Durdane YILMAZ GÜVEN, Şenay ŞENER, Özge ÖNER, Yurdanur DİKMEN

Covid 19 Pandemi Sürecinde Acil Serviste Hemşire Olmak: Niteliksel Bir Çalışma

Amaç: Bu çalışmada, acil serviste çalışan hemşirelerin Covid-19 pandemi sürecinde mesleki deneyimlerinin belirlenmesi amaçlandı. Gereç ve Yöntem: Nitel araştırma yöntemi kullanılan bu çalışmada, acil serviste çalışan 12 hemşire ile odak grup görüşmesi yapıldı. Veriler, sosyodemografik ve mesleki bilgi formu ve yarı yapılandırılmış Odak Grup Görüşme (OGG) formu ile toplandı. Görüşmeler sonrası elde edilen veriler tümevarım bakış açısıyla analiz edildi. Bulgular: Acil serviste çalışan hemşirelerin Covid-19 pandemisinde yaşadıkları deneyimlere ilişkin üç ana tema (korku, maruz kalma ve çalışma koşulları) belirlendi. Hemşireler en fazla bilinmezliğin yarattığı korkudan bahsetti. Sonuç: Bu çalışma, bir pandemi sırasında çalışan acil hemşirelerinin kriz yönetimi, psikososyal ve mesleki ihtiyaçlarını desteklemenin önemini gösterdi. Pandemi sürecinde sağlık çalışanlarına yönelik yapılacak herhangi bir iyileştirme çalışmasının, pandemi sürecindeki tüm kazanımları olumlu yönde doğrudan etkileyeceği düşünülmektedir.

Anahtar Kelimeler:

Covid-19, Acil Hemşireliği, Pandemi, Nitel Araştırma

Nursing in the Emergency Department During The Covid-19 Pandemic: A Qualitative Study

Aim: This study aimed to determine the professional experiences of nurses working in the emergency department in the Covid-19 pandemic. Materials and Methods: In this study, in which qualitative research method was used, focus group interviews were conducted with 12 nurses working in the emergency department. Data were collected using a sociodemographic form and a semi-structured Focus Group Interview form. The data obtained after the interviews were analysed using content analysis. Results: Three main themes (fear, exposure, and working conditions) related to nurses' experiences working in the emergency department in the Covid-19 pandemic were determined. The nurses spoke most of all about the fear of the unknown. Conclusion: This study demonstrated the importance of supporting emergency nurses' crisis management, psychosocial and professional needs working during a pandemic. It is thought that any improvement work to be carried out for healthcare workers during the pandemic process will directly affect all gains during the pandemic positively.

Keywords:

Covid-19, Emergency Nursing, Pandemic,

PDF

___

World Health Organization (WHO), Coronavirus disease (Covid-19). Date: 09.03.2023. Available: https://www.who.int
Enli Tuncay F, Koyuncu E, Özel Ş. A Revıew Of Protective And Risk Factors Affecting Psychosocial Health Of Healthcare Workers In Pandemics. Ankara Med J. 2020;2:488-501.
Atkinson P, French J, Lang E, et al. Just the Facts: Protecting frontline clinicians during the COVID-19 pandemic. CJEM. 2020;22(4):435-439.
Unaldı N. The Determination of emergency service nurses? Working Condition. Istanbul University Institute of Health Sciences, Istanbul, Master Thesis, 2008; 31-39.
Al Thobaity A, Alshammari F. Nurses on the Front line against the Covid-19 Pandemic: An integrative review. Dubai Med J. 2020;3:87–92.
Hicdurmaz D, Uzar-Ozçetin YS. Protection of Covid-19 Frontline Nurses’ Mental Health and Prevention of Psychological Trauma. Journal of Hacettepe University Faculty of Nursing. 2020;7:1-7.
Konakcı G. Emergency Nursing in Turkey during the New Coronavirus Pandemic. Journal of Education and Research in Nursing. 2020;17(3):287-9.
Wong TW, Yau JK, Chan CL, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med. 2005;12(1):13-18.
World Health Organization (WHO) (2020) 19 March 2020 Coronavirus disease (Covid-19) outbreak: rights, roles, and responsibilities of health workers. World Health Organization Date:05.05.2020. Available: https://www.who.int/publicationsdetail/coronavirus-disease-(Covid-19)-outbreak
ICN, ICN calls for data on health care worker infection rates and deaths International Council of Nurses (2020) Date: 10.05.2020. Available: https://www.icn.ch/news/icn-calls-datahealthcare-worker-infection-rates-and-deaths.
Liu Q, Luo D, Haase JE, et al. The experiences of healthcare providers during the Covid-19 crisis in China: a qualitative study. Lancet Glob Health. 2020;790-798.
Şenol Çelik S, Koç G, Atlı Özbaş A, et al. Uluslararası Hemşireler Yılında COVID-19 Pandemisi: Türk Hemşireler Derneği Çalışmaları. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2021; 6(1): 23-27. (in Turkish)
Göcmen Baykara Z, Eyuboglu G. Nursing Care in the Covid-19 Pandemic. Gazi Journal of Health Sciences. 2020;9-17.
Fernandez R, Lord H, Halcomb E, et al. Implications for Covid-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies. 2020;111:103637.
Paganini M, Conti A, Weinstein E, et al. Translating Covid-19 pandemic surge theory to practice in the emergency department: how to expand structure. Disaster Medicine and Public Health Preparedness. 2020;1-10.
Bennette CL, James AH, Kelly D. Beyond Tropes: Towards a new image of Nursing in the wake of Covid-19. J Clin Nurs. 2020;8: 10.
Choi KR, Skrine Jeffers K, Cynthia Logsdon M. Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. J Adv Nurs. 2020;76(7):1486-1487.
She J, Jiang J, Ye L, Hu L Bai C, Song Y. 2019 novel coronavirus of pneumonia in Wuhan, China: Emerging attack and management strategies. Clinical and Translational Medicine. 2020;9(1):19.
Smith GD, Ng F, Ho Cheung Li W. COVID-19: Emerging compassion, courage and resilience in the face of misinformation and adversity. Journal of Clinical Nursing. 2020; (9-10):1425-1428.
Schroeder K, Norful AA, Travers J, Aliyu S. Nursing perspectives on care delivery during the early stages of the Covid-19 pandemic: A qualitative study. Int J Nurs Stud Adv. 2020;2:100006.
García-Martín M, Roman P, Rodriguez-Arrastia M, et al. Novice nurse's transitioning to emergency nurse during COVID-19 pandemic: A qualitative study. J Nurs Manag 2021;29(2):258-267.
Sencan H. Sosyal ve Davranışsal Ölçümlerde Güvenilirlik ve Geçerlilik, Birinci Baskı, Seçkin Yayincilik Sanayi ve Ticaret AŞ., Ankara. 2005;499-559. (in Turkish)
Yıldırım A, Simsek H. Sosyal Bilimlerde Nitel Araştirma Yöntemleri, 6. Baski, Seçkin Yayincilik, Ankara. 2006;99-252. (in Turkish)
Yigit D, Acıkgöz A. Anxiety and Death Anxiety Levels of Nurses in the Covid-19 Pandemic and Affecting Factors. J Educ Res Nurs. 2021;18:85-92.
García-Reyna B, Castillo-García GD, Barbosa-Camacho FJ, et al. Fear of Covid-19 scale for hospital staff in regional hospitals in Mexico: a survey study. Research Square. 2022;20(2):895-906.
Ahorsu DK, Lin CY, Imani V, et al. The fear of COVID 19 scale: Development and initial validation. International Journal of Mental Health and Addiction. 2022; 20(3): 1537–1545.
Huang JZ, Han MF, Luo TD, et al. Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19. Chinese journal of industrial hygiene and occupational diseases. 2020;38(3):192-195.
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease, JAMA Network Open. 2020;3(3):e203976.
Maben J, Bridges J. Covid‐19: Supporting nurses’ psychological and mental health. J Clin Nurs. 2020;29:2742-2750.
Cheung T, Fong TK, Bressington D. COVID‐19 under the SARS Cloud: Mental Health Nursing during the pandemic in Hong Kong. J Psychiatr Ment Health Nurs. 2020;00:1-3.
Yakut E, Kuru Ö, Güngör Y. Determination of the Influence of Work Overload and Perceived Social Support in the Effect of the Covid-19 Fears of Healthcare Personnel on Their Burnout by Structural Equation Modelling. EKEV Akademi Dergisi. 2020;24(83).
Siu JY. The SARS-associated stigma of SARS victims in the post-SARS era of Hong Kong. Qual Health Res. 2008;18(6):729-38.
Bai Y, Lin C-C, Lin C-Y, et al. Survey of stress reactions among healthcare workers involved with the SARS outbreak. Psychiatric Services. 2004; 55(9):1055-7.
Eren Bana P. Evaluation of the social implication perception of healthcare employees in the Covid-19 outbreak process. 6th Global Business Research Congress (GBRC - 2020), 2020;11:115-120.
Shih FJ, Gau ML, Kao CC, et al. Dying and caring on the edge: Taiwan’s surviving nurses’ reflections on taking care of patients with severe acute respiratory syndrome. Appl Nurs Res. 2007;20(4):171-180.
Mason DJ, Glickstein B, Nixon L, et al. The Woodhull Study Revisited: Nurses' Representation in Health News Media. NA&E 2018;28(2):1.