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COVID-19 PANDEMİSİNİN SAĞLIK YÖNETİM SİSTEMİ VE KİŞİLERARASI İLİŞKİLER ÜZERİNDEKİ ETKİLERİ: EBE VE HEMŞİRE DENEYİMLERİNİN KARMA YÖNTEMLE İNCELENMESİ

Year 2023, Volume: 4 Issue: 2, 141 - 162, 21.09.2023

Hacer Yalnız Dilcen Ebru Bulut Zeynep Turhan İlknur Dolu

Abstract

Amaç: Bu çalışma, Covid-19 pandemisinin sağlik yönetim sistemi ve kişilerarasi ilişkiler üzerindeki etkilerini belirlemeyi, pandeminin ebe ve hemşirelerde post-travmatik stres ve ikincil travmatik stress oluşumuna nasıl katkı sağladığını keşfetmeyi amaçlamıştır.
Yöntem: Çalışma, kesitsel veriler ve bireysel görüşme verilerinden oluşan karma yöntemli bir çalışmadır. Çalışma Türkiye'de Şubat 2021'de gerçekleştirildi. Ebeler ve hemşireler ilk aşamada anket formu, Travma Sonrası Stres Bozukluğu Kısa Ölçeği ve İkincil Travmatik Stres Ölçeği doldurdu. Araştırmanın niteliksel aşaması, katılımcıların bireysel, örgütsel ve toplumsal düzeydeki deneyimlerine odaklanılarak sosyo-ekolojik kurama dayandırılarak tasarlanmıştır. İkinci aşamada ebe ve hemşirelerle görüntülü iletişim yoluyla yarı yapılandırılmış görüşmeler yapılmıştır. Tematik analiz kullanılmıştır.
Bulgular: Çalışmamız, ebelerin ve hemşirelerin COVID-19 salgını sırasında ortalamanın üzerinde travma sonrası stres ve ikincil travmatik stres yaşadıklarını göstermiştir. Hemşire ve ebelerin pandemi koşullarına uyum konusunda yaşadıkları deneyimlerin incelenmesinde sağlık yöneticilerinin pandemi koşullarındaki rolleri, sağlık politikalarının etkileri ve pandeminin kişilerarası ilişkilere etkileri olmak üzere üç tema ortaya çıkmıştır.
Sonuç: Bu çalışma, sağlık çalışanlarının refahı ve etkili uygulamaları için sağlık organizasyonu ve yönetim sisteminin pandemi koşullarına iyi adapte edilmesi gerektiğini göstermektedir. Başarılı sağlık yönetimi, yalnızca sağlık çalışanları için değil hastalar için de refahı artırmak için hızlı ve faydalı araçlar sağlayabilir.

Keywords

Covid-19 pandemisi Ebeler Hemşireler Organizasyon Sağlık Yönetimi

Supporting Institution

Destekleyen kurum bulunmamaktadır.

Project Number

-

References

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  • Ma, Y., Faraz, N. A., Ahmed, F., Iqbal, M. K., Saeed, U., Mughal, M. F., & Raza, A. (2021), “Curbing nurses' burnout during COVID-19: The roles of servant leadership and psychological safety”, Journal of nursing management, Vol. 29, No. 8, pp. 2383–2391, https://doi.org/10.1111/jonm.13414
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THE EFFECTS OF COVID-19 PANDEMIC ON HEALTH MANAGEMENT SYSTEM AND INTERPERSONAL RELATIONS: A MIXED METHOD STUDY OF THE EXPERIENCES OF MIDWIVES AND NURSES

Year 2023, Volume: 4 Issue: 2, 141 - 162, 21.09.2023

Hacer Yalnız Dilcen Ebru Bulut Zeynep Turhan İlknur Dolu

Abstract

Purpose: This study aims to explore how nurses and midwives construct the meanings of the changes due to the pandemic and their post-traumatic stress and secondary traumatic stress in the COVID-19 pandemic.
Methods: The study is a mixed method study that consist cross-sectional data and individual interview data. The study was conducted in Turkey, during February 2021. Midwiferies and nurses completed a survey form, Post-Traumatic Stress Disorder Short Scale and Secondary Traumatic Stress Scale at the first stage. Qualitative stage of the study was designed by informing the socio-ecological theory by focusing on participants’ the individual, organizational and societal level experiences. At the second stage, semi-structured interviews with midwives and nurses via video communications were conducted. The thematic analysis was used.
Results: Our study showed that midwiferies and nurses experience above of the average post-traumatic stress and secondary traumatic stress during COVID-19 pandemic. In the examination of the lived experiences of nurses and midwives on adaptions of the pandemic conditions, three themes were emerged including: The roles of health managers on pandemic conditions, influences of health-care policies and effects of pandemic on interpersonal relations.
Conclusions: This study shows that health organization and management system need to be well adapted to the pandemic conditions for health-care workers’ well-being and effective practices. Successful health management can provide quick and beneficial tools for enhancing well-being among not only healthcare workers but also patients.

Keywords

Covid-19 Pandemic Health Management; Midwives; Nurses; Organization

Project Number

-

References

  • Abuhanoğlu, H., Teke, A., Demir, C., Çelen, Ö., Karadağ, M., Cankul, İ. H. (2013), “An assessment of physician’ attitudes and behaviors on cost-effectiveness during medical treatments”, Gulhane Medical Journal. Vol. 55 No.4, pp. 288-296, DOI:10.5455/gulhane.34620.
  • Adams, J. G., Walls, R. M. (2020). “Supporting the health care workforce during the COVID-19 global epidemic”, JAMA, Vol. 323 No.15, pp. 1439-1440, doi:10.1001/jama.2020.3972.
  • Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., Ahmad, A. (2020), “Epidemic of COVID-19 in China and associated psychological problems”, Asian Journal of Psychiatry, Vol. 51 No. 102092, doi:10.1016/j.ajp.2020.102092.
  • Bao, Y., Sun, Y., Meng, S., Shi, J., Lu, L. (2020), “2019-nCoV epidemic: Address mental health care to empower society”, The Lancet, Vol. 395, No.10224, pp. e37–e38, doi: 10.1016/S0140-6736(20)30309-3.
  • Basnet B, Chapagain P, Subedi S, Dahal T, Neupane S, et al. (2022), “Experiences of nurses providing maternity care in a public hospital during the COVID-19 pandemic in Nepal: A qualitative study”, PLOS Global Public Health Vol. 2, No. 5: e0000322, https://doi.org/10.1371/journal.pgph.0000322
  • Blake, H., Bermingham, F., Johnson, G., Tabner, A. (2020), “Mitigating the psychological ımpact of COVID-19 on healthcare workers: A digital learning package”, Int. J. Environ. Res. Public Health, Vol. 17, No. 9, pp. 2997, doi:10.3390/ijerph17092997.
  • Bloomberg, L. D., & Volpe, M. (2014), “Presenting methodology and research approach. In Completing your qualitative dissertation: A roadmap from beginning to end”, SAGE Publications. doi: https://dx.doi.org/10.4135/9781452226613.n3.
  • Braun, V., Clarke, V. (2006), “Using thematic analysis in psychology”, Qual Res Psychol, Vol. 3 No. 4, pp.77–101, doi: 10.1191/1478088706qp063oa.
  • Bride, B.R., Margaret, M., Yegidis, B., Figley, C. R. (2004), “Development and validation of the Secondary Traumatic Stress Scale”, Research on Social Work Practice, Vol. 14 No. 1, pp. 27-35, doi: 10.1177/1049731503254106.
  • Bronfenbrenner, U. (1981), “The ecology of human development: experiments by nature and design”, Cambridge, MA: Harvard University Press.
  • Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., Zhuang, Q. (2020), “Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID19) in Hubei, China”, Medical science monitor: international medical journal of experimental and clinical research vol. 26 e924171, 15 Apr. 2020, doi:10.12659 / MSM.924171.
  • Chen. Q., Liang. M., Li. Y., Guo. J., Fei D., Wang. L., He L., . . . Zhang. Z. (2020), “Mental health care for medical staff in China during the COVID-19 outbreak”, Lancet Psychiatry, Vol. 7 No. 4, pp. 15–16, doi:10.1016/S2215-0366(20)30078-X
  • Cohen, L., Manion, l., Morrison, K. (2017). Research Methods in Education, 8th Edition, London, pp. 36, ISBN: 9781315456539, https://doi.org/10.4324/9781315456539.
  • DeVault, M. L., & Gross, G. (2012), “Feminist qualitative interviewing: Experience, talk, and knowledge”, In S. N. Hesse-Biber (Ed.), Handbook of Feminist Research: Theory and Praxis. Sage Publications.
  • Evren, C., Dalbudak, E., Aydemir, Ö., Köroğlu, E., Evren, B., Özen, S., & Coşkun, K. S. (2016), “Psychometric properties of the Turkish PTSD-short scale in a sample of undergraduate students”, Bulletin of Clinical Psychopharmacolog, Vol. 26, No. 3, pp. 294-302, doi: 10.5455/bcp.20151205113132
  • Eftekhar Ardebili, M., Naserbakht, M., Bernstein, C., Alazmani-Noodeh, F., Hakimi, H., Ranjbar, H. (2021). Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. Am J Infect Control. Vol. 49, No. 5, pp. 547–54. doi:https://doi.org/10.1016/j.ajic.2020.10.00.
  • Häussl, A., Ehmann, E., Pacher, A., Knödl, K., Huber, T., Neundlinger, L., Osmanovic, A., Plank-Straner, A., Walter, P., Schüssler, S., & Schoberer, D. (2021), “Psychological, physical, and social effects of the COVID-19 pandemic on hospital nurses”, International nursing review, Vol. 68 No. 4, pp. 482–492, https://doi.org/10.1111/inr.12716
  • Heise, L. L. (1998), “Violence against women: an integrated, ecological framework, Violence Against Women”, Vol. 4 No. 3, pp. 262–290, doi: 10.1177/1077801298004003002.
  • Hick, J.L., Hanfling, D., Wynia, M. K., Pavia, A.T. (2020), “Duty to plan: health care, crisis standards of care, and novel coronavirus SARS-CoV-2”, NAM Perspectives, pp.2-13, doi:10.31478/202003b.
  • Iyengar, K., Mabrouk, A., Jain, V. K., Venkatesan, A., Vaishya, R. (2020), “Learning opportunities from COVID-19 and future effects on health care system”, Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Vol. 14, No. 4, pp. 943-946, doi:10.1016/j.dsx.2020.06.036.
  • Karataş, M., Pak Güre M. D., & Duyan, V. (2022). Apparently We cannot live, we are like infectious zombies: a qualitative research on personal and familial experiences of health workers in the filiation teams in turkey during the covid-19 pandemic, Social Work in Public Health, Vol. 37, No. 7, pp. 692-701, doi: 10.1080/19371918.2022.2084196
  • Khanal P, Devkota N, Dahal M, Paudel K, Joshi D. (2020), “Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal”, Globalization and health, Vol. 16, No. 1 pp. 89, doi:10.1186/s12992-020-00621-z
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., et al. (2020), “Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019”, JAMA network open. Vol. 3 No. 3, pp. 203976-e. doi.10.1001/jamanetworkopen.2020.3976.
  • Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., et al. (2020), “The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study”, Lancet Glob Health, Vol. 8: pp. 790–98, doi:10.1016/S2214-109X(20)30204-7
  • Ma, Y., Faraz, N. A., Ahmed, F., Iqbal, M. K., Saeed, U., Mughal, M. F., & Raza, A. (2021), “Curbing nurses' burnout during COVID-19: The roles of servant leadership and psychological safety”, Journal of nursing management, Vol. 29, No. 8, pp. 2383–2391, https://doi.org/10.1111/jonm.13414
  • Marshall, B. (2020), “Impact of COVID-19 on Nurses’ Mental Health, Issues in Mental Health Nursing, Vol. 41 No.10, pp. 853-854, doi: 10.1080/01612840.2020.1819083
  • Maxwell, J. A. (2013). Qualitative research design: An interactive approach (4th ed.). SAGE Publications.
  • Nguyen, L. H., Drew, D.A., Graham, M.S., et al. (2020), “Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study”, Lancet Public Health, Vol. 5, pp. e475–83, doi:10.1016/S2468-2667(20)30164-X
  • Nursing Act. (2007). https://www.mevzuat.gov.tr/MevzuatMetin/1.3.6283.pdf
  • Özışık, L. (2020). COVID-Burnout syndrome in healthcare workers in the 19 epidemic. In G. Sain Güven & O. A. Uyaroğlu (Eds.), Internal Medicine and COVID-19, Türkiye Klinikleri, pp.110-120.
  • Patel, R.S., Bachu, R., Adikey, A., Malik, M., Shah, M. (2018), “Factors Related to Physician Burnout and Its Consequences: A Review”, Behav. Sci, Vol. 8 No. 11, pp. 98, doi:10.3390/bs8110098.
  • Peña-Ramos, J. A., Recuero-López, F., Sánchez-Bayón, A., & Sastre, F. J. (2021), “Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results”, International journal of environmental research and public health, Vol. 18 No. 24, pp. 12907, https://doi.org/10.3390/ijerph182412907
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There are 47 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Articles
Authors

Hacer Yalnız Dilcen 0000-0001-5911-7201

Ebru Bulut 0000-0002-3175-752X

Zeynep Turhan 0000-0002-5343-9442

İlknur Dolu 0000-0002-0958-8395

Project Number -
Publication Date September 21, 2023
Submission Date December 15, 2022
Acceptance Date September 11, 2023
Published in Issue Year 2023 Volume: 4 Issue: 2

Cite

APA Yalnız Dilcen, H., Bulut, E., Turhan, Z., Dolu, İ. (2023). THE EFFECTS OF COVID-19 PANDEMIC ON HEALTH MANAGEMENT SYSTEM AND INTERPERSONAL RELATIONS: A MIXED METHOD STUDY OF THE EXPERIENCES OF MIDWIVES AND NURSES. Selçuk Sağlık Dergisi, 4(2), 141-162.
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