COVID-19 Tanılı Hastaların Bakımında Görev Alan Hemşirelerin Güçlendirme Algıları

Yıl 2024, Cilt: 4 Sayı: 3, 467 - 481, 31.12.2024

Şehriban Serbest , Saliha Koç Aslan

https://doi.org/10.56061/fbujohs.1407526

Öz

Bu çalışma, COVID-19 hastalarının bakımında görev alan hemşirelerin yapısal ve psikolojik güçlenme algılarını değerlendirmeyi, onların güçlenme duygusuna katkıda bulunan kurumsal ve yönetsel uygulamaları incelemeyi amaçlamıştır.Tanımlayıcı ve kesitsel olan çalışma 260 hemşire ile yapılmıştır. Veriler, Tanıtıcı Bilgi Formu, Çalışma Hemşirelik İşyeri (Yapısal) Güçlendirme Ölçeği ve Psikolojik Güçlendirme Ölçeği kullanılarak toplanmıştır. İstatistiksel analiz SPSS programında tanımlayıcı ve analitik yöntemler kullanılarak yapılmıştır. Bulgular, hemşirelerin yapısal güçlendirme algısında orta düzeyde puanlar bulunduğunu, en yüksek puanın "fırsat" alt boyutunda, en düşük puanın ise "formal güç" algısında olduğunu gösterdi. Psikolojik güçlendirme puanları yüksek olup, en yüksek “yeterlilik” alt boyutunda, en düşük ise “etki” algısındadır. Özellikle kişisel koruyucu ekipmanlar (KKD), salgına özel eğitimler ve çalışan sağlığı ve güvenliğine yönelik uygulamalar hemşirelerin yetkilendirilmesini olumlu yönde etkiledi. Yönetsel destek, etkili iletişim ve yaklaşım, hemşirelerin kendilerini daha güçlü hissetmelerine katkıda bulundu.Çalışma, salgın sırasında örgütsel ve yönetimsel desteğin önemini vurgulayarak destek önlemleri ile hemşirelerin güçlendirilmesi arasında bir ilişki olduğunu ortaya koymaktadır. Hemşireler orta düzeyde yapısal güçlenme algısı sergilerken, psikolojik güçlenmeleri oldukça yüksekti.

Anahtar Kelimeler

Güçlendirme, hemşirelik, koronavirüs

Etik Beyan

Araştırma için Sağlık Bakanlığı COVID-19 Bilimsel Araştırma Değerlendirme Komisyonu onayı (21.08.2020 tarihli, Form Adı: Şehriban Serbest-2020-08-18T15_40_13), Acıbadem Üniversitesi ve Acıbadem Sağlık Kuruluşları Tıbbi Araştırma Etik Kurulundan etik kurul onayı (03.09.2020 tarih ve 2020/19 sayılı) ve araştırmanın yapılacağı kurumdan yazılı kurum izni alınmıştır.

Destekleyen Kurum

Yok

Teşekkür

Bu çalışmanın başarılı bir şekilde tamamlanması, kendini işine adamış hemşire katılımcılarımızın paha biçilmez katkıları olmasaydı mümkün olamazdı. Onların sarsılmaz bağlılıkları, zamanları ve içgörüleri bu araştırma çabasını zenginleştirdi ve özellikle COVID-19 hastalarının bakımı bağlamında hemşirelik mesleğindeki zorluklar ve güçlü yönler hakkında temel bakış açıları sağladı.

Empowerment Perceptions of Nurses Working in the Care of Patients with COVID 19

Öz

This study aimed to assess the perceptions of structural and psychological empowerment among nurses involved in the care of COVID-19 patients, examining the institutional and managerial practices contributing to their sense of empowerment. A descriptive and cross-sectional study involved 260 participating nurses. Data were collected using an Introductory Information Form, Conditions of Work Effectiveness Questionnaire II (CWEQ-II), and Psychological Empowerment Instrument. Statistical analysis was performed using descriptive and analytical methods in the SPSS program.Findings indicated moderate scores in nurses' perception of structural empowerment, with the highest score in the "opportunity" subscale and the lowest in the "formal power" perception. Psychological empowerment scores were high, with the highest in the "competence" subscale and the lowest in the "impact" perception. Notably, personal protective equipment (PPE), epidemic-specific training, and practices for employee health and safety positively influenced nurses' empowerment. Managerial support, effective communication, and approach further contributed to nurses feeling empowered. The study underscores the significance of organizational and managerial support during epidemics, demonstrating a correlation between support measures and nurses' empowerment. While nurses exhibited a moderate perception of structural empowerment, their psychological empowerment was notably high

Anahtar Kelimeler

Coronavirus, empowerment, nursinng

Kaynakça

• Abaan, S., & Duygulu, S. (2016). Hemşirelikte Güç ve Güçlendirme. In Hemşirelik Hizmetleri Yönetimi El Kitabı (pp. 403-420). İstanbul: Koç Üniversitesi Yayınları.
• Adams, J. G., & Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. Jama, 323(15), 1439-1440. https://doi.org/10.1001/jama.2020.3972.
• Alan, H., Eskin Bacaksiz, F., Tiryaki Sen, H., Taskiran Eskici, G., Gumus, E., & Harmanci Seren, A. K. (2020). "I'm a hero, but…": An evaluation of depression, anxiety, and stress levels of frontline healthcare professionals during COVID-19 pandemic in Turkey. Perspectives in psychiatric care. https://doi.org/10.1111/ppc.12666.
• Alrige, M., Alshahrani, F., Alharbi, A., Aljuhani, N., & Aldini, N. (2022). The effects of empowerment on health care worker performance during the COVID-19 pandemic in Saudi Arabia. Quality Management in Healthcare, 31(3), 143-148. https://doi.org/10.1097/QMH.0000000000000337.
• Amor, A. M., Xanthopoulou, D., Calvo, N., & Vázquez, J. P. A. (2021). Structural empowerment, psychological empowerment, and work engagement: A cross-country study. European Management Journal. https://doi.org/10.1016/j.emj.2021.01.005.
• Baykal, Ü., Türkmen, E., Alan, H., Başulaş, Ç. Y., Göktepe, N., Gümüş, E., Şen, H. T. Türkiye’de COVID-19 Salgını: Kriz Yönetiminde Yönetici Hemşirelerin Deneyimleri ve Yönetici Hemşireler Derneği’nin Faaliyetleri. HEAD 2020;17(3):290-3. https://doi.org/10.5222/HEAD.2020.36024.
• Beiranvand, M.S., Beiranvand, S., Beiranvand, S., & Mohammadipour, F. (2021). Explaining the effect of authentic and ethical leadership on psychological empowerment of nurses. Journal of nursing management, 29(5), 1081-1090. https://doi.org/10.1111/jonm.13246.
• Boudrias, J. S., Morin, A. J., & Brodeur, M. M. (2012). Role of psychological empowerment in the reduction of burnout in Canadian healthcare workers. Nursing & health sciences, 14(1), 8-17. https://doi.org/10.1111/j.1442-2018.2011.00650.x
• Chang, D., Xu, H., Rebaza, A., Sharma, L., & Dela Cruz, C. S. (2020). Protecting health-care workers from subclinical coronavirus infection. The Lancet. Respiratory medicine, 8(3), e13. https://doi.org/10.1016/S2213-2600(20)30066-7.
• Christopher, S. A., Fethney, J., Chiarella, M., & Waters, D. (2018). Factors influencing turnover in GenX nurses: Results of an Australian survey. Collegian, 25(2), 217-225. https://doi.org/10.1016/j.colegn.2017.06.003.
• Cicolini, G., Comparcini, D., & Simonetti, V. (2014). Workplace empowerment and nurses' job satisfaction: a systematic literature review. Journal of nursing management, 22(7), 855-871. https://doi.org/10.1111/jonm.12028.
• Dahinten, V., Lee, S., & MacPhee, M. (2016). Disentangling the relationships between staff nurses’ workplace empowerment and job satisfaction. Journal of Nursing Management, 24(8), 1060-1070. https://doi.org/10.1111/jonm.12407.
• Daly, J., Jackson, D., Anders, R., & Davidson, P. M. (2020). Who speaks for nursing? COVID‐19 highlighting gaps in leadership. Journal of clinical nursing. https://doi.org/10.1111/jocn.15305.
• Demirci, A.D., Oruc, M., & Kabukcuoglu, K. (2021). ‘It was difficult, but our struggle to touch lives gave us strength’: The experience of nurses working on COVID‐19 wards. Journal of clinical nursing, 30(5-6), 732-741. https://doi.org/10.1111/jocn.15602.
• DiNapoli, J. M., O’Flaherty, D., Musil, C., Clavelle, J. T., & Fitzpatrick, J. J. (2016). The relationship of clinical nurses’ perceptions of structural and psychological empowerment and engagement on their unit. JONA: The Journal of Nursing Administration, 46(2), 95-100. https://doi.org/10.1097/NNA.00000000000000302.
• Ding, J., & Wu, Y. (2023). The mediating effect of job satisfaction and emotional exhaustion on the relationship between psychological empowerment and turnover intention among Chinese nurses during the COVID-19 pandemic: a cross-sectional study. BMC nursing, 22(1), 221. https://doi.org/10.1186/s12912-023-01357-y
• Dirik, F. H. (2014). Çalışma ortamı ve güçlendirmenin hasta güvenliği kültürüne etkisi. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Dokuz Eylül Üniversitesi, Sağlık Bilimleri Enstitüsü.
• Dwyer, P. A., Revell, S. M. H., Sethares, K. A., & Ayotte, B. J. (2019). The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent. Applied nursing research: ANR, 48, 37-44. https://doi.org/10.1016/j.apnr.2019.04.005.
• Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International journal of nursing studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.103637.
• Hampton, D., & Rayens, M. K. (2019). Impact of psychological empowerment on workplace bullying and intent to leave. JONA: The Journal of Nursing Administration, 49(4), 179-185. https://doi.org/10.1097/NNA.00000000000000735.
• Hoffmann, R. L., Battaglia, A., Perpetua, Z., Wojtaszek, K., & Campbell, G. (2020). The Clinical Nurse Leader and COVID-19: Leadership and quality at the point of care. J Prof Nurs, 178-180. https://doi.org/10.1016/j.profnurs.2020.06.008.
• Ibrahem, S. Z., Elhoseeny, T., & Mahmoud, R. A. (2013). Workplace empowerment and organizational commitment among nurses working at the Main University Hospital, Alexandria, Egypt. The Journal of The Egyptian Public Health Association, 88(2), 90-96. https://doi.org/10.1097/01.EPX.0000430957.52814.8a.
• İspir, Ö. (2020). Hemşirelerin güçlendirme algıları ve uygulamalar üzerinde kontrolleri: Hemşire ve hasta sonuçları. Yayınlanmamış Doktora Tezi, İstanbul: İstanbul Üniversitesi Cerrahpaşa Lisansüstü Eğitim Enstitüsü.
• Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yang, B. X. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, behavior, and immunity, 87, 11-17. https://doi.org/10.1016/j.bbi.2020.03.028.
• Khrais, H., & Nashwan, A. J. (2023). Leadership practices as perceived by emergency nurses during the COVID-19 pandemic: the role of structural and psychological empowerment. Journal of Emergency Nursing, 49(1), 140-147. https://doi.org/10.1016/j.jen.2022.10.003.
• Kim, Y. M., & Kim, S. Y. (2019). Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study. International journal of health care quality assurance. Int J Health Care Qual Assur. 2019 Jun 10;32(5):832-843. https://doi.org/10.1108/IJHCQA-03-2018-0077.
• Koçel, T. (2013). İşletme Yöneticiliği (14 ed.). İstanbul: Beta Basım A.Ş.
• Kuokkanen, L., Leino-Kilpi, H., & Katajisto, J. (2002). Do nurses feel empowered? Nurses' assessments of their own qualities and performance with regard to nurse empowerment. Journal of Professional Nursing, 18(6), 328-335. https://doi.org/10.1053/jpnu.2002.130245.
• Laschinger, H. K. S., (2012). Research Tools. Scale Information- Scoring and Interpretation. Conditions For Work Effectiveness Questionnaire I and II User Manual. https://www.uwo.ca/fhs/hkl/cweq_download.html.
• Laschinger, H. K., Finegan, J., Shamian, J., & Wilk, P. (2001). Impact of structural and psychological empowerment on job strain in nursing work settings: expanding Kanter's model. The Journal Of Nursing Administration, 31(5), 260-272. https://doi.org/10.1097/00005110-200105000-00006.
• Laschinger, H. K. S., Nosko, A., Wilk, P., & Finegan, J. (2014). Effects of unit empowerment and perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: A time-lagged study. International journal of nursing studies, 51(12), 1615-1623. https://doi.org/10.1016/j.ijnurstu.2014.04.010.
• Li, L., Xv, Q., & Yan, J. (2020). COVID-19: the need for continuous medical education and training. The Lancet Respiratory Medicine, 8(4), e23. https://doi.org/10.1016/S2213-2600(20)30125-9.
• Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8(6), e790-e798. https://doi.org/10.1016/S2214-109X(20)30204-7.
• Mortaş, K. (2005). Örgütsel Güven ve İşyeri Güçlendirmesinin Hemşirelerin Örgütsel Bağlılığına Etkisi. TC Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü, İşletme Anabilim Dalı, Hastane ve Sağlık Kuruluşları Yönetimi Programı, Yayınlanmamış Yüksek Lisans Tezi, İzmir.
• Özdemir, E.K. (2018). Hemşirelerin Örgütsel İklim Ve Psikolojik Güçlendirmeye İlişkin Değerlendirmeleri. Yayınlanmamış Yüksek Lisans Tezi, Ankara: Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü
• Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity, 88, 901-907. https://doi.org/10.1016/j.bbi.2020.05.026.
• Poortaghi, S., Shahmari, M., & Ghobadi, A. (2021). Exploring nursing managers’ perceptions of nursing workforce management during the outbreak of COVID-19: a content analysis study. BMC nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00546-x.
• Sağlık Bakanlığı. (2021). Türkiye COVID-19 Hasta Tablosu. https://covid19.saglik.gov.tr/ Erişim tarihi:29.07.2021
• 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. https://doi.org/10.1001/jama.2020.5893.
• Spreitzer, G. M. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of management Journal, 38(5), 1442-1465. https://doi.org/10.2307/256865.
• Şalgam, H. M. (2017). Akreditasyon belgesine sahip özel hastanelerdeki hemşirelerin, güçlendirme algıları ve yöneticilerinin liderlik davranışını algılamaları. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, Yayınlanmamış Yüksek Lisans Tezi.
• Turkmen, E., Aydogdu, A. L. F., Goktepe, N., & Baykal, U. (2020). The role of nurse managers during the new coronavirus pandemic/O papel dos gerentes de enfermagem durante a pandemia do novo coronavírus. Journal of Nursing and Health, 10(4). https://doi.org/10.15210/jonah.v10i4.19486.
• Uner, S., & Turan, S. (2010). The construct validity and reliability of the Turkish version of Spreitzer's psychological empowerment scale. BMC public health, 10(1), 1-8. https://doi.org/10.1186/1471-2458-10-117.
• Vanhaecht, K., Seys, D., Bruyneel, L., Cox, B., Kaesemans, G., Cloet, M., Lowet, K. (2021). COVID-19 is having a destructive impact on health-care workers’ mental well-being. International Journal for Quality in Health Care, 33(1), mzaa158. https://doi.org/10.1093/intqhc/mzaa158.dll.
• Wang, D., Kan, W., Qin, S., Zhao, C., Sun, Y., Mao, W., Hu, Y. (2021). How authentic leadership impacts on job insecurity: The multiple mediating role of psychological empowerment and psychological capital. Stress and Health, 37(1), 60-71. https://doi.org/10.1002/smi.2973.
• WHO data. (2021). WHO COVID-19 dashboard. https://covid19.who.int/. Erişim tarihi:29.07.2021
• World Health Organization. (2020, March 18). Mental health and psychosocial considerations during the COVID-19 outbreak. https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf
• Xiong, Y., & Peng, L. (2020). Focusing on health-care providers' experiences in the COVID-19 crisis. The Lancet Global Health, 8(6), e740-e741. https://doi.org/10.1016/S2214-109X(20)30214-X.
• Yin, X., & Zeng, L. (2020). A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory. International Journal of Nursing Sciences, 7(2), 157-160. https://doi.org/10.1016/j.ijnss.2020.04.002.
• Yürümezoğlu, H.A., & Kocaman, G. (2019). Structural empowerment, workplace incivility, nurses’ intentions to leave their organisation and profession: A path analysis. Journal of Nursing Management, 27(4), 732-739. https://doi.org/10.1111/jonm.12751.
• Zhang, X., Ye, H., & Li, Y. (2018). Correlates of structural empowerment, psychological empowerment and emotional exhaustion among registered nurses: A meta-analysis. Applied Nursing Research, 42, 9-16. https://doi.org/10.1016/j.apnr.2018.04.006.
• Zhang, Y. (2020). Strengthening the Power of Nurses in Combating COVID‐19. Journal of Nursing Management. https://doi.org/10.1111/jonm.13023.
• Zhang, Y., Sun, Z., Latour, J. M., Hu, B., & Qian, J. (2020). Hospital response to the COVID‐19 outbreak: The experience in Shanghai, China. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14364.