Pandemi Sürecinde Hasta Bakım Kalitesi ve Etkileyen Faktörler

Yıl 2026, Cilt: 9 Sayı: 1 , 26 - 37 , 25.04.2026

Özgür Özcan , Fatma Birgili

https://doi.org/10.54189/hbd.1658624

https://izlik.org/JA28EB94YG

Öz

Amaç: Bu araştırma, COVID-19 pandemi sürecinde hastalara verilen bakımın kalitesini ve etkileyen faktörleri belirlemek amacıyla kesitsel ve tanımlayıcı tipte yapılan bir çalışmadır.
Yöntem: Araştırma bir eğitim ve araştırma hastanesinde çalışan hemşireler ile Haziran-Temmuz 2021 tarihleri arasında gerçekleştirilmiştir. Araştırmanın evreni 450, örneklemi ise G-Power güç analizi örneklem hesabına göre 300 gönüllü hemşiredir. Veriler, kişisel bilgi formu ve hemşireler için bakım kalitesi ölçeğinden oluşan anket formu ile toplanmıştır. Verilerin analizi sayı, yüzde, ortalama, standart sapma, ANOVA, t-testi ile yapılmıştır.
Bulgular: Hemşirelerin, Hemşireler İçin Bakım Kalitesi Ölçeği puan ortalaması 83,44±7,30’ dur. Hemşirelerde kronik hastalık bulunma durumu, stres olma durumu, çalışılan birim, hemşire başına düşen hasta sayısı ve hasta bakımına ayrılabilen süre ile Hemşireler İçin Bakım Kalitesi Ölçeği toplam puan ortalamaları arasındaki fark anlamlı bulunmuştur (p<0,05).
Sonuç: Hemşirelerin, Hemşireler İçin Bakım Kalitesi Ölçeği toplam puan ortalaması 83,44±7,30 olup iyi düzeydedir. Pandemi sürecinde hemşirelerde kronik hastalık ve stres olması, çalışılan birim ve hemşire başına düşen hasta sayısının bakım kalitesini olumsuz yönde etkilediği, bu konularda iyileştirme yapılabilmesi için yönetim ve çalışan sağlığı birimlerinin hemşirelere gerekli yardım ve desteği sağlaması önerilmektedir.

Anahtar Kelimeler

Bakım , COVID-19 , Hasta , Hemşire , Kalite

Patient Care Quality and Affecting Factors in the Pandemic Process

https://izlik.org/JA28EB94YG

Öz

Objective: This research is a cross-sectional and descriptive study to determine the quality of care given to patients and the factors affecting them during the pandemic process.
Methods: The research was conducted between June and July 2021 with nurses working in a training and research hospital. The universe of the research was 450, and the sample was 300 volunteer nurses according to the sample calculation made with 95% power and 0.70 effect size with 5% margin of error according to G-Power power analysis. Data were collected with a questionnaire form consisting of a personal information form and a quality of care scale for nurses. Data analysis was done with number, percentage, mean, standard deviation, ANOVA, t-test.
Results: The nurses' mean Quality of Care Scale for Nurses score was 83.44±7.30. A statistically significant difference was found between the status of having a chronic disease (p=0.000), the status of stress (p=0.026), working unit (0.038) the number of patients per nurse, the time allotted to patient care (p=0.024) and the total mean score of Quality of Care Scale for Nurses (p<0.05).
Conclusion: The total mean score of Quality of Care Scale for Nurses of the nurses was 83.44±7.30 and it was at a good level. It is recommended that the management and employee health units provide the necessary assistance and support to nurses in order to improve these issues, as chronic diseases and stress in nurses during the pandemic period and the number of patients per unit and nurse negatively affect the quality of care.

Anahtar Kelimeler

Care , COVID-19 , Nurse , Patient , Quality

Kaynakça

• Altay G, Pehlivan Z, Yavuz AY. (2022). Pandemi sürecinde hemşirelerin algılanan sosyal destek düzeyleri ile yaşam kalitesi arasındaki ilişkinin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(4), 1443-1451. doi: 10.37989/gumussagbil.1135905
• Anton N, Hornbeck T, Modlin S, Haque MM, Crites M, Yu D. (2021). Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic. Plos One, 16(7), 54-77. doi: 10.1371/journal.pone.0254077
• Ardebili ME, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. (2021). Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. Am J Infect Control, 49(5), 547-554. doi: 10.1016/j.ajic.2020.10.001
• Basit G, Kılınçer ŞN. (2022). COVID-19 sürecinde hemşirelerin iş yaşam kalitesi ve etkileyen faktörlerin belirlenmesi. Hemşirelik Bilimi Dergisi, 5(2), 54-62. doi: 10.54189/hbd.1103414
• Bautista JR, Lauria PAS, Contreras MCS, Maranion MMG, Villanueva HH, Sumaguingsing RC, et al. (2020). Specific stressors relate to nurses' job satisfaction, perceived quality of care, and turnover intention. Int J Nurs Pract, 26(1), e12774. doi: 10.1111/ijn.12774
• Bearman G, Pryor R, Albert H, Brath L, Britton A, Cooper K, et al. (2020). Novel coronavirus and hospital infection prevention: Preparing for the impromptu speech. Infect Control Hosp Epidemiol, 41(5), 592-593. doi: 10.1017/ice.2020.55
• Blackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E. (2018). Predicting variations to missed nursing care: A three-nation comparison. J Nurs Manag, 26(1), 33-41. doi: 10.1111/jonm.12514
• Catania G, Zanini M, Hayter M, Timmins F, Dasso N, Ottonello G, et al. (2020). Lessons from Italian front-line nurses’ experiences during the COVID-19 pandemic: A qualitative descriptive study. J Nurs Manag, 29(3), 404-411. doi: 10.1111/jonm.13194
• Cerit B, Çoşkun S. (2017). Hasta ve hemşirelerin hemşirelik bakım kalitesine ilişkin algıları. Turkish Journal of Clinics and Laboratory, 9(2), 103-109. doi: 10.18663/tjcl.380674
• Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15-e16. doi: 10.1016/S2215-0366(20)30078-X
• Duffy JR, Culp S, Padrutt T. (2018). Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm, 48(7/8), 361-367. doi: 10.1097/NNA.0000000000000630
• Eghbali M, Negarandeh R, Froutan R. (2020). COVID-19 epidemic: Hospital-level response. Nursing Practice Today, 7(2), 81-83. doi: 10.18502/npt.v7i2.2728
• Farhadi A, Bagherzadeh R, Moradi A, Nemati R, Sadeghmoghadam L. (2021). The relationship between professional self-concept and work-related quality of life of nurses working in the wards of patients with COVID-19. BMC Nurs, 20(1), 1-8. doi: 10.1186/s12912-021-00595-2
• Gómez-Salgado J, Domínguez-Salas S, Romero-Martín M, Romero A, Coronado-Vázquez V, Ruiz-Frutos C. (2021). Work engagement and psychological distress of health professionals during the COVID-19 pandemic. J Nurs Manag, 29(5), 1016-1025. doi: 10.1111/jonm.13239
• Göçmen Baykara Z, Eyikara E. (2019). Hemşirelik tanılarında tartışmalı konular. Editör: Şenol Çelik S, Karadağ A. Hemşirelik Bakım Planları: Tanılar, Girişimler ve Sonuçlar. 1. Baskı. Akademi Basın ve Yayıncılık. Ankara.
• Guo Y-R, Cao Q-D, Hong Z-S, Tan YY, Chen SD, Jin HJ, et al. (2020). The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) out-break–an update on the status. Mil Med Res, 7(1), 110. doi: 10.1186/s40779-020-00240-0
• Hassan SA, Sheikh FN, Jamal S, Ezeh JK, Akhtar A. (2020). Coronavirus (COVID-19): A review of clinical features, diagnosis, and treatment. Cureus, 12(3), e7355. doi: 10.7759/cureus.7355
• Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. (2020a). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497-506. doi: 10.1016/S0140-6736(20)30183-5
• Huang L, Lin G, Tang L, Yu L, Zhou Z. (2020b). Special attention to nurses’ protection during the COVID-19 epidemi. Crit Care, 4(1), 120, 1-3. doi: 10.1186/s13054-020-2841-7
• Huh S. (2020). How to train health personnel to protect themselves from SARS-CoV-2 (novel coronavirus) infection when caring for a patient or suspected case. J Educ Eval Health Prof, 17(10), 1-6. doi: 10.3352/jeehp.2020.17.10
• Jackson D, Bradbury-Jones C, Baptiste D, Gelling L, Morin K, Neville S, et al. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID‐19. J Clin Nurs, 29(13-14), 2041-2043. doi: 10.1111/jocn.15257
• Kaplan E, Aktaş MC, Kaya H. (2021). COVID-19 pandemi korkusu ile hemşirelerin bakım verici rolüne ilişkin tutumları arasındaki ilişki. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(3), 135-140. doi: 10.48071/sbuhemsirelik.997960
• Karasu F. (2020). Koronavirus (COVID-19) vakaları artarken salgının ön safındaki bir yoğun bakım hemşiresi: “Cephede Duran Kahramanlar”. Yoğun Bakım Hemşireliği Dergisi, 24(1), 11-14.
• Kayri M. (2009). Araştırmalarda gruplar arası farkın belirlenmesine yönelik çoklu karşılaştırma (post-hoc) teknikleri. Journal of Social Science, 19(1), 51-64.
• Labrague LJ, De los Santos JAA, Fronda DC. (2021). Perceived COVID‐19‐associated discrimination, mental health and professional‐turnover intention among frontline clinical nurses: The mediating role of resilience. Int J Ment Health Nurs, 30(6),1674-1683. doi: 10.1111/inm.12920
• Labrague LJ, de los Santos JAA. (2021a). Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag, 29(3), 395-403. doi: 10.1111/jonm.13168
• Labrague LJ, de los Santos JAA. (2021b). Prevalence and predictors of coronaphobia among frontline hospital and public health nurses. Public Health Nursing, 38(3), 382-389. doi: 10.1111/phn.12841
• Lake ET, Riman KA, Sloane DM. (2020). Improved work environments and staffing lead to less missed nursing care: A panel study. J Nurs Manag, 28(8), 2157-2165. doi: 10.1111/jonm.12970
• Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun, 88, 916-919. doi: 10.1016/j.bbi.2020.03.007
• Martins MMFPS, Goncalves MNC, Ribeiro OMPL, Tronchin DMR. (2016). Quality of nursing care: Instrument development and validation. Rev Bras Enferm, 69(5), 864-870. doi: 10.1590/0034-7167-2015-0151
• Maqsood MB, Islam MA, Naqvi AA, Al Qarni A, AlKarasneh AF, Iffat W, et al. (2021). Assessment of quality of work life (QWL) among healthcare staff of intensive care unit (ICU) and emergency unit during COVID-19 outbreak using WHOQoL-BREF. Saudi Pharm J, 29(11), 1348-54. doi: 10.1016/j.jsps.2021.09.002
• McClendon P. (2017). Authentic caring: Rediscover the essence of nursing. Nurs Manage, 48(10), 36-41. doi: 10.1097/01.NUMA.0000524813.18664.7c
• Mellins CA, Mayer LE, Glasofer DR, Devlin MJ, Albano AM, Nash SS, et al. (2020). Supporting the well-being of health care providers during the COVID-19 pandemic: The CopeColumbia response. Gen Hosp Psychiatry, 67, 62-69. doi: 10.1016/j.genhosppsych.2020.08.013
• Nikeghbal K, Kouhnavard B, Shabani A, Zamanian Z. (2021). COVID-19 effects on the mental workload and quality of work life in Iranian nurses. An Glob Health, 87(1), 7-10. doi: 10.5334/aogh.3386
• Park HC, Lee S-H, Kim J, Kim DH, Cho A, Jeon HJ, et al. (2020). Effect of isolation practice on the transmission of middle east respiratory syndrome coronavirus among hemodialysis patients: a 2-year prospective cohort study. Medicine, 99(3), e18782. doi: 10.1097/MD.0000000000018782
• Schoenhofer SO, van Wynsberghe A, Boykin A. (2019). Engaging robots as nursing partners in caring: nursing as caring meets care-centered value-sensitive design. Int J Hum Caring, 23(2), 157-167. doi: 10.20467/1091-5710.23.2.157
• Qarawi ATA, Ng SJ, Gad A, Mai LN, Al-Ahdal TMA, Sharma A, et al. (2020). Awareness and preparedness of hospital staff against Novel Coronavirus (COVID-2019): A global survey-study protocol SSRN. 1-11. doi: 10.2139/ssrn.3550294
• Schwerdtle PN, Connell CJ, Lee S, Plummer V, Russo PL, Endacott R, et al. (2020). Nurse expertise: a critical resource in the COVID-19 pandemic response. Ann Glob Health, 86(1), 49,1-5. doi: 10.5334/aogh.2898
• Smith BA. (2020). A novel IDEA: The impact of serial interval on a modified-ıncidence decay and exponential adjustment (m-IDEA) model for projections of daily COVID-19 cases. Infectious Disease Modelling, 5, 346-356. doi: 10.1016/j.idm.2020.05.003
• Tahvildari A, Arbabi M, Farsi Y, Jamshidi P, Hasanzadeh S, Calcagno TM, et al. (2020). Clinical features, diagnosis, and treatment of COVID-19 in hospitalized patients: A systematic review of case reports and case series. Front Med, 7, 231,1-10. doi: 10.3389/fmed.2020.00231
• Temsah MH, Al-Sohime F, Alamro N, Al-Eyadhy A, Al-Hasan K, Jamal A, et al. (2020). The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health, 13(6), 877-882. doi: 10.1016/j.jiph.2020.05.021
• Türk Hemşireler Derneği (THD). (2020). COVID-19 mevcut durum analizi raporu. Current Situation Analysis Report. (Erişim tarihi: 12.03.2021). https://www.thder.org.tr
• Vogelsang AC, Göransson KE, Falk AC, Nymark C. (2021). Missed nursing care during the COVID-19 pandemic: A comparative observational study. J Nurs Manag, 29(8), 2343-2352. doi: 10.1111/jonm.13392
• Yılmaz AT, Demirsoy N, Martins MM. (2018). Validity and reliability testing of the Turkish version of the “Scale of Perception of Nursing Activities That Contribute to Nursing Care Quality (EPAECQC)”. Int J Caring Sci, 11(3), 1340-1351.
• Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. (2020). The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs, 41(6), 525-530. doi: 10.1080/01612840.2020.1752865