Pandemi Sürecinde Hemşirelerin İş-Aile Yaşantısı: Nitel Bir Çalışma

Yıl 2024, Cilt: 40 Sayı: 1, 125 - 134, 26.04.2024

Adeviye Aydın , Özlem Güner

https://doi.org/10.53490/egehemsire.1167898

Öz

Amaç: Bu araştırmada pandemi sürecinde hemşirelerin aile ve iş yaşantılarına yönelik deneyimlerinin incelenmesi amaçlanmıştır.
Yöntem: Araştırma amaçlı örnek yöntemiyle fenomenolojik nitel tasarım kullanılarak 15 hemşire ile gerçekleştirilmiştir. Görüşmeler yüz yüze gerçekleştirilmiş ve ses kaydı ile kaydedilmiştir. Verilerin değerlendirilmesinde içerik analizi tekniğinden yararlanılmıştır.
Bulgular: Araştırmadan elde edilen veriler doğrultusunda dört temaya ulaşılmıştır. Bu temalar; iş yaşamına dair etkiler, aile yaşamına dair etkiler, bireysel etkiler ve başetme stratejileridir. Her bir temanın altında alt temalar belirlenmiştir. Hastalığın ailelerine bulaşmasına yönelik korku duydukları, ailelerinden uzaklaştıkları, eş ve ebeveyn rollerinde değişim olduğu, çocuklarıyla daha az vakit geçirdiklerini belirtmişlerdir. Hemşireler pandemi sürecinde iş yaşamında personel yetersizliği, çalışma saatlerinin artmış olması nedeniyle çalışma şartlarından kaynaklı zorluklar yaşadıklarını, maddi tatminsizlik ve değersizlik hislerinden kaynaklı motivasyonlarında azalmalar meydana geldiğini, çalışma arkadaşlarına yönelikte anksiyete hislerini ifade etmişlerdir. Bireysel yönden bu süreçte fiziksel ve duygusal yorgunluklarını, bakım verdikleri bireylerin iyileştiğinde ise mutluluklarını vurgulamışlardır. Ayrıca hemşireler başetmeye yönelik çeşitli etkinliklere yönelme, telkin gibi etkili yöntemleri ve erteleme, irrasyonel düşüncelerde artış gibi etkisiz yöntemleri de kullanıldıkları belirlenmiştir.
Sonuç: Bu araştırmada elde edilen bulgular hemşirelerin pandemi sürecindeki aile ve iş yaşantısına yönelik değişimler ve kullanılan teknikleri ortaya koymaktadır. Pandemide hemşirelerin iş yükünün artması, çalışma koşullarının ağırlaşması aile yaşantısını da etkilediği için sorunlarla başetmede aile ve iş yaşamanın bütün olarak değerlendirilmesi önerilmektedir.

Anahtar Kelimeler

Aile, hemşireler, pandemi, iş yaşamı

Destekleyen Kurum

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Proje Numarası

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Teşekkür

Araştırmaya katılan tüm hemşirelere teşekkür ederiz.

WORK-FAMILY LIFE OF NURSES IN THE PANDEMIC PROCESS: A QUALITATIVE STUDY

Öz

Objective: This study aims to examine nurses' experiences in family and work life during the pandemic process. Methods: The research was conducted with the participation of 15 nurses who were selected by purposive sampling using the phenomenological approach. The interviews were conducted face-to-face and were audio-recorded. The evaluation of the data was determined by the content analysis technique.
Results: In line with the data obtained from the research, four themes as effects on work-life, effects on family life, individual effects, and coping strategies were reached. Sub-themes were determined under each theme. During the pandemic, nurses stated that they experienced difficulties due to lack of personnel in business life and increased working hours, as well as decreased motivation due to financial dissatisfaction and feelings of worthlessness, and feelings of anxiety towards their colleagues. They stated that they were afraid of the spread of the disease to their families, they were away from their families, there was a change in the roles of spouses and parents, and they spent less time with their children. During the pandemic process, individually, they emphasized their physical and emotional fatigue and the happiness of the individuals they care for when they recover. In addition, nurses stated that they used both effective methods such as directing to various coping activities and suggestion and ineffective methods such as procrastination and increase in irrational thoughts.
Conclusion: The present findings revealed the changes in the family and work life of nurses during the pandemic process and the techniques used. Since the increase in the workload of nurses and the worsening of working conditions affect family life in the pandemic, it is recommended to evaluate family and work life as a whole in coping with problems.

Anahtar Kelimeler

Family, nurses, pandemic, work life

Proje Numarası

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Kaynakça

• Referans 1. Adib-Hajbaghery, M., Khamechian, M., Alavi, N. M. (2012). Nurses' perception of occupational stress and its influencing factors: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 17(5), 352–359.
• Referans2. Aksoy, Y. E., Koçak, V. (2020). Psychological effects of nurses and midwives due to COVID-19 outbreak: The case of Turkey. Archives of Psychiatric Nursing,34(5), 427–433.
• Referans3. Almaghrabi, R., Alfaradi, H., Al Hebschi, W.A, Albaadani, M.M. (2020). Healthcare workers experience in dealing with Coronavirus (COVID-19) pandemic. Saudi Med J, 41 (6), 657-660.
• Referans4. Baki, S., Piyal, B. (2020). Covid-19 pandemisi ve benzeri olağanüstü durumlarda sağlık çalışanları açısından iş-aile çatışması. Sağlık ve Toplum, 30 (Özel Sayı), 119-123.
• Referans5. Budiyarti, Y., Eramitha, T. (2022). Nurses’ experiences with work and family conflict during the Covid-19 pandemic: A qualitative study. Journal of Nursing Science Update, 10(1), 26-35.
• Referans6. Coşkun Şimşek, D., Günay, U. (2021). Experiences of nurses who have children when caring for COVID‐19 patients. International Nursing Review, 68(2), 219-227.
• Referans7. Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses' experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud, 111,103637.
• Referans8. Galehdar, N., Kamran, A., Toulabi, T., Heydari, H. (2020). Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: A qualitative study. BMC Psychiatry, 20(1), 1-9.
• Referans9. Gray, K., Dorney, P., Hoffman, L., Crawford, A. (2021). Nurses' pandemic lives: A mixed methods study of experiences during COVID-19. Applied Nursing Research, 60, 151437.
• Referans10. Halcomb, E., McInnes, S., Williams, A., Ashley, C., James, S., Fernandez, R., Stephen, C., Calma, K. (2020). The experiences of primary healthcare nurses during the COVID-19 pandemic in Australia. J Nurs Scholarsh, 52(5), 553-563.
• Referans11. Hiçdurmaz, D., Uzar Özçetin, YS. (2020). COVID-19 pandemisinde ön safta çalışan hemşirelerin ruhsal sağlığının korunması ve ruhsal travmanın önlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 7 (Özel Sayı), 1-7.
• Referans12. Huang, L., Lin, G., Tang, L., Yu, L., Zhou, Z. (2020). Special attention to nurses' protection during the COVID-19 epidemic. Critical Care, 24, 120.
• Referans13. Işık, A. (2020). Koronavirüs (Covid-19) salgını döneminde ailede krize müdahale. Akademia Doğa ve İnsan Bilimleri Dergisi, 6(1), 1-9.
• Referans14. Jackson, D., Bradbury-Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., Smith, GD. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID-19. J Clin Nurs, 29(13-14), 2041-2043.
• Referans15. Kaçkın, O., Ciydem, E., Aci, OS., Kutlu, FY. (2020). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. International Journal of Social Psychiatry. doi:10.1177/0020764020942788
• Referans16. Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., Wang, Y., Hu, J., Lai, J., Ma, X., Chen, J., Guan, L., Wang, G., Ma, H., & Liu, Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet. Psychiatry, 7(3), e14. https://doi.org/10.1016/S2215-0366(20)30047-X
• Referans17. Karasu, F., Öztürk Çopur, E. (2020). Covid-19 vakaları artarken salgının ön safındaki bir yoğun bakım hemşiresi: “Cephede duran kahramanlar”. Yoğun Bakım Hemşireliği Dergisi, 24(1),11-14.
• Referans18. Lipsitch, M., Swerdlow, DL., Finelli, L. (2020). Defining the epidemiology of Covid-19 – studies needed. N Engl J Med, 382, 1194–1196.
• Referans19. Liu, Q., Luo, D., Haase, JE., Guo, Q., Wang, X., Liu, S., Xia, L., Liu, Z., Yang, J., Yang, B. (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.
• Referans20. LoGiudice, J. A., Bartos, S. (2021). Experiences of nurses during the COVID-19 pandemic: A mixed-methods study. AACN Advanced Critical Care, 32(1), 14-26.
• Referans21. Maben, J., Bridges, J. (2020). Covid 19: Supporting nurses' psychological and mental health. J Clin Nurs, 19(15-16): 2742-2750.
• Referans22. Mo 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.
• Referans23. Patterson, J. (2002) Integrating family resilience and family stress theory. Journal of Marriage and the Family, 64, 349–60.
• Referans24. Polat, Ş., Kutlu, L., Ay, F., Ayyıldız Erkan, H., Afşar Doğrusöz, F. (2018). The relationship between work-family conflict, organizational silence and social support in nurses at a university hospital. Journal of Psychiatric Nursing, 9(3), 193-204.
• Referans25. Prime, H., Wade, M., Browne, DT. (2020). Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol, 75(5), 631-643. doi: 10.1037/amp0000660.
• Referans26. Robinson, R., Stinson, C. K. (2021). The lived experiences of nurses working during the COVID-19 pandemic. Dimensions of Critical Care Nursing, 40(3), 156.
• Referans27. Sağlık Bakanlığı (2022). Türkiye Haftalık Covid-19 Tablosu. Erişim Adresi: https://covid19.saglik.gov.tr/ Erişim Tarihi: 25.08.2022
• Referans28. Shen, X., Zou, X., Zhong, X., Yan, J., Li, L. (2020). Psychological stress of ICU nurses in the time of COVID-19. Crit Care, 24(1), 200.
• Referans29. Smith, G., Ng, F., Cheung, WH. (2020). COVID 19: Emerging compassion, courage and resilience in the face of misinformation and adversity. Journal of Clinical Nursing, 29(9-10), 1425-1428.
• Referans30. Strzemecka, J., Pencuła, M., Owoc, A., Szot, W., Strzemecka, E., Jabłoński, M., Bojar, I. (2013). The factor harmful to the quality of human life--shift-work. Ann Agric Environ Med, 20(2), 298-300.
• Referans31. Terkeş, N., Uçan Yamaç, S. (2021). Covid-19 hastaları ile çalışan evli hemşire ve ebelerin aile içi süreçlerindeki değişimlerin belirlenmesi. Genel Sağlık Bilimleri Dergisi, 3 (2), 102-111.
• Referans32. The Lancet. (2020). Covid-19: protecting health-care workers. Lancet, 395, 922.
• Referans33. Turale, S., Meechamnan, C., Kunaviktikul, W. (2020). Challenging times: ethics, nursing and the COVID‐19 pandemic. International Nursing Review, 67(2), 164-167.
• Referans34. White, J. H. (2021). A phenomenological study of nurse managers’ and assistant nurse managers’ experiences during the COVID‐19 pandemic in the United States. Journal of Nursing Management, 29(6), 1525-1534.
• Referans35. Widiasih, R., Ermiati, Emaliyawati, E., Hendrawati, S., Susanti, R. D., Sutini, T., Sari, C. W. M. (2021). Nurses’ actions to protect their families from COVID-19: A descriptive qualitative study. Global Qualitative Nursing Research, 8, 23333936211014851.
• Referans36. World Health Organization (2020a, March 18). Mental health and psychosocial considerations during the COVID-19 outbreak. https://www.who.int/docs/default-source/coronaviruse/mental-healthconsiderations.pdf
• Referans37. World Health Organization (2020b). WHO Director-General's opening remarks at the media briefing on COVID-19- 11 March 2020. Erişim Adresi: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
• Referans38. Xiang, YT., Yang, Y., Li, W., et al. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 7, 228--9.
• Referans39. Zhao, S., Yin, P., Xiao, L. D., Wu, S., Li, M., Yang, X., ... & Feng, H. (2021). Nursing home staff perceptions of challenges and coping strategies during COVID-19 pandemic in China. Geriatric Nursing, 42(4), 887-893.
• Referans40. Zhang, Y., Wei , L., Li, H., Pan, Y., Wang, J., Li, Q., Wu, Q., Wei, H. (2020) The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues in Mental Health Nursing, 41, 525–530.