COVID-19 Pandemisinde Hemşirelerin Aile Destek Düzeylerinin İşten Ayrılma Niyetleri Üzerindeki Etkisi: Kesitsel Bir Çalışma

Yıl 2024, Cilt: 13 Sayı: 3, 1277 - 1285, 26.09.2024

Seçil Duran , İsa Çelik , Büşra Ceren Demirel , Murat Bektaş

https://doi.org/10.37989/gumussagbil.1370150

Öz

Koronavirüs hastalığı 2019 (COVID-19), tüm dünyayı etkiledi. Hemşireler COVID-19 ile mücadelede en ön safta yer aldı. Bu süreçte hemşirelerin iş yükü arttı ve çalışma şartları olumsuz etkilendi. Bu durumda hemşirelerin destek kaynakları daha önemli hale geldi. Bu araştırmanın amacı, COVID-19 sürecinde Türkiye’deki hemşirelerin aile destek düzeylerinin işten ayrılma niyetleri üzerindeki etkisini incelemektir. Kesitsel türde tasarlanan bu çalışmanın evreni Türkiye’de iki ilde görev yapan hemşirelerdi. Veriler, 15 Şubat – 15 Mart 2021 tarihleri arasında, etik kurul onayı ve kurum izinleri alındıktan sonra online olarak toplandı. Veri toplama aracı olarak “Kişisel Bilgi Formu”, ve araştırmacılar tarafından oluşturulan “Aile Desteği Anketi” kullanıldı. Hemşirelerin aile destek düzeylerinin işten ayrılma niyetleri üzerindeki etkisi lojistik regresyon analizi ile incelendi. Araştırmaya %83’ü (n = 370) kadın olan toplam 446 hemşire katıldı. Yaş ortalamaları 30,22 ± 6,30’du. Hemşirelerin %36,8’i (n=164) COVID-19 hastalığını geçirdiğini belirtti. Hemşirelerin aile destek düzeyleri işten ayrılma niyetlerindeki varyansın %8,7’sini (Nagelkerke R2) açıkladı. Artan aile destek düzeyi işten ayrılma niyetinin azalması ile ilişkiliydi. Yaşanılan bu zorlu pandemi sürecinde hemşirelerin aile destekleri oldukça önemlidir.

Anahtar Kelimeler

Aile Desteği, COVID-19, Hemşire, İşten Ayrılma Niyeti

Etik Beyan

Gümüşhane Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulu’ndan 2020/12 karar sayı numarası ile etik kurul izni alındı. Sağlık Bakanlığından 2020-12-11T22_22_27 sayı numarası ile izin alındı. Anketin ilk bölümü esas olarak bilgilendirilmiş onayı içeriyordu, katılımcılar önce bilgilendirilmiş onayı okuyacaklar, çalışmaya katılmayı kabul ederlerse aşağıdaki anketi tamamlamak için "Kabul ediyorum" seçeneğine tıklayacaklar. Katılımcılara verdikleri bilgilerin gizli tutulacağı ve başka bir yerde kullanılmayacağı açıklandı.

Destekleyen Kurum

Bulunmamaktadır.

Teşekkür

Katılımcılara teşekkür ederiz

The Effect of Nurses' Family Support Levels on Their Intentions to Leave Work During the COVID-19 Pandemic: A Cross-Sectional Study

Öz

Coronavirus disease 2019 (COVID-19) has affected the whole world. Nurses have been on the front lines in the fight against COVID-19. In this process, nurses' workload increased and their working conditions were negatively affected. In this case, nurses' support resources have become more important. The purpose of this research is to examine the effect of family support levels of nurses in Turkey on their intention to leave work during the COVID-19 period. The population of this cross-sectional study was nurses working in two provinces in Turkey. The data was collected online between 15 and 30 February 2021, after ethics committee approval and institutional permissions were obtained. "Personal Information Form" and "Family Support Survey" created by the researchers were used as data collection tools. The effect of nurses' family support levels on their intention to leave work was examined with logistic regression analysis. A total of 446 nurses, 83% of whom (n = 370) were women, participated in the study. Their mean age was 30.22 ± 6.30. 36.8% (n=164) of nurses stated that they had COVID-19 disease. Nurses' family support levels explained 8.7% (Nagelkerke R2) of the variance in their intention to leave. Increasing level of family support was associated with decreased turnover intention. Family support of nurses is very important during this difficult pandemic process.

Anahtar Kelimeler

Family Support, COVID-19, Nurse, Intention to Leave Job

Kaynakça

• 1. Sharma, A, Ahmad Farouk, I. and Lal, S.K. (2021). “COVID-19: A Review on the Novel Coronavirus Disease Evolution, Transmission, Detection, Control and Prevention”. Viruses, 13 (2), 202.
• 2. Şan, İ, Usul, E. Bekgöz, B. and Korkut, S. (2021). “Effects of COVID-19 Pandemic on Emergency Medical Services”. Internatıonal Journal of Clinical Practice, 75 (5), e13885.
• 3. Oliveira, K.K.D, Freitas, R.J.M, Araújo, J.L. and Gomes, J.G.N. (2020). “Nursing Now and The Role of Nursing in The Context Of Pandemic and Current Work”. Rev Gaucha Enferm, 19 (42), e20200120.
• 4. Choi, K.R, SkrineJeffers, K. and Cynthia Logsdon, M. (2020). “Nursing and the Novel Coronavirus: Risks And Responsibilities in a Global Outbreak”. Journal of Advanced Nursing, 76, 1486-1487.
• 5. Drennan, V.M. and Ross, F. (2019). “Global Nurse Shortages-the Facts, the İmpact and Action for Change”. British Medical Bulletin, 130 (1), 25-37.
• 6. Labrague, L.J. and de Los Santos J.A.A. (2021). “Fear of COVID-19, Psychological Distress, Work Satisfaction and Turnover İntention Among Frontline Nurses”. Journal of Nursing Management, 29 (3), 395-403.
• 7. Nantsupawat, A, Kunaviktikul, W, Nantsupawat, R, Wichaikhum, O.A, Thienthong, H. and Poghosyan, L. (2017). “Effects of Nurse Work Environment on Job Dissatisfaction, Burnout, İntention to Leave”. Internatıonal Nursing Review, 64 (1), 91-98.
• 8. World Health Organization (WHO). (2020). WHO and partners call for urgent investment in nurses. Retrieved from: https://www.who.int/news/item/07-04-2020-who-and-partners-call-for-urgent-investment-in-nurses (Erişim tarihi: 13.09.2023).
• 9. Sasso, L, Bagnasco, A, Catania, G, Zanini, M, Aleo, G. and Watson, R. (2019). “Push and Pull Factors of Nurses' İntention to Leave”. Journal of Nursing Management, 27 (5), 946-954. doi: 10.1111/jonm.12745.
• 10. Wang, M.L. and Tsai, L.J. (2014). “Work–Family Conflict and Job Performance in Nurses: The Moderating Effects of Social Support”. Journal of Nursing Research, 22 (3), 200-207.
• 11. Galletta, M, Portoghese, I, Melis, P, Gonzalez, C, I.A, Finco, G., D’Aloja, E, ... and Campagna, M. (2019). “The Role of Collective Affective Commitment in The Relationship Between Work–Family Conflict and Emotional Exhaustion Among Nurses: A Multilevel Modeling Approach”. BMC Nursing, 18 (1), 1-9.
• 12. Greenhaus, J.H. and Beutell, N. (1985). “Sources of Conflict Between Work and Family Roles”. Academy of Management Review, 10 (1), 76– 88. https://doi.org/10.5465/amr.1985.4277352
• 13. Tselebis, A, Lekka, D, Sikaras, C, Tsomaka, E, “Tassopoulos, A, Ilias I, ... and Pachi, A. (2020). Insomnia, Perceived Stress, and Family Support among Nursing Staff during the Pandemic Crisis”. In Healthcare, 8 (4), 434.
• 14. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd Edition, Hillsdale, NJ:Erlbaum, 1988.
• 15. Faul, F, Erdfelder, E, Lang, A.G. and Buchner, A. (2007). “G*Power 3: A Flexible Statistical Power Analysis Program For The Social, Behavioral, and Biomedical Sciences”. Behavior Research Methods, 39, 175-191.
• 16. De los Santos, J.A.A. and Labrague, L.J. (2020). “Impact of COVID-19 on the Psychological Well-Being and Turnover İntentions of Frontline Nurses in The Community: A Cross-Sectional Study in the Philippines”. MedRxiv.
• 17. Catton, H. (2020). “Global Challenges in Health and Health Care For Nurses and Midwives Everywhere”. International Nursing Review, 67 (1), 4-6.
• 18. Mo, Y, Deng, L, Zhang, L, Lang, Q, Liao, C, Wang, N. ... and 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.
• 19. Davis, L.L. (1992). Instrument Review: Getting the most from a Panel of Experts. Applied Nursing Research, 5, 194-197.
• 20. Şencan H (2005) Sosyal ve davranışsal ölçümlerde güvenilirlik ve geçerlilik (1. Basım) Seçkin Yayıncılık Sanayi ve Ticaret AŞ, Ankara, 499-559.
• 21. Choi, B.S. (2018). “Influence of Social Support and Resilience on The Nurse Job Performance”. Indian Journal of Public Health Research & Development, 9 (3), 788– 792.
• 22. Hu, S.H, Yu, Y.M, Chang, W.Y. and Lin, Y.K. (2018). “Social Support and Factors Associated with Self-Efficacy Among Acute-Care Nurse Practitioners”. Journal of Clinical Nursing, 27 (3–4), 876– 882.
• 23. Kim, H.J. and Park, H.R. (2017). “Factors Affecting Post-Traumatic Stress of General Hospital Nurses After The Epidemic of Middle East Respiratory Syndrome İnfection”. Journal of Korean Clinical Nursing Research, 23 (2), 179– 188.
• 24. Labrague, L.J, McEnroe Petitte, D.M, Leocadio, M.C, Van Bogaert, P. and Tsaras, K. (2018). “Perceptions of Organizational Support and its İmpact on Nurses’ Job Outcomes”. Nursing Forum, 53 (3), 339– 347.
• 25. Uluslararası Hemşirelik Konseyi (ICN) . (2020). Erişim adresi: https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths. (Erişim tarihi: 13.09.2023).
• 26. Hall, L.M, Angus, J, Peter, E, O'Brien-Pallas, L, Wynn, F. and Donner, G. (2003). “Media Portrayal of Nurses' Perspectives and Concerns in the SARS Crisis in Toronto”. Journal of Nursing Scholarship, 35 (3), 211- 216. https://doi.org/10.1111/j.1547-5069.2003.00211.x
• 27. Kim, Y. (2018). “Nurses' Experiences of Care For Patients With Middle East Respiratory Syndrome-Coronavirus in South Korea”. American Journal of Infection Control, 46 (7), 781– 787. https://doi.org/10.1016/j.ajic.2018.01.012
• 28. Zhang, Y, Wang, C, Pan, W, Zheng, J, Gao, J, Huang, X, Cai, S, Zhai, Y, Latour, J.M. and Zhu, C. (2020). “Stress, Burnout, and Coping Strategies of Frontline Nurses During The COVID-19 Epidemic İn Wuhan and Shanghai, China”. Frontiers in Psychiatry, 11, 565520. 29. Kim, Y.J, Lee, S.Y. and Cho, J.H. (2020). “A Study on the Job Retention İntention of Nurses Based on Social Support in the COVID-19 Situation”. Sustainability, 12(18), 7276.
• 30. Hou, T, Zhang, T, Cai, W, Song, X, Chen, A, Deng, G. And Ni, C. (2020). “Social Support and Mental Health Among Health Care Workers During Coronavirus Disease 2019 Outbreak: A Moderated Mediation Model”. PLoS One, 15(5), e0233831. https://doi.org/10.1371/journal.pone.0233831
• 31. Murat, M, Köse, S. and Savaşer, S. (2021). “Determination of Stress, Depression and Burnout Levels of Front‐Line Nurses During The COVID‐19 Pandemic”. International Journal of Mental Health Nursing, 30(2), 533-543.
• 32. Zhu, Z, Xu, S. and Wang, H. (2020). “COVID-19 İn Wuhan: Sociodemographic Characteristics and Hospital Support Measures Associated With The İmmediate Psychological İmpact on Healthcare Workers”. EClinicalMedicine, 24, 100443.
• 33. Kang, L, Li, Y. and Hu, S. (2020b). “The Mental Health of Medical Workers in Wuhan, China Dealing With The 2019 Novel Coronavirus”. The Lancet Psychiatry, 7(3), e14.
• 34. Dai, Y, Hu, G, Xiong, H, Qiu, H. And Yuan, X. (2020). Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. MedRxiv,
• 35. Shanbehzadeh, S., Tavahomi, M., Zanjari, N., Ebrahimi-Takamjani, I., & Amiri-Arimi, S. (2021). Physical and mental health complications post-COVID-19: Scoping review. Journal of psychosomatic research, 147, 110525.
• 36. Chen, K. Y., Li, T., Gong, F. H., Zhang, J. S., & Li, X. K. (2020). Predictors of health-related quality of life and influencing factors for COVID-19 patients, a follow-up at one month. Frontiers in Psychiatry, 11, 668.
• 37. Labrague, L.J, Ballad, C.A. and Fronda, D.C. (2021). “Predictors and Outcomes of Work–Family Conflict Among Nurses”. International Nursing Review, 68(3), 349-357.