Hemşirelerde Psikolojik Semptomların Belirlenmesi: Bir Üniversite Hastanesi Örneği

Yıl 2025, Cilt: 14 Sayı: 2, 629 - 636, 26.06.2025

Tuba Çömez İkican , Şehrinaz Polat , Aslı Yeşil

https://doi.org/10.37989/gumussagbil.1505200

Öz

Hasta bakımında kritik ve önemli bir rol oynayan hemşireler, öngörülebilir ve öngörülemeyen çeşitli stres faktörlerine maruz kalmakta ve sonucunda psikososyal olarak etkilenmektedirler. Bu tanımlayıcı, korelasyonel ve kesitsel çalışmanın amacı, bir Üniversite Hastanesinde çalışan hemşirelerin psikolojik semptomlarının belirlenmesidir. Çalışma Şubat-Nisan 2021 tarihleri arasında üniversite hastanesinde çalışan 757 hemşire ile gerçekleştirilmiştir. Veriler “Kişisel Bilgi Formu” ve “Kısa Semptom Envanteri (KSE)-53” kullanılarak toplanmıştır. Çalışmaya katılan hemşirelerin KSE-53 ölçeği toplam ve alt boyut puanlarının düşük olduğu saptanmıştır. Ayrıca toplam ölçek puanı ile yaş, uzun süre hemşire olarak çalışma, hemşireliği isteyerek seçmeme ve şans verilse tekrar seçmeme, iş, rol, ekip üyeleri, yönetim, hasta ve yakınları, hasta ve yakınlarının tıbbi olmayan sorunları, fiziksel çevre ve kişilerarası ilişkilerle ilgili alanlarda stres yaşama arasında pozitif yönlü ve anlamlı bir ilişki olduğu belirlenmiştir. Bu sonuçların hemşirelerin ruh sağlığının geliştirilmesinde yol gösterici olacağı ve yeni çalışmalar için veri sağlayacağı düşünülmektedir.

Anahtar Kelimeler

Hemşire , Hastane , Psikolojik semptom

Etik Beyan

Araştırmanın gerçekleştirilebilmesi için İÜ İstanbul Tıp Fakültesi Klinik Araştırmalar Etik Kurulu'ndan (27/11/2020-205349) etik izin alınmıştır.

Destekleyen Kurum

Destekleyen herhangi bir kurum ya da kuruluş bulunmamaktadır

Proje Numarası

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Teşekkür

Çalışmaya katılan tüm katılımcılara teşekkür ederiz

Determination of Psychological Symptoms in Nurses: Sample of a University Hospital

Öz

Nurses, who play a critical and essential role in patient care, are exposed to various predictable and unpredictable stressors and are psychosocially affected. This descriptive, correlational, and cross-sectional study aimed to assess psychological symptoms in nurses working in a University Hospital. The study was conducted between February-April 2021 on 757 nurses working in a University Hospital. Data were collected using the “Personal Information Form” and the “Brief Symptom Inventory (BSI)-53”. The results showed that the total and subscale scores of the BSI-53 were low among the nurses who participated in this study. It was also found that there was a significant relationship between the total scale score, and age, having worked as a nurse for a long time, not having chosen nursing by choice and not choosing it again if given a chance, and experiencing stress in areas related to work, role, team members, management, patients and their relatives, non-medical problems of patients and their relatives, physical environment and interpersonal relationships. It is thought that these results will guide the development of nurses' mental health and provide data for new studies.

Anahtar Kelimeler

Nurse , Hospital , Psychological symptom

Etik Beyan

Ethical permission was obtained from IU Istanbul Faculty of Medicine Clinical Research Ethics Committee (27/11/2020-205349) to conduct the study.

Destekleyen Kurum

There is no supporting institution or organisation.

Proje Numarası

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Teşekkür

We would like to thank all participants who participated in the study.

Kaynakça

• 1. WHO, 2019 https://cdn.who.int/media/docs/default-source/health-workforce/dek/classifying-health-workers.pdf?sfvrsn=7b7a472d_3&download=true Access: 01.09.2023.
• 2. Günüşen NP. Protection and of Strengthening nurses’ mental health. Turkey Clinics J Psychiatr Nurs-Special Topics. 2017;3(1): 12-18.
• 3. Roelen CA, van Hoffen MF, Waage S, Schaufeli WB, Twisk JW, Bjorvat B, et al. Psychosocial work environment and mental health-related long-term sickness absence among nurses. International Archives of Occupational and Environmental Health. 2018;91(2):195-203 https://doi:10.1007/s00420-017-1268-1
• 4. Hamed RA, Abd Elaziz Y, Ahmed AS. Prevalence and predictors of burnout syndrome, post-traumatic stress disorder, depression, and anxiety in nursing staff in various departments. Middle East Curr Psychiatry. 2020;27:36. https://doi:10.1186/s43045-020-00044-x.
• 5. Sampson M, Melnyk BM, Hoying J. The MINDBODYSTRONG intervention for new nurse residents: 6‐month effects on mental health outcomes, healthy lifestyle behaviors, and job satisfaction. Worldviews on Evidence‐Based Nursing. 2020;17(1): 16-23. https://doi:10.1111/wvn.12411
• 6. Cevizci O, Müezzin E.E. Investigation of the psychological symptoms and psychological resistance in health professionals. Cyprus Turkish Journal of Psychiatry & Psychology. 2019;1(3):166-172. https://doi:10.35365/ctjpp.19.1.21
• 7. Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB. Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS ONE. 2016;11(7):e0159015. https://doi:10.1371/journal.pone.0159015
• 8. Jamali J, Roustaei N, Ayatollahi SMT, Sadeghi E. Factors affecting minor psychiatric disorder in southern iranian nurses: a latent class regression analysis. Nursing and Midwifery Studies. 2015;4(2): e28017. https://doi:10.17795/nmsjournal28017
• 9. Gifkins J, Loudoun R, Johnston A. Coping strategies and social support needs of experienced and inexperienced nurses performing shiftwork. Journal of Advanced Nursing. 2017;73(12):3079-3089. https://doi:10.1111/jan.13374
• 10. Chen J, Li J, Cao B, Wang F, Luo L, Xu J. Mediating effects of self‐efficacy, coping, burnout, and social support between job stress and mental health among young chinese nurses. Journal of Advanced Nursing. 2020;76(1):163-173. https://doi:10.1111/jan.14208
• 11. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A.. Nurses’ job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nursing. 2022;21(1): 1-10. https://doi:10.1186/s12912-022-00852-y
• 12. Karaca A, Yildirim N, Cangur S, Acikgoz F, Akkus, D. Relationship between mental health of nursing students and coping, self-esteem and social support. Nurse Education Today. 2019;76:44-50. https://doi:10.1016/j.nedt.2019.01.029
• 13. Havaei F, Ma A, Staempfli S, MacPhee M. Nurses' workplace conditions impacting their mental health during COVID-19: A cross-sectional survey study. Healthcare. 2021;9(1):84. https://doi:10.3390/healthcare9010084
• 14. Al Thobaity A, Alshammari, F. Nurses on the frontline against the covid-19 pandemic: an integrative review. Dubai Medical Journal. 2020;3(3):87-92. https://doi:10.1159/000509361
• 15. Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou, D. Nurses' burnout and associated risk factors during the Covid‐19 pandemic: A systematic review and meta‐analysis. Journal of Advanced Nursing. 2021;77(8):3286-3302. https://doi:10.1111/jan.14839
• 16. Halcomb E, McInnes S, Williams A, Ashley C, James S, Fernandez R, Calma K. The experiences of primary healthcare nurses during the COVID‐19 pandemic in Australia. Journal of Nursing Scholarship. 2020;52(5):553-563. https://doi:10.1111/jnu.12589
• 17. Kackin O, Ciydem E, Aci OS. Kutlu, FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. International Journal of Social Psychiatry 2021;67(2):158-167. https://doi:10.1177/0020764020942788
• 18. Fawaz M, Itani M. The psychological experiences of lebanese ground zero front-line nurses during the most recent COVID-19 outbreak post-beirut blast: A qualitative study. International Journal of Social Psychiatry 2022;68(4):754-761. https://doi:10.1177/002076402110049
• 19. Mousavi SV, Ramezani M, Salehi I, Hossein Khanzadeh AA. Sheikholeslami F. The relationship between burnout dimensions and psychological symptoms (Depression, anxiety, and stress) among nurses. Journal of Holistic Nursing and Midwifery. 2017;27(2):37-43.
• 20. Onan N, Barlas G, Karaca S, Yildirim N, Taskiran O, Sumeli F. The relations between perceived stress, communication skills and psychological symptoms in oncology nurses. Clinical and Experimental Health Sciences. 2015;5(3):170-177. https://doi:10.5455/musbed.20150602021515
• 21. Melnyk B, Orsolini L, Tan A, Arslanian-Engoren C, Melkus GD, Dunbar-Jacob J. et al. A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. Journal of Occupational and Environmental Medicine. 2018;60(2):126–131. https://doi:10.1097/JOM.0000000000001198
• 22. Sullivan V, Hughes V, Wilson DR. Nursing burnout and its impact on health Nursing Clinics. 2022;57(1):153-169. https://doi:10.1016/j.cnur.2021.11.011
• 23. Vasconcelos SC, de Souza SL, Sougey EB, de Oliveira Ribeiro EC, do Nascimento JJC, Formiga MB, et al. Nursing staff members mental’s health and factors associated with the work process: An integrative review. Clinical Practice and Epidemiology in Mental Health: CP & EMH. 2016;12:167-176. https://doi:10.2174/1745017901612010167
• 24. Şahin NH, Durak A. Brief Symptom Inventory BSI: Adaptation for Turkish youth. Turkish Journal of Psychology. 1994;9(31): 44-56.
• 25. Büyüköztürk Ş. Data analysis handbook for social sciences, Pegem Publishing. Edition, Ankara, 2002.
• 26. Jordan TR, Khubchandani J, Wiblishauser M. The impact of perceived stress and coping adequacy on the health of nurses: A pilot investigation. Nursing Research and Practice. 2016;1–11. https://doi:10.1155/2016/5843256
• 27. Almaza JU, Albougami AS, Alamri MS. Exploring nurses' work-related stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences. 2019;14(4):376-382. https://doi:10.1016/j.jtumed.2019.04.006
• 28. Khamisa N, Peltzer K, Ilic D, Oldenburg B. Work-related stress, burnout, job satisfaction and general health of nurses: A follow‐up study. International Journal of Nursing Practice. 2016;22(6):538-545. https://doi:10.1111/ijn.12455
• 29. Vernekar SP, Shah H. A study of work-related stress among nurses in a tertiary care hospital in Goa. International Journal of Community Medicine and Public Health. 2018;5(2):657-661. https://doi:10.18203/2394-6040.ijcmph20180246
• 30. Perry L, Lamont S, Brunero S, Gallagher R, Duffield C. The mental health of nurses in acute teaching hospital settings: A cross-sectional survey. BMC Nursing. 2015;14:1-8. https://doi:10.1186/s12912-015-0068-8
• 31. Lee HF, Yen M, Fetzer S, Chien TW. Predictors of burnout among nurses in Taiwan. Community Mental Health Journal. 2015;51:733-737. https://doi:10.1007/s10597-014-9818-4
• 32. Ruiz-Fernández MD, Pérez-García E, Ortega-Galán ÁM. Quality of life in nursing professionals: burnout, fatigue, and compassion satisfaction. International Journal of Environmental Research and Public Health. 2020;17(4):1253. https://doi:10.3390/ijerph17041253
• 33. Tsolakidis G, Vasiliki Diamantidou MD. Nursing staff burnout: A critical review of the risk factors. International Journal of Caring Sciences. 2022;15(1):668-679.
• 34. Yılmazer YÇ, Buldukoğlu K. Assessment of compassion satisfaction, burnout, and compassion fatigue levels of the nurses: A university hospital example. HUHEMFAD-JOHUFON. 2021;8(2):144-150. https://doi:10.31125/hunhemsire.966330
• 35. Ayaz Alkay S, Yaman-Sözbir, Ş, Bayrak Kahraman B. The effect of nursing internship program on burnout and professional commitment. Nurse Education Today. 2018;68:19-22. https://doi:10.1016/j.nedt.2018.05.020