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Amaç: Bu araştırma, COVID-19 pandemisinde ağır çalışma koşulları ve yoğun stres altında çalışan yoğun bakım hemşirelerinde merhamet yorgunluğu düzeyini belirlemek amacıyla yürütüldü. Yöntem: Kesitsel ve tanımlayıcı tipteki bu araştırma, pandemi döneminde İstanbul’da bir Pandemi Hastanesinin Erişkin Anestezi Yoğun Bakım Ünitelerinde, 01.02.2021–01.03.2021 tarihleri arasında çalışan 363 yoğun bakım hemşiresinin tamamının gönüllü katılımıyla ile gerçekleştirildi. Örneklem seçimine gidilmedi. Veriler, araştırmacılar tarafından hazırlanan 5 soruluk kişisel bilgiler ile 13 maddeden oluşan Merhamet Yorgunluğu – Kısa Ölçek (MY-KÖ) formu kullanılarak toplandı. Toplanan verilerin SPSS 25.0 (Statistical Packages for the Social Sciences) istatistik paket programı kullanılarak analizi yapıldı. Merhamet yorgunluğu kısa ölçek alt boyutlarından ikincil travma, mesleki tükenmişlik ve toplam skorun Shapiro-Wilk Testi ile normal dağılım göstermediği saptandı (p<0,05). Bu nedenle tüm analizler non-parametrik yöntemlerle ile yapıldı. Ortalamaların karşılaştırılmasında Mann-Whitney ve Kruskal-Wallis Test; değişkenler arasındaki ilişkiyi saptamak için Spearman's rho Correlation kullanıldı. Bulgular: Araştırmaya katılan 363 hemşirenin 286’sı kadın (%78,8), 268’i (%73,8) 18-25 yaş aralığında, 279’u (%76,9) lisans mezunu, 265’inin (%73) mesleki deneyimi 0-1 yıl arasında ve 103’ü (%28,4) Covid-19 pozitif tanısı almıştır. Merhamet yorgunluğu kısa ölçek puan ortalaması 65,01±25,56 olarak saptandı. Sosyodemografik veriler ile merhamet yorgunluğu puanı ve alt boyutların puanları karşılaştırıldığında anlamlı bir fark görülmedi. Covid-19 virüsü ile enfekte olup hastalığı geçiren hemşireler ile geçirmeyenler arasında merhamet yorgunluğu kısa ölçek alt boyutlarından ikincil travma, mesleki tükenmişlik ve toplam puan ortalamaları arasında istatistiksel olarak anlamlı fark bulundu. Merhamet yorgunluğu kısa ölçek alt boyutlarından ikincil travma puanı (p=0,0199), mesleki tükenmişlik puanı (p=0,0482) ve toplam puan (p=0,0264) ortalamaları Covid-19 geçiren hemşirelerde daha yüksektir. Sonuç: Çoğunluğu genç, yeni mezun ve yoğun bakım ünitesinde sadece 0-1 yıllık deneyimi olan hemşirelerde, Covid-19 virüsü ile enfekte olup hastalığı geçirenlerin merhamet yorgunluğu daha yüksek bulundu. Hemşirelik hizmetlerinin bakım kalitesinin düşmemesi, kişilerin mesleğin ilk yıllarında iken kendilerini yetersiz hissetmemesi ve meslekten ayrılma ile sonuçlanmaması açısından hastane yönetimi tarafından bu konuya ilişkin önlemler alınması, tüm hemşireler ile bu riskli durum hakkında motivasyonel görüşmeler yapılması ve hizmet içi eğitimlerle bireylerin desteklenmesi önerilmektedir.
Purpose: This study was carried out with the aim of determining the level of mercy fatigue in COVID-19 nurses working under severe working conditions and intense stress. Method: This investigation of a cutting-edge and identifying type was carried out with the voluntary participation of all 363 intensive care nurses working between 01.02.2021-01.03.2021 in an adult anesthesia intensive care units at a pandemic hospital in Istanbul during the pandemic period. The example was not to be chosen. The data was collected using the form of Mercy Forgiveness - Short Scale (MY-KÖ) consisting of 5 questions and personal information prepared by the researchers. The data was analyzed using the SPSS 25.0 (Statistical Packages for the Social Sciences) statistical package program. It was found that compassion fatigue from the short-scale subdimensions of secondary trauma, professional exhaust and total score did not show normal distribution with the Shapiro-Wilk Test (p<0,05). All analyses were performed by non-parametric methods. The Mann-Whitney and Kruskal-Wallis Test used Spearman's rho Correlation to determine the relationship between the variables. The findings: 286 of the 363 nurses involved in the study were women (78.8 percent), 268 (73.8 percent) in the age range of 18-25 years, 279 (76.9 percent) graduates, 265 (73 percent) had professional experience between 0-1 years and 103 (28.4 percent) received positive diagnosis of Covid-19. Mercy fatigue is a short-scale score average of 65,01±25,56. There was no significant difference when compared sociodemographic data with mercy fatigue points and the points of the lower dimensions. Among those infected with the Covid-19 virus and the nurses who have not suffered from the disease, a statistically meaningful difference was found between the short-scale low-dimensions of mercy fatigue, secondary trauma, occupational exhaustion, and the total score average. The secondary traumatic score (p=0,0199), the professional exhaust score (p=0,0482) and the total score (p=0,0264) are higher than the average in nurses who have Covid-19. The result: Most of the young, newly graduated and nurse with only 0-1 years of experience in the intensive care unit, those infected with the Covid-19 virus and who suffer from the disease found greater mercy fatigue. In order to ensure that the quality of care of nursing services does not decline, that individuals do not feel insufficient during the first years of the profession and that the hospital administration should take measures on this issue, that all nurses and nurses should be motivated to discuss this risk situation and that individuals should be supported by training within the service.
Objective: This research was conducted to determine the level of compassion fatigue in intensive care nurses working under severe working conditions and intense stress in the COVID-19 pandemic. Method: The cross-sectional and descriptive study was carried out with the voluntary participation of all 363 intensive care nurses working between 01.02.2021-01.03.2021 in Adult Anesthesia Intensive Care Units of a Pandemic Hospital in Istanbul during the pandemic period. Sample selection was not made. The data were collected using the Compassion Fatigue - Short Scale (MY-CD) form consisting of 13 items and 5-question personal information prepared by the researchers. The collected data were analyzed using the SPSS 25.0 (Statistical Packages for the Social Sciences) statistical package program. Compassion fatigue short scale sub-dimensions of secondary trauma, occupational burnout and total score were not found to show normal distribution by Shapiro-Wilk Test (p <0.05). For this reason, all analyzes were made with non-parametric methods. Mann-Whitney and Kruskal-Wallis Tests were used for comparing the means; Spearman's rho Correlation was used to determine the relationship between variables. Results: Of the 363 nurses participating in the study, 286 were female (78.8%), 268 (73.8%) were in the 18-25 age range, 279 (76.9%) were undergraduate, 265 (73%) were) between 0-1 years of professional experience, and 103 (28.4%) were diagnosed with Covid-19 positive. Compassion fatigue short scale mean score was determined as 65.01 ± 25.56. When sociodemographic data were compared with the compassion fatigue score and the scores of the sub-dimensions, no significant difference was found. A statistically significant difference was found between the nurses infected with the Covid-19 virus and those who did not have the disease, between the compassion fatigue short scale sub-dimensions of secondary trauma, occupational burnout and total score averages. Secondary trauma score (p= 0.0199), occupational burnout score (p= 0.0482) and total score (p= 0.0264), which are among the compassion fatigue short scale sub-dimensions, are higher in nurses with Covid-19. Conclusion: The compassion fatigue of those who were infected with the Covid-19 virus and had the disease was found to be higher in nurses, most of whom were young, newly graduates and who had only 0-1 years of experience in the intensive care unit. In order not to decrease the quality of nursing care, not to feel inadequate in the first years of the profession, and not to leave the profession, it is recommended by the hospital management to take measures on this issue, to make motivational interviews with all nurses about this risky situation and to support individuals with in-service training.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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