Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
''Ahtapotla Mücadele''- COVID-19 Servisinde Çalışan Hemşirelerin Deneyimleri: Nitel Bir Çalışma
''Fighting an Octopus''- Experiences of Nurses Working in the COVID-19 Ward: A Qualitative Study
Zeliha ÖZKANa, Hilal UÇANb, Arif ÖZPARLAKc, Dudu KARAKAYAc, Merve OKAN DEMİRELd
aSağlık Bakanlığı Kayseri Şehir Eğitim ve Araştırma Hastanesi, Kayseri, Türkiye
bSağlık Bakanlığı Korkuteli Devlet Hastanesi, Pandemi Servisi, Antalya, Türkiye
cAkdeniz Üniversitesi Hemşirelik Fakültesi, Psikiyatri Hemşireliği ABD, Antalya, Türkiye
dSağlık Bakanlığı Antalya Eğitim ve Araştırma Hastanesi, Pandemi Servisi, Antalya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1221-31
doi: 10.5336/nurses.2022-89167
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] servisinde çalışan hemşirelerin deneyimlerini kapsamlı olarak incelemek amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Çalışmada, nitel araştırma yöntemlerinden tanımlayıcı fenomenoloji deseni kullanılmıştır. Araştırma, Aralık 2020-Ağustos 2021 tarihleri arasında, Türkiye'nin Antalya şehrindeki bir devlet hastanesinde 18 hemşire ile gerçekleştirilmiştir. Araştırmanın katılımcıları, amaçlı örnekleme yoluyla belirlenmiştir. Veriler yüz yüze görüşme tekniği kullanılarak toplanmıştır. Verilerin toplanmasında kişisel bilgi formu ve yarı-yapılandırılmış görüşme formu kullanılmıştır. Veri analizi, Graneheim ve Lundman tarafından önerilen içerik analizi yaklaşımı ile gerçekleştirilmiştir. Veriler, NVIVO 12 Pro paket programı kullanılarak analiz edilmiştir. Bulgular: Araştırmanın temaları; COVID-19 servisinde çalışmanın bireysel etkileri (alt temalar; sağlık üzerine etkiler, aile yaşamına etkiler, sosyal yaşama etkiler), COVID-19 servisinde çalışmanın mesleki etkileri, COVID-19 süreciyle baş etme yöntemleri, COVID-19 sürecinde hemşirelerin destek gereksinimleri, COVID19 sürecinin hemşireler için anlamı, COVID-19 sürecinde hemşirelerin meslektaşlarına önerileri ve COVID-19 sürecinin kazanımları olarak belirlenmiştir. Sonuç: Bulgular, COVID-19 sürecinde bakım veren hemşirelerin bireysel ve mesleki açıdan olumsuzluklar yaşadıklarını göstermektedir. Hemşireler yaşadıkları bu olumsuzluklarla baş edebilmek için farklı yöntemler kullanmakta ve desteğe gereksinim duymaktadırlar. Hemşireler, pandemi sürecinde olumsuz deneyimlerin yanında travma sonrası büyümeyi gösteren olumlu kazanımlar da deneyimlemektedirler. Çalışma sonuçları, pandeminin olumsuz etkilerini azaltmak için hemşirelerin iyi oluşunu, motivasyonlarını ve bilgi düzeylerini artıracak destek programlarının oluşturulması konusunda katkı sağlayabilir.

Anahtar Kelimeler: Hemşirelik; niteleyici araştırma; pandemiler; COVID-19
ABSTRACT
 Objective: This study was carried out to comprehensively examine the experiences of nurses working in the coronavirus disease-2019 (COVID19) service. Material and Methods: This is a descriptive phenomenology study. The research was conducted with 18 nurses at a hospital in the city of Antalya, Türkiye, between December 2020 and August 2021. Participants in the research were selected by purposive sampling. Data collection was by the face-to-face interview technique. A personal information form and a semi-structured interview form were used to collect data. Data analysis was performed with the content analysis approach recommended by Graneheim and Lundman. The data were analyzed using the NVIVO 12 Pro package program. Results: The themes of the research were determined as individual effects of work in the COVID-19 ward (sub-themes; effects on health, effects on family life, effects on social life), professional effects of work in the COVID-19 ward, methods of coping with COVID19, nurses' need for support during COVID-19, the meaning of COVID-19 for nurses, nurses' recommendations to their colleagues during COVID-19, and gains from COVID-19. Conclusion: Findings showed that nurses providing care during COVID-19 had bad experiences both individually and professionally. They used various methods to cope with these bad experiences and felt the need for support. However, alongside their bad experiences during the pandemic, they experienced positive gains which points to post-traumatic growth. The conclusions of the study may contribute to the formation of support programs which will increase nurses' wellbeing, motivation and knowledge levels in order to reduce the negative effects of the pandemic.

Keywords: Nursing; qualitative research; pandemics; COVID-19
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