Determining the Fear of COVID-19 and the Level of Professional Commitment in Clinician Nurses

Yıl 2021, Cilt: 4 Sayı: 3, 316 - 325, 26.12.2021

Merve Çayır Yılmaz , Neşe Uysal

https://doi.org/10.38108/ouhcd.886634

Cited By: 12

Öz

Objective: This study was conducted to determine the fear of COVID-19 and the level of professional commitment in clinician nurses.
Methods: This descriptive and cross-sectional research was carried out with 86 nurses working in Turkey. The research data were collected online using the Introductory Information Form, the Fear of COVID 19 Scale and the Commitment to Profession in Nursing Scale. Data were evaluated using Mann-Whitney U test, Kruskal Wallis test, independent t test, one-way analysis of variance, pearson and sperman correlation analysis.
Results: The mean score of the Fear of COVID-19 Scale in clinician nurses was 20.01±6.91, and the mean score for the Nursing professional Commitment Scale was 68.02±12.88. It was found that the level of COVID-19 fear was significantly higher in women. "Willingness to Effort", one of the sub-dimensions of professional commitment, is higher in women and those who have children. In addition, it was determined that the total scores of commitment to the profession were significantly higher in those who had children (p0.05). There is a weak positive correlation between the mean score of the fear of COVID-19 scale and the mean score of the "Willingness to Effort" (p0.05), but there is no significant relationship between the mean score of the fear of COVID-19 scale and the mean score of the Nursing Professional Commitment Scale. (p> 0.05).
Conclusion: The fear of COVID-19 and professional commitment in clinician nurses is moderate, and the fear of COVID-19 did not affect the commitment to the profession. It is recommended to carry out studies in larger groups to determine the effect of fear and other psychological problems experienced by nurses during the pandemic process on their commitment to the profession.

Anahtar Kelimeler

Coronavirus, nursing, fear, professional commitment

Klinisyen Hemşirelerde COVID-19 Korkusu ve Mesleğe Bağlılık Düzeyinin Belirlenmesi

Öz

Amaç: Bu araştırma, klinisyen hemşirelerdeki COVID-19 korkusunu ve mesleğe bağlılık düzeylerini belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve kesitsel tipte olan bu araştırma Türkiye genelinde çalışan 86 hemşire ile yürütülmüştür. Araştırma verileri online ortamda, Tanıtıcı Bilgi Formu, COVID-19 Korkusu Ölçeği ve Hemşirelikte Mesleğe Bağlılık Ölçeği kullanılarak toplanmıştır. Veriler Mann-Whitney U testi, Kruskal Wallis testi, bağımsız t testi, tek tönlü varyans analizi, Pearson ve Spearman Korelasyon analizleri kullanılarak değerlendirilmiştir.
Bulgular: Klinisyen hemşirelerde COVID-19 Korkusu Ölçeği puan ortalaması 20.01±6.91, Hemşirelikte Mesleğe Bağlılık Ölçeği puan ortalaması 68.02±12.88 olarak bulunmuştur. COVID-19 korku düzeyinin kadınlarda anlamlı şekilde daha yüksek olduğu saptanmıştır. Mesleğe bağlılığın alt boyutlarından “Çaba Gösterme İstekliliği”’nin kadınlarda ve çocuk sahibi olanlarda, mesleğe bağlılık toplam puanlarının ise çocuk sahibi olanlarda anlamlı şekilde daha yüksek olduğu saptanmıştır (p0.05). COVID-19 korkusu ölçeği puan ortalaması ile “Çaba Gösterme İstekliliği” puan ortalaması arasında pozitif yönlü zayıf bir ilişki olduğu (p<0.05) ancak COVID-19 korkusu ölçeği puan ortalaması ile Hemşirelikte Mesleğe Bağlılık Ölçeği puan ortalaması arasında anlamlı bir ilişki olmadığı saptanmıştır (p>0.05).
Sonuç: Klinisyen hemşirelerdeki COVID-19 korkusu ve mesleğe bağlılığın orta düzeyde olduğu, COVID-19 korkusunun mesleğe bağlılığı etkilemediği saptanmıştır. Hemşirelerin pandemi sürecinde yaşadıkları korku ve diğer psikolojik sorunların, mesleğe bağlılığa etkisini belirlemeye yönelik daha büyük gruplarda çalışmaların yapılması önerilmektedir.

Anahtar Kelimeler

Koronavirüs, hemşirelik, korku, mesleğe bağlılık

Kaynakça

• Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. (2020). The fear of COVID-19 Scale: development and initial validation. International Journal of Mental Health and Addiction, https://doi.org/10.1007/s11469-020-00270-8
• Bakioğlu F, Korkmaz O, Ercan H. (2020). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, https://doi.org/10.1007/s11469-020-00331-y
• Barutcu CD, Ergin S. (2017). Examination of professional commitment and stress management among nurses from different generations. International Journal of Caring Sciences, 10, 456-463.
• Benligiray S, Sönmez H. (2011). Hemşirelerin mesleki bağlılıkları ile diğer bağlılık formları arasındaki ilişki: örgüte bağlılık, işe bağlılık ve aileye bağlılık. Hacettepe University Faculty of Health Sciences Nursing Journal, 18, 28-40.
• Chang HY, Chu TL, Liao YN, Chang YT, Teng CI. (2019). How do career barriers and supports impact nurse professional commitment and professional turnover intention?. Journal of Nursing Management, 27, 347-356.
• Chen SC, Lai YH, Tsay SL. (2020). Nursing perspectives on the impacts of COVID-19. The Journal of Nursing Research, 28, e85, https://doi.org/10.1097/jnr.0000000000000389
• Çetinkaya A, Özmen D, Temel AB. (2015). Hemşirelikte mesleğe bağlılık ölçeğinin geçerlik ve güvenirlik çalışması. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 8, 54-60.
• De los Santos JAA, Labrague LJ. (2020). Impact of COVID-19 on the psychological well-being and turnover intentions of frontline nurses in the community: A cross-sectional study in the Philippines. medRxiv, https://doi.org/10.1101/2020.08.05.20167411
• Dönmez S, Karakuş E. (2019). Yeni mezun olan hemşirelerin mesleğe bağlılıklarının incelenmesi. Kocaeli Tıp Dergisi, 8, 146-152.
• Goldfarb N, Grinstein‐Cohen O, Shamian J, Schwartz D, Zilber R, Hazan‐Hazoref, R, et al. (2021). Nurses’ perceptions of the role of health organizations in building professional commitment: Insights from an Israeli cross‐sectional study during the COVID‐19 pandemic. Journal of Nursing Management, 00, 1-9. https://doi.org/10.1111/jonm.13248
• Guerrero S, Chênevert D, Kilroy S. (2017). New graduate nurses’ professional commitment: Antecedents and outcomes. Journal of Nursing Scholarship, 49, 572-579.
• Hatun O, Dicle AN, Demirci İ. (2020). Koronavirüs salgınının psikolojik yansımaları ve salgınla başa çıkma. Electronic Turkish Studies, 15, 531-554.
• Hsu HC, Wang PY, Lin LH, Shih WM, Lin MH. (2015). Exploring the relationship between professional commitment and job satisfaction among nurses. Workplace Health & Safety, 63, 392-398.
• Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinical Medicine, https://doi.org/10.1016/j.eclinm.2020.100424
• Huang L, Lei W, Xu F, Liu H, Yu L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PloS ONE, 15, https://doi.org/10.1371/journal.pone.0237303
• Irshad M, Khattak SA, Hassan MM, Majeed M, Bashir S. (2020). How perceived threat of Covid‐19 causes turnover intention among Pakistani nurses: A moderation and mediation analysis. International Journal of Mental Health Nursing, https://doi.org/10.1111/inm.12775
• Kackin O, Ciydem E, Aci OS, Kutlu, FY. (2021). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. International Journal of Social Psychiatry, 67, 158-167.
• Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry. 7, e14, https://doi.org/10.1016/S2215-0366(20)30047-X
• Khattak SR, Saeed I, Rehman SU, Fayaz M. (2020). Impact of fear of COVID-19 pandemic on the mental health of nurses in Pakistan. Journal of Loss and Trauma, 26, 421-435.
• Labrague LJ, de Los Santos JAA. (2021). Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of Nursing Management, 29, 395-403.
• Labrague LJ, McEnroe–Petitte DM, Tsaras K, Cruz JP, Colet PC, Gloe DS. (2018). Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. International Journal of Nursing Sciences, 5, 403-408.
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3, e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
• Lu KY, Chiou SL, Chang YY. (2000). A study of the professional commitment changes from nursing students to registered nurses. Kaohsiung J Med Sci, 16, 39-46.
• Lu KY, Lin PL, Wu CM, Hsieh YL, Chang, YY. (2002). The relationships among turnover intentions, professional commitment, and job satisfaction of hospital nurses. Journal of Professional Nursing, 18, 214-219.
• Mersin S, İbrahimoğlu Ö, Çağlar M, Akyol E. (2020). Compassionate love, burnout and professional commitment in nurses. Journal of Nursing Management, 28, 72-81.
• Numminen O, Leino‐Kilpi H, Isoaho H, Meretoja R. (2016). Newly graduated nurses’ occupational commitment and its associations with professional competence and work‐related factors. Journal of Clinical Nursing, 25, 117-126.
• Ornell F, Schuch JB, Sordi AO, Kessler FHP. (2020). “Pandemic fear” and COVID-19: mental health burden and strategies. Brazilian Journal of Psychiatry, 42, 232-235.
• Pakpour AH, Griffiths MD. (2020). The fear of COVID-19 and its role in preventive behaviors. Journal of Concurrent Disorders, 2, 58-63.
• Saleem Z, Majeed MM, Rafique S, Siqqiqui Z, Ghandhi D, Tariq H, et al. (2020). COVID-19 pandemic fear and anxiety among healthcare professionals in Pakistan. https://doi.org/10.21203/rs.3.rs-37608/v2
• Sasaki N, Kuroda R, Tsuno K, Kawakami N. (2020). The deterioration of mental health among healthcare workers during the COVID-19 outbreak: A population-based cohort study of workers in Japan. Scandinavian Journal of Work, Environment & Health, 46, 639-644.
• Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 48, 592-598.
• Şimşek MŞ, Arslan Ş. (2012). Mesleki ve örgütsel bağlılığın, örgütsel davranışa ilişkin sonuçlarla ilişkileri. Sosyal Ekonomik Araştırmalar Dergisi, 12, 414-454.
• Tayyib NA, Alsolami FJ. (2020). Measuring the extent of stress and fear among registered nurses in KSA during the COVID-19 Outbreak. Journal of Taibah University Medical Sciences, 15, 410-416.
• Ten Hoeve Y, Brouwer J, Kunnen S. (2020). Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. Journal of Advanced Nursing, 76, 836-845.
• Tsai CW, Tsai SH, Chen YY, Lee WL. (2014). A study of nursing competency, career self-efficacy and professional commitment among nurses in Taiwan. Contemporary Nurse, 49, 96-102.
• Ulusal D. (2021). Covid-19 pandemi döneminde kadın sağlık çalışanlarının yaşadıkları sorunların analizi. Journal of International Social Research, 14, 954-965.
• Uysal A, Karakurt PD. (2020). The Effect of nurses’ profession commitment situation to tendency of making medical error. Turkish Journal of Family Medicine and Primary Care, 14, 349-361.
• Vindegaard N, Benros ME. (2020). COVID-19 pandemic and mental health consequences: systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531-542.
• World Health Organization (WHO) Coronavirus Disease (COVID-19) Dashboard. Erişim tarihi: 22.02.2021, https://covid19.who.int/
• Wu PE, Styra R, Gold WL. (2020). Mitigating the psychological effects of COVID-19 on health care workers. CMAJ, 192, E459-E460, https://doi.org/10.1503/cmaj.200519
• Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. (2020). The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues in Mental Health Nursing, 41, 525-530.