Moral Injury and Burnout Among Healthcare Workers After the COVID-19 Period

Öz

The Covid-19 pandemic has been a period that deeply affected the moral and mental health of healthcare workers. The heavy workload, the feeling of being at risk, and constantly changing conditions have increased the levels of moral injury and burnout among many healthcare professionals. In this context, the study was conducted to examine the effect of the moral injury levels experienced by healthcare workers after the Covid-19 pandemic on their levels of burnout. The population of the research consisted of healthcare workers employed at a private hospital in Istanbul. The effect of moral injury on burnout was analyzed using the Structural Equation Model. As a result of the analysis, it was determined that the sub-dimensions of moral injury—specifically, shame, guilt, and spiritual distress—had a significant negative effect on the personal accomplishment sub-dimension of burnout. Additionally, it was concluded that the moral injury sub-dimension of spiritual distress had a significant negative effect on the desensitization sub-dimension of burnout. The findings provide an important contribution to understanding the impact of Covid-19 on the psychological health of healthcare workers and developing appropriate support mechanisms.

Anahtar Kelimeler

• Covid-19
• Moral Injury
• Burnout
• Healthcare Workers

Covid-19 Dönemi Sonrası Sağlık Çalışanlarında Ahlaki Yaralanma ve Tükenmişlik

Öz

Covid-19 salgını, sağlık çalışanlarının ahlaki ve ruh sağlığını derinden etkileyen bir dönem olmuştur. Yoğun iş yükü, risk altında olma duygusu ve sürekli değişen koşullar, birçok sağlık çalışanında ahlaki yaralanma ve tükenmişlik düzeyini artırmıştır. Bu kapsamda çalışma, Covid-19 salgını sonrası sağlık çalışanlarının yaşamış oldukları ahlaki yaralanma düzeylerinin tükenmişlik düzeyleri üzerindeki etkisini incelemek amacıyla gerçekleştirilmiştir. Araştırmanın evrenini İstanbul’da bulunan bir özel hastanede görev yapan sağlık çalışanları oluşturmuştur. Ahlaki yaralanmanın tükenmişlik üzerindeki etkisi Yapısal Eşitlik Modeli ile analiz edilmiştir. Yapılan analiz sonucunda ahlaki yaralanma alt boyutlarından kınama, suçluluk ve manevi sıkıntı boyutlarının tükenmişlik değişkeninin alt boyutlarından kişisel başarı üzerinde negatif yönde anlamlı bir etkisinin olduğu belirlenmiştir. Bununla birlikte ahlaki yaralanma alt boyutlarından manevi sıkıntının tükenmişliğin alt boyutlarından duyarsızlaşma üzerinde negatif yönde anlamlı bir etkisinin olduğu sonucuna ulaşılmıştır. Elde edilen bulgular, Covid-19’un sağlık çalışanlarının psikolojik sağlığı üzerindeki etkisini anlamak ve uygun destek mekanizmalarının geliştirilmesi açısından önemli bir katkı sunmaktadır.

Anahtar Kelimeler

• Covid-19
• Ahlaki Yaralanma
• Tükenmişlik
• Sağlık Çalışanları

Kaynakça

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