Klinik Hemşirelerde Psikolojik Kırılganlık ve Mesleki Benlik Kavramı: Kesitsel Bir Çalışma

Öz

Amaç: Bu çalışma, klinikte çalışan hemşirelerin psikolojik kırılganlık düzeyleri ile mesleki benlik kavramları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Yöntem: Kesitsel tipte olan araştırma, bir araştırma ve uygulama hastanesi kliniklerinde çalışan 276 hemşire ile gerçekleştirildi. Araştırma verileri, tanıtıcı bilgi formu, Psikolojik Kırılganlık Ölçeği ve Klinik Hemşireler için Profesyonel Benlik Kavramları Ölçeği ile toplandı. Bulgular: Klinikte çalışan hemşirelerin psikolojik kırılganlık düzeyleri, profesyonel benlik düzeylerini ve mesleki memnuniyet düzeylerini negatif yönlü ve anlamlı olarak etkilediği belirlendi (p<0,05). Sonuç ve Öneriler: Sonuçlar, hemşirelerin psikolojik kırılganlıkları arttıkça profesyonel benlik düzeylerinin ve mesleki memnuniyetlerinin azaldığını göstermiştir. Hemşirelerin başarı ve çevresel onay kaynaklarına olan ihtiyaçlarının belirlenerek otonomilerinin artırılmasını sağlayan stratejilerin geliştirilmesi önerilmektedir.

Anahtar Kelimeler

• Benlik
• Hemşire
• Profesyonel Benlik
• Psikolojik Kırılganlık

Psychological Vulnerability and Professional Self-Concept in Clinical Nurses: A Cross-Sectional Study

Öz

Aim: This study was carried out to determine the relationship between the psychological vulnerability levels of nurses working in the clinic and their professional self-concepts. Methods: This cross-sectional was conducted with 276 nurses working in the clinics of a research and practice hospital. Research data were collected with an introductory information form, the Psychological Vulnerability Scale, and the Professional Self-Concepts Scale for Clinical Nurses. Results: It was determined that the psychological vulnerability levels of the nurses working in the clinic affected their professional self-concepts and professional satisfaction levels negatively and significantly (p<0.05). Conclusions and Recommendations: The results showed that as the psychological vulnerability of the nurses increased, their professional self-concept and professional satisfaction decreased. It is recommended to develop strategies that increase the autonomy of nurses by determining their needs for success and environmental approval resources.

Anahtar Kelimeler

• Nurse
• professional self
• psychological vulnerability
• Self

Kaynakça

1. Akin, A., & Eker, H. (2011). Turkish version of the Psychological Vulnerability Scale: A study of validity and reliability. In: Paper presented at the 32th international conference of the stress and anxiety research society (STAR), Munster.
2. Almeida, I.F., Bernardes, R.A., Sousa, L.B., Santos-Costa, P., Silva, R., Bernardo, J., Santana, E., & Rosa, A. (2023). Nursing professional self-concept: a scoping review protocol. Nursing Reports, 13(1),51-56. https://doi.org/10.3390/nursrep13010005
3. Atilla Gok, G. (2015). Unbearable heaviness of compassion: nurses' compassion fatigue. The Journal of Faculty of Economics and Administrative Sciences, 20(2),299-313.
4. Bayer, N, Golbası, Z., & Gulesen, G. (2021). X, Y, Z kuşağı hemşirelerde profesyonel benlik kavramı ve etkileyen faktörler. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 4(2),208-218 https://doi.org/10.38108/ouhcd.880474
5. Capri, B., Gunduz, B., & Gokcakan, Z. (2011). Maslach Tükenmişlik Envanteri-Öğrenci Formu'nun (MTE-ÖF) Türkçe'ye uyarlaması: Geçerlik ve güvenirlik çalışması. Cukurova University Faculty of Education Journal. 40(1),134-147.
6. Cerit, B., Çitak Bilgin, N., & Çitak Tunç, G. (2020). Hemşirelerde otonomi düzeyinin mesleki benlik saygısına etkisi. Journal of Inonu University Health Services Vocational School, (3),826-838 https://doi.org/10.33715/inonusaglik.795392
7. Cetinkaya Uslusoy, E., Paslı Gürdogan, E., & Kurt, D. (2016). Hemşirelerde mesleki benlik saygısı ve meslektaş dayanışması. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 7(1),29-35.
8. Chen, J., Li, J., Cao, B., Wang, F., Luo, L., & Xu, J. (2020). Mediating effects of self‐efficacy, coping, burnout, and social support between job stress and mental health among young Chinese nurses. Journal of Advanced Nursing, 76(1),163-173 https://doi.org/10.1111/jan.14208

9. Eksi, H., Erok, Ozkapu, D., & Ummet, D. (2019). The mediating role of general psychological health in relation between psychological vulnerability and subjective vitality on university students. Journal of Social Sciences of Mus Alparslan University, 7(5),183-190. http://dx.doi.org/10.18506/anemon.526353
10. Goliroshan, S., Nobahar, M., Raeisdana, N., Ebadinejad, Z., & Aziznejadroshan, P. (2021). The protective role of professional self-concept and job embeddedness on nurses’ burnout: Structural equation modeling. BMC Nursing, 20(1),1-15. https://doi.org/10.1186/s12912-021-00727-8
11. Ince, N.B., & Sahin, A.E. (2015). The adaptation study of Maslach Burnout Inventory-educators survey to Turkish. Journal of Measurement and Evaluation in Education and Psychology, 6(2),385-399. https://doi.org/10.21031/epod.97301
12. Karaduman, A. (2021). The review of the methods of payment, rewarding and appreciation at the health organizations. EJONS International Journal, 5(17),58-70. https://doi.org/10.38063/ejons.377
13. Kelly, S., & Courts, N. (2007). The professional self-concept of new graduate nurses. Nurse Education in Practice, 7(5),332-337.
14. Korkmaz, F., Gultekin Z. (2023). Örgütsel davranışta psikolojik başlıklı konular. Gazi Kitapevi, Ankara.
15. Kumas, G., Öner Yalçın, S., & Oztunc, G. (2019). Level of burns and job satisfaction of oncology nurses: Adana case. Mersin University Faculty of Medicine Lokman Hekim Journal of Medical History and Folkloric Medicine, 9(2),256-265. https://doi.org/10.31020/mutftd.550272
16. Luleci, M., Ikizler, C., & Koc Aytekin, G. (2019). Total Quality Management (TQM) in healthcare institutions and factors effecting performance of staff: a foundation university hospital case. Ufuk University Journal of Social Sciences Institute, 8(16),13-41.
17. Mazhari, R., Farhangi, A., & Naderi, F. (2022). The relationship of psychological vulnerability with psychological capital and health anxiety through the mediating role of emotional processing in nurses working in Covid-19 units. Journal of Client-Centered Nursing Care, 8(3),167-176. https://doi.org/10.32598/JCCNC.8.3.429.1
18. Montazeralfaraj, R.M., Ahmadi, E.A., Tafti, A.D.T., Barati, O., & Bahrami, M.A. (2018). Measuring the nurses’ professional self-concept and its correlation with working stress in Iranian educational Hospitals. Bali Med J. 7,521-525. https://doi.org/10.15562/bmj.v7i2.938
19. Nogueira, M.J., Barros, L., & Sequeira, C. (2017). Psychometric properties of the psychological vulnerability scale in higher education students. Journal of the American Psychiatric Nurses Association, 23(3),215-22. https://doi.org/10.1177/107839031769526
20. Ozdemir, O, Temiz, G., & Akin, S. (2020). Investigation of the relationship among personality traits, and self-concept, and occupational perceptions of nurses. JAREN, 6(3),455-464 https://doi.org/10.5222/jaren.2020.21043
21. Polat, S., & Abasli, K. (2019). Öğretmen algılarına göre örgütsel özdeşleşme, iş performansı ve psikolojik kırılganlık arasındaki ilişki. Pegem Yayınları, Ankara.
22. Sabanciogullari, S., Dogan, S., & Bircan, H. (2011). Klinik Hemşireleri İçin Profesyonel Benlik Kavramı Ölçeği (HPBKÖ): Geliştirilmesi, geçerlilik ve güvenirlilik çalışması. Türkiye Klinikleri Journal of Nursing Science, 3(1),16-28.
23. Sabanciogullari, S., & Dogan, S. (2017). Professional self-concept in nurses and related factors: A sample from Turkey. International Journal of Caring Sciences, 10(3),1676-1684.
24. Shang, B., Wang, S., Fan, Y., & Jiang, E. (2017). Exploring the relationship between self-concept and mental health among undergraduate nursing students: A cross-sectional study. Mathews Journal of Psychiatry & Mental Health, 2(2),1-6.
25. Sherman, D.K., Bunyan, D.P., Creswell, J.D., & Jaremka, L.M. (2009). Psychological vulnerability and stress: the effects of self-affirmation on sympathetic nervous system responses to naturalistic stressors. Health Psychology, 28(5),554-562.
26. Sinclair, V.G., & Wallston, K.A. (1999). The development and validation of the Psychological Vulnerability Scale. Cognitive Therapy and Research, 23(2), 119-129.
27. Sumbuloglu, K, & Sumbuloglu V. Biostatistics (20th ed.). Hatipoglu Publishing, Ankara; 2021.
28. Tajvar, A., Saraji, G.N., Ghanbarnejad, A., Omidi, L., Hosseini, S.S.S., & Abadi, A.S.S. (2015). Occupational stress and mental health among nurses in a medical intensive care unit of a general hospital in Bandar Abbas in 2013. Electronic Physician, 7(3),1108-1113. https://doi.org/10.14661/2015.1108-1113 Tas, M.A., Akdemir, H., & Cicek, H. (2019). The moderating effect of psychological vulnerability in the relationship between toxic emotion experiences and intention of leave. KOCATEPEİİBF Dergisi, 21(2),98-113. https://doi.org/10.33707/akuiibfd.592311
29. Tran, T.T.T., Nguyen, N.B., Luong, M.A., Bui, T.H.A., Phan, T.D., Tran, V.O., Ngo, T.H., Minas, H., & Nguyen, T.Q. (2019). Stress, anxiety and depression in clinical nurses in Vietnam: A cross-sectional survey and cluster analysis. International Journal of Mental Health Systems, 13(3),1-11. https://doi.org/10.1186/s13033-018-0257-4
30. Tambag, H., Can, R., Erenoglu, R., & Ozbay, R. (2018). Investigation of psychological violence behavior for nurses exposed at workplaces. Bakırkoy Tip Dergisi, 14,24-30. https://doi.org/10.5350/BTDMJB.20160310092523
31. Ugur, E., Kaya, C., & Tanhan, A. (2021). Psychological inflexibility mediates the relationship between fear of negative evaluation and psychological vulnerability. Current Psychology, 40(9),4265-4277 https://doi.org/10.1007/s12144-020-01074-8
32. Ulker, A., & Avsaroglu, S. (2021). Türkiye’de psikolojik kırılganlık konusunda yapılmış çalışmaların analizi. International Social Sciences Studies Journal, 7(92),5650-5661 http://dx.doi.org/10.26449/sssj.3731
33. Yuksel Kaçan, C., Örsal, Ö., & Kosgeroglu, N. (2016). Determination of job satisfaction levels among nurses. Hemşirelikte Araştırma Geliştirme Dergisi, 18(2),1-12.
34. Zhang, W., Miao, R., Tang, J., Su, Q., Aung, L.H.H., Pi, H., & Sai, X. (2021). Burnout in nurses working in China: A national questionnaire survey. International Journal of Nursing Practice, 27(6),e12908. https://doi.org/10.1111/ijn.12908