Cerrahi Kliniklerde Çalışan Hemşirelerde Merhamet Yorgunluğu ile Yaşam Kalitesi İlişkisi

Year 2023, Volume: 6 Issue: 2, 303 - 316, 31.08.2023

Senan Mutlu , Emel Yılmaz

https://doi.org/10.54803/sauhsd.1216202

Abstract

Amaç: Çalışma, cerrahi kliniklerinde çalışan hemşirelerin merhamet yorgunluğu ile yaşam kaliteleri arasındaki ilişkiyi saptamak amacıyla yapıldı.
Yöntem: Çalışma, tanımlayıcı kesitsel türdedir. Türkiye’nin batı bölgesinde üniversite hastanelerinde görev yapmakta olan cerrahi hemşirelerine araştırma grubunun da kayıtlı olduğu Whatsapp grupları aracılığı ile ulaşıldı. Araştırmaya katılmayı kabul eden 216 cerrahi hemşiresi ile çalışma tamamlandı. Veriler, google form kullanılarak çevrimiçi anket yoluyla toplandı. Verilerin toplanmasında kişisel bilgi formu, Merhamet Yorgunluğu Ölçeği ve SF-12 Yaşam Kalitesi Ölçeği kullanıldı. Veriler tanımlayıcı istatistikler, Student t testi, one way ANOVA ve Pearson korelasyon analizi ile değerlendirildi.
Bulgular: Hemşirelerin Merhamet Yorgunluğu Ölçeği toplam puanı 65.37±25.00, İkincil Travma alt boyut puan ortalaması 23.66±10.56 ve Mesleki Tükenmişlik alt boyut puan ortalaması 41.71±15.98 olarak bulundu. SF-12-Fiziksel Özet skor puanı 41.74±5.29 ve Mental Özet skor puanı 38.01±5.01 olarak saptandı. Merhamet Yorgunluğu Ölçeği toplam puanı ve alt boyutları arasında pozitif yönlü yüksek düzey ilişki bulunurken, SF-12 alt boyutları ve Merhamet Yorgunluğu ölçeği toplam puan ve alt boyutları arasında negatif yönlü düşük düzey ilişki belirlendi (p<0.05).
Sonuç: Cerrahi alanlarda görev yapan hemşirelerin merhamet yorgunluğu orta düzeyde bulunurken, yaşam kalitelerinin düşük olduğu saptandı. Ayrıca; araştırma bulguları hemşirelerin merhamet yorgunlukları arttıkça yaşam kalitelerinin düştüğünü gösterdi.

Keywords

Merhamet yorgunluğu, yaşam kalitesi, hemşirelik, cerrahi hemşireleri

Project Number

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The Relationship between Compassion Fatigue and Quality of Life in Surgical Nurses

Abstract

Objective: The aim of this study is to determine the relationship between compassion fatigue and quality of life of nurses working in surgical clinics.
Materials and Methods: The study is of a descriptive cross-sectional type. Surgical nurses working in university hospitals in the western part of Turkey were reached via WhatsApp groups, in which the research team is also registered. The study was completed with 216 surgical nurses who agreed to participate in the research. An online questionnaire was sent to the participants to collect data. The data collection tools used were the personal information form, SF-12 Quality of Life Scale, and Compassion Fatigue Scale. Descriptive statistics, Student t test, one- way ANOVA, and Pearson's correlation coefficient were used for data evaluation.
Results: The nurses' Compassion Fatigue Scale total score was 65.37±25.00. The sub-dimension mean scores were as follows: Secondary Trauma was 23.66±10.56, and Professional Burnout was 41.71±15.98. The SF-12 Physical Component Summary score was 41.74±5.29, and the Mental Component Summary score was 38.01±5.01. There was a high level of positive relationship between the Compassion Fatigue Scale total score and its sub-dimensions, while a negative low-level correlation was observed between the SF-12 sub-dimensions and the Compassion Fatigue Scale total score and sub-dimensions (p<0.05).
Conclusion: In line with the research findings, it was concluded that while the compassion fatigue of surgical nurses was found to be at an average level, their quality of life was found to be low. Thus, the study findings indicate that as surgical nurses' compassion fatigue increased, their life quality decreased.

Keywords

Compassion fatigue, life quality, nursing, surgical nurses

Supporting Institution

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Project Number

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References

• Seremet GG, Ekinci N. Compassion fatıgue, compassıon satısfactıon and fears of compassion ın healthcare employees. Süleyman Demirel University Visionary Journal. 2021;12(29): 330-344.
• Blomberg K, Griffiths P, Wengström Y, May C, Bridges J. Interventions for compassionate nursing care: A systematic review. Int J Nurs Stud. 2016; 62:137-155. doi:10.1016/j.ijnurstu.2016.07.009.
• Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: A systematic review. Int J Environ Res Public Health. 2016; 13(6):618. doi:10.3390/ijerph13060618.
• World Health Organization. Global Strategy on Human Resorces for Health: Workforce 2030. Geneva, Switzerland: WHO;2016 http://apps.who.int/iris/bitstream/10665/250368/1/9789241511131 eng.pdf. Accessed on September1, 2022.
• Boyle DA. Compassion fatigue: The cost of caring. Nursing. 2015;45(7):48-51. doi:10.1097/01.NURSE.0000461857.48809.a1.
• Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci. 2010;12(2):235-243. doi:10.1111/j.1442-2018.2010.00526.x
• Harris C, Griffin TQ. Nursing on empty: compassion fatigue signs, symptoms, and system interventions. J Christ Nurs. 2015;32(2): 80-87. doi:10.1097/CNJ.0000000000000155.
• Sheppard K. Compassion fatigue: are you at risk? American Nurse Today. 2016;11: 53-55. Bao S, Taliaferro D. Compassion fatigue and psychological capital in nurses working in acute care settings.
• International Journal of Human Caring. 2015;19:35–40. http://internationaljournalforhumancaring.org/?code=iahc-site. Accessed on September 2, 2022.
• Nolte AG, Downing C, Temane A, Hastings-Tolsma M. Compassion fatigue in nurses: A metasynthesis. J Clin Nurs. 2017;26(23-24):4364-4378. doi:10.1111/jocn.13766.
• Elahi N. Ahmadi F. Iranian nursing instructors’ perceived experiences of challenges of effective education: a qualitative content analysis. Journal of Qualitative ResearchHealth Science. 2012;1(3): 229–239.
• Çatak T., Bahcecik N. Determination of nurses’ quality of work life and influencing factors. Journal of Marmara University Health Sciences Institute. 2015; 5(2): 85-95.
• Akbolat M, Turgut M, Över G. The effect of quality of life perception of nurses on motivation: an example of a public hospital. Manas Journal of Social Studies. 2015; 4(2): 65-82.
• Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2014;(11):CD002892. doi:10.1002/14651858.CD002892.pub3.
• Zhang YY, Zhang C, Han XR, Li W, Wang YL. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine (Baltimore). 2018;97(26):e11086. doi:10.1097/MD.0000000000011086.
• Alharbi J, Jackson D, Usher K. Compassion fatigue in critical care nurses. An integrative review of the literature. Saudi Med J. 2019;40(11):1087-1097. doi:10.15537/smj.2019.11.24569
• Labraque L, Alexis A de los Santos J. Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic. Appl Nurs Res. 2021;61:151476. doi:10.1016/ j.apnr.2021.151476
• Uña Cidón E, Cuadrillero Martín F, Hijas Villaizán M, López Lara F. A pilot study of satisfaction in oncology nursing care: an indirect predictor of quality of care. Int J Health Care Qual Assur. 2012;25(2):106-117. doi:10.1108/09526861211198272
• Yılmaz G, Üstün B. Hemşirelerde profesyonel yaşam kalitesi: Merhamet memnuniyeti ve merhamet yorgunluğu. J Psychiatric Nurs. 2018;9(3):205-211. doi: 10.14744/phd.2018.86648.
• Hinderer KA, VonRueden KT, Friedmann E, A Mc Quillan K, Gilmore R, Kramer B, et al. Compassion fatigue, compassion satisfaction, and secondary traumatic stress in trauma nurses. J Trauma Nurs. 2014; 21 (4):160-169. doi: 10.1097/JTN.0000000000000055.
• Polat FN, Erdem R. The relationship between the level of compassion fatigue and quality of professional life: the case of medical professionals. Journal of Süleyman Demirel University Health Sciences Institute. 2017;1(26):291-312.
• Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsychiatry. 2006;76(1):103-108. doi:10.1037/0002-9432.76.1.103.
• Dinç S, Ekinci M. Turkish adaptation, validity and reliability of Compassion Fatigue Short Scale. Current Approaches in Psychiatry. 2019;11(1):192-202. doi:10.18863/pgy.590616.
• Soysal Gündüz Ö, Mutlu S, Aslan Basli A, Gül C, Akgül Ö, Yılmaz E, et al. Validation of the Turkish Form of Short Form-12 health survey version 2 (SF-12v2). Arch Rheumatol. 2021; 36(2):280-286. doi:10.46497/ArchRheumatol.2021.8458.
• Jakimowicz S, Perry L, Lewis J. Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Aust Crit Care. 2018;31(6):396-405. doi:10.1016/j.aucc.2017.10.003.
• Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse. 2015;35(4):32-43. doi:10.4037/ccn2015392.
• Tanrıkulu G, Ceylan B. Level of compassion and compassion fatigue in nurses working in pediatric clinics. Journal of Health Sciences. 2021; 30(1): 31-36.
• Andriani DA, Rustiyaningsih A, Haryanti F. (2017). Factors related to nurse’s compassion satisfaction, burnout, and secondary traumatıc stress ın pediatric care unit Rsup Dr. Sardjıto Yogyakarta. Belitung Nurs J. 2017;3(5): 577–584. doi:10.33546/bnj.135.
• Şahin DS, Önal Ö, Sütlü SP, Kılınç AS, Mutluay D. Evaluation of emergency rooms and intensive care nurses'life quality. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2014;2(2): 81-92.
• Kelly L, Runge J, Spencer C. Predictors of Compassion Fatigue and Compassion Satisfaction in Acute Care Nurses. J Nurs Scholarsh. 2015;47(6):522-528. doi:10.1111/jnu.12162.
• Kılıç D, Bakan AB, Aslan G, Uçar, F. Investigation of the relationship between ethical sensitivity and compassion fatigue in nurses working in oncology units and intensive care units. Adnan Menderes University Faculty of Health Sciences Journal. 2020;4(1): 20-29.
• Mason VM, Leslie G, Clark K, Lyons P, Walke E, Butler C, et al. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. Dimens Crit Care Nurs. 2014;33(4):215-225. doi:10.1097/DCC.0000000000000056.
• Uslu Y, Korkmaz FD. Compassion fatigue in cardiovascular surgery ıntensive care nurses and determination of affecting factor Journal of Celal Bayar University Institute of Health Sciences. 2020; 7(2): 192-197. doi:10.34087/cbusbed.665597.
• Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, et al. Compassion fatigue and burnout: prevalence among oncology nurses. Clin J Oncol Nurs. 2010;14(5):E56-E62. doi:10.1188/10.CJON.E56-E62.
• Jenkins B, Warren NA. Concept analysis: compassion fatigue and effects upon critical care nurses. Crit Care Nurs Q. 2012;35(4):388-395. doi:10.1097/CNQ.0b013e318268fe09.
• Denk T, Koçkar Ç. Compassion fatigue in nurses working in surgical clinics. Life Skills Journal of Psychology. 2018; 2(4): 237-245. doi:10.31461/ybpd.466721.