COVID-19 pandemi sürecinin hemşirelerin merhamet yorgunluğu üzerine etkisi

Yıl 2024, Cilt: 11 Sayı: 2, 237 - 245, 30.06.2024

Alev Yıldırım Keskin , Birsel Molu , Zeynep Büşra Teke

https://doi.org/10.52880/sagakaderg.1392091

Öz

Giriş ve Amaç: Merhamet yorgunluğu, tükenmişlikle birlikte çalışma kapasitesinde fiziksel, duygusal ve zihinsel bir azalma olarak da tanımlanmaktadır. Bu çalışma COVID-19 pandemisi döneminin hemşirelerin çalışma alışkanlıkları üzerindeki etkisini belirlemek amacıyla yapılmıştır. merhamet yorgunluğu. Gereç ve Yöntem: Bu Tanımlayıcı ve kesitsel tipteki bu çalışma, iki grup arasında 73 hemşire ile yapılmıştır. 30 Ocak ve 28 Şubat 2021 tarihleri arasında gerçekleştirilmiştir. Veriler bir "Bilgi Talep Formu" kullanılarak toplanmıştır Literatür doğrultusunda geliştirilen "Merhamet Yorgunluğu Ölçeği- Kısa Formu" kullanılmıştır. Bulgular: Hemşirelerin Merhamet Yorgunluğu Ölçeği-Kısa Form (CFS/SF) ortalama puanı 76.72±19.58. Evli olanların anlamlı bir şekilde CFS/SF-ikincil travma alt ölçeğinde daha yüksek ortalama puanlara sahip olanlara kıyasla bekar olanların (p<0.05) ve alkol kullananların puanları daha yüksekti. CFS/SF-travma ve tükenmişlik alt ölçeklerinde ve toplam CFS/SF'de alkol kullanmayanlara kıyasla önemli ölçüde azalma görülmüştür (p<0.05). CFS/SF toplam ve alt ölçek ortalama puanları arasında anlamlı, pozitif ve güçlü bir korelasyon bulunmuştur (p<0,001). COVID-19 pandemi döneminde hemşirelerin en çok hissettiği beş duygu sırasıyla tükenmişlik (%27,4), yorgunluk (%15,1), korku %13,7 ve anksiyete; üzüntü (%9,6) olarak belirlendi. Sonuçlar: Hemşirelerin merhamet yorgunluğu puanlarının ortalamanın üzerinde olduğu belirlenmiştir. Hemşirelerin merhamet düzeylerinin geliştirilmesi ve hemşirelerin merhamet yorgunluğunun olumsuz etkilerine karşı güçlendirilmesi ve aralıklarla psikolojik destek sağlanması önerilebilir.

Anahtar Kelimeler

COVID-19, Hemşirelik, Merhamet, Merhamet Yorgunluğu

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

The effect of COVID-19 pandemic period upon nurses’ compassion fatigue

Öz

Objective: Compassion fatigue is also defined as a physical, emotional, and mental decrease in working capacity together with burnout. This study was done to determine the effect of the COVID-19 pandemic period upon nurses’ compassion fatigue. Materials and methods: This descriptive and cross-sectional study was done with 73 nurses between the 30th of January and the 28th of February, 2021. The data were gathered using an information request form developed in line with the literature and Compassion Fatigue Scale- Short Form. To assess the data; descriptive statistics, Independent Sample t-Test, One-Way ANOVA, and Pearson Correlation tests were employed. A difference was considered statistically significant if p<0.05. Results: Nurses’ average score in Compassion Fatigue Scale- Short Form (CFS/SF) was found to be 76.72±19.58. It was identified that those who were married showed significantly higher average scores in CFS/SF-secondary trauma subscale as compared to those who were single (p<0.05) and those who used alcohol had higher scores in CFS/SF-trauma and burnout subscales and in total CFS/SF considerably as compared to those who did not use alcohol (p<0.05). A significant, positive, and strong correlation was found between CFS/SF total and subscale average scores (p<0.001). Conclusion: Nurses’ compassion fatigue scores were determined to be above the average level. It may be recommended that nurses’ compassion levels should be improved and nurses should be strengthened against negative effects of compassion fatigue and provided with psychological support at intervals.

Anahtar Kelimeler

COVID-19, Nursing, Compassion, Compassion Fatigue

Proje Numarası

Yok

Kaynakça

• Adams, R. E., Boscarino, J. A., & Figley, C. R. (2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103-108.
• Alcan, O.A., Yıldız, K. Intensive Care Nursing in the Pandemic Process: The Effect of Perceived Stress on Compassion Fatigue. Forbes J Med 2021;2(3):175-181 DOI: 10.4274/forbes.galenos.2021.53825.
• Alharbi, J., Jackson, D., & Usher, K. (2020). Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross‐sectional study. Nursing & Health Sciences, 22(1), 20-27.
• Alkema, K., Linton, J. M., & Davies, R. (2008). A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. Journal of Social Work in End-of-Life & Palliative Care, 4(2), 101-119.
• Berger, J., Polivka, B., Smoot, E. A., & Owens, H. (2015). Compassion fatigue in pediatric nurses. Journal of Pediatric Nursing, 30(6), e11-e17.
• Crawford, P., Brown, B., Kvangarsnes, M., & Gilbert, P. (2014). The design of compassionate care. Journal of Clinical Nursing, 23(23-24), 3589-3599.
• Dikmen, Y., Aydın, Y., & Tabakoğlu, P. (2016). Compassion fatigue: A Study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879-2884.
• Dinç, S., & Ekinci, M. (2019). Turkish adaptation, validity and reliability of compassion fatigue short scale. Psikiyatride Güncel Yaklaşımlar, 11, 192-202.
• Duarte, J., & Pinto-Gouveia, J. (2017). The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms. European Journal of Oncology Nursing, 28, 114-121.
• Emilia Jerome-D', B., Suplee, P. D., Linz, S. (2022). Challenges faced by new nurses during the COVID-19 pandemic, Journal of Nursing Scholarship, 54, 6, 772–786.
• Edmunds, M. (2010). Caring too much: compassion fatigue in nursing. Appl Nurs Res, 23(4), 191-197.
• Gök, G. A. (2015). The Unbearable Severity of Compassion: Compassion Fatigue in Nurses. Süleyman Demirel University Journal of Economics and Administrative Sciences, 20(2), 299-313.
• Hevezi, J. A. (2016). Evaluation of a meditation intervention to reduce the effects of stressors associated with compassion fatigue among nurses. Journal of Holistic Nursing, 34(4), 343-350.
• Hiçdurmaz, D., & Figen, A. (2015). Empathy fatigue: Definition, causes and prevention. Current Approaches in Psychiatry, 7(3), 295-303.
• Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal Of Emergency Nursing(JHN), 36(5), 420-427.
• Hunsaker, S., Chen, H. C., Maughan, D., & Heaston, S. (2015). Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. Journal of Nursing Scholarship, 47(2), 186-194.
• Injeyan, M. C., Shuman, C., Shugar, A., Chitayat, D., Atenafu, E. G., & Kaiser, A. (2011). Personality traits associated with genetic counselor compassion fatigue: The roles of dispositional optimism and locus of control. Journal of Genetic Counseling, 20(5), 526-540.
• Jackson, D. (2020). Bradbury− Jones. C., Baptiste, D., Gelling, L., Morin, K., Neville, S., et al, 2041-2043. Jenkins, B., & Warren, N. A. (2012). Concept analysis: Compassion fatigue and effects upon critical care nurses. Critical Care Nursing Quarterly, 35(4), 388-395.
• Katran, B.H., Gür, S., Arpag, N., Çavuşlu, M. (2021). Compassion Fatigue in Intensive Care Nurses in the COVID-19 Pandemic. Journal of Intensive Care Nursing, 25(2):42-50
• Kang, P., Lv, Y., Hao, L., Tang, B., Liu, Z., Liu, X., . . . Zhang, L. (2015). Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: a neglected problem. Psychiatry Research, 230(2), 517-523.
• Kim, C., & Lee, Y. (2020). Effects of compassion competence on missed nursing care, professional quality of life and quality of life among Korean nurses. Journal of Nursing Management, 28(8), 2118-2127.
• Kock De, J. H., Latham, H. A., Leslie, S. J., et al. (2021). A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being, BMC Public Health, 21, 1, 104.
• Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., . . . Li, R. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open, 3(3), e203976-e203976.
• Makic, M. B. F. (2015). Taking care of the caregiver: Compassion satisfaction and compassion fatigue. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, 30(6), 546-547.
• Mangoulia, P., Koukia, E., Alevizopoulos, G., Fildissis, G., & Katostaras, T. (2015). Prevalence of secondary traumatic stress among psychiatric nurses in Greece. Archives of psychiatric nursing, 29(5), 333-338.
• Nolte, A. G., Downing, C., Temane, A., & Hastings‐Tolsma, M. (2017). Compassion fatigue in nurses: A metasynthesis. Journal of Clinical Nursing(JCN), 26(23-24), 4364-4378.
• Özdelikara, A., & Babur, S. (2020) Relationship between Nursing Students' Compassion Level and Empathic Tendency. ACU Health Science Journal., 11(2), 342-349.
• Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. Paper presented at the Nursing forum. Powell, S. K. (2020). Compassion fatigue: LWW.
• Ruiz‐Fernández, M. D., Ramos‐Pichardo, J. D., Ibáñez‐Masero, O., Cabrera‐Troya, J., Carmona‐Rega, M. I., & Ortega‐Galán, Á. M. (2020). Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID‐19 health crisis in Spain. Journal of Clinical Nursing(JCN), 29(21-22), 4321-4330.
• Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies(IJNS), 69, 9-24.
• Slocum-Gori, S., Hemsworth, D., Chan, W. W., Carson, A., & Kazanjian, A. (2013). Understanding compassion satisfaction, compassion fatigue and burnout: A survey of the hospice palliative care workforce. Palliative Medicine, 27(2), 172-178.
• Smart, D., English, A., James, J., Wilson, M., Daratha, K. B., Childers, B., & Magera, C. (2014). Compassion fatigue and satisfaction: A cross‐sectional survey among US healthcare workers. Nursing & Health Sciences, 16(1), 3-10.
• Smith, P., & Publicity, D. R. (2012). Alleviating compassion fatigue before it drags down productivity. Access address:http://www. ltlmagazine. com/article/alleviating-compassion-fatigue-it-drags-downproductivity,(17.01. 2020).
• Söyler, S., Çavmak, D., Zıvdır, P., Uyar, S., Kıraç, R. (2023). The relationships between compassion fatigue, job stress and satisfaction with life in nurses in the Covid-19 pandemic process. BAUN Health Sci J, 12(3), 649-658. https://doi.org/10.53424/balikesirsbd.1168144.
• Şirin, M., & Yurttaş, A. (2015). Cost of Nursing Care: Compassion Fatigue [Article in Turkish]. DEUHFED, 8, 123-130. Usher, K., Durkin, J., & Bhullar, N. (2020). The COVID‐19 pandemic and mental health impacts. International Journal of Mental Health Nursing, 29(3), 315.
• Wallace, C. L., Wladkowski, S. P., Gibson, A., & White, P. (2020). Grief during the COVID-19 pandemic: considerations for palliative care providers. Journal of Pain And Symptom Management(JPSM), 60(1), e70-e76.
• Wentzel, D., & Brysiewicz, P. (2014). The consequence of caring too much: compassion fatigue and the trauma nurse. Journal of Emergency Nursing, 40(1), 95-97.
• Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., . . . Qian, Y. (2020). A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. Journal of pain and Symptom Management, 60(1), e60-e65.
• Zhuang, L. L., Wang, J. L., He, H. J., Li, J. W. (2020). The status quo and related factors of compassion fatigue of nursing personnels under the COVID-19 epidemic, Medicine in Society, 33, 5, 115–119.