Pandeminin Ortasında Temel Sağlık Hizmetlerinde Çalışanlarda Tükenmişlik ve Covid Korkularının Belirlenmesi

Öz

Amaç: Araştırmada sağlık çalışanlarında tükenmişlik ve COVID korku düzeyleri ve buna bağlı etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve kesitsel tipteki bu araştırmanın evrenini, İç Anadolu’da bulunan bir ilde birinci basamak sağlık hizmetlerinde çalışan sağlık çalışanlarının tümü oluşturmaktadır. Araştırmada örneklem seçimine gidilmeyip, araştırmaya katılmayı kabul eden birinci basamak sağlık çalışanları (n=500) örnekleme dâhil edilmiştir. Araştırmada veriler araştırmacılar tarafından oluşturulan sosyodemogafik soru formu, COVID Korku Ölçeği ve Maslach Tükenmişlik Envanteri ile sağlık çalışanlarından toplanmıştır. Verilerin değerlendirilmesinde tek yönlü MANOVA, Duncan testi ve Pearson korelasyonu kullanılmıştır. Araştırmaya başlamadan önce, Nevşehir Hacı Bektaş Veli Üniversitenin girişimsel olmayan klinik araştırmalar yayın etik kurulundan izin alınmıştır (Sayı:2021.07.214). Veriler tek yönlü MANOVA, Duncan testi ve Pearson korelasyonu kullanılarak değerlendirilmiştir. Bulgular: COVID geçiren sağlık çalışanlarında duyarsızlaşma tükenmişliği alt boyut puanlarının, yakın çevresinden ve mahalle sakinlerinden dışlayıcı davranışlar hissedenlerde duygusal tükenmişlik alt boyut puanları daha yüksek, gelir düzeyi düşük olanlarda ise kişisel başarı tükenmişliği alt boyut puanları daha düşük olduğu saptanmıştır (p<0.05). Sonuçlar ve Öneriler: Aile Sağlığı Merkezinde ve kadın sağlık çalışanlarında COVID korkusunun anlamlı düzeyde yüksek olduğu bulunmuştur. Sağlık çalışanlarının hastalık korkusunun, Kovid ile ilgili yazılı veya sözlü haberlere maruz kalma arttıkça arttığı, Kovid korkusu arttıkça mesleki tükenmişlik puanının da arttığı belirlendi. Salgın döneminde sağlık çalışanlarının mesleki tükenmişliğini azaltmak için harekete geçilmelidir.

Anahtar Kelimeler

• COVID
• Sağlık çalışanları
• Tükenmişlik
• Birinci basamak sağlık hizmetleri

DETERMINATION OF FEARS OF BURNOUT AND COVID EMPLOYEE IN PRIMARY HEALTH SERVICES IN THE MIDDLE OF THE PANDEMIC

Öz

Aim: This study aimed to assess healthcare workers' burnout levels and fear of COVID, along with the associated factors. Method: This descriptive and cross-sectional study focuses on all healthcare workers employed in primary healthcare services within a province in Central Anatolia. Instead of using a sampling method, the study included primary healthcare workers who agreed to participate (n=500).In the study, data were collected from healthcare professionals using a sociodemographic questionnaire, COVID-19 Fear Scale and Maslach Burnout Inventory. Before the research began, study Ethics Committee approval was obtained from the Nevşehir Hacı Bektaş Veli University Non-invasive Research Ethics Committee (Approval No. 2021.07.214). Data were analyzed using one-way MANOVA, Duncan's test, and Pearson correlation. Results: The study revealed that healthcare workers who had contracted COVID reported higher scores in the depersonalization burnout sub-dimension. Emotional burnout scores were significantly higher among those who experienced exclusionary behaviors from their immediate circle or neighbors, while personal achievement burnout scores were lower among those with lower income levels (p<0.05). Conclusions and Suggestions: Fear of COVID was found to be significantly higher among female healthcare workers and those working at Family Health Centers. Increased exposure to written or spoken news about COVID was associated with heightened fear of the disease, which, in turn, correlated with higher occupational burnout scores. Interventions should be implemented to reduce occupational burnout among healthcare workers during the pandemic.

Anahtar Kelimeler

• COVID
• Healthcare workers
• Burnout
• Primary health services

Kaynakça

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