Araştırma Makalesi
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Yenidoğan yoğun bakım hemşirelerin duygusal emek düzeylerinin palyatif bakıma yönelik tutumlarına etkisi

Yıl 2021, , 40 - 46, 05.06.2021
https://doi.org/10.47582/jompac.887579

Öz

Amaç: Palyatif bakım hizmeti sunarken birçok zorlayıcı duygu deneyimleyen yenidoğan hemşireleri, bakım sürecinde hasta ve ailesi ile empati kurması, kontrollü, yansız ve anlayışlı olması gerekmektedir. Yenidoğan yoğun bakım hemşirelerinin duygularını yönetip farkında olması, belirlenmiş roller üstlenmesi ve çok daha farklı hisler içinde olsalar da önceden belirlenmiş standartlara göre davranması gibi sarf ettikleri duygusal emek düzeyleri, palyatif bakım sürecinde önem taşımaktadır. Bu araştırmanın amacı yenidoğan yoğun bakım hemşirelerinin duygusal emek düzeylerinin palyatif bakıma yönelik tutumlarına etkisinin belirlenmesidir.
Materyal ve Metot: Kesitsel ve tanımlayıcı tipte olan araştırma Türkiye’nin kuzeyindeki bir il merkezinde yenidoğan yoğun bakım ünitelerinde (YYBÜ) çalışan 75 hemşire ile gerçekleştirildi. Araştırma verileri Kişisel bilgi formu, Duygusal Emek Ölçeği (DEÖ) ve Yenidoğan Palyatif Bakım Tutum Ölçeği (YPBTÖ) kullanılarak toplanmıştır. Veriler SPSS 23 ile analiz edilmiş olup, verilerin değerlendirilmesinde tanımlayıcı istatistikler, non parametrik testler ve Spearman korelasyon analizi kullanılmıştır.
Bulgular: Araştırmaya katılan YYBÜ hemşirelerinin %61.3’ü palyatif bakım konusunda eğitim almadıklarını ve %84’ü palyatif bakım konusunda bilgilerini yeterli bulmadıklarını belirtmişlerdir.DEÖ’nün yüzeysel davranış alt boyutu ile YPBTÖ’nün kaynaklar alt boyutu arasında negatif yönde (p=0.046), gerçek duyguları bastırma alt boyutu ile YPBTÖ’nün klinik alt boyutu arasında pozitif yönde istatistiksel olarak anlamlı bir ilişki bulunmuştur (p=0.005)
Sonuç: Hemşirelerin duygusal emeklerini etkileyen faktörlere yönelik yapılan bu araştırmada, hemşirelerin palyatif bakım hizmeti sunarken gerçek duygularını bastırdığı ve yüzeyel davranış sergilediği görülmüştür. Hemşireler yenidoğan palyatif bakım uygulamalarını tanıma ve işbirliği içinde olma yönünde olumlu tutum sergilemelerine rağmen, sağlanan kurumsal desteğinin yeterli olmadığını belirtmişlerdir.

Kaynakça

  • Ünal S, Zenciroğlu A. Palliative care for newborn infant. Turkish J Ped. Disease 2016; 10: 149-155.
  • Akay G. Turkish validity and reliability of the neonatal palliative care attitude scale. Masters Thesis. Erzurum, Turkey, 2017; 4-18.
  • Kilcullen M, İreland S. Palliative care in the neonatal unit: Neonatal nursing staff perceptions of facilitators and barriers in a regional tertiary nursery BMC Palliative Care 2017; 16.
  • Cricco-Lizza R. The need to nurse the nurse: emotional labor in neonatal intensive care Qual. Health Res2014; 24: 615-28.
  • Mendel TR. The use of neonatal palliative care: Reducing moral distress in NICU nurses. Journal of Neonatal Nursing 2014; 20: 290-3.
  • Özçelik H, Aksoy F, Sönmez E, Fadıloglu Ç. Attitudes to death of nurses in Turkey and factors affecting them. Hospice & Palliative Med Inter J 2018; 303-9.
  • Değirmenci Öz S, Baykal Ü. Nurses’ emotional labor behavior and factors affecting. Florence Nightingale J Nurs 2018; 26: 1-10.
  • Chou H, Hecker R, Martin A. Predicting nurses’ well-being from job demands and resources: A crosssectional study of emotional labour. J Nurs Manag 2012; 20: 502-11.
  • Cheng C, Bartram T, Karimi L, Leggat S. The role of team climate in the management of emotional labour: implications for nurse retention. J Adv Nurs 2013; 69: 2812–25.
  • Dall’Ora C, Ball J, Recio-Saucedo A, Griffiths P. Characteristics of shift work and their impact on employee performance and wellbeing: A literature review. Inter. J Nurs Stud 2016; 57: 12-27.
  • Delgado C, Upton D, Ranse K, Furness T, Foster K. Nurses’ resilience and the emotional labour of nursing work: an integrative review of empirical literature. Inter J Nurs. Stud 2017; 70: 71-88.
  • Elliott C. Emotional labour: learning from the past, understanding the present. British J Nurs 2017; 26: 1070–7.
  • Vermaak C, Görgens-Ekermans G, Nieuwenhuize C. Shıft work, emotıonal labour and psychologıcal well-beıng of nursıng staff. J Contemporary Manag Iss 2017; 22: 35-48.
  • Donoso LM, Demerouti E, Hernández EG, Moreno-Jiménez B, Cobo IC. Positive benefits of caring on nurses’ motivation and well-being: A diary study about the role of emotional regulation abilities at work. Inter. J Nurs Stud 2015; 52: 804-16.
  • Yılmaz B, Orak OS. Relationship between emotional labour behavior and psychological symptoms among nurses. J Health Nurs Manag 2020; 7: 187-201.
  • Tahghighi M, Rees CS, Brown JA, Breen LJ, Hegney D. What is the impact of shift work on the psychological functioning and resilience of nurses? An integrative review. J Adv Nurs 2017; 73: 2065-83.
  • Lee M, Jang KS Nurses’ emotions, emotional labor, and job satisfaction. Int J Workplace Health Management. 2020; 13: 16-31.
  • Gülşen M, Özmen D. The relationship between emotional labour and job satisfaction in nursing. Int Nurs Rev 2020; 6: 145–54. doi: 10.1111/inr.12559.
  • Özkol Kılınç K, Bayrak B, Özkan ÇG, Kurt Y, Öztürk H. Assessing nurses’ emotional labor levels. J Academic Res Nurs 2020; 6: 309-16. doi: 10.5222/jaren.2020.83723.
  • Baksi A, Durmaz Edeer A. Investigation of the relationship between emotional labor and general health status of intensive care nurse. J Hacettepe Uni Fac Nurs 2020; 7: 130-7.
  • Grandey AA. Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol 2000; 5: 95-110.
  • Brotheridge CM, Lee RT. Development and validation of the emotional labour scale. J Occu Organizational Psychology 2003; 76: 365-79.
  • Oral L, Köse S. A research on phsicians’ use of emotional labor and the relationship between their job satisfaction and burnout levels. Suleyman Demirel Uni. J Faculty Economics Admin. Sci 2011; 16: 463-92.
  • Kain V, Gardner G, Yates P. Neonatal palliative care attitude scale: Development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing. Pediatrics. 2009; 123: 207-13.
  • Chen CH, Huang LC, Liu HL, Lee HY, Wu SY, Chang YC. To explore the neonatal nurses’ beliefs and attitudes toward scaring for dying neonates in Taiwan. Mat. Child Health J 2013; 17: 1793-801.
  • Azzizadeh Forouzi M, Banazadeh M, Ahmadi JS, Razban F. Barriers of Palliative Care in Neonatal Intensive Care Units. Am J Hosp Palliat Care 2017; 34: 205-11.
  • Shi H, Shan B, Zheng J, Peng W. Knowledge and attitudes toward end-of-life care among community health care providers and its influencing factors in China: A cross-sectional study. Medicine (Baltimore) 2019; 98: e17683.
  • Melvin CS. Historical review in understanding burnout, professional compassion fatigue, and secondary traumatic stress disorder from a hospice and palliative nursing perspective. J Hospice & Palliative Nurs 2015; 1: 66-72.
  • Ingebretsen LP, Sağbakken M. Hospice nurses’ emotional challenges in their encounters with the dying. Int J Qualitative Stud Health Well-Being 2016; 11: 31170.
  • Lewis S. Exploring NICU nursesʼ affective responses to end-of-life care. Advances in Neonatal Care 2017; 17: 96-105.
  • Broom A, Kirby E, Good P, Wotton J, Yates P, Hardy J. Negotiating futility, managing emotions: Nursing the transition to palliative care. Qual Health Res 2014; 25: 299-309.
  • Wright V, Prasun MA, Hilgenberg C. Why is end-of-life care delivery sporadic? A quantitative look at the barriers to and facilitators of providing end-of-life care in the neonatal intensive care unit. Adv Neonatal Nurs 2011; 11: 29-36
  • Karlsson M, Kasén A, Wärån-Furu C. Reflecting on one’s own death: The existential questions that nurses face during end-of-life care. Palliat Support Care 2017; 15: 158–67.
  • Kassa H, Murugan R, Ababa A, Zewdu F, Hailu M. Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BMC Palliative Care 2014; 13: 6.
  • Kalogeropoulou M, Vikia E, Kostagiolas AP, Niakas D. Assessment of knowledge and associated factors towards palliative care among Greek nurses. World J Soc. Sci. Res 2016; 3: 381-95.
  • Ryan L, Seymour J. Death and dying in intensive care: Emotional labour of nurses. End of Life J 2013; 3: 1-9.
  • Funk LM, Peters S, Roger KS. The emotional labor of personal grief in palliative care: balancing caring and professional identities. Qualit. Health Res 2017; 27: 2212-21.
  • Brighton LJ, Selman LE, Bristowe K, Edwards B, Koffman J, Evansa CJ. Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers. Patient Educ Coun 2019; 102: 494-502.
  • Kinman G, Leggetter S. Emotional Labour and Wellbeing: What protects nurses? Healthcare (Basel) 2016; 4: 89.

The effect of emotional labor levels on the attitudes of neonatal intensive care nurses towards palliative care

Yıl 2021, , 40 - 46, 05.06.2021
https://doi.org/10.47582/jompac.887579

Öz

İntroduction: Neonatal nurses, who experience many challenging emotions while providing palliative care, must empathize with the patient and their family, maintain control, act neutrally and be understanding during the care process. Emotional labor levels of the neonatal nurses such as managing and being aware of their emotions, taking on determined roles, and acting according to predetermined standards even though they have much different feelings, are important in the palliative care process. The aim of this study is to determine the effect of emotional labor levels of neonatal nurses on their attitudes towards palliative care.
Materials and Methods: This study was a correlational, cross-sectional and descriptive design and was conducted with 75 nurses employed in the neonatal intensive care units (NICU) in a provincial center in the north of Turkey. The data of the study were collected by using Personal Information Form, Emotional Labor Scale (ELS) and Neonatal Palliative Care Attitude Scale (NPCAS).The data were analyzed with SPSS 23. Descriptive statistics, non-parametric tests and Spearman correlation analysis were used in the evaluation of the data.
Results: Among the NICU nurses, who participated in the study, 61.3% stated that they did not receive training in palliative care, and 84% did not find their knowledge about palliative care sufficient. A statistically significant and negative correlation was found between the surface acting sub-dimension of ELS and the resources sub-dimension of NPCAS (p=0.046); and a statistically significant and positive correlation was found between expression of naturally-felt emotions sub-dimension of ELS and the clinicians sub-dimension of NPCAS (p=0.005).
Conclusion: In the present study, where the factors affecting the emotional labor of nurses were examined, it was observed that nurses suppressed their real emotions and acted superficially while providing the palliative care services. Despite the fact that the nurses displayed a positive attitude towards recognizing the neonatal palliative care practices and acting in cooperation, they stated that the institutional support was not sufficient.

Kaynakça

  • Ünal S, Zenciroğlu A. Palliative care for newborn infant. Turkish J Ped. Disease 2016; 10: 149-155.
  • Akay G. Turkish validity and reliability of the neonatal palliative care attitude scale. Masters Thesis. Erzurum, Turkey, 2017; 4-18.
  • Kilcullen M, İreland S. Palliative care in the neonatal unit: Neonatal nursing staff perceptions of facilitators and barriers in a regional tertiary nursery BMC Palliative Care 2017; 16.
  • Cricco-Lizza R. The need to nurse the nurse: emotional labor in neonatal intensive care Qual. Health Res2014; 24: 615-28.
  • Mendel TR. The use of neonatal palliative care: Reducing moral distress in NICU nurses. Journal of Neonatal Nursing 2014; 20: 290-3.
  • Özçelik H, Aksoy F, Sönmez E, Fadıloglu Ç. Attitudes to death of nurses in Turkey and factors affecting them. Hospice & Palliative Med Inter J 2018; 303-9.
  • Değirmenci Öz S, Baykal Ü. Nurses’ emotional labor behavior and factors affecting. Florence Nightingale J Nurs 2018; 26: 1-10.
  • Chou H, Hecker R, Martin A. Predicting nurses’ well-being from job demands and resources: A crosssectional study of emotional labour. J Nurs Manag 2012; 20: 502-11.
  • Cheng C, Bartram T, Karimi L, Leggat S. The role of team climate in the management of emotional labour: implications for nurse retention. J Adv Nurs 2013; 69: 2812–25.
  • Dall’Ora C, Ball J, Recio-Saucedo A, Griffiths P. Characteristics of shift work and their impact on employee performance and wellbeing: A literature review. Inter. J Nurs Stud 2016; 57: 12-27.
  • Delgado C, Upton D, Ranse K, Furness T, Foster K. Nurses’ resilience and the emotional labour of nursing work: an integrative review of empirical literature. Inter J Nurs. Stud 2017; 70: 71-88.
  • Elliott C. Emotional labour: learning from the past, understanding the present. British J Nurs 2017; 26: 1070–7.
  • Vermaak C, Görgens-Ekermans G, Nieuwenhuize C. Shıft work, emotıonal labour and psychologıcal well-beıng of nursıng staff. J Contemporary Manag Iss 2017; 22: 35-48.
  • Donoso LM, Demerouti E, Hernández EG, Moreno-Jiménez B, Cobo IC. Positive benefits of caring on nurses’ motivation and well-being: A diary study about the role of emotional regulation abilities at work. Inter. J Nurs Stud 2015; 52: 804-16.
  • Yılmaz B, Orak OS. Relationship between emotional labour behavior and psychological symptoms among nurses. J Health Nurs Manag 2020; 7: 187-201.
  • Tahghighi M, Rees CS, Brown JA, Breen LJ, Hegney D. What is the impact of shift work on the psychological functioning and resilience of nurses? An integrative review. J Adv Nurs 2017; 73: 2065-83.
  • Lee M, Jang KS Nurses’ emotions, emotional labor, and job satisfaction. Int J Workplace Health Management. 2020; 13: 16-31.
  • Gülşen M, Özmen D. The relationship between emotional labour and job satisfaction in nursing. Int Nurs Rev 2020; 6: 145–54. doi: 10.1111/inr.12559.
  • Özkol Kılınç K, Bayrak B, Özkan ÇG, Kurt Y, Öztürk H. Assessing nurses’ emotional labor levels. J Academic Res Nurs 2020; 6: 309-16. doi: 10.5222/jaren.2020.83723.
  • Baksi A, Durmaz Edeer A. Investigation of the relationship between emotional labor and general health status of intensive care nurse. J Hacettepe Uni Fac Nurs 2020; 7: 130-7.
  • Grandey AA. Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol 2000; 5: 95-110.
  • Brotheridge CM, Lee RT. Development and validation of the emotional labour scale. J Occu Organizational Psychology 2003; 76: 365-79.
  • Oral L, Köse S. A research on phsicians’ use of emotional labor and the relationship between their job satisfaction and burnout levels. Suleyman Demirel Uni. J Faculty Economics Admin. Sci 2011; 16: 463-92.
  • Kain V, Gardner G, Yates P. Neonatal palliative care attitude scale: Development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing. Pediatrics. 2009; 123: 207-13.
  • Chen CH, Huang LC, Liu HL, Lee HY, Wu SY, Chang YC. To explore the neonatal nurses’ beliefs and attitudes toward scaring for dying neonates in Taiwan. Mat. Child Health J 2013; 17: 1793-801.
  • Azzizadeh Forouzi M, Banazadeh M, Ahmadi JS, Razban F. Barriers of Palliative Care in Neonatal Intensive Care Units. Am J Hosp Palliat Care 2017; 34: 205-11.
  • Shi H, Shan B, Zheng J, Peng W. Knowledge and attitudes toward end-of-life care among community health care providers and its influencing factors in China: A cross-sectional study. Medicine (Baltimore) 2019; 98: e17683.
  • Melvin CS. Historical review in understanding burnout, professional compassion fatigue, and secondary traumatic stress disorder from a hospice and palliative nursing perspective. J Hospice & Palliative Nurs 2015; 1: 66-72.
  • Ingebretsen LP, Sağbakken M. Hospice nurses’ emotional challenges in their encounters with the dying. Int J Qualitative Stud Health Well-Being 2016; 11: 31170.
  • Lewis S. Exploring NICU nursesʼ affective responses to end-of-life care. Advances in Neonatal Care 2017; 17: 96-105.
  • Broom A, Kirby E, Good P, Wotton J, Yates P, Hardy J. Negotiating futility, managing emotions: Nursing the transition to palliative care. Qual Health Res 2014; 25: 299-309.
  • Wright V, Prasun MA, Hilgenberg C. Why is end-of-life care delivery sporadic? A quantitative look at the barriers to and facilitators of providing end-of-life care in the neonatal intensive care unit. Adv Neonatal Nurs 2011; 11: 29-36
  • Karlsson M, Kasén A, Wärån-Furu C. Reflecting on one’s own death: The existential questions that nurses face during end-of-life care. Palliat Support Care 2017; 15: 158–67.
  • Kassa H, Murugan R, Ababa A, Zewdu F, Hailu M. Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BMC Palliative Care 2014; 13: 6.
  • Kalogeropoulou M, Vikia E, Kostagiolas AP, Niakas D. Assessment of knowledge and associated factors towards palliative care among Greek nurses. World J Soc. Sci. Res 2016; 3: 381-95.
  • Ryan L, Seymour J. Death and dying in intensive care: Emotional labour of nurses. End of Life J 2013; 3: 1-9.
  • Funk LM, Peters S, Roger KS. The emotional labor of personal grief in palliative care: balancing caring and professional identities. Qualit. Health Res 2017; 27: 2212-21.
  • Brighton LJ, Selman LE, Bristowe K, Edwards B, Koffman J, Evansa CJ. Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers. Patient Educ Coun 2019; 102: 494-502.
  • Kinman G, Leggetter S. Emotional Labour and Wellbeing: What protects nurses? Healthcare (Basel) 2016; 4: 89.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Research Articles [en] Araştırma Makaleleri [tr]
Yazarlar

Beyza Nur Erel

Esra Tural Büyük 0000-0001-8855-8460

Yayımlanma Tarihi 5 Haziran 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

AMA Erel BN, Tural Büyük E. The effect of emotional labor levels on the attitudes of neonatal intensive care nurses towards palliative care. J Med Palliat Care / JOMPAC / Jompac. Haziran 2021;2(2):40-46. doi:10.47582/jompac.887579

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