Kalp ve Damar Cerrahisi Yoğun Bakım Hemşirelerinin COVID-19 Pandemi Sürecinde Mesleki Deneyimlerinin İncelenmesi

Yıl 2023, Cilt: 27 Sayı: 1, 10 - 20, 30.04.2023

Nihal Çeliktürk Doruker , Fatma Demir Korkmaz

Öz

Amaç: Bu çalışmada kalp ve damar cerrahisi yoğun bakım hemşirelerinin COVID-19 pandemi döneminde mesleki deneyimlerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Nitel tipte olan bu araştırmada yorumlayıcı fenomenolojik yaklaşım kullanılmıştır. Araştırma bir üniversitesi hastanesinin Kalp ve Damar Cerrahisi Anabilim Dalı yoğun bakım ünitesinde en az altı aydır çalışan altı hemşire üzerinde yütürüldü. Veriler “Hastaların Sosyodemografik ve Tanıtıcı Özellikleri Formu” ve “Yarı Yapılandırılmış Görüşme Formu” kullanılarak yarı yapılandırılmış görüşmeler sonucunda toplandı.
Bulgular: Araştırmaya katılan hemşireler 28-45 yaş aralığındadır. Hemşirelerin hepsi kadın cinsiyette ve lisans mezunu olup dördü bekar, üçü çocuk sahibi ve üçü de çocuğu ve eşi yaşamaktadır. Hemşireler altı aydan 28 aya kadar değişen sürelerde kalp ve damar cerrahisi yoğun bakım ünitesinde çalışmaktadır. Hemşireler COVID-19 pandemi dönemindeki iş yüklerini normal iş yüküne göre fazla olarak tanımlamaktadır. Bu araştırmadan pandeminin psikososyal etkileri, hemşirelik bakımında yaşanan zorluklar, kalp ve damar cerrahisi hemşiresinin iş gücü olmak üzere dört tema elde edilmiştir.
Sonuç: Kalp ve damar cerrahisi yoğun bakım hemşirelerinin COVID-19 pandemi döneminde mesleği gereksinimler olmuştur. Bu hemşirelerin hastanenin pandemideki iş yükünü kaldıran öncüler olarak görüldüğü saptanmıştır.

Anahtar Kelimeler

COVID-19, kalp ve damar cerrahisi, hemşirelik

Kaynakça

• 1. Driggin E, Madhavan MV, Bikdeli B, Chuich T, Laracy J, Biondi-Zoccai G, et al. Cardiovascular considerations for patients, health care workers, and health systems during the COVID-19 pandemic. J Am Coll Cardiol 2020;75(18):2352-2371.
• 2. WHO Coronavirus (COVID-19) Dashboard (2023). Erişim adresi: https://covid19.who.int/ Erişim tarihi: 20.02.2023.
• 3. Williams MS, Zakaria S, D'Alessandro M, Kraeuter S, Hicks H. Alternative cardiac intensive care unit locations during the COVID-19 pandemic at an academic medical center. Heart Lung 2021;50(2):296.
• 4. Christensen K, Colman N, Van Voorhis K, Daniels K, Culpepper H, Hebbar K, et al. Situational awareness huddles in a pediatric cardiac intensive care unit during the COVID-19 pandemic. Crit Care Nurse 2021;41(4):e11-e18.
• 5. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential effects of coronaviruses on the cardiovascular system: a review. JAMA Cardiol 2020;5(7):831-840.
• 6. Dhainaut JF, Claessens YE, Janes J, Nelson DR. Underlying disorders and their impact on the host response to infection. Clin Infect Dis 2005;41(Supplement_7):S481-S489.
• 7. George I, Salna M, Kobsa S, Deroo S, Kriegel J, Blitzer D, et al. The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: insights and clinical strategies from a centre at the epicentre. Eur J Cardiothorac Sur 2020;58(4):667-675.
• 8. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health 2020;8(6):e790-e798.
• 9. Hølge-Hazelton B, Kjerholt M, Rosted E, Hansen ST, Borre LZ, McCormack B. Health professional frontline leaders’ experiences during the COVID-19 pandemic: a cross-sectional study. J Healthc Leadersh 2021;13:7.
• 10. Dewey C, Hingle S, Goelz E, Linzer M. Supporting clinicians during the COVID-19 pandemic. Ann Intern Med 2020;172(11):752-753.
• 11. Sethi BA, Sethi A, Ali S, Aamir HS. Impact of Coronavirus disease (COVID-19) pandemic on health professionals. Pak J Med Sci 2020;36(COVID19-S4):S6.
• 12. Chang D, Xu H, Rebaza A, Sharma L, Cruz CSD. Protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med 2020;8(3):e13.
• 13. Fernández‐Castillo RJ, González‐Caro MD, Fernández‐García E, Porcel‐Gálvez AM, Garnacho‐Montero J. Intensive care nurses' experiences during the COVID‐19 pandemic: A qualitative study. Nurs Crit Care 2021;26(5):397-406.
• 14. Bergman L, Falk AC, Wolf A, Larsson IM. Registered nurses' experiences of working in the intensive care unit during the COVID‐19 pandemic. Nur Crit Care 2021;26(6):467-475.
• 15. Koken ZO, Savas H, Gul S. Cardiovascular nurses' experiences of working in the COVID-19 intensive care unit: A qualitative study. Intensive Crit Care Nurs 2022;69:103181.
• 16. Koch T. Interpretive approaches in nursing research: The influence of Husserl and Heidegger. J Adv Nurs 1995;21(5):827-836.
• 17. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 2018;52(4):1893-1907.
• 18. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62(1):107-115.
• 19. Crowe M, Inder M, Porter R. Conducting qualitative research in mental health: Thematic and content analyses. Aust N Z J Psychiatry 2015;49(7), 616-623.
• 20. Koch T. Establishing rigour in qualitative research: the decision trail. J A Nurs 1994;19(5):976-986.
• 21. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19(6):349-357.
• 22. Merkouris A, Papathanassoglou ED, Pistolas D, Papagiannaki V, Floros J, Lemonidou C. Staffing and organisation of nursing care in cardiac intensive care units in Greece. Eur J Cardiovasc Nurs 2003;2(2):123-129.
• 23. Labrague LJ, de Los Santos JAA. Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag 2021;29(3):395-403.
• 24. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. 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. EClinicalMedicine 2020;24:100424.
• 25. Luttik ML, Garcia-Vivar C, Konradsen H, Mahrer-Imhof R, Imhof L, Brodsgaard A, et al. The COVID-19 pandemic: A family affair. J Fam Nurs 2020;26(2):87-89.
• 26. Moradi Y, Baghaei R, Hosseingholipour K, Mollazadeh F. Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: A qualitative study. J Nurs Manag 2021;29(5):1159-1168.
• 27. Turgut Y, Güdül Öz H, Akgün M, Boz İ, Yangın H. Qualitative exploration of nurses' experiences of the COVID‐19 pandemic using the Reconceptualized Uncertainty in Illness Theory: An interpretive descriptive study. J Adv Nurs 2022;78(7):2111-2122.
• 28. Copel LC, Lengetti E, McKeever A, Pariseault CA, Smeltzer SC. An uncertain time: Clinical nurses' first impressions during the COVID‐19 pandemic. Res Nurs Health 2022;45(5):537-548.
• 29. White JH. “It Was Never Enough”: The Meaning of Nurses’ Experiences Caring for Patients during the COVID-19 Pandemic. Issues Ment Health Nurs 2021;42(12):1084-1094.
• 30. Lancet T. COVID-19: protecting health-care workers. Lancet (London, England) 2020;395(10228):922.
• 31. Kitamura N, Abbas K, Nathwani D. Public health and social measures to mitigate the health and economic impact of the COVID-19 pandemic in Turkey, Egypt, Ukraine, Kazakhstan, and Poland during 2020–2021: situational analysis. BMC Public Health 2022;22(1):1-13.
• 32. Mobarki K. The Experiences of Intensive Care Nurses in Caring for COVID-19 Patients: A review of the literature. Medical Science and Discovery 2022;9(11):607-613.
• 33. Pruc M, Golik D, Szarpak L, Adam I, Smereka J. COVID-19 in healthcare workers Am J Emerg Med 2021;39:236.
• 34. Jackson D, Anders R, Padula WV, Daly J, Davidson PM. Vulnerability of nurse and physicians with COVID‐19: Monitoring and surveillance needed. J Clin Nurs 2020;29(19-20):3584.
• 35. Haft JW, Atluri P, Ailawadi G, Engelman DT, Grant MC, Hassan A, et al. Adult cardiac surgery during the COVID-19 pandemic: a tiered patient triage guidance statement. Ann Thorac Surg 2020;110(2):697-700.
• 36. Shehata IM, Elhassan A, Jung JW, Urits I, Viswanath O, Kaye AD. Elective cardiac surgery during the COVID-19 pandemic: Proceed or postpone?. Best Pract Res Clin Anaesthesiol 2020;34(3):643-650.
• 37. Armstrong D, Moore J, Fraher EP, Frogner BK, Pittman P, Spetz J. COVID-19 and the health workforce. Med Care Res Rev 2021;78(1_suppl):4S-6S.
• 38. Sezgin D, Dost A, Esin MN. Experiences and perceptions of Turkish intensive care nurses providing care to Covid‐19 patients: A qualitative study. Int Nurs Rev 2022;69(3):305-317.