Fatma HASTAOĞLU, Yudum BULUT, Pelin ÇELİK

Pandemi Hastanelerinde Çalışan Hemşirelerdeki Vicdan Algılarının Belirlenmesi

Amaç: Bu çalışma pandemi hastanelerinde çalışan hemşirelerin bu süreçteki vicdan algılarının belirlenmesi amacıyla tanımlayıcı olarak planlanmıştır. Yöntem: Araştırmanın evrenini Sivas Numune Hastanesi’nde çalışan tüm hemşireler oluşturmaktadır. Araştırma için Tanıtıcı form ve Vicdan Algısı ölçeği kullanılmıştır. Kolayda örneklem yöntemiyle yapılan çalışmada araştırmanın veri toplama formları sisteme yüklenip link oluşturulduktan sonra online olarak hemşirelere gönderilmiş ve gönüllü hemşirelerden formları doldurmaları istenmiştir. Çalışma için hemşirelerden bilgilendirilmiş onam istenerek, gereken etik ve resmi izinler alınmıştır. Bulgular: Çalışmaya katılan hemşirelerin çoğunluğunun kadın olduğu (%95), yine büyük çoğunluğunun lisans mezunu olduğu (%46,9), evli (%66,7) ve çalışma yılı 21 yıl ve üzeri olan hemşirelerin (%35,8) sayısının fazla olduğu belirlenmiştir. Ayrıca pandemi sürecinde çalışan kadın hemşirelerin vicdan algılarının istatistiksel olarak anlamlı düzeyde yüksek olduğu, hemşirelerin öğrenim durumunun vicdan algısını anlamlı düzeyde etkilediği ve lisans mezunu hemşirelerin vicdan algılarının daha yüksek olduğu, görev yapılan kliniğin de vicdan algısı ölçeği alt boyutu otorite açısından anlamlı farklılık gösterdiği belirlenmiştir. Ameliyathane/Yoğun bakım çalışanlarının otorite alt boyutunda istatistiksel olarak anlamlı bir yükseklik vardır. Sonuç: Çalışma şartları, riskler ve aileden uzak kalmak durumunda kalan hemşirelerde, mesleki sorumluluk ve duyarlılık bilinci vicdan algılarını etkilemiştir.

Anahtar Kelimeler:

hemşire, pandemi, vicdan, vicdan algısı, pandemi hastanesi

Determining the Perceptions of Conscience in Nurses Working in Pandemic Hospitals

Objectives: This descriptive study was planned to determine the conscience perceptions of nurses working in pandemic hospitals. Methods: The study population comprised all nurses working in Sivas Numune Hospital. A personal information form and the Conscience Perception scale were used in the study. The convenience sampling method was applied, the data collection forms were uploaded to the system and a link was created. The forms were thus sent to the nurses for online completion. Informed consent was provided by the nurses and the necessary ethical and official permissions were obtained. Results: The majority of the nurses participating in the study (95%) were female, married (66.7%), with a university degree (46.9%), and work experience of 21 years or more (35.8%). The conscience perceptions of the female nurses working during the pandemic were determined to be statistically significantly high. The education level of the nurses significantly affected the perception of conscience, with a higher level of conscience perception shown by nurses with a bachelor's degree. The conscience perception scale sub-dimension of the clinic where they worked showed a significant difference in terms of authority. There was a statistically significant increase in the authority sub-dimension of nurses working in the operating room / intensive care unit. Conclusion: Working conditions and risks affected the conscience perceptions of professional responsibility and sensitivity of nurses who had to remain separated from their families during the COVID-19 pandemic.

Keywords:

nurse, conscience, pandemic, sense of conscience, pandemic hospital,

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International Council of Nursing [ICN]. Confirms 1,500 nurses have died from COVID-19 in 44 countries and estimates that healthcare worker COVID-19 fatalities worldwide could be more than 20,000. https://www.icn.ch/news/icn-confirms-1500-nurses-have-died-covid-19-44-countries-and-estimates-healthcare-worker-covid (2020); Access Date: 04.04.2022 tarihinde erişilmiştir.
Özdelikara A, Yaman E. Determination of Health Anxiety and Unmet Nursing Care Needs of Nurses Working During the Pandemic Process. Journal of Samsun Health Sciences. 2021;6(2):383-99.
Ferguson S, Wright D, Packer J, New Dictionary of Theology; Leicester: Inter Varsity Press , 1988.
Conscience, Oxford Dictionary; https://en.oxforddictionaries.com/definition/conscience Access Date: 2019.03.25
Torjuul K, Nordam A, Sorlie V. Action ethical dilemmas in surgery: an interview study of practicing surgeons, BMC Med Ethics. 2005;4:6(7):1-9. doi:10.1186/1472-6939-6-7.
Ataç M, Kaplan A. Psychological Influence of Nurses and Protection of Mental Health in the COVID-19 Pandemic Process. J Educ Res Noor. 2021;18(Supp.1):54-59. doi:10.5152/jern.2021.58855.
Hope K, Massey PD, Osbourn M, Durrheim DN, Kewley CD, Turner C. Senior clinical nurses effectively contribute to the pandemic influenza public health response. Aust J Adv Noor. 2011;28(3):47.
Juthberg C, Eriksson S, Norberg A, Sundin K. Perceptions of conscience, stress of conscience and burnout among nursing staff in residential elder care. J Adv Noor. 2010;66(8):1708-18. doi:10.1111/j.1365-2648.2010.05288.x.
Gorbanzadeh B, Rahmani A, Mogadassian S, Behshid M, Azadi A, Taghavy S. Levels of Conscience and Related factors among Iranian oncology nurses. Asian Pac J Cancer Prev. 2015;16(18):8211-4. doi:10.7314/apjcp.2015.16.18.8211.
Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors related to physician burnout and its consequences: a review. Behav Sci (Basel). 2018;8(11):98. doi:10.3390/bs8110098.
Jodaki K, Esmaeili M, Cheraghi MA, Pashaeypoor S, Hoseini AS. Clarifying the concept of conscience in nurses ' ethical Performance in Iran: a concept analysis study. J Med Ethics Hush Med. 2021;3:14. doi:10.18502/jmehm.v14i14.7669.
Cleary M, Lees D. The role of conscience in nursing practice. Issues Ment Health Nurs. 2019;40(3),281-283. doi:10.1080/01612840.
Aksoy SD, Mert K, Cetin I. Turkish Validity and Reliability of the Perception of Conscience Scale in Nurses. Manisa Celal Bayar University Journal of Health Sciences Institute. 2019;6(3):148-153. doi:10.34087/cbusbed.599744.
İlaslan N, Yıldırım Ş.N. Evaluation of nurses on the amount and causes of unmet nursing care needs in a university hospital. Cukurova Med J. 2019;44(4):1226-1236. doi:10.17826/cumj.509488.
Arpacıoğlu S, Baltacı Z, Ünübol B. Burnout, fear of Covid, depression, occupational satisfaction levels and related factors in healthcare workers in the COVID-19 pandemic. Cukurova Med J. 2021;46(1):88-100. doi:10.17826/cumj.785609.
Cho SH, Lee JY, You SJ, Song KJ, Hong KJ. nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse ends. Int J Nurs Pract. 2020;26(1):12803. doi:10.1111/ijn.12803.
Fernandez PR, Lord H, Halcomb PE, et al. Implications for COVID-19: a systematic review of nurses ' experiences of working in acute resort hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;103637. doi:10.1016/j.ijnurstu.2020.103637.
Aslan R. Epidemics, pandemics, and COVID-19 from history to the present. Ayrinti Journal. 2020; 8(85): 35-41.
Simsekoglu N, Mayda AS. Healthy lifestyle behaviors and health anxiety levels of nurses working in a university hospital. Düzce Univ Healt Science Inst. 2016;6(1):19-29.
Çiçek B, Almalı V. The Relationship Between Anxiety, Self-efficacy and Psychological Well-Being During the COVID-19 Pandemic Process: Comparison of Private and Public Employees. Electronics Studies. 2020;15(4):241-60. doi:10.7827/TurkishStudies.43492.
Hiçdurmaz, D., & Üzar 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, doi:10.31125/hunhemsire.775531.
Karakurt P., Fırat M., Yıldırım S. Pandemi Kliniklerinde Görev Yapan Hemşirelerde Vicdan Algısı ve Merhamet Yorgunluğunun Belirlenmesi: Bir Şehir Hastanesi Örneği. Gevher Nesibe Journal of Medical & Health Sciences. 2022;(7)16. doi:10.46648/gnj.309.