Hemşirelik Öğrencilerinin Moral Distres ile Psikolojik Dayanıklılık Düzeyleri Arasındaki İlişki

Öz

Amaç: Çalışmanın amacı hemşirelik öğrencilerinin moral distres ile psikolojik dayanıklılık düzeyleri arasındaki ilişkiyi belirlenmektir. Yöntem: Bu tanımlayıcı ve ilişki arayıcı olan çalışma bir üniversitenin 3. ve 4. sınıfında hemşirelik bölümünde okuyan 260 öğrenci ile yapılmıştır. Sosyodemografik Veri Formu, Hemşirelik Öğrencilerinde Moral Distres Ölçeği ve Hemşirelerde Psikolojik Dayanıklılık Ölçeği ile veriler toplanmıştır. Verilerin değerlendirilmesinde bağımsız gruplarda t testi, Mann-Whitney U Testi, Kruskall-Wallis Testi ve Pearson Korelasyon Analizi kullanılmıştır. Bulgular: Katılımcıların yaş ortalaması 22,00±1,22’dir. Katılımcıların moral distres toplam puanı 6,14±5,09 ile düşük, psikolojik dayanıklılık toplam puanı ise 69,64±9,68 ile orta düzeyden biraz daha yüksektir. Katılımcıların cinsiyetine göre psikolojik dayanıklılık eğilim, durumsal alt boyutlarında ve toplam puanlarında istatistiksel farklılık olduğu saptanmıştır. Hemşireliği seçme durumlarına göre durumsal; şu an bölümden memnuniyet durumlarına göre felsefi, ilişkisel, eğilim, durumsal alt boyutlarında ve toplam puanlarında anlamlı fark bulunmuştur (p<0,05). Öğrencilerin sosyodemografik özelliklerine göre moral distres puanlarında istatistiksel farklılık olmadığı belirlenmiştir. Ayrıca katılımcıların moral distres ile psikolojik dayanıklılık arasında anlamlı bir ilişki olmadığı tespit edilmiştir (p>0,05). Sonuç: Hemşirelik öğrencilerinde psikolojik dayanıklılığı geliştirmeye ve moral distresi yönetmeye yönelik simülasyon temelli eğitimler, vaka çalışmaları, rol oynama eğitimleri, danışmanlık hizmetleri ve destekleyici yaklaşımların hemşirelik müfredatına yerleştirilmesi ve klinik uygulamalarda aktif olarak kullanılması hemşirelik öğrencilerinin mesleki yetkinliklerinin güçlendirilmesinde önemli olabilir.

Anahtar Kelimeler

• Distres
• Hemşirelik Öğrencisi
• Moral
• Psikolojik Dayanıklılık

The Relationship Between Moral Distress and Psychological Resilience Levels of Nursing Students

Öz

Objective: The aim of the study is to determine the relationship between moral distress and psychological resilience levels of nursing students. Methods: This descriptive and correlational study was conducted with 260 students studying in the 3rd and 4th grade of a university nursing department. In the evaluation of the data, independent groups t test, Mann-Whitney U Test, Kruskall-Wallis Test and Pearson Correlation Analysis were used. Results: The average age of the participants was 22.00±1.22. The participants' total moral distress score was low at 6.14±5.09, and their total psychological resilience score was slightly higher than moderate at 69.64±9.68. It was determined that there was a statistical difference in the tendency, situational sub-dimensions and total scores of psychological resilience according to the gender of the participants. A significant difference was found in the situational scores according to their choice of nursing; and in the philosophical, relational, tendency, situational sub-dimensions and total scores according to their current satisfaction with the department (p<0.05). It was found that there was no statistical difference in the moral distress scores according to the sociodemographic characteristics of the students. In addition, it was determined that there was no significant relationship between the participants’ moral distress and psychological resilience (p>0.05). Conclusion: Integrating simulation-based training, case studies, role-playing training, counseling services, and supportive approaches into the nursing curriculum and actively using them in clinical practice to develop psychological resilience and manage moral distress in nursing students may be important in strengthening the professional competencies of nursing students.

Anahtar Kelimeler

• Distress
• Moral
• Nursing Student
• Psychological Resilience

Kaynakça

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