Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kadın Sağlığı Hemşirelerinin Merhamet Yorgunluğu, Yaşadığı Güçlükler ve Başa Çıkma Yöntemlerine İlişkin Deneyimleri: Nitel Bir Çalışma
Women's Health Nurses' Compassion Fatigue, Difficulties Experienced and Coping Experiences Regarding Exit Methods: A Qualitative Study
Seda KARAÇAY YIKARa , Merve SEZER DAŞÇIKARANb , Evşen NAZİKa
aÇukurova Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Doğum ve Kadın Hastalıkları Hemşireliği AD, Adana, Türkiye
bÇukurova Üniversitesi Sağlık Bilimleri Enstitüsü, Doğum ve Kadın Hastalıkları Hemşireliği AD, Adana, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):702-9
doi: 10.5336/nurses.2023-101052
Article Language: TR
Full Text
ÖZET
 Amaç: Gebelik, doğum, doğum sonu dönem ve jinekolojik sorunları olan kadınlara bakım veren kadın sağlığı hemşireleri, bu süreçte kadınların yaşamış oldukları çeşitli travmalara şahit olmaktadır. Bu durum, hemşirelerin kadınlara bakımı esnasında bazı güçlüklerin ortaya çıkmasını da beraberinde getirmektedir. Gereç ve Yöntemler: Bu çalışma, kadın sağlığı hemşirelerinin merhamet yorgunluğu, yaşadığı güçlükler ve başa çıkma yöntemlerine yönelik deneyimlerinin belirlenmesi amacıyla fenomenolojik tipte yapılmıştır. Çalışmaya kadın sağlığı kliniğinde çalışan 20 hemşire alınmıştır. Araştırmada veriler nitel veri toplama yöntemlerinden görüşme yöntemi kullanılarak toplanmış ve görüşmelerden elde edilen nitel verilerin analizinde içerik analizi yöntemi kullanılmıştır. Bulgular: Araştırmanın bulguları 14 ana tema ve 30 alt tema kümesinden oluşmuştur. Aynı cinsiyete sahip olma, çalışma koşulları ve hasta-hasta yakını ilişkileri gibi unsurların hemşirelerin klinik yaşantıları üzerinde olumlu ve olumsuz etkiler göstermektedir. Hemşireler bakımları esnasında fiziksel yorgunluk, bireysel psikolojik yorgunluk ve hastaya yönelik psikolojik yorgunluk nedeniyle merhamet yorgunluğu yaşamaktadır. Hemşireler, merhamet yorgunluğuyla başa çıkarken profesyonel davranış sergileme, pozitif düşünme stratejilerini benimseme ve kişisel bakımlarına özen gösterme yöntemlerini kullanmaktadır. Sonuç: Kadın sağlığı hemşirelerinin bakımları esnasında merhamet yorgunluğu yaşadıkları, bu durumdan etkilendikleri ve bunlarla başa çıkma yöntemleri geliştirdikleri görülmektedir. Bu nedenle, hemşirelerin daha kaliteli hemşirelik bakımını sunabilmesi için merhamet yorgunluğunu engellemeye yönelik duygusal destek sağlanması, başa çıkma stratejilerinin geliştirilmesi ve motivasyonu artırıcı girişimlerin planlanması önerilebilir.

Anahtar Kelimeler: Kadın sağlığı hemşiresi; merhamet yorgunluğu; hemşirelerin yaşadığı güçlükler; başa çıkma yöntemleri; fenomenolojik çalışma
ABSTRACT
 Objective: Nurses specializing in women's health, providing care during pregnancy, childbirth, postpartum, and gynecological issues, often witness various traumas experienced by women in these processes. This situation can pose challenges for nurses in providing care to women. Material and Methods: This phenomenological study aims to determine the experiences of women's health nurses regarding compassion fatigue, challenges faced, and coping mechanisms employed. A total of 20 nurses working in a women's health clinic participated in the study. Qualitative data were collected through interviews, and content analysis was employed to analyze the qualitative data obtained from the interviews. Results: The findings of the study consisted of 14 main themes and 30 sub-theme clusters. Factors such as having the same gender, working conditions and patient-caretaker relationships have positive and negative effects on the clinical experiences of nurses. Nurses experience compassion fatigue during their care due to physical fatigue, individual psychological fatigue and psychological fatigue towards the patient. Nurses use professional behavior, adopting positive thinking strategies and taking care of their personal care to cope with compassion fatigue. Conclusion: It is seen that women's health nurses experience compassion fatigue during their care, are affected by this situation and develop coping methods. Therefore, it may be recommended to provide emotional support to prevent compassion fatigue, develop coping strategies and plan interventions to increase motivation in order for nurses to provide better quality nursing care.

Keywords: Women's health nurse; compassion fatigue; difficulties experienced by nurses; coping methods; phenomenological study
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