Yoğun Bakım Hemşirelerinde Merhamet Yorgunluğunun Tıbbi Hataya Eğilimi Üzerindeki Etkisinin Değerlendirilmesi
Yıl 2024,
Cilt: 7 Sayı: 1, 138 - 145, 25.03.2024
Meltem Altay
,
Yasemin Uslu
Öz
Amaç: Bu araştırma yoğun bakım hemşirelerinde merhamet yorgunluğu ile tıbbi hata yapma eğilimi arasındaki ilişkiyi değerlendirmek amacıyla yapıldı.
Yöntem: Tanımlayıcı türdeki bu araştırma Türkiye'de özel bir sağlık grubuna ait 16 hastanenin (n=420) yoğun bakım ünitelerinde Aralık 2021 ile Mart 2022 tarihleri arasında yürütüldü. Veriler Merhamet Yorgunluğu-Kısa Ölçeği ve Hemşirelikte Tıbbi Hata Eğilimi Ölçeği kullanılarak toplandı.
Bulgular: Merhamet Yorgunluğu-Kısa Ölçeği puan ortalaması 56.20±26.77, Hemşirelikte Tıbbi Hataya Eğilim Ölçeği puan ortalaması 4.82±0.28'dir. Ölçek toplam puanları arasında istatistiksel olarak anlamlı negatif korelasyon vardı (r=-0.252).
Sonuç: Araştırma kapsamında hemşirelerin merhamet yorgunluğunun orta düzey ve tıbbi hata yapma eğilimlerinin düşük düzeyde saptandı. Merhamet yorgunluğunun artması ile tıbbi hata yapma eğiliminin arttığı belirlendi. Hemşirelerin tıbbi hata yapmalarına neden olan faktörlerin belirlenmesi, gerekli önlemlerin alınması açısından oldukça önemlidir. Merhamet yorgunluğunun hasta güvenliği ve hemşirelik sonuçları üzerindeki etkilerini değerlendirmek için çok boyutlu çalışmalar yapılması önerilmektedir.
Proje Numarası
BULUNMAMAKTADIR
Kaynakça
- Adams RE, Boscarino JA, Figley CR. (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76, 103-108.
- Alharbi J, Jackson D, Usher K. (2019). Compassion fatigue in critical care nurses: An integrative review of the literature. Saudi Medical Journal, 40, 1087.
- Alharbi J, Jackson D, Usher K. (2020). Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals. Australian Critical Care, 33(6), 553-559.
- Avcı A, Çavuşoğlu E, Moran M, Gün M. (2022). The relationship between compassion fatigue and job satisfaction of nurses who give care to patients diagnosed with COVID-19. Eurasian Journal of Health Sciences, 5, 43-52.
- Avşar G, Armutçu Atabek E, Karaman Özlü Z. (2016). Determining the level of tendency in malpractice of nurses: A hospital sample. Journal of Health Sciences and Professions, 3, 115-122.
- Barış VK, Intepeler SS, Yeginboy EY. (2018). The cost of serious patient fall-related injuries at hospitals in Turkey: A matched case-control study. Clinical Nursing Research, 27, 162-179.
- Bilgiç Ş, Cebeci SP. (2022). Compassion fatigue in oncology nurses in Turkey: A qualitative study. Holistic Nursing Practice, 36(5), 304-310.
- Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, Doig CJ. (2020). Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nursing Ethics, 27, 639-665.
- Cebeci F, Gürsoy E, Tekingündüz S. (2012). Determining the level of tendency in malpractice among nurses. Journal of Anatolia Nursing and Health Sciences, 15, 188-196.
- Cho H, Steege LM. (2021). Nurse fatigue and nurse, patient safety, and organizational outcomes: A systematic review. Western Journal of Nursing Research, 43(12), 1157-1168.
- Cross LA. (2019). Compassion fatigue in palliative care nursing: A concept analysis. Journal of Hospice & Palliative Nursing, 21(1), 21-28.
- Demir Dikmen Y, Yorgun S, Yeşilçam N. (2014). Identification of the level of tendency in malpractice among nurses. Journal of Hacettepe University Faculty of Nursing, 1, 44-56.
- Dikmen Y, Aydın Y, Tabakoğlu P. (2016). Compassion fatigue: A Study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879-2884.
- Dinç S, Ekinci M. (2019). Turkish Adaptation, Validity and Reliability of Compassion Fatigue Short Scale. Current Approaches in Psychiatry, 11, 192-202.
- Figley CR. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators, the Sidran Press. p.3-28
- Gurdap Z, Cengiz Z. (2023). Compassion fatigue and ethical attitudes in nursing care in intensive care nurses during the COVID-19 pandemic: A cross-sectional study. Journal of Nursing Care Quality, 38(4), 312-318.
- Işık Andsoy I, Kar G, Öztürk Ö. (2014). A study on trends to medical error for nurses. Journal of Health Science and Profession, 1, 17-27.
- Işık O, Akbolat M, Çetin M, Çimen M. (2012). The causes of medical error from the perspective of nurses. TAF Preventive Medicine Bulletin, 11, 421-430.
- Jakimowicz S, Perry L, Lewis J. (2018). Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Australian Critical Care, 31, 396-405.
- Joinson C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116, 118-119, 120.
- Manav G, Başer S. (2018). Making analysis of the status and tendencies of pediatric nurses’ medication errors. Gümüşhane University Journal of Health Sciences, 7, 41-49.
- Miller KP. (2011). Malpractice: Nurse practitioners and claims reported to the national practitioner data bank. The Journal for Nurse Practitioners, 7, 761-763.
- Najjar N, Davis LW, Beck-Coon K, Carney Doebbeling C. (2009). Compassion fatigue: A review of the research to date and relevance to cancer-care providers. Journal of Health Psychology, 14(2), 267-277.
- Özata M, Altunkan H. (2010). Developing the scale of tendency to medical error in nursing and conducting its validity and reliability analysis. TR Ministry of Health General Directorate of Treatment Services. II.
International Congress on Performance and Quality in Health, Proceedings, 415-431.
- Özen N, Taner O, Terzioğlu F. (2019). Determination of nurses' tendency to make medical errors and affecting factors. Archives of Health Science and Research, 6(2), 283-292.
- Ryu IS, Shim J. (2021). The influence of burnout on patient safety management activities of shift nurses: The mediating effect of compassion satisfaction. International Journal of Environmental Research and Public Health, 20;18(22):12210.
- Salimi S, Pakpour V, Rahmani A, Wilson M, Feizollahzadeh H. (2020). Compassion satisfaction, burnout, and secondary traumatic stress among critical care nurses in Iran. Journal of Transcultural Nursing, 31, 59-66.
- Sayılan AA, Boğa SM. (2018). Determination of relationship between job stress, job demands, job control, social support level and tendency to make medical errors of nurses. Journal of Research and Development in Nursing, 20, 11-22.
- Shahar I, Asher I, Ben Natan M. (2019). Compassion fatigue among nurses working in a long‐term care facility: The Israeli experience. Nursing & Health Sciences, 21(3), 291-296.
- Van Mol M, Kompanje EJO, Benoit DD, Bakker J, Nijkamp MD. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PLoS ONE, 10(8), e0136955.
- Wang J, Wu CH, Tsai Y, Weng S, Hsu Y. (2022). The Effects of safety climate on psychosocial factors: An empirical study in healthcare workplaces. Journal of Patient Safety, 18(2), e528-e533.
- Xie W, Chen L, Feng F, Okoli CT, Tang P, Zeng L, et al. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 120:103973.
- Yüksel A, Akbulut T, Bahadır Yılmaz E. (2019). Determination of the relationship between level of coping with stress and medical malpractice tendency in nurses. Health Care Academics Journal, 6, 288-294.
Evaluation of the Effect of Compassion Fatigue on Medical Error Tendency in Intensive Care Nurses
Yıl 2024,
Cilt: 7 Sayı: 1, 138 - 145, 25.03.2024
Meltem Altay
,
Yasemin Uslu
Öz
Objective: This study was conducted to evaluate the relationship between compassion fatigue and tendency to medical errors in critical care nurses.
Methods: This descriptive study was conducted in the intensive care units of 16 hospitals (n=420) belonging to a private health group in Turkey between December 2021 and March 2022. Data were collected using the Compassion Fatigue-Short Scale and the Tendency to Medical Error in Nursing Scale (r=-0.252).
Results: The nurses’ mean score on the Compassion Fatigue-Short Scale was 56.20±26.77 and their mean score on the Tendency to Medical Error in Nursing Scale was 4.82±0.28. There was a statistically significant negative correlation between total scale scores.
Conclusions: The results suggest that the nurses in this study had moderate compassion fatigue and a low tendency to medical errors. A weak relationship was observed between higher compassion fatigue and a greater tendency to medical errors. Determining the factors that cause nurses to make medical errors is crucial to enable the necessary precautions to be taken. We recommend conducting multidimensional studies to evaluate the effects of compassion fatigue on patient safety and nursing outcomes.
Destekleyen Kurum
BULUNMAMAKTADIR
Proje Numarası
BULUNMAMAKTADIR
Teşekkür
We thank the valuable intensive care nurses who supported our research.
Kaynakça
- Adams RE, Boscarino JA, Figley CR. (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76, 103-108.
- Alharbi J, Jackson D, Usher K. (2019). Compassion fatigue in critical care nurses: An integrative review of the literature. Saudi Medical Journal, 40, 1087.
- Alharbi J, Jackson D, Usher K. (2020). Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals. Australian Critical Care, 33(6), 553-559.
- Avcı A, Çavuşoğlu E, Moran M, Gün M. (2022). The relationship between compassion fatigue and job satisfaction of nurses who give care to patients diagnosed with COVID-19. Eurasian Journal of Health Sciences, 5, 43-52.
- Avşar G, Armutçu Atabek E, Karaman Özlü Z. (2016). Determining the level of tendency in malpractice of nurses: A hospital sample. Journal of Health Sciences and Professions, 3, 115-122.
- Barış VK, Intepeler SS, Yeginboy EY. (2018). The cost of serious patient fall-related injuries at hospitals in Turkey: A matched case-control study. Clinical Nursing Research, 27, 162-179.
- Bilgiç Ş, Cebeci SP. (2022). Compassion fatigue in oncology nurses in Turkey: A qualitative study. Holistic Nursing Practice, 36(5), 304-310.
- Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, Doig CJ. (2020). Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nursing Ethics, 27, 639-665.
- Cebeci F, Gürsoy E, Tekingündüz S. (2012). Determining the level of tendency in malpractice among nurses. Journal of Anatolia Nursing and Health Sciences, 15, 188-196.
- Cho H, Steege LM. (2021). Nurse fatigue and nurse, patient safety, and organizational outcomes: A systematic review. Western Journal of Nursing Research, 43(12), 1157-1168.
- Cross LA. (2019). Compassion fatigue in palliative care nursing: A concept analysis. Journal of Hospice & Palliative Nursing, 21(1), 21-28.
- Demir Dikmen Y, Yorgun S, Yeşilçam N. (2014). Identification of the level of tendency in malpractice among nurses. Journal of Hacettepe University Faculty of Nursing, 1, 44-56.
- Dikmen Y, Aydın Y, Tabakoğlu P. (2016). Compassion fatigue: A Study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879-2884.
- Dinç S, Ekinci M. (2019). Turkish Adaptation, Validity and Reliability of Compassion Fatigue Short Scale. Current Approaches in Psychiatry, 11, 192-202.
- Figley CR. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators, the Sidran Press. p.3-28
- Gurdap Z, Cengiz Z. (2023). Compassion fatigue and ethical attitudes in nursing care in intensive care nurses during the COVID-19 pandemic: A cross-sectional study. Journal of Nursing Care Quality, 38(4), 312-318.
- Işık Andsoy I, Kar G, Öztürk Ö. (2014). A study on trends to medical error for nurses. Journal of Health Science and Profession, 1, 17-27.
- Işık O, Akbolat M, Çetin M, Çimen M. (2012). The causes of medical error from the perspective of nurses. TAF Preventive Medicine Bulletin, 11, 421-430.
- Jakimowicz S, Perry L, Lewis J. (2018). Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Australian Critical Care, 31, 396-405.
- Joinson C. (1992). Coping with compassion fatigue. Nursing, 22(4), 116, 118-119, 120.
- Manav G, Başer S. (2018). Making analysis of the status and tendencies of pediatric nurses’ medication errors. Gümüşhane University Journal of Health Sciences, 7, 41-49.
- Miller KP. (2011). Malpractice: Nurse practitioners and claims reported to the national practitioner data bank. The Journal for Nurse Practitioners, 7, 761-763.
- Najjar N, Davis LW, Beck-Coon K, Carney Doebbeling C. (2009). Compassion fatigue: A review of the research to date and relevance to cancer-care providers. Journal of Health Psychology, 14(2), 267-277.
- Özata M, Altunkan H. (2010). Developing the scale of tendency to medical error in nursing and conducting its validity and reliability analysis. TR Ministry of Health General Directorate of Treatment Services. II.
International Congress on Performance and Quality in Health, Proceedings, 415-431.
- Özen N, Taner O, Terzioğlu F. (2019). Determination of nurses' tendency to make medical errors and affecting factors. Archives of Health Science and Research, 6(2), 283-292.
- Ryu IS, Shim J. (2021). The influence of burnout on patient safety management activities of shift nurses: The mediating effect of compassion satisfaction. International Journal of Environmental Research and Public Health, 20;18(22):12210.
- Salimi S, Pakpour V, Rahmani A, Wilson M, Feizollahzadeh H. (2020). Compassion satisfaction, burnout, and secondary traumatic stress among critical care nurses in Iran. Journal of Transcultural Nursing, 31, 59-66.
- Sayılan AA, Boğa SM. (2018). Determination of relationship between job stress, job demands, job control, social support level and tendency to make medical errors of nurses. Journal of Research and Development in Nursing, 20, 11-22.
- Shahar I, Asher I, Ben Natan M. (2019). Compassion fatigue among nurses working in a long‐term care facility: The Israeli experience. Nursing & Health Sciences, 21(3), 291-296.
- Van Mol M, Kompanje EJO, Benoit DD, Bakker J, Nijkamp MD. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PLoS ONE, 10(8), e0136955.
- Wang J, Wu CH, Tsai Y, Weng S, Hsu Y. (2022). The Effects of safety climate on psychosocial factors: An empirical study in healthcare workplaces. Journal of Patient Safety, 18(2), e528-e533.
- Xie W, Chen L, Feng F, Okoli CT, Tang P, Zeng L, et al. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 120:103973.
- Yüksel A, Akbulut T, Bahadır Yılmaz E. (2019). Determination of the relationship between level of coping with stress and medical malpractice tendency in nurses. Health Care Academics Journal, 6, 288-294.