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COVID-19 salgını sırasında kemoterapi hemşirelerinin risk algısı, tükenmişliği ve bilgisi

Yıl 2021, Cilt: 6 Sayı: 3, 111 - 117, 30.08.2021

Lokman Koral

https://doi.org/10.22391/fppc.818225

Öz

Giriş: Aynı stresörlere maruz kalan her birey aynı tükenmişlik belirtilerini geliştirmeyebilir. Bu araştırmada immün dirençleri düşük olabilen hastalarla çalışan kemoterapi hemşirelerinin risk algısı ve tükenmişlik düzeylerini değerlendirmeyi ve bunların COVID-19 bilgileri ile ilişkisini araştırmayı amaçladık.

Yöntemler: Onkoloji hemşirelerinde Mayıs-Haziran 2020 tarihleri arasında kesitsel bir çalışma yaptık. Delphi panelleri kullanılarak, COVID-19 ile ilgili tükenmişlik ve risk algısı araçları geliştirildi. Onkoloji Hemşireleri Derneği'ne kayıtlı 857 hemşireden 267'si, demografik özellikler, tükenmişlik, risk algısı ve COVID-19 bilgisi ile ilgili 28 maddeyi içeren çevrimiçi bir ankete yanıt verdi.

Bulgular: Katılımcıların ortalama yaşı 34,8±8,4 (en az: 20, en çok: 58) yıl idi. Katılımcıların hem risk algısı puanı 17,34±3,00 (en az: 6, en çok: 24), tükenmişlik puanı 16,74±4,44 (en az: 2, en çok: 27) olup, olası maksimum sınırların üçte ikisinin üzerindeydi. Bilgi puanları ise nispeten yüksekti (%72.09±20.0). COVID-19 bilgi puanları tükenmişlik puanlarıyla pozitif (r=0,499, p<0,001), yaşla negatif korelasyon (r=-0,153, p=0,013) göstermekteydi. Tükenmişlik puanları ile risk algısı veya risk algısı ve yaş arasında anlamlı bir ilişki yoktu (p>0.05). Doğrusal bir regresyon analizi, olası karıştırıcılar için düzeltme yapıldıktan sonra, tükenmişlik puanlarını bağımsız olarak etkileyen tek önemli değişkenin COVID-19 bilgi puanı olduğunu gösterdi (Beta=0.109, %95 Güven Aralığı (GA): 0.086-0.133, p<0.001).

Sonuç: Kemoterapi hemşireleri, COVID-19 salgını sürecinde risk algısı ve tükenmişlik açısından önemli bir baskı altındadır. Hizmet içi eğitimlerle hemşirelerin bilgi birikiminin artırılması, farkındalıklarını ve risk algılarını artırabilir. Bununla birlikte, işle ilgili yorgunluğu önlemeli ve tükenmişlik yaşayan hemşirelere destek olmak için önlemler alınmalıdır.

Anahtar Kelimeler

COVID-19 Tıbbi Onkoloji Onkoloji Hemşireliği Mesleki Maruziyet Risk faktörleri Mesleki Tükenmişlik

Kaynakça

  • 1. Castagnoli R, Votto M, Licari A, Brambilla I, Bruno R, Perlini S et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in children and adolescents: a systematic review. JAMA Pediatr 2020;174(9):882–9. http://doi.org/10.1001/jamapediatrics.2020.1467
  • 2. Turkey confirms first coronavirus patient, recently returned from Europe. Daily Sabah 2020. https://www.dailysabah.com/turkey/turkey-remains-firm-calm-as-first-coronavirus-case-confirmed/news (Accessed October 26, 2020)
  • 3. Lotfinejad N, Peters A, Pittet D. Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. J Hosp Infect 2020;105(4):776-7. https://doi.org/10.1016/j.jhin.2020.03.017
  • 4. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020;323(21):2133–4. https://doi.org/10.1001/jama.2020.5893
  • 5. Hall LM, Angus J, Peter E, O’Brien‐Pallas L, Wynn F, Donner G. Media portrayal of nurses’ perspectives and concerns in the SARS crisis in Toronto. J Nurs Scholarsh 2003;35(3):211–6. https://doi.org/10.1111/j.1547-5069.2003.00211.x
  • 6. Zakeri R, Bendayan R, Ashworth M, Bean DM, Dodhia H, Durbaba S et al. A case-control and cohort study to determine the relationship between ethnic background and severe COVID-19. E Clin Med 2020;28:100574. https://doi.org/10.1016/j.eclinm.2020.100574
  • 7. Huang L, Lin G, Tang L, Yu L, Zhou Z. Special attention to nurses’ protection during the COVID-19 epidemic Critical Care 2020;24(120). https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-2841-7 (Accessed October 26, 2020)
  • 8. Freudenberger HJ. Staff burnout. J Soc Issues 1974;30(1):159–65. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x
  • 9. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. J Nurs Adm 2012;42(12):1047-53. https://doi.org/10.1097/MLR.0b013e3182330b6e
  • 10. Geuens N, Verheyen H, Vlerick P, Van Bogaert P, Franck E. Exploring the influence of core-self evaluations, situational factors, and coping on nurse burnout: a cross-sectional survey study. PLoS One 2020;15(4):e0230883. https://doi.org/10.1371/journal.pone.0230883
  • 11. Neocleous M. “Don’t Be Scared, Be Prepared” Trauma-Anxiety-Resilience. Alternatives 2012;37:188–98. https://www.jstor.org/stable/23412507 (Accessed October 26, 2020)
  • 12. Henry BJ. Nursing burnout interventions: what is being done? Clin J Oncol Nurs 2014;18(2):211–4. https://doi.org/10.1188/14.CJON.211-214
  • 13. Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL et al. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol 2010;10:22. https://doi.org/10.1186/1471-2288-10-22
  • 14. Mokkink LB, Prinsen C, Patrick DL, Alonso J, Bouter LM, de Vet HC et al. COSMIN methodology for systematic reviews of patient-reported outcome measures (PROMs). User Man 2018;78:1. https://www.cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf (Accessed October 26, 2020)
  • 15. Linacre JM. Sample size and item calibration (or person measure) stability. Rasch Measurement Transactions 1994;7(4):328 https://www.rasch.org/rmt/rmt74m.htm (Accessed October 26, 2020)
  • 16. Hobart JC, Cano SJ, Warner TT, Thompson AJ. What sample sizes for reliability and validity studies in neurology? J Neurol 2012;259:2681–94. https://doi.org/10.1007/s00415-012-6570-y
  • 17. Aronsson G, Theorell T, Grape T, Hammarström A, Hogstedt C, Marteinsdottir I et al. A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health 2017;17:264. https://doi.org/10.1186/s12889-017-4153-7
  • 18. Cañadas-De la Fuente GA, Gómez-Urquiza JL, Ortega-Campos EM, Cañadas GR, Albendín-García L, De la Fuente-Solana EI. Prevalence of burnout syndrome in oncology nursing: A meta-analytic study. Psychooncology 2018;27(5):1426–33. https://doi.org/10.1002/pon.4632
  • 19. Maslach C. Job burnout: How people cope. Public Welf 1978;36:56–8. https://www.ncjrs.gov/App/Publications/abstract.aspx?ID=68886 (Accessed October 26, 2020)
  • 20. Capri B. [Turkish adaptation of the burnout measure: a reliability and validity study] (in Turkish). Mersin Univ J Fac Edu 2006;2(1):62–77. https://dergipark.org.tr/tr/download/article-file/161006 (Accessed October 26, 2020)
  • 21. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav 1981;2(2):99–113. https://doi.org/10.1002/job.4030020205
  • 22. Pines A, Aronson E. Career burnout: Causes and cures. Free press; 1988. https://www.scirp.org/(S(vtj3fa45qm1ean45vvffcz55))/reference/ReferencesPapers.aspx?ReferenceID=1640084 (Accessed October 26, 2020)
  • 23. Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Dev Int 2009;14(3):204-20. https://www.wilmarschaufeli.nl/publications/Schaufeli/311.pdf (Accessed October 26, 2020)
  • 24. Gómez-Urquiza JL, De la Fuente-Solana EI, Albendín-García L, Vargas-Pecino C, Ortega-Campos EM, Cañadas-De la Fuente GA. Prevalence of burnout syndrome in emergency nurses: A Meta-Analysis. Crit Care Nurse 2017;37(5):e1–9. https://doi.org/10.4037/ccn2017508
  • 25. Nienhaus A, Hod R. COVID-19 among health workers in Germany and Malaysia. Int J Environ Res Public Health 2020;17(13):4881. https://doi.org/10.3390/ijerph17134881
  • 26. Burki TK. Cancer care in the time of COVID-19. Lancet Oncol 2020;21:628. https://doi.org/10.1016/S1470-2045(20)30201-1
  • 27. Cori L, Bianchi F, Cadum E, Anthonj C. Risk perception and COVID-19. Int J Environ Res Public Health 2020;17(9):3114. https://doi.org/10.3390/ijerph17093114
  • 28. Simoncini M. Risk and communication. Theories, models, problems, Cambridge University Press, 2018. https://doi.org/10.1017/CBO9780511814679
  • 29. Series CW. Coronavirus Disease 2019 (COVID-19) Resources for the cancer care community. Natl Compr Cancer Netw 2020. https://www.nccn.org/covid-19/ (Accessed October 26, 2020).
  • 30. ASCO coronavirus resources. Am Soc Clin Oncol 2020. https://www.asco.org/asco-coronavirus-information (Accessed October 26, 2020)
  • 31. ESMO. COVID-19 and cancer. Eur Soc Med Oncol 2020. https://www.esmo.org/covid-19-and-cancer (Accessed October 26, 2020)
  • 32. Gosain R, Abdou Y, Singh A, Rana N, Puzanov I, Ernstoff MS. COVID-19 and cancer: a comprehensive review. Curr Oncol Rep 2020;22:53. https://doi.org/10.1007/s11912-020-00934-7

Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic

Yıl 2021, Cilt: 6 Sayı: 3, 111 - 117, 30.08.2021

Lokman Koral

https://doi.org/10.22391/fppc.818225

Öz

Introduction: Not every individual exposed to the same stressors will develop the same symptoms of burnout. We aimed to evaluate the risk perception and burnout of chemotherapy nurses working with patients having possibly low immune resistances and investigate the relationship with the COVID-19 knowledge of the participants.

Methods: We carried out a cross-sectional study in oncology nurses between May and June 2020. Using Delphi panels, instruments were developed on COVID-19-related burnout and risk perception. Of the 857 nurses registered to the Association of Oncology Nurses, 267 responded to an online survey, including 28 items on demographic features, burnout, risk perception, and COVID-19 knowledge.

Results: The mean age of the participants was 34.8±8.4 (min. 20, max. 58) years. The mean risk perception scores were 17.34±3.00 (min. 6, max. 24) and burnout scores were 16.74±4.44 (min. 2, max. 27), both above two-thirds of the maximum possible limits. Knowledge scores, on the other hand, were relatively high (72.09±20.0%). COVID-19 knowledge scores showed a significant positive correlation with burnout scores (r=0.499, p<0.001) but a negative correlation with age (r=-0.153, p=0.013). There was no significant correlation between burnout scores and risk perception or risk perception and age (p>0.05). Linear regression analysis showed that after adjusting for the possible confounders, the COVID-19 knowledge score was the only significant variable independently affecting burnout scores (Beta=0.109, 95% Confidence Interval (CI): 0.086-0.133, p<0.001).

Conclusions: During the COVID-19 pandemic, chemotherapy nurses are under significant pressure concerning risk perception and burnout. Increasing the knowledge of the nurses by in-service training could raise their awareness and risk perception. However, precautions must be taken to prevent work-related exhaustion and support nurses experiencing burnout.

Anahtar Kelimeler

COVID-19 Medical Oncology Oncology Nursing Occupational Exposure risk factors Occupational Burnout

Destekleyen Kurum

None

Teşekkür

We would like to thank Figen Bay, the chairman of the Oncology Nurses Association, and Assoc. Prof Dr Ozgur Tanriverdi from Mugla Sitki Kocman University, Department of Medical Oncology, for their support.

Kaynakça

  • 1. Castagnoli R, Votto M, Licari A, Brambilla I, Bruno R, Perlini S et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in children and adolescents: a systematic review. JAMA Pediatr 2020;174(9):882–9. http://doi.org/10.1001/jamapediatrics.2020.1467
  • 2. Turkey confirms first coronavirus patient, recently returned from Europe. Daily Sabah 2020. https://www.dailysabah.com/turkey/turkey-remains-firm-calm-as-first-coronavirus-case-confirmed/news (Accessed October 26, 2020)
  • 3. Lotfinejad N, Peters A, Pittet D. Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. J Hosp Infect 2020;105(4):776-7. https://doi.org/10.1016/j.jhin.2020.03.017
  • 4. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020;323(21):2133–4. https://doi.org/10.1001/jama.2020.5893
  • 5. Hall LM, Angus J, Peter E, O’Brien‐Pallas L, Wynn F, Donner G. Media portrayal of nurses’ perspectives and concerns in the SARS crisis in Toronto. J Nurs Scholarsh 2003;35(3):211–6. https://doi.org/10.1111/j.1547-5069.2003.00211.x
  • 6. Zakeri R, Bendayan R, Ashworth M, Bean DM, Dodhia H, Durbaba S et al. A case-control and cohort study to determine the relationship between ethnic background and severe COVID-19. E Clin Med 2020;28:100574. https://doi.org/10.1016/j.eclinm.2020.100574
  • 7. Huang L, Lin G, Tang L, Yu L, Zhou Z. Special attention to nurses’ protection during the COVID-19 epidemic Critical Care 2020;24(120). https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-2841-7 (Accessed October 26, 2020)
  • 8. Freudenberger HJ. Staff burnout. J Soc Issues 1974;30(1):159–65. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x
  • 9. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. J Nurs Adm 2012;42(12):1047-53. https://doi.org/10.1097/MLR.0b013e3182330b6e
  • 10. Geuens N, Verheyen H, Vlerick P, Van Bogaert P, Franck E. Exploring the influence of core-self evaluations, situational factors, and coping on nurse burnout: a cross-sectional survey study. PLoS One 2020;15(4):e0230883. https://doi.org/10.1371/journal.pone.0230883
  • 11. Neocleous M. “Don’t Be Scared, Be Prepared” Trauma-Anxiety-Resilience. Alternatives 2012;37:188–98. https://www.jstor.org/stable/23412507 (Accessed October 26, 2020)
  • 12. Henry BJ. Nursing burnout interventions: what is being done? Clin J Oncol Nurs 2014;18(2):211–4. https://doi.org/10.1188/14.CJON.211-214
  • 13. Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL et al. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol 2010;10:22. https://doi.org/10.1186/1471-2288-10-22
  • 14. Mokkink LB, Prinsen C, Patrick DL, Alonso J, Bouter LM, de Vet HC et al. COSMIN methodology for systematic reviews of patient-reported outcome measures (PROMs). User Man 2018;78:1. https://www.cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf (Accessed October 26, 2020)
  • 15. Linacre JM. Sample size and item calibration (or person measure) stability. Rasch Measurement Transactions 1994;7(4):328 https://www.rasch.org/rmt/rmt74m.htm (Accessed October 26, 2020)
  • 16. Hobart JC, Cano SJ, Warner TT, Thompson AJ. What sample sizes for reliability and validity studies in neurology? J Neurol 2012;259:2681–94. https://doi.org/10.1007/s00415-012-6570-y
  • 17. Aronsson G, Theorell T, Grape T, Hammarström A, Hogstedt C, Marteinsdottir I et al. A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health 2017;17:264. https://doi.org/10.1186/s12889-017-4153-7
  • 18. Cañadas-De la Fuente GA, Gómez-Urquiza JL, Ortega-Campos EM, Cañadas GR, Albendín-García L, De la Fuente-Solana EI. Prevalence of burnout syndrome in oncology nursing: A meta-analytic study. Psychooncology 2018;27(5):1426–33. https://doi.org/10.1002/pon.4632
  • 19. Maslach C. Job burnout: How people cope. Public Welf 1978;36:56–8. https://www.ncjrs.gov/App/Publications/abstract.aspx?ID=68886 (Accessed October 26, 2020)
  • 20. Capri B. [Turkish adaptation of the burnout measure: a reliability and validity study] (in Turkish). Mersin Univ J Fac Edu 2006;2(1):62–77. https://dergipark.org.tr/tr/download/article-file/161006 (Accessed October 26, 2020)
  • 21. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav 1981;2(2):99–113. https://doi.org/10.1002/job.4030020205
  • 22. Pines A, Aronson E. Career burnout: Causes and cures. Free press; 1988. https://www.scirp.org/(S(vtj3fa45qm1ean45vvffcz55))/reference/ReferencesPapers.aspx?ReferenceID=1640084 (Accessed October 26, 2020)
  • 23. Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Dev Int 2009;14(3):204-20. https://www.wilmarschaufeli.nl/publications/Schaufeli/311.pdf (Accessed October 26, 2020)
  • 24. Gómez-Urquiza JL, De la Fuente-Solana EI, Albendín-García L, Vargas-Pecino C, Ortega-Campos EM, Cañadas-De la Fuente GA. Prevalence of burnout syndrome in emergency nurses: A Meta-Analysis. Crit Care Nurse 2017;37(5):e1–9. https://doi.org/10.4037/ccn2017508
  • 25. Nienhaus A, Hod R. COVID-19 among health workers in Germany and Malaysia. Int J Environ Res Public Health 2020;17(13):4881. https://doi.org/10.3390/ijerph17134881
  • 26. Burki TK. Cancer care in the time of COVID-19. Lancet Oncol 2020;21:628. https://doi.org/10.1016/S1470-2045(20)30201-1
  • 27. Cori L, Bianchi F, Cadum E, Anthonj C. Risk perception and COVID-19. Int J Environ Res Public Health 2020;17(9):3114. https://doi.org/10.3390/ijerph17093114
  • 28. Simoncini M. Risk and communication. Theories, models, problems, Cambridge University Press, 2018. https://doi.org/10.1017/CBO9780511814679
  • 29. Series CW. Coronavirus Disease 2019 (COVID-19) Resources for the cancer care community. Natl Compr Cancer Netw 2020. https://www.nccn.org/covid-19/ (Accessed October 26, 2020).
  • 30. ASCO coronavirus resources. Am Soc Clin Oncol 2020. https://www.asco.org/asco-coronavirus-information (Accessed October 26, 2020)
  • 31. ESMO. COVID-19 and cancer. Eur Soc Med Oncol 2020. https://www.esmo.org/covid-19-and-cancer (Accessed October 26, 2020)
  • 32. Gosain R, Abdou Y, Singh A, Rana N, Puzanov I, Ernstoff MS. COVID-19 and cancer: a comprehensive review. Curr Oncol Rep 2020;22:53. https://doi.org/10.1007/s11912-020-00934-7
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Lokman Koral 0000-0003-4646-4591

Yayımlanma Tarihi 30 Ağustos 2021
Gönderilme Tarihi 30 Ekim 2020
Kabul Tarihi 10 Şubat 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 6 Sayı: 3

Kaynak Göster

APA Koral, L. (2021). Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic. Family Practice and Palliative Care, 6(3), 111-117. https://doi.org/10.22391/fppc.818225
AMA Koral L. Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic. Fam Pract Palliat Care. Aralık 2021;6(3):111-117. doi:10.22391/fppc.818225
Chicago Koral, Lokman. “Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic”. Family Practice and Palliative Care 6, sy. 3 (Aralık 2021): 111-17. https://doi.org/10.22391/fppc.818225.
EndNote Koral L (01 Aralık 2021) Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic. Family Practice and Palliative Care 6 3 111–117.
IEEE L. Koral, “Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic”, Fam Pract Palliat Care, c. 6, sy. 3, ss. 111–117, 2021, doi: 10.22391/fppc.818225.
ISNAD Koral, Lokman. “Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic”. Family Practice and Palliative Care 6/3 (Aralık2021), 111-117. https://doi.org/10.22391/fppc.818225.
JAMA Koral L. Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic. Fam Pract Palliat Care. 2021;6:111–117.
MLA Koral, Lokman. “Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic”. Family Practice and Palliative Care, c. 6, sy. 3, 2021, ss. 111-7, doi:10.22391/fppc.818225.
Vancouver Koral L. Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic. Fam Pract Palliat Care. 2021;6(3):111-7.

Family Practice and Palliative Care      ISSN 2458-8865       E-ISSN 2459-1505