Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Bir Psikiyatri Hastanesinde Çalışan Hemşirelerin Özelliklerinin ve Vicdan Algılarının Merhamet Düzeyleri Üzerine Etkisinin İncelenmesi: Tanımlayıcı ve İlişki Arayıcı Bir Çalışma
Examining the Effect of Characteristics and Perceptions of Conscience on Compassion Levels of Nurses Working in a Psychiatric Hospital: A Descriptive and Relationship-Seeking Study
Ayşe TAMER ŞİŞMANa , Mahire Olcay ÇAMb
aManisa Ruh Sağlığı ve Hastalıkları Hastanesi, Ruh Sağlığı ve Hastalıkları Kliniği, Manisa, Türkiye
bEge Üniversitesi Hemşirelik Fakültesi, Psikiyatri Hemşireliği AD, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):270-9
doi: 10.5336/nurses.2024-102772
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, bir psikiyatri hastanesinde çalışan hemşirelerin özelliklerinin ve vicdan algılarının merhamet algısı düzeylerine etkisini belirlemek amacıyla planlanmıştır. Gereç ve Yöntemler: Bu çalışma, tanımlayıcı ve ilişki arayıcı tasarım tipinde planlanmıştır. Araştırmanın evrenini bir psikiyatri hastanesinde çalışan 168 hemşire, örneklemini ise 150 hemşire oluşturmuştur. Araştırma verileri Mart-Ağustos 2022 tarihleri arasında toplanmıştır. Verilerin toplanmasında; ''Tanıtıcı Özellikler Bilgi Formu'', ''Vicdan Algısı Ölçeği (VAÖ)'' ve ''Merhamet Ölçeği (MÖ)'' kullanılmıştır. Bulgular: Çalışmaya katılan hemşirelerin %38'i 40-44 yaş aralığında ve %72'si kadın, %69'u lisans mezunu ve %72'si evlidir. Hemşirelerin VAÖ'den aldıkları puan ortalaması 55,827±9,469'dur ve MÖ'den aldıkları puan ortalaması 97,327±11,753'tür. Bağımsız değişkenler ile merhamet algısı arasındaki neden sonuç ilişkisini belirlemek üzere yapılan aşamalı regresyon analizi anlamlı bulunmuştur (F=34,264; p=0,000<0,05). Merhamet algısı düzeyindeki toplam değişim %40,1 oranında vicdan algısı, çalışma şekli, genel olarak yapılan işten memnuniyet duyma tarafından açıklanmaktadır (R2 =0,401). Vicdan algısı, merhamet algısı toplam puan düzeyini artırmaktadır (ß=0,477). Genel olarak yapılan işten memnuniyet duyma merhamet algısı düzeyini artırmaktadır (ß=0,142). Sonuç: Çalışma sonuçlarına göre, ruhsal bozukluğa sahip bireylere bakım veren hemşirelerin vicdan ve merhamet algılarının orta düzeyde olduğu sonucuna varılmıştır. Hemşirenin vicdan algısı, yapılan işten memnuniyet duyması ve hasta merkezli çalışması merhamet algısı düzeyini artırmaktadır. Bu bağlamda, hemşirelerin hasta merkezli çalışabilmesi yönünde atılan adımların faydalı olacağı hastane yönetimi ile görüşülebilir. Ayrıca hemşirelere hizmet içi eğitim planlanırken merhamet ile ilişkili konuların eğitim içeriğine dâhil edilmesi önerilir.

Anahtar Kelimeler: Vicdan; merhamet; hemşire; ruhsal bozukluk
ABSTRACT
 Objective: This study was planned to determine the effects of the characteristics and perceptions of conscience of nurses working in a psychiatric hospital on their perception of compassion. Material and Methods: This study was planned in a descriptive and correlational design type. The universe of the study consisted of 168 nurses working in a psychiatric hospital, and the sample consisted of 150 nurses. The research data were collected between March-August 2022. In collecting the data; ''Descriptive Characteristics Information Form'', ''Conscience Perception Scale (CPS)'' and ''Compassion Scale (CS)'' were used. Results: Of the nurses who participated in the study, 38% were between the ages of 40-44 and 72% were female, 69% had a bachelor's degree and 72% were married. The average score that the nurses got from the CPS was 55.827±9.469 and the average score they got from the CS was 97.327±11.753. The stepwise regression analysis conducted to determine the cause and effect relationship between the independent variables and perception of compassion was found to be significant (F=34.264; p=0.000<0.05). 40.1% of the total change in the perception of compassion was explained by perception of conscience, working style, and general satisfaction with the job done (R2 =0.401). Perception of conscience increases the total score level of compassion perception (ß=0.477). General satisfaction with the job done increases the perception of compassion (ß=0.142). Conclusion: According to the study results, it was concluded that the perceptions of conscience and compassion of nurses who care for individuals with mental disorders are at a moderate level. The nurse's perception of conscience, satisfaction with the job done and patient-centered work increase the level of compassion perception. In this context, it can be discussed with the hospital management that the steps taken for nurses to work patient-centered would be beneficial. In addition, it is recommended that topics related to compassion be included in the training content when planning in-service training for nurses.

Keywords: Conscience; compassion; nurse; mental disorder
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