Pencere ve Gün Işığı, Yoğun Bakım Çalışanlarında Tükenmişlik Sendromunu Azaltıyor

Amaç: Yoğun bakım ünitelerinde (YBÜ) çalışan sağlık personelinde tükenmişlik sendromu yaygın olupbu durum sağlık çalışanlarının mesleki bakım kalitesini ve performansını etkileyebilmektedir. Buçalışma yoğun bakım ortamında gün ışığı faktörünün tükenmişlik sendromuna etkisini incelemekamacıyla planlanmıştır. Materyal ve Metot: Yoğun bakım ünitesinde çalışan doktor ve hemşirelere iki bölümden oluşan anketformu uygulanmıştır. Anketin ilk bölümünde sosyo‐demografik veriler, çalıştıkları yoğun bakımınkoşulları ve yoğun bakım ortamı ile ilgili sorular, ikinci bölümde ise “Maslach Tükenmişlik Ölçeği”bulunmaktadır. Çalışmada pencereli ve penceresiz YBÜ’de çalışanlar iki gruba ayrılarak karşılaştırıldı.Bulgular: Araştırmaya gün ışığı alan olan üst YBÜ’nde çalışan 46 ve penceresiz olan alt YBÜ’lerdeçalışan 59; toplam 105 kişi katıldı. Yaş ortalaması sırasıyla 31,17±6.00 ve 28,53±5,23 (p=0,02) bulundu.Katılanların 75'i (%71,4) hemşire ve 30'u (%28,6) doktordu. Katılımcıların %98'i "çalışma ortamınızdapencere bulunsun mu?" sorusuna evet cevabını verdi, %89' u ise ortam gün ışığının performansınıolumlu etkileyeceğini belirtti. Alt katlarda bulunan penceresiz YBÜ’de çalışanlarda duygusaltükenmişlik ve duyarsızlaşma gün ışığı alan üst kat YBÜ çalışanlarına göre anlamlı oranda yüksekbulundu (sırasıyla p=0,02, p=0,002). Sonuç: Yoğun bakım ünitelerinin gün ışığı alacak şekilde düzenlenmesi, tükenmişlik sendromu gelişmeoranını azaltarak YBÜ’nde çalışan sağlık personelinin iş performans ve verimliğini arttıracağı gibi, tıbbihata yapma olasılıklarını da azaltacaktır.

Window and Day Light, Reduce Burnout Syndrome in Intensive Care Staff

Objectives: Burnout syndrome is widespread among health care workers working in intensive care units (ICU), which can affect the quality of patient care and performance. This study was planned to investigate the effect of windows and daylight on burnout syndrome in an intensive care setting.Materials and Methods: A questionnaire consisting of two parts was applied to doctors and nurses working in intensive care units. In the first part of the questionnaire, questions about socio‐ demographic data, intensive care conditions and intensive care environment were studied, and the second part was the "Maslach Burnout Scale". Two groups, workers in the ICU with and without windows were compared in the study.Results: There are 46 workers in the upper ICU who are taking daylight and 59 workers in the lower ICU without windows; a total of 105 people attended to the research. The mean age was 31.17±6.00 and 28.53±5.23, respectively and 75 (71.4%) of the participants were nurses, 30 (28.6%) were doctors. To the question "Do you want a window in your working environment?" 98.1% of respondents gave the answer yes and 89.5% stated that the ambient daylight would have a positive effect on their performance. Exhaustion and cynicism were significantly higher at the lower floor ICU workers than the upper floor ICU workers (p=0.02, p=0.002).Conclusion: Arranging ICUs with windows to receive daylight is a useful way to increase the work performance and productivity and to decrease medical mistakes of health staff who works in ICUs by reducing the incidence of burnout syndrome.

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  • 1. Gracia‐Gracia P, Oliván‐Blázquez B. Burnout and mindfulness self‐compassion in nurses of intensive care units: Cross‐sectional study. Holist Nurs Pract 2017; 31(4):225‐33.
  • 2. Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units ‐ a consideration of the possible prevalence and frequency of new risk factors: A descriptive correlational multicentre study. BMC Anesthesiology 2013; 13(1):e38.
  • 3. Chuang CH, Tseng PC, Lin CY, Lin KH, Chen YY. Burnout in the intensive care unit professionals: A systematic review. Medicine (Baltimore) 2016; 95(50):e5629.
  • 4. Poncet MC, Toullic P, Papazian L, et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 2007; 175(7):698‐704.
  • 5. Malaquin S, Mahjoub Y, Musi A, et al. Burnout syndrome in critical care team members: A monocentric crosssectional survey. Anaesth Crit Care Pain Med 2017; 36(4):223‐8.
  • 6. Shamali M, Shahriari M, Babaii A, Abbasinia M. Comparative study of job burnout among critical care nurses with fixed and rotating shift schedules. Nurs Midwifery Stud 2015; 4(3):e27766
  • 7. Martins Pereira S, Teixeira CM, Carvalho AS, Hernández‐Marrero P. Compared to palliative care, working in intensive care more than doubles the chances of burnout: Results from a nationwide comparative study. PLOS One 2016; 11(9):e 0162340.
  • 8. Padilla Fortunatti C, Palmeiro‐Silva YK. Effort‐reward imbalance and burnout among ICU nursing staff: A cross‐sectional study. Nurs Res 2017; 66(5):410‐6
  • 9. Postolache TT, Oren DA. Circadian phase shifting, alerting, and antidepressant effects of bright light treatment. Clin Sports Med 2005; 24(2), 381–13.
  • 10. Crepeau LJ, Bullough J D, Figueiro MG, Porter S, Rea MS. Lighting as a circadian rhythm entraining and alertness enhancing stimulus in the submarine environment. (Unpublished conference paper). Undersea HSI Symposium 2006; Retrieved from http://cogprints.org/6574/1/059‐uhsis06.pdf
  • 11. Cajochen C. Alerting effects of light. Sleep Med Rev 2007; 11(6):453‐64.
  • 12. Shepley MM, Gerbi RP, Watson AE, Imgrund S, Sagha‐Zadeh R. The impact of daylight and views on ICU patients and staff. HERD 2012; 5(2): 46‐60.
  • 13. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52:397‐422. 14. Ergin C. Maslach tükenmişlik ölçeğinin Türkiye sağlık personeli normları. 3P Dergisi 1996; 4(1):28‐33.
  • 15. Mohammadi M, Peyrovi H, Mahmoodi M. The relationship between Professional quality of life and caring ability in critical care nurses. Dimens Crit Care Nurs 2017; 36(5):273‐7
  • 16. Guirardello EB. Impact of critical care environment on burnout, perceived quality of care and safety attitude of the nursing team. Rev Lat Am Enfermagem 2017; 25:e2884
  • 17. Fumis RRL, Junqueira Amarante GA, de Fátima Nascimento A, Vieira Junior JM. Moral distress and its contribution to the development of burnout syndrome among critical care providers. Ann Intensive Care 2017; 7(1):71.
  • 18. Burghi G, Lambert J, Chaize M, et al. Prevalence, risk factors and consequences of severe burnout syndrome in ICU. Intensive Care Med 2014; 40(11):1785‐6.
  • 19. Sherman SA, Varni JW, Ulrich RS, Malcarne VL. Post‐occupancy evaluation of healing gardens in a pediatric cancer center. Landscape and Urban Planning 2005; 73(2):167‐83.
  • 20. Pati D, Harvey TE, Barach P. Relationships between exterior views and nurse stress: An exploratory examination. Health Environments Research & Design Journal 2008; 1(2):27‐38.
  • 21. Alimoglu MK, Donmez L. Daylight exposure and the other predictors of burnout among nurses in a university hospital. International Journal of Nursing Studies 2005; 42: 549‐55.
  • 22. Finnegan MC, Solomon LZ. Work attitudes in windowed vs windowless environments. Journal of Social Psychology 1981; 115:291‐2.
  • 23. Zadeh RS, Shepley MM, Williams G, Chung SS. The impact of Windows and daylight on acute‐ care nurses’ physiological, psychological, and behavioral health. HERD 2014; 7(4):35‐61.
Ankara Medical Journal-Cover
  • Başlangıç: 2014
  • Yayıncı: Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi