Son Sınıf Hemşirelik Öğrencilerinin Koronavirüs Salgını Sürecinde Klinik Uygulamalarda Yaşadıkları Kaygılar

Yıl 2021, , 257 - 263, 01.09.2021

Şerife Yılmaz , Meltem Büyüköztürk

https://doi.org/10.19127/bshealthscience.906194

Cited By: 5

Öz

Araştırma son sınıf hemşirelik öğrencilerinin koronavirüs salgını sürecinde klinik uygulamada yaşadıkları kaygıyı belirlemek amacıyla duygu, düşünce ve deneyimlerini daha iyi değerlendirme olanağı verdiği için niteliksel yöntemlerden biri olan odak grup görüşme tekniği kullanılarak yapılmıştır. Veri toplama aracı olarak, araştırmacılar tarafından hazırlanan, öğrencilerin tanımlayıcı özelliklerini içeren soru formu ve “Yarı Yapılandırılmış Görüşme Formu” kullanılmıştır. Etik kurul izni alınmıştır. Katılımcılara çalışma hakkında bilgi verilip, bilgilendirilmiş onamları alınmıştır. Araştırmanın verileri içerik analizi kullanılarak analiz edilmiş ve öğrencilerin yaşadığı duygular, uygulama sürecinde yaşanan sorunlar, pandemi sürecinin hemşirelik eğitimine etkisi konusunda görüşler ve öneriler olmak üzere dört tema belirlenmiştir. Öğrencilerin koronavirüse yakalanma, temaslı olma, ailelerine, hastalara ya da sağlık çalışanlarına bulaştırma ve taşıyıcı olma, eğitimlerinin kesintiye uğraması konusunda kaygı yaşadığı, yaşadıkları kaygıların klinik uygulamaya başladıktan sonra arttığı, uygulamaların verimsiz geçtiği ve bakım verici rollerini yerine getirmede zorlandıkları belirlenmiştir.

Anahtar Kelimeler

Hemşirelik Eğitimi, Kaygı, Koronavirüs

Anxiety Encountered by Nursing Students in Clinical Practices During Coronavirus Outbreak

Öz

In the study, it was aimed to determine the anxiety experienced by students in clinical practice during the coronavirus outbreak. In this research, the focus group interview technique, which is one of the qualitative methods, was used to determine the anxiety experienced by students since this technique allows better evaluation of emotions, opinions and experiences. As the data collection tool, the question form prepared by the researchers and consisting of the descriptive characteristics of the students and "Semi-Structured Interview Form" were used. Ethics committee approval was obtained. Participants were informed about the study and their informed consents were obtained. The data obtained in this research were analyzed using the content analysis, and four themes were determined as emotions experienced by the nursing students, problems experienced in the clinical training, opinions on the effects of the pandemic process on nursing education and recommendations. The findings showed that the students were worried about being infected with coronavirus, infecting their families, patients and healthcare workers, interruption of their education, and increased anxiety during clinical practice. The findings suggest that the practices were inefficient, and nursing students could not fulfill their caregiver roles.

Anahtar Kelimeler

Nursing Education, Anxiety, Coronavirus

Kaynakça

• Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S. 2020. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infection and Public Health, 13(5): 687-691.
• Artan T, Atak I, Karaman M, Cebeci F. 2020. Koronavirüs (COVID-19) salgınında sosyodemografik özellikler, psikolojik sağlamlık ve kaygı düzeyleri arasındaki ilişki. Electronic Turkish Stud, 15(6): 79-94.
• Beck DL, Srivastava R. 1991. Perceived level and sources of stress in baccalaureate nursing students. J Nursing Educ, 30(3): 127-133.
• Benner P, Benner PE, Tanner CA, Chesla CA. 2009. Expertise in nursing practice: Caring, clinical judgment, and ethics. Springer Publishing Company, NewYork, USA. pp: 491.
• Blanco-Donoso LM, Garrosa E, Moreno-Jiménez J, GálvezHerrer M, Moreno-Jiménez B. 2020. Occupational psychosocial risks of health professionals in the face of the crisis produced by the COVID-19: From the identification of these risks to immediate action. IJNS Advances, 2: 100003. DOI: 10.1016/j.ijnsa.2020.100003.
• Cao W, Fang Z, Hou G, Han M, Xu X, Dong J. 2020. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res, 287: 112934. DOI: 10.1016/j.psychres.2020.112934.
• Chen CJ, Chen CY, Sung HC, Hsieh TC, Lee MS, Chang CY. 2015. The prevalence and related factors of depressive symptoms among junior college nursing students: a cross-sectional study. J Psychiatr Ment Health Nurs, 22(8): 590-598. DOI: 10.1111/jpm.12252.
• Chernomas WM, Shapiro C. 2013. Stress, depression, and anxiety among undergraduate nursing students. IJNES, 10(1): 255-266.
• Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ. 2020. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and İmmun, 88: 559-565.
• Elrggal ME, Karami NA, Rafea B, Alahmadi L, Al Shehri A, Alamoudi R. 2018. Evaluation of preparedness of healthcare student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah, Saudi Arabia: a cross-sectional study. J Public Health, 26(6): 607-612. DOI: 10.1007/s10389-018-0917-5.
• Goulia P, Mantas C, Dimitroula D, Mantis D, Hyphantis T. 2010. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infectious Diseases, 10(1): 1-11.
• Ikhlag A, Bint-E-Riaz H, Bashir I, Ijaz F. 2020. Awareness and attitude of undergraduate medical students towards 2019-novel corona virus. Pakistan J Medical Sci, 36(COVID19-S4): DOI: 10.12669/pjms.36.
• Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT. 2020. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh:A web-based cross-sectional survey. PloS One, 15(8): e0238162.
• Jamdar K. 2020. Attitude of students towards nursing profession during the COVID pandemic. UGC Care J, 31(37): 347-352.
• John B, Al-Sawad M. 2015. Perceived stress in clinical areas and emotional intelligence among baccalaureate nursing students. J Indian Acad Appl Psychol, 41(Special Issue 3): 75-84.
• Huang L, Lei W, Xu F, Liu H, Yu L. 2020. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS One, 15(8): e0237303.
• Labrague LJ. 2013. Stress, stressors, and stress responses of student nurses in a government nursing school. Health Sci J, 7(4): 424-435.
• Macauley K, Plummer L, Bemis C, Brock G, Larson C, Spangler J. 2018. Prevalence and predictors of anxiety in healthcare professions students. Health Professions Educ, 4(3): 176-185.
• Meo SA, Abukhalaf AA, Alomar AA, Sattar K, Klonoff DC. 2020. COVID-19 pandemic: impact of quarantine on medical students’ mental wellbeing and learning behaviors. Pakistan J Medical Sci, 36(COVID19-S4): 43-48. DOI: 10.12669/pjms.
• O’Sullivan TL, Phillips K. 2019. From SARS to pandemic influenza: the framing of high-risk populations. Natural Hazards, 98: 103-117.
• Oh N, Hong N, Ryu DH, Bae SG, Kam S, Kim KY. 2017. Exploring nursing intention, stress, and professionalism in response to infectious disease emergencies: the experience of local public hospital nurses during the 2015 MERS outbreak in South Korea. Asian Nursing Res, 11(3): 230-236.
• Rafati F, Nouhi E, Sabzevari S, Dehghan-Nayeri N. 2017. Coping strategies of nursing students for dealing with stress in clinical setting: a qualitative study. Electron Physician, 9(12): 6120–6128. DOI: 10.19082/6120.
• Roberts NJ, McAloney-Kocaman K, Lippiett K, Ray E, Welch L, Kelly C. 2021. Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respiratory Medicine, 176: 106219.
• S.B. 2020. T.C. Sağlık Bakanlığı COVID-19 Rehberi. URL: https://covid19bilgi.saglik.gov. tr/tr/covid-19-rehberi.html (erişim tarihi 05.11.2020).
• Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA. 2020. Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. Risk Manag and Healthcare Policy, 13: 2395-2406.
• Sanad HM. 2019. Stress and anxiety among junior nursing students during the initial clinical training: a descriptive study at college of health sciences. Univ of Bahrain Am J Nurs Res, 7(6): 995–999. DOI: 10.12691/ajnr-7-6-13.
• Sancar B, Yalcin AS, Acikgoz I. 2018. An examination of anxiety levels of nursing students caring for patients in terminal period. Pakistan J Med Sci, 34(1): 94–99. DOI: 10.12669/pjms.341.14285.
• Savitsky B, Findling Y, Ereli A, Hendel T. 2020. Anxiety and coping strategies among nursing students during the Covid-19 pandemic. Nurse Educ in Practice, 46: 102809.
• Shanafelt T, Ripp J, Trockel M. 2020. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA, 323(21): 2133-2134. DOI: 10.1001/jama.2020.5893.
• Sharif F, Masoumi SA. 2005. Qualitative study of nursing student experiences of clinical practice. BMC Nurs, 4: 6. DOI: 10.1186/1472-6955-4-6.
• Söğüt S, Dolu İ, Cangöl E. 2020. The relationship between COVID‐19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross‐sectional web‐based survey. Persp in Psychiatric Care, 2020: 1-7. DOI: 10.1111/ppc.12555.
• Üstün Ç, Özçiftçi S. 2020. COVID-19 pandemisinin sosyal yaşam ve etik düzlem üzerine etkileri: Bir değerlendirme çalışması. Anadolu Klin, 25: 142-153.
• Yakar B, Öztürk Kaygusuz T, Pirincci E, Onalan E, Ertekin YH. 2020. Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Family Practice and Palliative Care, 5(2): 36-44.
• WHO. 2020. WHO Director-General's opening remarks at the media briefing on COVID-19-11 March 2020. URL: https: // wwwwhoint / dg / speeches / detail /who-direktör-genel-s-açılış-açıklamaları-at-the-media-brifing-on-the-19-11-mart-2020 (erişim tarihi 05.10.2020).
• Wong TW, Gao Y, Tam WWS. 2007. Anxiety among university students during the SARS epidemic in Hong Kong. Stress and Health: J Int Soc for the Invest of Stress, 23(1): 31-35.
• Wong JG, Cheung EP, Cheung V, Cheung C, Chan MT, Chua SE. 2004. Psychological responses to the SARS outbreak in healthcare students in Hong Kong. Medical Teacher, 26(7): 657-659.