Determination of Burnout Status and Professional Commitment of Nurses Caring for Patients Diagnosed with COVID-19 in a Training and Research Hospital

Yıl 2023, Cilt: 10 Sayı: 2, 154 - 163, 01.08.2023

Fatma Nur Duman , Ayten Şentürk Erenel

https://doi.org/10.31125/hunhemsire.1333843

Cited By: 1

Öz

Aim: This research was conducted to determine the burnout status and commitment to the profession of nurses who provide care to patients diagnosed with COVID-19 in a training and research hospital.
Material and Methods: The research sample comprised 205 nurses caring for COVID-19 patients. In the collection of the data, “Descriptive Characteristics Form”, “Burnout Scale (BS)”, “Commitment to the Profession in Nursing Scale (NPCS)” were used.
Results: Nurses' BS mean score was 4.48±1.07, and it was determined that only 1% of them did not experience burnout. It was determined that the burnout status of 36.6% of them was at a crisis level. The average score of NPCS of the nurses was determined to be 68.73±13.14. A significant difference was found between the mean scores of total professional commitment and willingness to make an effort, according to the number of patients the nurses gave daily care to. A significant and negative correlation was found between the levels of professional commitment and burnout levels of nurses.
Conclusion: It was determined that almost all nurses working in pandemic service and intensive care units and providing care to COVID-19 patients experienced burnout, their level of professional commitment was above the average level, and commitment to the profession decreased as the level of burnout increased.

Anahtar Kelimeler

Burnout, commitment to the profession, COVID-19, nurse, pandemic

Bir Eğitim ve Araştırma Hastanesinde COVID-19 Tanısı Almış Hastalara Bakım Veren Hemşirelerin Tükenmişlik Durumları ve Mesleğe Bağlılıklarının Belirlenmesi

Öz

Amaç: Bu araştırmada, bir eğitim ve araştırma hastanesinde COVID-19’lu hastalara bakım sağlayan hemşirelerin mesleğe bağlılık ve tükenmişlik düzeylerini saptamak amaçlanmıştır.
Gereç ve Yöntem: Çalışma tanımlayıcı desende tasarlanmıştır. Çalışmanın örneklemini COVID-19 hastalarına bakan 205 hemşire oluşturmuştur. Araştırmada veriler “Tanımlayıcı Özellikler Formu”, “Tükenmişlik Ölçeği”, “Hemşirelik Mesleki Bağlılık Ölçeği” kullanılarak toplanmıştır.
Bulgular: Hemşirelerin tükenmişlik ölçeği toplam puan ortalaması 4.48±1.07 olup, sadece %1'inin tükenmişlik yaşamadığı, %36.6'sının kriz düzeyinde tükenmişlik yaşadığı belirlenmiştir. Hemşirelerin mesleki bağlılık puan ortalaması 68.73±13.14 olarak bulunmuştur. Hemşirelerin günlük bakım verdiği hasta sayısına göre toplam mesleğe bağlılık ve çaba göstermeye isteklilik puan ortalamaları arasında anlamlı fark bulunmuştur. Hemşirelerin tükenmişlik düzeyleri ile mesleki bağlılık düzeyleri anlamlı ve negatif yönde bir korelasyon olduğu saptanmıştır.
Sonuç: Pandemi servis ve yoğun bakım ünitelerinde çalışıp, COVID-19 hastalarına bakım sağlayan hemşirelerin neredeyse tamamının tükenmişlik yaşadığı, mesleki bağlılık düzeylerinin orta seviyenin üzerinde olduğu, tükenmişlik düzeyi arttıkça mesleğe bağlılığın azaldığı belirlenmiştir.

Anahtar Kelimeler

COVID-19, hemşire, mesleğe bağlılık, pandemi, tükenmişlik

Kaynakça

• Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. NEJM. 2020;382(8):723-27.
• World Health Organization. Coronavirus Disease 2019 (‎COVID-19)‎: Situation Report, 51 Geneva: WHO Publications [Internet]. 2020 [Date of Access: 23 February 2021]. Access Address: https://covid19.who.int/
• Republic of Turkey Ministry of Health. Current situation in Turkey [Internet] 2020. [Date of Access 31 August 2021]. Access address: https://covid19.saglik.gov.tr/
• Rajeshwari S. Nurses: A force for change - improving health systems' resilience. NJI. 2016;107(6):263-4.
• Burns H, Hamer B, Bissell A. Covid-19: Implications for the Australian healthcare workforce [Internet]. 2020 [Date of Access: 23 February 2021]. Access address: https://www.pwc.com.au/important-problems/business-economic-recovery-coronavirus-covid-19/australian-healthcare-workforce.html
• Kalanlar B, Kubilay G. An important concept in protecting public health in disasters: Disaster nursing. FNJN. 2015;23(1):57-65.
• Şenol Çelik S, Atlı Özbaş A, Koç G, Çelik B, Karahan A, Bulut H, et al. COVID 19 pandemic process: Turkish Nurses Association. J Educ Res Nurs. 2020;17(3):279-83.
• Pedrazza M, Berlanda S, Trifiletti E, Minuzzo S. Variables of individual difference and the experience of touch in nursing. WJNR. 2018;40(11):1614-37.
• Hachisu T, Suzuki K. Tactile apparent motion through human-human physical touch. Prattichizzo D, Shinoda H, Tan HZ, Ruffaldi E, Frisoli A. editors. In Haptics: Science, Technology, and Applications. Italy: Springer, 2018.
• Smith GD, Ng F, Li WHC. COVID-19: Emerging compassion, courage and resilience in the face of misinformation and adversity. JCN. 2020;29(9-10):1425-8.
• Jackson D, Bradbury-Jones C, Baptiste D, Gelling L, Morin K, Neville S, et al. Life in the pandemic: Some reflections on nursing in the context of COVID-19. JCN. 2020;29(13-14):2041-3.
• Choi KR, Jeffers KS, Logsdon MC. Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. JAN. 2020;76(7):1486-7.
• Billings J, Kember T, Greene T, Grey N, El-Leithy S, Lee D, et al. Guidance for planners of the psychological response to stress experienced by hospital staff associated with COVID: Early Interventions [Internet]. 2020 [Date of Access 23 February 2021]. Access address: https://www.aomrc.org.uk/wp-content/uploads/2020/03/Guidance-for-planners-of-the-psychological-response-to-stress-experienced-by-HCWs-COVID-trauma-response-working-group.pdf
• Çevik Aktura S, Özden G. Psychological effects of the epidemic: Covid-19 nurses. IJSSS. 2020;13(73):1146-51.
• Maslach C. Burnout: The cost of caring. New Jersey: Prentice Hall, 1982.
• Erol A., Akarca F, Değerli V, Sert E, Delibaş H, Gülpek D, et al. Burnout and job satisfaction in emergency service workers. Turkish Journal of Clinical Psychiatry. 2012;15:103-10.
• Kansoun Z, Boyer L, Hodgkinson M, Villes V, Lançon C, Fond G. Burnout in French physicians: A systematic review and meta-analysis. JAD. 2019;246(1):132-47.
• Başar U. Burnout syndrome in nurses: causes, consequences, and preventive strategies. JHNM. 2020;7(2):1-15.
• Sahin T, Aslaner H, Eker OO, Gokcek MB, Dogan M. Effect of COVID-19 pandemic on anxiety and burnout levels in emergency healthcare workers: a questionnaire study. IJMSCI. 2020;1(1):1-22.
• Bellanti F, Lo Buglio A, Capuano E, Dobrakowski M, Kasperczyk A, Kasperczyk S, et al. Factors Related to nurses’ burnout during the first wave of coronavirus disease-19 in a University Hospital in Italy. Int. J. Environ. Res. Public Health. 2020;18(10):5051.
• Yumru M. COVID-19 and burnout in healthcare workers. Turkish Journal of Clinical Psychiatry. 2020;23(1):5-6.
• Jafaragaee F, Parvizy S, Mehrdad, N. Concept analysis of professional commitment in Iranian nurses. IJNMR. 2012;17(1):472-9.
• Waugaman WR, Lohrer DJ. From nurse to nurse anesthetist: The influence of age and gender on professional socialization and career commitment of advanced practice nurses. J Prof Nurs. 2000;16(1):47-56.
• Vandenberg RJ, Scarpello VA. longitudinal assessment of the determinant relationship between employee commitments to the occupation and the organization. J Organ Behav. 1994;15(6):535–47.
• Özkan Sat S, Akbas P, Yaman Sözbir Ş. Nurses' exposure to violence and their professional commitment during the COVID‐19 pandemic. JCN. 2021;30(1):2036-47.
• Duran S, Celik I, Ertugrul B, Ok S, Albayrak S. Factors affecting nurses' professional commitment during the COVID‐19 pandemic: A cross‐sectional study. J Nurs Manag. 2021;1(1):1-10.
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020;3(3):e203976.
• Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. 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 Behav. Immun. 2020;87(1):11-7.
• Capri B. Turkish adaptation of burnout scale: Validity and reliability study. Journal of Mersin University Faculty of Education. 2006;2(1):62-77.
• Çetinkaya A, Özmen D, Temel AB. The validity and reliability study of the Nursing Professional Engagement Scale. Dokuz Eylul University Faculty of Nursing Electronic Journal. 2015;8(2):54-60.
• Harry S. Predictors of Burnout for Frontline Nurses in the COVID-19 Pandemic: Well-Being, Satisfaction With Life, Social Support, Fear, Work Setting Factors, Psychological Impacts, and Self-Efficacy for Nursing Tasks [Doctoral Dissertation]. Columbia University, 2021.
• Türkmen İ, Çetin Aslan E. Investigation of the perceived stress and emotional exhaustion levels of health workers during the Covid-19 pandemic process. [Notification]. International Black Sea Coastline Countries Scientific Research Symposium-IV; 28-29 April 2021; Giresun, Turkey.
• Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front‐line nurses during the COVID‐19 pandemic. Int J Ment Health Nurs. 2021;30(2):533-43.
• Chang HY, Shyu YIL, Wong MK, Chu TL, Lo YY, Teng CI. How does burnout impact the three components of nursing professional commitment? Scand J Caring Sci. 2017;31(4):1003-11.