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COVID-19 tanılı hastaların ameliyat ekibinde yer alan ameliyathane hemşirelerinin deneyimleri; niteliksel çalışma

Yıl 2025, Cilt: 12 Sayı: 3, 364 - 371, 30.09.2025

Öz

Giriş: COVID-19 tanılı hastaların cerrahi sürecini yönetmek karmaşık ve oldukça zorlayıcı olabilir.
Amaç: Bu araştırmanın amacı COVID-19 tanılı hastaların ameliyat ekibinde yer alan ameliyathane hemşirelerinin yaşadıkları deneyimlerin incelenmesidir.
Gereç ve Yöntemler: Bu araştırma fenomenolojik tipte niteliksel araştırma yöntemiyle Mart 2020-Nisan 2021 tarihleri arasında bir eğitim ve araştırma hastanesinde çalışan, gönüllü 14 ameliyathane hemşiresi ile yarı yapılandırılmış görüşme formu kullanılarak, her bir katılımcı ile yaklaşık 10-15 dakika süren yüz yüze derinlemesine görüşmeler ile yapılmıştır. Görüşmeler esnasında, önceden izin alınarak ses kayıtları tutulmuş, veriler içerik analizi ile değerlendirilmiştir.
Bulgular: Hemşirelerin yaş ortalaması 36,2±6,0 ve %92,9’unun kadın olduğu görülmüştür. Mesleki deneyim yılı ortalamaları 15,7±7,2 iken, ameliyathanede çalışma yılı ortalaması 9,7±7,3’dür. Hemşirelerin, %42,9’unun COVID-19 geçirdiği saptanmıştır. Araştırmadan elde edilen verilerin analiz sonucuna göre, dört ana tema belirlenmiştir. Bunlar; korku, endişe, şaşkınlık ve heyecan olarak hissedilen duygular, COVID-19 vakasının standart bir vakadan farklı yönleri, psikolojik ve fiziksel hazırlık ve gönüllülük başlıkları altında toplanmıştır.
Sonuç: Pandemi sürecinde COVID-19 hastalarının ameliyatında görev yapan ameliyathane hemşirelerinin duygusal, fiziksel ve psikolojik sorunlar yaşadığı belirlenmiştir.

Etik Beyan

Çalışmamız Sağlık Bilimleri Üniversitesi Bilimsel Araştırmalar Etik Kurulu (Tarih:25 Mart 2021 karar no: 2021/134) Çalışma uluslararası bildirge, kılavuz vb uygun gerçekleştirilmiştir.

Destekleyen Kurum

Yok

Teşekkür

Araştırmanın verilerinin toplanması aşamasında gönüllü olarak yer alan ve tüm soruları içtenlikle yanıtlayarak bize destek olan ameliyathane hemşirelerine teşekkürlerimizi sunarız.

Kaynakça

  • Alenazi, T. H., BinDhim, N. F., Alenazi, M. H., Tamim, H., Almagrabi, R. S., Aljohani, S. M., H Basyouni, M., Almubark, R. A., Althumiri, N. A., & Alqahtani, S. A. (2020). Prevalence and predictors of anxiety among healthcare workers in Saudi Arabia during the COVID-19 pandemic. Journal of Infection and Public Health, 13(11), 1645–1651. https://doi. org/10.1016/j.jiph.2020.09.001
  • Antunes, D., Lami, M., Chukwudi, A., Dey, A., Patel, M., Shabana, A., ... & Tebala, G. (2021). COVID-19 infection risk by open and laparoscopic surgical smoke: a systematic review of the literature. the surgeon, 19(6), e452-e461.
  • Alptekin, H. M., Dağcı, M., & Zonp, Z. (2023). The experiences of operating room nurses during COVID-19 pandemic: a qualitative study. Journal of PeriAnesthesia Nursing, 38(2), 269-276. https://doi.org/10.1016/j.jopan.2022.06.013
  • Balkaya, F., & Askeroğlu, A. (2024). A Qualitative Exploration of Turkish Operating Room Nurses’ Experiences During the COVID-19 Pandemic. Perioperative Care and Operating Room Management, 34, 100362. https://doi.org/10.1016/j.pcorm.2023.100362
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Cadge, W., Lewis, M., Bandini, J., Shostak, S., Donahue, V., Trachtenberg, S., ... & Robinson, E. (2021). Intensive care unit nurses living through COVID-19: a qualitative study. Journal of nursing management, 29(7), 1965-1973.
  • Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1.
  • Gül, Ş., & Kılıç, S. T. (2021). Determining anxiety levels and related factors in operating room nurses during the COVID-19 pandemic: A descriptive study. Journal of Nursing Management, 29(7), 1934-1945.
  • Gümüş, K., & Başgün, A. (2021). Evaluation of the knowledge of operating room nurses of preventive practices for protection against COVID-19. Journal of PeriAnesthesia Nursing, 36(3), 300-304.
  • Hu, K., Fan, J., Li, X., Gou, X., Li, X., & Zhou, X. (2020). The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine, 99(24). http://dx.doi.org/10.1097/MD.0000000000020603.
  • Hussain, Z. B., Shoman, H., Yau, P. W., Thevendran, G., Randelli, F., Zhang, M., ... & Khanduja, V. (2020). Protecting healthcare workers from COVID-19: learning from variation in practice and policy identified through a global cross-sectional survey. Bone & Joint Open, 1(5), 144-151.
  • Jiang, Q., Song, S., Zhou, J., Liu, Y., Chen, A., Bai, Y., ... & Xue, J. (2020). The prevalence, characteristics, and prevention status of skin injury caused by personal protective equipment among medical staff in fighting COVID-19: a multicenter, cross-sectional study. Advances in wound care, 9(7), 357-364.
  • Ti, L. K., Ang, L. S., Foong, T. W., & Ng, B. S. W. (2020). What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Canadian Journal of Anesthesia/Journal canadien d’anesthésie, 67(6), 756-758.
  • Kamer, E., & Çolak, T. (2020). What to do when a patient infected with COVID-19 needs an operation: a pre-surgery, peri-surgery and post-surgery guide. Turkish Journal of Colorectal Disease.
  • Karimi, Z., Fereidouni, Z., Behnammoghadam, M., Alimohammadi, N., Mousavizadeh, A., Salehi, T., ... & Mirzaee, S. (2020). The lived experience of nurses caring for patients with COVID-19 in Iran: a phenomenological study. Risk management and healthcare policy, 1271-1278.
  • Koksal, E., Dost, B., Terzi, Ö., Ustun, Y. B., Özdin, S., & Bilgin, S. (2020). Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic. Journal of PeriAnesthesia Nursing, 35(5), 472-477.
  • Lee, N., & Lee, H.-J. (2020). South Korean nurses’ experiences with patient care at a COVID-19- designated hospital: Growth after the frontline battle against an infectious disease pandemic. International Journal of Environmental Research and Public Health, 17(23), 9015. https://doi.org/10.3390/ijerp h1723 9015
  • Li, X. Y., Wang, J., Zhang, R. X., Chen, L., He, C. K., Wang, C. Y., ... & Song, X. M. (2020). Psychological status among anesthesiologists and operating room nurses during the outbreak period of COVID-19 in Wuhan, China. Frontiers in Psychiatry, 11, 574143.
  • Lin, H., Wang, X., Luo, X., & Qin, Z. (2020). A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. Journal of International Medical Research, 48(1), 0300060519895670. doi: 10.1177/0300060519895670.
  • Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), e790–e798. https://doi.org/10.1016/S2214 -109X(20)30204 -7.
  • Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management, 28(5), 1002–1009. https://doi.org/10.1111/jonm.13014
  • Nashwan, A. J., Abujaber, A. A., Mohamed, A. S., Villar, R. C., & Al-Jabry, M.M. (2020). Nurses’ willingness to work with COVID-19 patients: The role of knowledge and attitude. Nursing Open, 8, 695–701.
  • Oluwabukola, A., & Oluwabukola, O. (2009). Anaesthetic considerations for the HIV positive parturient. Annals of Ibadan Postgraduate Medicine, 7(1), 31-35.
  • Orhan, K. S., Şen, C., Aydemir, L., Çelik, M., & Türel, M. N. K. (2020). ENT surgery during COVID-19 pandemic: tips for safe surgery and how to prioritize them. The Turkish Journal of Ear Nose and Throat, 30(1), 41-51.
  • Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Sage Publications.
  • Park, C. L., Russell, B. S., Fendrich, M., Finkelstein-Fox, L., Hutchison, M., & Becker, J. (2020). Americans’ COVID-19 stress, coping, and adherence to CDC guidelines. Journal of General Internal Medicine, 35(8)
  • Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice, 9th ed. Philadelphia: Lippincott Williams & Wilkins.
  • Schroeder, K., Norful, A. A., Travers, J., & Aliyu, S. (2020). Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. International journal of nursing studies advances, 2, 100006.
  • Şahin, M. K., Aker, S., Şahin, G., & Karabekiroğlu, A. (2020). Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. Journal of Community Health, 45(6), 1168–1177. https://doi.org/10.1007/s10900-020-00921
  • Villar, R. C., Nashwan, A. J., Mathew, R. G., Mohamed, A. S., Munirathinam, S., Abujaber, A. A., ... & Shraim, M. (2021). The lived experiences of frontline nurses during the coronavirus disease 2019 (COVI-19) pandemic in Qatar: A qualitative study. Nursing Open, 8(6), 3516-3526.
  • Xiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020). The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e923549-923541.
  • Yıldız, A., Karadağ, A., Yıldız, A., & Çakar, V. (2021). Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic. Journal of Tissue Viability, 30(1), 21-27. https://doi.org/10.1016/j.jtv.2020.10.005
  • Yu, G. Y., Lou, Z., & Zhang, W. (2020). Several suggestion of operation for colorectal cancer under the outbreak of Corona Virus Disease 19 in China. Zhonghua wei chang wai ke za zhi= Chinese journal of gastrointestinal surgery, 23(3), 9-11.

Experiences of operating room nurses ınvolved in the surgical team of patients diagnosed with covıd-19: A qualitative study

Yıl 2025, Cilt: 12 Sayı: 3, 364 - 371, 30.09.2025

Öz

Introduction: Managing the surgical process of patients diagnosed with COVID-19 can be complex and highly challenging.
Aim: This study aims to examine the experiences of operating room nurses who were part of the surgical team for patients diagnosed with COVID-19.
Materials and Methods: This is a qualitative study using a phenomenological design. The research was conducted between March 2020 and April 2021 with 14 volunteer operating room nurses working in a training and research hospital. Data were collected through in-depth, face-to-face interviews lasting approximately 10-15 minutes with each participant using a semi-structured interview form. Audio recordings were taken with prior consent, and the data were analyzed using content analysis.
Results: The average age of the nurses was 36.2±6.0 years, and 92.9% were female. Their average professional experience was 15.7±7.2 years, and their average duration of working in the operating room was 9.7±7.3 years. It was found that 42.9% of the nurses had contracted COVID-19. Based on the analysis of the data obtained, four main themes were identified: emotions such as fear, anxiety, confusion, and excitement; aspects in which COVID-19 cases differ from standard cases; psychological and physical preparation; and voluntariness.
Conclusion: It was determined that operating room nurses involved in the surgeries of COVID-19 patients during the pandemic experienced emotional, physical, and psychological challenges.

Kaynakça

  • Alenazi, T. H., BinDhim, N. F., Alenazi, M. H., Tamim, H., Almagrabi, R. S., Aljohani, S. M., H Basyouni, M., Almubark, R. A., Althumiri, N. A., & Alqahtani, S. A. (2020). Prevalence and predictors of anxiety among healthcare workers in Saudi Arabia during the COVID-19 pandemic. Journal of Infection and Public Health, 13(11), 1645–1651. https://doi. org/10.1016/j.jiph.2020.09.001
  • Antunes, D., Lami, M., Chukwudi, A., Dey, A., Patel, M., Shabana, A., ... & Tebala, G. (2021). COVID-19 infection risk by open and laparoscopic surgical smoke: a systematic review of the literature. the surgeon, 19(6), e452-e461.
  • Alptekin, H. M., Dağcı, M., & Zonp, Z. (2023). The experiences of operating room nurses during COVID-19 pandemic: a qualitative study. Journal of PeriAnesthesia Nursing, 38(2), 269-276. https://doi.org/10.1016/j.jopan.2022.06.013
  • Balkaya, F., & Askeroğlu, A. (2024). A Qualitative Exploration of Turkish Operating Room Nurses’ Experiences During the COVID-19 Pandemic. Perioperative Care and Operating Room Management, 34, 100362. https://doi.org/10.1016/j.pcorm.2023.100362
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Cadge, W., Lewis, M., Bandini, J., Shostak, S., Donahue, V., Trachtenberg, S., ... & Robinson, E. (2021). Intensive care unit nurses living through COVID-19: a qualitative study. Journal of nursing management, 29(7), 1965-1973.
  • Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1.
  • Gül, Ş., & Kılıç, S. T. (2021). Determining anxiety levels and related factors in operating room nurses during the COVID-19 pandemic: A descriptive study. Journal of Nursing Management, 29(7), 1934-1945.
  • Gümüş, K., & Başgün, A. (2021). Evaluation of the knowledge of operating room nurses of preventive practices for protection against COVID-19. Journal of PeriAnesthesia Nursing, 36(3), 300-304.
  • Hu, K., Fan, J., Li, X., Gou, X., Li, X., & Zhou, X. (2020). The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine, 99(24). http://dx.doi.org/10.1097/MD.0000000000020603.
  • Hussain, Z. B., Shoman, H., Yau, P. W., Thevendran, G., Randelli, F., Zhang, M., ... & Khanduja, V. (2020). Protecting healthcare workers from COVID-19: learning from variation in practice and policy identified through a global cross-sectional survey. Bone & Joint Open, 1(5), 144-151.
  • Jiang, Q., Song, S., Zhou, J., Liu, Y., Chen, A., Bai, Y., ... & Xue, J. (2020). The prevalence, characteristics, and prevention status of skin injury caused by personal protective equipment among medical staff in fighting COVID-19: a multicenter, cross-sectional study. Advances in wound care, 9(7), 357-364.
  • Ti, L. K., Ang, L. S., Foong, T. W., & Ng, B. S. W. (2020). What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Canadian Journal of Anesthesia/Journal canadien d’anesthésie, 67(6), 756-758.
  • Kamer, E., & Çolak, T. (2020). What to do when a patient infected with COVID-19 needs an operation: a pre-surgery, peri-surgery and post-surgery guide. Turkish Journal of Colorectal Disease.
  • Karimi, Z., Fereidouni, Z., Behnammoghadam, M., Alimohammadi, N., Mousavizadeh, A., Salehi, T., ... & Mirzaee, S. (2020). The lived experience of nurses caring for patients with COVID-19 in Iran: a phenomenological study. Risk management and healthcare policy, 1271-1278.
  • Koksal, E., Dost, B., Terzi, Ö., Ustun, Y. B., Özdin, S., & Bilgin, S. (2020). Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic. Journal of PeriAnesthesia Nursing, 35(5), 472-477.
  • Lee, N., & Lee, H.-J. (2020). South Korean nurses’ experiences with patient care at a COVID-19- designated hospital: Growth after the frontline battle against an infectious disease pandemic. International Journal of Environmental Research and Public Health, 17(23), 9015. https://doi.org/10.3390/ijerp h1723 9015
  • Li, X. Y., Wang, J., Zhang, R. X., Chen, L., He, C. K., Wang, C. Y., ... & Song, X. M. (2020). Psychological status among anesthesiologists and operating room nurses during the outbreak period of COVID-19 in Wuhan, China. Frontiers in Psychiatry, 11, 574143.
  • Lin, H., Wang, X., Luo, X., & Qin, Z. (2020). A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. Journal of International Medical Research, 48(1), 0300060519895670. doi: 10.1177/0300060519895670.
  • Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), e790–e798. https://doi.org/10.1016/S2214 -109X(20)30204 -7.
  • Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management, 28(5), 1002–1009. https://doi.org/10.1111/jonm.13014
  • Nashwan, A. J., Abujaber, A. A., Mohamed, A. S., Villar, R. C., & Al-Jabry, M.M. (2020). Nurses’ willingness to work with COVID-19 patients: The role of knowledge and attitude. Nursing Open, 8, 695–701.
  • Oluwabukola, A., & Oluwabukola, O. (2009). Anaesthetic considerations for the HIV positive parturient. Annals of Ibadan Postgraduate Medicine, 7(1), 31-35.
  • Orhan, K. S., Şen, C., Aydemir, L., Çelik, M., & Türel, M. N. K. (2020). ENT surgery during COVID-19 pandemic: tips for safe surgery and how to prioritize them. The Turkish Journal of Ear Nose and Throat, 30(1), 41-51.
  • Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Sage Publications.
  • Park, C. L., Russell, B. S., Fendrich, M., Finkelstein-Fox, L., Hutchison, M., & Becker, J. (2020). Americans’ COVID-19 stress, coping, and adherence to CDC guidelines. Journal of General Internal Medicine, 35(8)
  • Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice, 9th ed. Philadelphia: Lippincott Williams & Wilkins.
  • Schroeder, K., Norful, A. A., Travers, J., & Aliyu, S. (2020). Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. International journal of nursing studies advances, 2, 100006.
  • Şahin, M. K., Aker, S., Şahin, G., & Karabekiroğlu, A. (2020). Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. Journal of Community Health, 45(6), 1168–1177. https://doi.org/10.1007/s10900-020-00921
  • Villar, R. C., Nashwan, A. J., Mathew, R. G., Mohamed, A. S., Munirathinam, S., Abujaber, A. A., ... & Shraim, M. (2021). The lived experiences of frontline nurses during the coronavirus disease 2019 (COVI-19) pandemic in Qatar: A qualitative study. Nursing Open, 8(6), 3516-3526.
  • Xiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020). The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e923549-923541.
  • Yıldız, A., Karadağ, A., Yıldız, A., & Çakar, V. (2021). Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic. Journal of Tissue Viability, 30(1), 21-27. https://doi.org/10.1016/j.jtv.2020.10.005
  • Yu, G. Y., Lou, Z., & Zhang, W. (2020). Several suggestion of operation for colorectal cancer under the outbreak of Corona Virus Disease 19 in China. Zhonghua wei chang wai ke za zhi= Chinese journal of gastrointestinal surgery, 23(3), 9-11.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma
Yazarlar

Emine Arıcı Parlak 0000-0003-4416-7075

Hatice Ayhan 0000-0002-3022-9389

Emine İyigün 0000-0002-2276-615X

Yayımlanma Tarihi 30 Eylül 2025
Gönderilme Tarihi 20 Mart 2025
Kabul Tarihi 26 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 3

Kaynak Göster

APA Arıcı Parlak, E., Ayhan, H., & İyigün, E. (2025). COVID-19 tanılı hastaların ameliyat ekibinde yer alan ameliyathane hemşirelerinin deneyimleri; niteliksel çalışma. Sağlık Akademisyenleri Dergisi, 12(3), 364-371.
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