Research Article
BibTex RIS Cite

NURSES’ TEAMWORK ATTITUDES AND THEIR CAREGIVING ROLES: THE MODERATOR ROLE OF PATIENT WITH COVID-19 NURSING CARE

Year 2023, Volume: 10 Issue: 3, 1724 - 1741, 30.11.2023
https://doi.org/10.30798/makuiibf.1097392

Abstract

During the pandemic, nurses and other healthcare workers fought an unprecedented struggle for sustaining the delivery of quality patient care. In this process, nurses take an effective role within the team and patient care. This study aims to explain the moderator role of providing nursing care to the patient with COVID-19 in the effect of nurses' teamwork attitudes on their caregiving roles. This descriptive, correlational and cross-sectional study included 256 nurses working in private, state, and university hospitals between May and June, 2020 with a high rate of COVID-19 cases in Turkey. Data were collected by survey and analyzed using descriptive statistical analyses, Pearson's correlation analysis, linear regression analysis. The moderator effect was done using Model 1 of the PROCESS macro for SPSS. Nursing care to the patient with COVID-19 has a moderator role in the effect of nurses' teamwork attitudes on their caregiving roles (β=0.23, p<0.05).Teamwork attitudes of nurses providing nursing care to the patient with COVID-19 are less effective in their caregiving roles.

References

  • American Association of Colleges of Nursing. (2019). Fact sheets: Nursing fact sheet. Retrieved from: https://www.aacnnursing.org/news-Information/fact-sheets/nursing-fact-sheet Accessed 17 July 2021.
  • Alpar, R. (2014). Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik – güvenirlik. (3rd Edition). Ankara, Türkiye: Detay Yayıncılık.
  • Babiker, A., El Husseini, M., Al Nemri, A., Al Frayh, A., Al Juryyan, N., Faki, M. O., …Zamil, A. F. (2014). Health care professional development: Working as a team to improve patient care. Sudanese Journal of Paediatrics,14(2), 9-16.
  • Baker, D. P., Krokos, K. J. and Amodeo, A. M. (2008). Team STEPPS. Teamwork Attitudes Questionnaire Manual. American Institutes for Research. Washington, DC. Retrieved from http://www.ahrq.gov/qual/teamstepps/. Accessed 10 June 2021.
  • Başoğul, C. (2020). Conflict management and teamwork in workplace from the perspective of nurses. Perspect Psychiatr Care, 1-10. https://doi.org/10.1111/ppc.12584
  • Baykal, Ü., Türkmen, E., Alan, H., Yılmaz Başulaş, Ç., Göktepe, N., Gümüş, E., …Eren Tekin, D. (2020). The COVID-19 outbreak in Turkey: Experiences of nurse managers and activities of the nurse managers association in crisis management. HEAD, 17(3), 290–293. https://doi.org/doi:10.5222/HEAD.2020.36024
  • Chapman, R., Rahman, A., Courtney, M. and Chalmers, C. (2017). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26(1–2), 170–181. https://doi.org/10.1111/jocn.13433
  • Çelik, A. and Karaca, A. (2017). Evaluating the relationship between teamwork and motivation in nurses and affecting factors. Hemşirelikte Eğitim ve Araştırma Dergisi, 14(4), 254-263. https://doi.org/10.5222/head.2017.254
  • Çelik, G.K., Taylan, S., Güven, Ş.D., Çakir, H., Kiliç, M. and Akoğlu, C.A. (2019). The relationship between teamwork attitudes and caring behaviors among nurses working in surgical clinics: A correlational descriptive study. Nigerian Journal of Clinical Practice, 22, 849-54. https://doi.org/10.4103/njcp.njcp_623_18
  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. (2nd Edition). New York, USA: The Guilford Press.
  • Huang, L. H., Chen, C. M., Chen, S. F. and Wang, H. H. (2020). Roles of nurses and national nurses associations in combating COVID-19: Taiwan experience. International Nursing Review, 00, 1–5. https://doi.org/https://doi.org/10.1111/inr.12609
  • International Council of Nurses. (2013). International Council of Nurses Position Statement Nursing Regulation ICN Position. Retrieved from: https://www.icn.ch/sites/default/files/inline-files/B04_Nsg_Regulation.pdf Accessed 27 July 2021.
  • Kalisch, B. J., Xie, B. and Ronis, D. L. (2013). Train-the-trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units. Nursing Research, 62(6), 405–413. https://doi.org/10.1097/NNR.0b013e3182a7a15d
  • Koçak, C., Ayla Albayrak, S. and Büyükkayaci Duman, N. (2014). Developing an attitude scale for nurses in caregiving roles: Validity and reliability tests, Hemşirelikte Eğitim ve Araştırma Dergisi, 11(3), 16–21.
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., …Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open, 3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
  • Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., …Feng, Z. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia, New England Journal of Medicine, 382(13), 1199–1207. https://doi.org/10.1056/NEJMoa2001316
  • Liu, Y., Wang, H., Chen, J., Zhang, X., Yue, X., Ke, J., …Peng, C. (2020). Emergency management of nursing human resources and supplies to respond to coronavirus disease 2019 epidemic, International Journal of Nursing Sciences, 7(2): 135–138. https://doi.org/10.3761/j.issn.0254e1769.2020.03
  • Logan, T. R. and Michael Malone, D. (2018). Nurses’ perceptions of teamwork and workplace bullying. Journal of Nursing Management, 26(4), 411–419. https://doi.org/10.1111/jonm.12554
  • Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., …Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic, Journal of Nursing Management, 28, 1002–1009. https://doi.org/10.1111/jonm.13014
  • Neily, J., Mills, P. D., Young-Xu, Y., Carney, B. T., West, P., Berger, D. H., …Bagian, J. P. (2010). Association between ımplementation of a medical team training program and surgical mortality, JAMA, 304(15), 1693–1700.
  • Neto, M.L.R., Almeida, H.G., Esmeraldo, J.D. ar., Nobre, C.B., Pinheiro, W.R., de Oliveira, C.R.T., …da Silva, C.G.L. (2020). When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak, Psychiatry Res., 288: 112972. https://doi.org/10.1016/j.psychres.2020.112972
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E. and Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav. Immun, 88: 901-907. https://doi.org/10.1016/j.bbi.2020.05.026
  • Republic of Turkey Ministry of Health. (2020). COVID-19 (SARS-CoV-2 INFECTION) GUIDE: Study of Scientific Board. Retrieved from: https://hsgm.saglik.gov.tr/depo/birimler/goc_sagligi/covid19/rehber/COVID-19_Rehberi20200414_eng_v4_002_14.05.2020.pdf Accessed 17 September 2021.
  • Turkish Nurses Association. (2020). COVID-19: Turkish nurses association during the pandemic. Retrieved from: https://www.thder.org.tr/uploads/files/covid19-2-ozel.pdf Accessed 22 December 2021.
  • Tsay, S.-F., Kao, C.-C., Wang, H.-H. and Lin, C.-C. (2020). Nursing’s response to COVID-19: lessons learned from SARS in Taiwan. International Journal of Nursing Studies, 103587. https://doi.org/10.1016/j.ijnurstu.2020.103587
  • Turkmen, E., Aydogdu, A. L. F., Goktepe, N. and Baykal, U. (2020). The role of nurse managers during the new coronavirus pandemic / O papel dos gerentes de enfermagem durante a pandemia do novo coronavírus, Journal of Nursing and Health, 10(n.esp.):e20104024. https://doi.org/10.15210/jonah.v10i4.19486
  • Türe Yılmaz, A. and Yıldırım, A. (2018). Attitudes of nurses towards and the affecting factors of teamwork, Journal of Academic Social Science, 6(67):40‐52.
  • Wang, Huafen, Feng, J., Shao, L., Wei, J., Wang, X., Xu, X., Shao, R., …Liang, T. (2020). Contingency management strategies of the nursing department in centralized rescue of patients with coronavirus disease 2019, International Journal of Nursing Sciences. https://doi.org/10.3761/j.issn.0254-1769
  • Wang, Hui, Zeng, T., Wu, X. and Sun, H. (2020). Holistic care for patients with severe coronavirus disease 2019: An expert consensus, International Journal of Nursing Sciences, 55(3), 337–342. https://doi.org/10.1016/j.ijnss.2020.03.010
  • Wichaikhum, O., Abhicharttibutra, K., Nantsupawat, A., Kowitlawakul, Y. and Kunaviktikul, W. (2019). Developing a strategic model of participation in policy development for nurses. International Nursing Review, 00, 1–8. https://doi.org/10.1111/inr.12571
  • World Health Organization. (2020a). State of the World’s Nursing 2020: Investing in Education, Jobs and Leadership. Retrieved from: https://www.who.int/publications/i/item/9789240003279 Accessed 13 July 2021.
  • World Health Organization. (2020b). Coronavirus disease 2019 (COVID-19) Situation Report-51. Retrieved from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports Accessed 13 July 2021.
  • Yardımcı, F., Beytut, D. and Karayagız Muslu, G. (2012). A reliability and validity study of teamwork attitudes questionnaire. Anatolian Journal of Psychiatry, 13, 131–137.

HEMŞİRELERİN EKİP ÇALIŞMASI TUTUMLARI VE BAKIM VERİCİ ROLLERİ: COVID-19 HASTASINA HEMŞİRELİK BAKIMININ MODERATÖR ROLÜ

Year 2023, Volume: 10 Issue: 3, 1724 - 1741, 30.11.2023
https://doi.org/10.30798/makuiibf.1097392

Abstract

Pandemi sırasında hemşireler ve diğer sağlık çalışanları, kaliteli hasta bakımının sürdürülebilirliğini sağlamak için eşi görülmemiş bir mücadele verdi. Bu süreçte hemşireler, ekip ve hasta bakımı içinde etkin rol aldılar. Bu çalışma, hemşirelerin ekip çalışması tutumlarının bakım verme rollerine etkisinde COVID-19'lu hastaya hemşirelik bakımı vermenin moderatör rolünü ortaya çıkarmayı amaçlamaktadır. Kesitsel ve ilişki arayıcı tipteki bu çalışmaya, Türkiye'de COVID-19 vakalarının yüksek olduğu Mayıs-Haziran 2020 tarihleri arasında özel, devlet ve üniversite hastanelerinde çalışan 256 hemşire dahil edilmiştir. Veriler e-anket yoluyla toplanmış ve betimsel istatistiksel analizler, Pearson korelasyon analizi, lineer regresyon analizi kullanılarak analiz edilmiştir. Moderatör etkisi, SPSS için PROCESS makrosunun Model 1'i kullanılarak yapıldı. Hemşirelerin ekip çalışması tutumlarının bakım verme rollerine etkisinde COVID-19'lu hastaya hemşirelik bakımının düzenleyici rolü olduğu saptandı (β=0,23, p<0,05). COVID-19'lu hastaya hemşirelik bakımı veren hemşirelerin ekip çalışması tutumları bakım verme rollerinde daha az etkili olduğu tespit edilmiştir.

References

  • American Association of Colleges of Nursing. (2019). Fact sheets: Nursing fact sheet. Retrieved from: https://www.aacnnursing.org/news-Information/fact-sheets/nursing-fact-sheet Accessed 17 July 2021.
  • Alpar, R. (2014). Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik – güvenirlik. (3rd Edition). Ankara, Türkiye: Detay Yayıncılık.
  • Babiker, A., El Husseini, M., Al Nemri, A., Al Frayh, A., Al Juryyan, N., Faki, M. O., …Zamil, A. F. (2014). Health care professional development: Working as a team to improve patient care. Sudanese Journal of Paediatrics,14(2), 9-16.
  • Baker, D. P., Krokos, K. J. and Amodeo, A. M. (2008). Team STEPPS. Teamwork Attitudes Questionnaire Manual. American Institutes for Research. Washington, DC. Retrieved from http://www.ahrq.gov/qual/teamstepps/. Accessed 10 June 2021.
  • Başoğul, C. (2020). Conflict management and teamwork in workplace from the perspective of nurses. Perspect Psychiatr Care, 1-10. https://doi.org/10.1111/ppc.12584
  • Baykal, Ü., Türkmen, E., Alan, H., Yılmaz Başulaş, Ç., Göktepe, N., Gümüş, E., …Eren Tekin, D. (2020). The COVID-19 outbreak in Turkey: Experiences of nurse managers and activities of the nurse managers association in crisis management. HEAD, 17(3), 290–293. https://doi.org/doi:10.5222/HEAD.2020.36024
  • Chapman, R., Rahman, A., Courtney, M. and Chalmers, C. (2017). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26(1–2), 170–181. https://doi.org/10.1111/jocn.13433
  • Çelik, A. and Karaca, A. (2017). Evaluating the relationship between teamwork and motivation in nurses and affecting factors. Hemşirelikte Eğitim ve Araştırma Dergisi, 14(4), 254-263. https://doi.org/10.5222/head.2017.254
  • Çelik, G.K., Taylan, S., Güven, Ş.D., Çakir, H., Kiliç, M. and Akoğlu, C.A. (2019). The relationship between teamwork attitudes and caring behaviors among nurses working in surgical clinics: A correlational descriptive study. Nigerian Journal of Clinical Practice, 22, 849-54. https://doi.org/10.4103/njcp.njcp_623_18
  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. (2nd Edition). New York, USA: The Guilford Press.
  • Huang, L. H., Chen, C. M., Chen, S. F. and Wang, H. H. (2020). Roles of nurses and national nurses associations in combating COVID-19: Taiwan experience. International Nursing Review, 00, 1–5. https://doi.org/https://doi.org/10.1111/inr.12609
  • International Council of Nurses. (2013). International Council of Nurses Position Statement Nursing Regulation ICN Position. Retrieved from: https://www.icn.ch/sites/default/files/inline-files/B04_Nsg_Regulation.pdf Accessed 27 July 2021.
  • Kalisch, B. J., Xie, B. and Ronis, D. L. (2013). Train-the-trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units. Nursing Research, 62(6), 405–413. https://doi.org/10.1097/NNR.0b013e3182a7a15d
  • Koçak, C., Ayla Albayrak, S. and Büyükkayaci Duman, N. (2014). Developing an attitude scale for nurses in caregiving roles: Validity and reliability tests, Hemşirelikte Eğitim ve Araştırma Dergisi, 11(3), 16–21.
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., …Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open, 3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
  • Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., …Feng, Z. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia, New England Journal of Medicine, 382(13), 1199–1207. https://doi.org/10.1056/NEJMoa2001316
  • Liu, Y., Wang, H., Chen, J., Zhang, X., Yue, X., Ke, J., …Peng, C. (2020). Emergency management of nursing human resources and supplies to respond to coronavirus disease 2019 epidemic, International Journal of Nursing Sciences, 7(2): 135–138. https://doi.org/10.3761/j.issn.0254e1769.2020.03
  • Logan, T. R. and Michael Malone, D. (2018). Nurses’ perceptions of teamwork and workplace bullying. Journal of Nursing Management, 26(4), 411–419. https://doi.org/10.1111/jonm.12554
  • Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., …Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic, Journal of Nursing Management, 28, 1002–1009. https://doi.org/10.1111/jonm.13014
  • Neily, J., Mills, P. D., Young-Xu, Y., Carney, B. T., West, P., Berger, D. H., …Bagian, J. P. (2010). Association between ımplementation of a medical team training program and surgical mortality, JAMA, 304(15), 1693–1700.
  • Neto, M.L.R., Almeida, H.G., Esmeraldo, J.D. ar., Nobre, C.B., Pinheiro, W.R., de Oliveira, C.R.T., …da Silva, C.G.L. (2020). When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak, Psychiatry Res., 288: 112972. https://doi.org/10.1016/j.psychres.2020.112972
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E. and Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav. Immun, 88: 901-907. https://doi.org/10.1016/j.bbi.2020.05.026
  • Republic of Turkey Ministry of Health. (2020). COVID-19 (SARS-CoV-2 INFECTION) GUIDE: Study of Scientific Board. Retrieved from: https://hsgm.saglik.gov.tr/depo/birimler/goc_sagligi/covid19/rehber/COVID-19_Rehberi20200414_eng_v4_002_14.05.2020.pdf Accessed 17 September 2021.
  • Turkish Nurses Association. (2020). COVID-19: Turkish nurses association during the pandemic. Retrieved from: https://www.thder.org.tr/uploads/files/covid19-2-ozel.pdf Accessed 22 December 2021.
  • Tsay, S.-F., Kao, C.-C., Wang, H.-H. and Lin, C.-C. (2020). Nursing’s response to COVID-19: lessons learned from SARS in Taiwan. International Journal of Nursing Studies, 103587. https://doi.org/10.1016/j.ijnurstu.2020.103587
  • Turkmen, E., Aydogdu, A. L. F., Goktepe, N. and Baykal, U. (2020). The role of nurse managers during the new coronavirus pandemic / O papel dos gerentes de enfermagem durante a pandemia do novo coronavírus, Journal of Nursing and Health, 10(n.esp.):e20104024. https://doi.org/10.15210/jonah.v10i4.19486
  • Türe Yılmaz, A. and Yıldırım, A. (2018). Attitudes of nurses towards and the affecting factors of teamwork, Journal of Academic Social Science, 6(67):40‐52.
  • Wang, Huafen, Feng, J., Shao, L., Wei, J., Wang, X., Xu, X., Shao, R., …Liang, T. (2020). Contingency management strategies of the nursing department in centralized rescue of patients with coronavirus disease 2019, International Journal of Nursing Sciences. https://doi.org/10.3761/j.issn.0254-1769
  • Wang, Hui, Zeng, T., Wu, X. and Sun, H. (2020). Holistic care for patients with severe coronavirus disease 2019: An expert consensus, International Journal of Nursing Sciences, 55(3), 337–342. https://doi.org/10.1016/j.ijnss.2020.03.010
  • Wichaikhum, O., Abhicharttibutra, K., Nantsupawat, A., Kowitlawakul, Y. and Kunaviktikul, W. (2019). Developing a strategic model of participation in policy development for nurses. International Nursing Review, 00, 1–8. https://doi.org/10.1111/inr.12571
  • World Health Organization. (2020a). State of the World’s Nursing 2020: Investing in Education, Jobs and Leadership. Retrieved from: https://www.who.int/publications/i/item/9789240003279 Accessed 13 July 2021.
  • World Health Organization. (2020b). Coronavirus disease 2019 (COVID-19) Situation Report-51. Retrieved from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports Accessed 13 July 2021.
  • Yardımcı, F., Beytut, D. and Karayagız Muslu, G. (2012). A reliability and validity study of teamwork attitudes questionnaire. Anatolian Journal of Psychiatry, 13, 131–137.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Policy
Journal Section Research Articles
Authors

Tuğba Öztürk Yıldırım 0000-0002-6853-8996

Emel Kaya 0000-0001-9932-0976

Early Pub Date November 28, 2023
Publication Date November 30, 2023
Submission Date April 2, 2022
Published in Issue Year 2023 Volume: 10 Issue: 3

Cite

APA Öztürk Yıldırım, T., & Kaya, E. (2023). NURSES’ TEAMWORK ATTITUDES AND THEIR CAREGIVING ROLES: THE MODERATOR ROLE OF PATIENT WITH COVID-19 NURSING CARE. Journal of Mehmet Akif Ersoy University Economics and Administrative Sciences Faculty, 10(3), 1724-1741. https://doi.org/10.30798/makuiibf.1097392

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

The author(s) bear full responsibility for the ideas and arguments presented in their articles. All scientific and legal accountability concerning the language, style, adherence to scientific ethics, and content of the published work rests solely with the author(s). Neither the journal nor the institution(s) affiliated with the author(s) assume any liability in this regard.