097/jnr.0000000000000357
• Aydınöz, Ö., Özer Küçük, E., & Gönderen Çakmak, H. S. (2020). Problem-Solving Skills Levels of Nurses and Factors Affecting Them: An Example of a Training and Research Hospital. University of Health Sciences Journal of Nursing, 2(1), 9-16.
• Batalla, V. R. D., Barrameda, A. L. N., Basal, J. M. S., Bathan, A. S. J., Bautista, J. E. G., Rebueno, M. C. D., & Macindo, J. R. B. (2019). Moderating effect of occupational stress on spirituality and depression of registered nurses in tertiary hospital: A structural equation model. Journal of Advanced Nursing, 75(4), 772-782. https://doi.org/10.1111/jan.13856
• Çam, S., & Tümkaya, S. (2007). Developing The Interpersonal Problem Solving Inventory (IPSI): The Validity and Reliability Process. Turkish Psychological Counseling and Guidance Journal, 28(3), 95-111.
• Çam, S., Tümkaya, S., & Yerlikaya, E. E. (2011). The validity and reliability process of interpersonal problem solving inventory for adults. International Journal of Human Sciences, 8(1), 1703-1724.
• Camcı, G. B., & Kavuran, E. (2021). Determination of the correlation of job stress and burnout levels of nurses with their job and life satisfaction levels. Journal of Anatolia Nursing and Health Sciences, 24(2), 274-283. https://doi.org/10.17049/ataunihem.930846
• Çelenk, O., & Topoyan, M. (2017). Analysis of Problem-Solving Skill Levels of Nurses Working in a University Hospital. E-Journal of Dokuz Eylul University Nursing Faculty, 10(4), 251-259.
• Çevik, H. (2018). Determining the sources of stress and coping situations of nurses with stress. Unpublished master's thesis, Eastern Mediterranean University, Northern Cyprus. Chana, N., Kennedy, P., & Chessell, Z. J. (2015). Nursing staffs' emotional well-being and caring behaviours. Journal of Clinical Nursing, 24, 2835-2848. https://doi.org/10.1111/jocn.12891
• Chen, C., & Meier, S. T. (2022). Burnout and depression in nurses: A systematic review and meta-analysis. Intarnational Journal of Nursing Studies, 127, 104180. https://doi.org/10.1016/j.ijnurstu.2021.104099
• Cuschieri, S. (2019). The STROBE guidelines. Saudi Journal of Anaesthesia, 13(Suppl 1), S31–S34. https://doi.org/10.4103/sja.SJA_543_18
• Emadikhalaf, M., Ghods, A. A., Sotodeh-Asl, N., Mirmohamadkhani, M., & Vaismoradi, M. (2023). Effects of rose and lavender scents on nurses' job stress: A randomized controlled trial. Explore (New York, N.Y.), 19(3), 371–375. https://doi.org/10.1016/j.explore.2023.01.002
• Emami, P., Boozari Pour, M., Zahednezhad, H., Khanali Mojen, L., & Naseri, V. (2022). Investigating the relationship between workplace stressors and caring behaviours of nursing staff in inpatient wards: A cross‐sectional study. Journal of Advanced Nursing, 78(4), 1066–1074. https://doi.org/10.1111/jan.15080 Ergin, B. E., & Dağ, İ. (2013). The relationships among interpersonal problem-solving behaviors, adult attachment patterns, and psychological symptoms. Anatolian Journal of Psychiatry, 14(1), 36-45.
• Fidell, S., Tabachnick, B., Mestre, V., & Fidell, L. (2013). Aircraft noise-induced awakenings are more reasonably predicted from relative than from absolute sound exposure levels. The Journal of the Acoustical Society of America, 134(5), 3645-3653.
• Garrosa, E., Rainho, C., Moreno-Jiménez, B., & Monteiro, M. J. (2010). The relationship between job stressors, hardy personality, coping resources and burnout in a sample of nurses: a correlational study at two time points. Intarnational Journal Nursing Studies, 47(2), 205-215. https://doi.org/10.1016/j.ijnurstu.2009.05.014
• Gökdere Çinar, H., & Baykal, Ü. (2022). Determining the effect of neuro‐linguistic programming techniques on the conflict management and interpersonal problem‐solving skills of nurse managers: A mixed methods study. Journal of Nursing Management, 30(1), 104–134. https://doi.org/10.1111/jonm.13455
• Gray-Toft, P., & Anderson, J. G. (1981). The nursing stress scale: development of an instrument. Journal of Behavioral Assessment, 3(1), 11-23.
• Hetzel-Riggin, M. D., Swords, B. A., Tuang, H. L., Deck, J. M., & Spurgeon, N. S. (2020). Work Engagement and Resiliency Impact the Relationship Between Nursing Stress and Burnout. Psychological Reports, 123(5), 1835–1853. https://doi.org/10.1177/0033294119876076 Işık, N., & Yıldız, N. (2014). The Evaluating the Relationship Between Interpersonal Problem-Solving Skills with the Value Perceptions of Primary School Teachers. Researcher: Social Science Studies, 2(3), 1-16.
• Kaplan, V. (2020). Determination of Nursing Students' Anxiety Levels and Interpersonal Problem-Solving Skills. Selcuk Health Journal, 1(2), 71-84.
• Kaplan, V., & Ançel, G. (2021). The effect of interpersonal relational role analysis on nursing students' anxiety levels and interpersonal problem-solving orientation. Perspectives in Psychiatric Care, 57(3), 1175–1186. https://doi.org/10.1111/ppc.12672
• Karakuş, Ç. (2019). Job satisfaction and work stress in working life: in a private hospital nurses on reresearch. Politics, Economics and Administrative Sciences Journal of Kirsehir Ahi Evran University. 3(1), 92-104.
• Keleş, C., & Yıldırım, F. (2021). Anger, Problem-Solving and Burnout in Pediatrics Doctors and Nurses (Sivas Province Example). Journal of Cumhuriyet University Health Sciences Institute, 6(3), 215-228. https://doi.org/10.51754/cusbed.1008367
• Kim, S., & Kweon, Y. (2020). Psychological Capital Mediates the Association between Job Stress and Burnout of among Korean Psychiatric Nurses. Healthcare, 8(3), 199. https://doi.org/10.3390/healthcare8030199
• Kiziloğlu, B., & Karabulut, N. (2023). The Effect of Personality Traits of Surgical Nurses on COVID-19 Fear, Work Stress, and Psychological Resilience in the Pandemic. Journal of PeriAnesthesia Nursing, 38(4), 572–578. https://doi.org/10.1016/j.jopan.2022.10.006
• Koç, S., Özkul, A. S., Özdemir Ürkmez, D., Özkul Özel, H., & Çelik Çevik, L. (2017). An Analysis of Level and Sources of Stress in Nurses Working in a Health Organization. Okmeydanı Medical Journal, 33(2), 68-75. https://doi.org/10.5222/otd.2017.1100
• Labrague, L. J., McEnroe-Petitte, D. M., Leocadio, M. C., Van Bogaert, P., & Cummings, G. G. (2018). Stress and ways of coping among nurse managers: An integrative review. Journal of Clinical Nursing, 27, 1346–1359. https://doi.org/10.1111/jocn.14165
• Landa, J. M. A., López-Zafra, E., Martos, M. P. B., & del Carmen Aguilar-Luzón, M. (2008). The relationship between emotional intelligence, occupational stress and health in nurses: A questionnaire survey. International Journal of Nursing Studies, 45(6), 888–901. https://doi.org/10.1016/j.ijnurstu.2007.03.005
• Lee, H., Baek, W., Lim, A., Lee, D., Pang, Y., & Kim, O. (2021). Secondary traumatic stress and compassion satisfaction mediate the association between stress and burnout among Korean hospital nurses: a cross-sectional study. BMC Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00636-w
• Lee, S. N., Kim, B., & Park, H. (2021). The effects of auricular acupressure on stress, anxiety, and depression of outpatient nurses in South Korea. Complementary Therapies in Clinical Practice, 44, 101447. https://doi.org/10.1016/j.ctcp.2021.101447
• Letvak, S. (2013). We cannot ignore nurses' health anymore: a synthesis of the literature on evidence-based strategies to improve nurse health. Nursing Administration Quarterly, 37(4), 295-308.
• Lim, J., Bogossian, F., & Ahern, K. (2010). Stress and coping in Australian nurses: a systematic review. International Nursing Review, 57(1), 22-31. https://doi.org/10.1111/j.1466-7657.2009.00765.x
• Lyon, B. L. (2011). Stress, coping and health. A conceptual overview. Rice V. H. (Ed.), In Handbook of stress, coping and health: implications for nursing research, theory, and practice 2nd ed. (pp. 2–8). Sage Publications, Inc.
• Mercan, N., Coşkun, S., & Apaydın Demirci, Z. (2023). Efficacy of a communication skills training for nursing students: a quasi-experimental study. Journal of Psychiatric Nursing, 14(3), 200-209. https://doi.org/10.14744/phd.2023.02438
• Mert, S., Aydin Sayilan, A., & Baydemir, C. (2021). Nurse Stress Scale (NSS): Reliability and validity of the Turkish version. Perspective Psychiatric Care, 57, 443–454. https://doi.org10.1111/ppc.12606
• Mutua, D., Singh, P., & Njoroge, G. (2023). Occupational stress among nurses working in the operating theatres at kenyatta national hospital. International Research Journal of Medicine and Health Sciences, 5(1), 1-20.
• Nabirye, R. C., Brown, K. C., Pryor, E. R., & Maples, E. H. (2011). Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda. Journal of Nursing Management, 19(6), 760–768. https://doi.org/10.1111/j.1365-2834.2011.01240.x
• Newman, C., Jackson, J., Macleod, S., & Eason, M. (2020). A Survey of Stress and Burnout in Forensic Mental Health Nursing. Journal of Forensic Nursing, 16(3), 161–168. https://doi.org/10.1097/JFN.0000000000000271
• Nowrouzi, B., Lightfoot, N., Carter, L., Larivière, M., Rukholm, E., Schinke, R., & Belanger-Gardner, D. (2015). Work ability and work-related stress: A cross-sectional study of obstetrical nurses in urban northeastern Ontario. Work: Journal of Prevention, Assessment & Rehabilitation, 52(1), 115–122. https://doi.org/10.3233/WOR-141976
• Pamuk Cebeci, S., & Köşgeroğlu, N. (2020). The effect of problem-solving skills in identification of nursing diagnosis. The Journal of Academic Social Science, 8(109), 150-157. http://dx.doi.org/10.29228/ASOS.45743
• Pinheiro, J. M. G., Macedo, A. B. T., Antoniolli, L., Vega, E. A. U., Tavares, J. P., & Souza, S. B. C. D. (2023). Professional quality of life and occupational stress in nursing workers during the COVID-19 pandemic. Revista Gaúcha de Enfermagem, 44, e20210309. https://doi.org/10.1590/19831447.2023.20210309.en
• Sasaki, M., Kitaoka-Higashiguchi, K., Morikawa, Y., & Nakagawa, H. (2009). Relationship between stress coping and burnout in Japanese hospital nurses. Journal of Nursing Management, 17, 359-365. https://doi.org/10.1111/j.1365-2834.2008.00960.x
• Taelman, J., Vandeput, S., Vlemincx, E., Spaepen, A., & Van Huffel, S. (2011). Instantaneous changes in heart rate regulation due to mental load in simulated office work. European Journal of Applied Physiology, 111, 1497-1505. https://doi.org/10.1007/s00421-010-1776-0
• Tuna, R., & Baykal, Ü. (2013). The Job Stress of the Oncology Nurses and Influential Factors. Florence Nightingale Journal of Nursing, 21(2), 92-100.
• Tyson, P. D., Pongruengphant, R., & Aggarwal, B. (2002). Coping with organizational stress among hospital nurses in Southern Ontario. International Journal of Nursing Studies, 39(4), 453–459. https://doi.org/10.1016/s0020-7489(01)00047-5
• Ulusoy, H., Sarıçoban, S., & Kaya Gözübüyük, E. (2023). Investigation of the relationship between problem-solving skills and fear of Covid-19 in nurses. Journal of Healthcare Management and Leadership (JOHMAL), 1, 57-71. https://doi.org/10.35345/johmal.1269148
• Warnakulasooriya, P. H., & Arnold, M. S. (2021). Prevalence of Work Stress among Nurses in a Major Tertiary Care Hospital, Colombo, Sri Lanka. Asian Journal of Applied Science and Technology (AJAST), 5(2), 109-116. DOI: http://doi.org/10.38177/ajast.2021.5215
• Watanabe, N., Horikoshi, M., Shinmei, I., Oe, Y., Narisawa, T., Kumachi, M., Matsuoka, Y., Hamazaki, K., & Furukawa, T. A. (2019). Brief mindfulness-based stress management program for a better mental state in working populations - Happy Nurse Project: A randomized controlled trial. Journal of Affective Disorders, 251, 186–194. https://doi.org/10.1016/j.jad.2019.03.067
• Yılmaz, E., & Dost, M. T. (2016). Interpersonal Problem-Solving Skills, Anger and Anger Expression Styles of Police Officers. Turkish Psychological Counseling and Guidance Journal, 6(46), 15-34. https://doi.org/10.1136/thx.2010.156372
• Yüksel, A. (2015). Nursing Students’ Self Evaluation of Problem-Solving Skills and Related Factors. Journal of Hacettepe University Faculty of Nursing, 2(1), 37-49.
• Zaghini, F., Biagioli, V., Proietti, M., Badolamenti, S., Fiorini, J., & Sili, A. (2020). The role of occupational stress in the association between emotional labor and burnout in nurses: A cross-sectional study. Applied Nursing Research, 54, 151277. https://doi.org/10.1016/j.apnr.2020.151277
• Zengin, Ç. (2021). Hemşirelerde investigation of burnout level in terms of ruminative thought and organizational forgiveness in nurses. Unpublished master's thesis, Ondokuz Mayıs University, Samsun.