INVESTIGATION OF COVID-19 FEAR AND ETHICAL SENSITIVITY AMONG SENIOR NURSING STUDENTS DURING CLINICAL PRACTICE
Yıl 2022,
Cilt: 10 Sayı: 2, 508 - 520, 20.06.2022
Figen Erol Ursavaş
,
Damla Bayrak
Öz
The aim of this study is to investigate senior nursing students’ ethical sensitivity and fear of Covid-19 during clinical practice. This is a cross-sectional and relational study. The study has been conducted in June 2021 with senior nursing students at a university in the Central Anatolia region of Turkey (n=95). Data have been collected online via Google Forms by using a Nursing Student Characteristics Form, the Fear of Covid-19 Scale (FCV-19S), and the Moral Sensitivity Questionnaire (MSQ). The mean FCV-19S total score has been obtained as 17.93 (Sd=5.02) and median MSQ total score has been obtained as 96 (25th–75th percentiles=87–108). Students with previous Covid-19 infection had significantly higher FCV-19S scores (t=3.209, p=0.004). There were no significant differences in MSQ total or subscale scores based on the students’ characteristics (p>0.05). FCV-19S total score was positively correlated with the holistic approach subscale of the MSQ (r=0.298, p=0.003). The results of this study have shown that senior nursing students had moderate levels of ethical sensitivity and Covid-19 fear. Previous Covid-19 infection has been associated with greater fear.
Kaynakça
- Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D. & Pakpour, A. H. (2020). The fear of Covid-19 scale: Development and initial validation. International Journal of Mental Health and Addiction, 1-9. Advance online publication.
- Akın Palandöken, E. (2020). COVID-19 pandemia and ethical problems for nurses. İzmir Katip Çelebi University Faculty of Health Science Journal, 5(2), 139-142.
- Aydın, G. Ö., Turan, N., Irmak, A. Y., Çelikkalp, Ü., Aygün, A. & Çakır, Z. (2022). Nursing students' individual values, inclination to ethical and professional values. Perspectives in Psychiatric Care, 58(2), 850-860.
- Bakioğlu, F., Korkmaz, O. & Ercan, H. (2021). Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 19(6), 2369-2382.
- Barlem, E. L. D., Lunardi, V. L., Lunardi, G. L., Tomaschewski-Barlem, J. G, Almeida, A. S. D. & Hirsch, C. D. (2014). Psycometric characteristics of the Moral Distress Scale in Brazilian nursing professionals. Texto & Contexto-Enfermagem, 23(3), 563-572.
- Bayrak Aykan, E., Eren Fidancı, B. & Yıldız, D. (2019). Evaluation of moral maturity and ethical sensitivity in nursing students. University of Health Sciences Journal of Nursing, 1(2), 84-91.
- Bazrafkan, L. & Najafi Kalyani, M. (2018). Nursing students’ experiences of clinical education: a qualitative study. Investigacion Educacion en Enfermeria, 36(3), e04.
- Beisland, E. G., Gjeilo, K. H., Andersen, J. R., Bratås, O., Bø, B., Haraldstad, K., …Flølo, T. N. (2021). Quality of life and fear of COVID-19 in 2600 baccalaureate nursing students at five universities – a cross-sectional study. Health Qual Life Outcomes, 19, 198.
- Borhani, F., Abbaszadeh, A. & Hoseinabadi-Farahani, M. J. (2016). Moral sensitivity and its dimensions in Iranian nursing students. Journal of Medical Ethics and History of Medicine, 9, 19.
- Collado-Boira, E. J., Ruiz-Palomino, E., Salas-Media, P., Folch-Ayora, A., Muriach, M. & Baliño, P. (2020). “The COVID-19 outbreak”-an empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Education Today, 92, 104504.
- De Los Santos, J., Labrague, L. J. & Falguera, C. C. (2022). Fear of COVID-19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross-sectional study. Perspectives in Psychiatric Care, 58(1), 71-78.
- Hançerlioğlu, S., Toygar, İ. & Gül, İ. (2020). Ethical sensitivity levels of nursing students and affecting factors. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 28(3), 330-336.
- International Council of Nurses. (2020). ICN calls for data on healthcare worker infection rates and deaths. In 20 July 2021 Retrieved from https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths.
- Khodaveisi, M., Oshvandi, K., Bashirian, S., Khazaei, S., Gillespie, M., Masoumi, S. Z. & Mohammadi, F. (2021). Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19. Nursing Open, 8(6), 3538-3546.
- Kızılırmak, A. & Calpbinici, P. (2018). The relations between ethical sensitivity and critical thinking disposition of nursing students. Journal of Health Sciences, 27(3), 192-198.
- Kilic Akca, N., Simsek, N., Efe Arslan, D., Senturk, S. & Akca, D. (2017). Moral sensitivity among senior nursing students in Turkey. International Journal of Caring Sciences, 10(2), 1031-1039.
- Kuru Alici, N. & Ozturk Copur, E. (2022). Anxiety and fear of COVID-19 among nursing students during the COVID-19 pandemic: A descriptive correlation study. Perspectives in Psychiatric Care, 58(1), 141-148.
- Lancaster, R. J., Schmitt, C. & Debish, M. (2021). A qualitative examination of graduating nurses' response to the Covid-19 pandemic. Nursing Ethics, 28(7-8), 1337-1347.
- Langley, G. C., Kisorio, L. & Schmollgruber, S. (2015). Moral distress experienced by intensive care nurses. Southern African Journal of Critical Care, 31(2), 36-41.
- Lützén, K., Evertzon, M. & Nordin, C. (1997). Moral sensitivity in psychiatric practice. Nursing Ethics, 4(6), 472-482.
- Lützén, K., Johansson, A. & Nordström, G. (2000). Moral sensitivity: Some differences between nurses and physicians. Nursing Ethics, 7(6), 520-530.
- Medina Fernández, I. A., Carreño Moreno, S., Chaparro Díaz, L., Gallegos-Torres, R. M., Medina Fernández, J. A. & Hernández Martínez, E. K. (2021). Fear, stress, and knowledge regarding COVID-19 in nursing students and recent graduates in Mexico. Investigación Educación en Enfermería, 39(1), e05.
- Mert, S., Sayilan, A. A., Karatoprak, A. P. & Baydemir, C. (2021). The effect of Covid-19 on ethical sensitivity. Nursing Ethics, 28(7-8), 1124-1136.
- Özsaban, A. & Bayram, A. (2020). Factors affecting the clinical experience of nursing students in Turkey: A systematic review. Journal of Ankara Health Sciences, 9(2), 124-145.
- Sperling, D. (2021). Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic. Nursing Ethics, 28(1), 9-22.
- Tazegün, A. & Çelebioğlu, A. (2016). Ethical sensitivity levels of pediatric nurses and effective factors. Journal of Dr. Behcet Uz Children's Hospital, 6(2), 97-102.
- Tosun, H. (2005). Sağlık bakımı uygulamalarında deneyimlenen etik ikilemlere karşı hekim ve hemşirelerin duyarlılıklarının belirlenmesi. (PhD Thesis). İstanbul University, İstanbul.
- Tosun, H. (2018). Moral Sensitivity Questionnaire (MSQ): Turkish adaptation of the validity and reliability. Journal of Contemporary Medicine, 8(4), 316-321.
- Tuvesson, H. & Lützén, K. (2017). Demographic factors associated with moral sensitivity among nursing students. Nursing Ethics, 24(7), 847-855.
- Turkish Medical Association. (2021). Turkish medical association 1-year evaluation report of the covid-19 pandemic, In 20 July 2021 Retrieved from https://www.ttb.org.tr/kutuphane/1_yil_rapor.pdf.
- Uncu, F. & Güneş, D. (2021). The importance of moral sensitivity in nursing education: a comparative study. Nursing Forum, 56(3), 635–639.
- Yıldırım, G. & Özden, D., Karagözoğlu, Ş. (2013). Moral distress: An issue not on agenda in the field of health in Turkey. Cumhuriyet Medical Journal, 35, 318-325.
Hemşirelik Son Sınıf Öğrencilerinin Klinik Uygulama Sırasındaki Covid-19 Korkusu ve Etik Duyarlılıklarının İncelenmesi
Yıl 2022,
Cilt: 10 Sayı: 2, 508 - 520, 20.06.2022
Figen Erol Ursavaş
,
Damla Bayrak
Öz
Bu araştırmanın amacı hemşirelik son sınıf öğrencilerinin klinik uygulama sırasındaki Covid-19 korkusu ile etik duyarlılıklarının incelenmesidir. Bu çalışma, kesitsel ve ilişkisel bir araştırmadır. Araştırma Türkiye’nin İç Anadolu bölgesinde bulunan bir üniversitenin hemşirelik son sınıf öğrencileri (n=95) ile Haziran 2021 tarihinde yapılmıştır. Veriler; Hemşirelik Öğrencilerinin Özellikleri Formu, Covid-19 Korkusu Ölçeği ve Ahlaki Duyarlılık Anketi (ADA) kullanılarak Google Formlar aracılığıyla çevrim içi olarak toplanmıştır. Covid-19 Korkusu Ölçeği toplam skorları ortalaması 17.93 (Sd=5.02), Ahlaki Duyarlılık Anketi toplam skorları ortancası 96 (%25-75=87-108) olarak belirlenmiştir. Daha önce Covid-19 geçiren öğrencilerin Covid-19 Korkusu Ölçeği puanlarının anlamlı olarak daha yüksekti (t=3.209, p=0.004). Öğrencilerin özellikleri ile Ahlaki Duyarlılık Anketi total veya alt boyut puanları arasında anlamlı bir fark bulunmamaktaydı (p>0.05). Covid-19 Korkusu Ölçeği toplam puanı ile Ahlaki Duyarlılık Anketi bütüncül yaklaşım alt boyutu arasında pozitif anlamlı olarak ilişkiliydi (r=0.298, p=0.003). Bu çalışmanın sonuçları, hemşirelik son sınıf öğrencilerinin Covid-19 korkusu ve etik duyarlılıklarının orta düzeyde olduğunu göstermektedir. Geçirilmiş Covid-19 enfeksiyonu daha fazla korku ile ilişkilendirilmiştir.
Kaynakça
- Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D. & Pakpour, A. H. (2020). The fear of Covid-19 scale: Development and initial validation. International Journal of Mental Health and Addiction, 1-9. Advance online publication.
- Akın Palandöken, E. (2020). COVID-19 pandemia and ethical problems for nurses. İzmir Katip Çelebi University Faculty of Health Science Journal, 5(2), 139-142.
- Aydın, G. Ö., Turan, N., Irmak, A. Y., Çelikkalp, Ü., Aygün, A. & Çakır, Z. (2022). Nursing students' individual values, inclination to ethical and professional values. Perspectives in Psychiatric Care, 58(2), 850-860.
- Bakioğlu, F., Korkmaz, O. & Ercan, H. (2021). Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 19(6), 2369-2382.
- Barlem, E. L. D., Lunardi, V. L., Lunardi, G. L., Tomaschewski-Barlem, J. G, Almeida, A. S. D. & Hirsch, C. D. (2014). Psycometric characteristics of the Moral Distress Scale in Brazilian nursing professionals. Texto & Contexto-Enfermagem, 23(3), 563-572.
- Bayrak Aykan, E., Eren Fidancı, B. & Yıldız, D. (2019). Evaluation of moral maturity and ethical sensitivity in nursing students. University of Health Sciences Journal of Nursing, 1(2), 84-91.
- Bazrafkan, L. & Najafi Kalyani, M. (2018). Nursing students’ experiences of clinical education: a qualitative study. Investigacion Educacion en Enfermeria, 36(3), e04.
- Beisland, E. G., Gjeilo, K. H., Andersen, J. R., Bratås, O., Bø, B., Haraldstad, K., …Flølo, T. N. (2021). Quality of life and fear of COVID-19 in 2600 baccalaureate nursing students at five universities – a cross-sectional study. Health Qual Life Outcomes, 19, 198.
- Borhani, F., Abbaszadeh, A. & Hoseinabadi-Farahani, M. J. (2016). Moral sensitivity and its dimensions in Iranian nursing students. Journal of Medical Ethics and History of Medicine, 9, 19.
- Collado-Boira, E. J., Ruiz-Palomino, E., Salas-Media, P., Folch-Ayora, A., Muriach, M. & Baliño, P. (2020). “The COVID-19 outbreak”-an empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Education Today, 92, 104504.
- De Los Santos, J., Labrague, L. J. & Falguera, C. C. (2022). Fear of COVID-19, poor quality of sleep, irritability, and intention to quit school among nursing students: A cross-sectional study. Perspectives in Psychiatric Care, 58(1), 71-78.
- Hançerlioğlu, S., Toygar, İ. & Gül, İ. (2020). Ethical sensitivity levels of nursing students and affecting factors. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 28(3), 330-336.
- International Council of Nurses. (2020). ICN calls for data on healthcare worker infection rates and deaths. In 20 July 2021 Retrieved from https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths.
- Khodaveisi, M., Oshvandi, K., Bashirian, S., Khazaei, S., Gillespie, M., Masoumi, S. Z. & Mohammadi, F. (2021). Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19. Nursing Open, 8(6), 3538-3546.
- Kızılırmak, A. & Calpbinici, P. (2018). The relations between ethical sensitivity and critical thinking disposition of nursing students. Journal of Health Sciences, 27(3), 192-198.
- Kilic Akca, N., Simsek, N., Efe Arslan, D., Senturk, S. & Akca, D. (2017). Moral sensitivity among senior nursing students in Turkey. International Journal of Caring Sciences, 10(2), 1031-1039.
- Kuru Alici, N. & Ozturk Copur, E. (2022). Anxiety and fear of COVID-19 among nursing students during the COVID-19 pandemic: A descriptive correlation study. Perspectives in Psychiatric Care, 58(1), 141-148.
- Lancaster, R. J., Schmitt, C. & Debish, M. (2021). A qualitative examination of graduating nurses' response to the Covid-19 pandemic. Nursing Ethics, 28(7-8), 1337-1347.
- Langley, G. C., Kisorio, L. & Schmollgruber, S. (2015). Moral distress experienced by intensive care nurses. Southern African Journal of Critical Care, 31(2), 36-41.
- Lützén, K., Evertzon, M. & Nordin, C. (1997). Moral sensitivity in psychiatric practice. Nursing Ethics, 4(6), 472-482.
- Lützén, K., Johansson, A. & Nordström, G. (2000). Moral sensitivity: Some differences between nurses and physicians. Nursing Ethics, 7(6), 520-530.
- Medina Fernández, I. A., Carreño Moreno, S., Chaparro Díaz, L., Gallegos-Torres, R. M., Medina Fernández, J. A. & Hernández Martínez, E. K. (2021). Fear, stress, and knowledge regarding COVID-19 in nursing students and recent graduates in Mexico. Investigación Educación en Enfermería, 39(1), e05.
- Mert, S., Sayilan, A. A., Karatoprak, A. P. & Baydemir, C. (2021). The effect of Covid-19 on ethical sensitivity. Nursing Ethics, 28(7-8), 1124-1136.
- Özsaban, A. & Bayram, A. (2020). Factors affecting the clinical experience of nursing students in Turkey: A systematic review. Journal of Ankara Health Sciences, 9(2), 124-145.
- Sperling, D. (2021). Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic. Nursing Ethics, 28(1), 9-22.
- Tazegün, A. & Çelebioğlu, A. (2016). Ethical sensitivity levels of pediatric nurses and effective factors. Journal of Dr. Behcet Uz Children's Hospital, 6(2), 97-102.
- Tosun, H. (2005). Sağlık bakımı uygulamalarında deneyimlenen etik ikilemlere karşı hekim ve hemşirelerin duyarlılıklarının belirlenmesi. (PhD Thesis). İstanbul University, İstanbul.
- Tosun, H. (2018). Moral Sensitivity Questionnaire (MSQ): Turkish adaptation of the validity and reliability. Journal of Contemporary Medicine, 8(4), 316-321.
- Tuvesson, H. & Lützén, K. (2017). Demographic factors associated with moral sensitivity among nursing students. Nursing Ethics, 24(7), 847-855.
- Turkish Medical Association. (2021). Turkish medical association 1-year evaluation report of the covid-19 pandemic, In 20 July 2021 Retrieved from https://www.ttb.org.tr/kutuphane/1_yil_rapor.pdf.
- Uncu, F. & Güneş, D. (2021). The importance of moral sensitivity in nursing education: a comparative study. Nursing Forum, 56(3), 635–639.
- Yıldırım, G. & Özden, D., Karagözoğlu, Ş. (2013). Moral distress: An issue not on agenda in the field of health in Turkey. Cumhuriyet Medical Journal, 35, 318-325.