Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Relationship Between Liking of Children and Burnout, Compassion Fatigue, Occupational Satisfaction in Pediatric Nurses
Pediatri Hemşirelerinde Çocuk Sevme ile Tükenmişlik, Eşduyum Yorgunluğu, Mesleki Tatmin Arasındaki İlişki
Hüsniye ÇALIŞIRa, Pelin KARATAŞa, Türkan TURANb, Dilek ERGİNc
aAydın Adnan Menderes University Faculty of Nursing, Department of Pediatric Nursing, Aydın, TURKEY
bPamukkale University Faculty of Health Sciences, Department of Pediatric Nursing, Denizli, TURKEY
cManisa Celal Bayar University Faculty of Health Sciences, Department of Pediatric Nursing, Manisa, TURKEY
Turkiye Klinikleri J Nurs Sci. 2020;12(1):30-6
doi: 10.5336/nurses.2019-70084
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to determine the relationship between the liking of children level of pediatric nurses and their compassion fatigue, burnout and occupational satisfaction levels. Material and Methods: This correlational study was conducted with 536 nurses who worked in the emergency, intensive care and pediatric units of six hospitals in four provinces in western Turkey between January and September 2017. Data were collected using a questionnaire form, the Barnett Liking of Children Scale, and the Professional Quality of Life Scale (burnout, compassion fatigue, and occupational satisfaction subscales). Data collection forms were filled out based on the nurses' self-reports. Data analyses were performed using the descriptive statistics and the Spearman correlation analysis. Results: The participants' mean age was 32±7.40 years, and their liking of children, burnout subscale, compassion fatigue subscale and occupational satisfaction subscale mean scores were 86.51 (min-max=74-94), 24 (min-max=21-29), 24 (min-max=21-28), and 39 (min-max=32-41), respectively. The analyses showed a very weak negative relationship (r=-0.177; p<0.001) between liking of children and compassion fatigue, a weak negative relationship (r= -0.398; p<0.001) between liking of children and burnout, and a positive moderate relationship (r= 0.516; p<0.001) between liking of children and occupational satisfaction. Conclusion: The study found that as pediatric nurses' liking of children scores increased, their occupational satisfaction also increased, and their burnout and compassion fatigue decreased. Support programs may decrease pediatric nurses' burnout and compassion fatigue and increase their occupational satisfaction, thereby increasing their liking of children.

Keywords: Burnout; compassion fatigue; job satisfaction; liking of children; nurses; pediatric; professional
ÖZET
 Amaç: Bu çalışmada amaç, pediatri hemşirelerinin çocuk sevme düzeyi ile eşduyum yorgunluğu, tükenmişlik ve mesleki tatmin düzeyleri arasındaki ilişkiyi belirlemekti. Gereç ve Yöntemler: İlişki arayıcı olarak yapılan bu araştırma, Ocak ve Eylül 2017 tarihleri arasında Türkiye'nin batısındaki dört ilde bulunan altı hastanenin pediatri kliniklerinde çalışan 536 hemşire ile yapıldı. Veriler, anket formu, Barnett Çocuk Sevme Ölçeği ve Çalışanlar için Yaşam Kalitesi Ölçeği (tükenmişlik, eşduyum yorgunluğu ve mesleki tatmin alt ölçekleri) kulanılarak toplandı. Araştırmada tanımlayıcı istatistikler ve Spearman korelasyon analizi kullanıldı. Bulgular: Araştırmaya katılan pediatri hemşirelerinin yaş ortalaması 32±7,40 yıl, tükenmişlik alt ölçeğinin ortanca puanı 24 (alt-üst=21-29), eşduyum yorgunluğunun ortanca puanı 24 (alt-üst=21-28), mesleki tatmin alt ölçeğinin ortanca puanı 39 (altüst= 32-41) ve çocuk sevme ölçeği ortanca puanı ise 86,51 (alt-üst=74- 94), olarak bulundu. Pediatri hemşirelerinin çocuk sevme toplam puanı ile eşduyum yorgunluğu puanı arasında ise negatif yönde çok zayıf (r=- 0,177; p<0,001); tükenmişlik puan arasında negatif yönde zayıf (r= - 0,398; p<0,001) ve mesleki tatmin puanı arasında ise pozitif yönde orta (r= 0,516; p<0,001) ilişki bulundu. Sonuç: Pediatri hemşirelerinin çocuk sevme puanları arttıkça mesleki tatminlerinin arttığı, tükenmişlik ve eşduyum yorgunluğunun azaldığı saptandı. Pediatri hemşirelerine yönelik destek programları uygulanarak, onların tükenmişlik ve eşduyum yorgunlukları azaltılabilir, mesleki tatminleri arttırılabilir, böylece çocukları sevmelerine katkı sağlanabilir.

Anahtar Kelimeler: Tükenmişlik; eşduyum yorgunluğu; meslek tatmini; çocuk sevme; hemşireler; pediatri; meslek
REFERENCES:
  1. Boyle DA, Bush NJ. Reflections on the emotional hazards of pediatric oncology nursing: four decades of perspectives and potential. J Pediatr Nurs. 2018;40:63-73. [Crossref]  [PubMed] 
  2. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci. 2010;12(2):235-43. [Crossref]  [PubMed] 
  3. Kaya N, Kaya H, Ayık SE, Uygur E. Burnout of nurses who work in a government hospital. The International Journal of Human Sciences. 2010;7(1):401-19.
  4. Kase SM, Waldman ED, Weintraub AS. A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States. Palliat Support Care. 2019;17(3):269-75. [Crossref]  [PubMed] 
  5. Pradas-Hernández L, Ariza T, Gómez-Urquiza JL, Albendín-García L, De la Fuente EI, Ca-adas-De la Fuente GA. Prevalence of burnout in paediatric nurses: a systematic review and meta-analysis. PLoS One. 2018;13(4):e0195039. [Crossref]  [PubMed]  [PMC] 
  6. Braithwaite M. Nurse burnout and stress in the NICU. Adv Neonatal Care. 2008;8(6):343-7. [Crossref]  [PubMed] 
  7. Peters E. Compassion fatigue in nursing: a concept analysis. Nurs Forum. 2018;53(4):466-80. [Crossref]  [PubMed] 
  8. Adwan JZ. Pediatric nurses' grief experience, burnout and job satisfaction. J Pediatr Nurs. 2014;29(4):329-36. [Crossref]  [PubMed] 
  9. Moody K, Kramer D, Santizo RO, Magro L, Wyshogrod D, Ambrosio J, et al. Helping the helpers: mindfulness training for burnout in pediatric oncology--a pilot program. J Pediatr Oncol Nurs. 2013;30(5):275-84. [Crossref]  [PubMed] 
  10. Sacco TL, Copel LC. Compassion satisfaction: a concept analysis in nursing. Nurs Forum. 2018;53(1):76-83. [Crossref]  [PubMed] 
  11. Yeşil A, Ergün Ü, Amasyalı C, Er F, Olgun NN, Aker AT. Validity and reliability of the Turkish version of the Professional Quality of the Life Scale. Noro-Psikiyatr Ars. 2010;47(2):111-7.
  12. Duyan V, Gelbal S. The adaptation study of Barnett Liking of Children Scale to Turkish. Education and Science. 2008;33(148):40-8.
  13. Akgün Kostak M. Nursing and midwifery students' state of liking of children, effects of pediatrics nursing lesson on the state of liking of children and affecting factors. Cumhuriyet Nursing Journal. 2013; 2(2):50-6.
  14. Baran G, Yılmaz G. Investigation of the status of liking children of the nursing students taking applied course of nursing on children's health and diseases, and the effective factors. JAREN. 2019;5(2):91-6.
  15. Tural Büyük E, Rızalar S, Gudek Seferoğlu E, Oğuzhan H. [Analysing liking of children and parenting attitudes of nurses working in pediatric and adult clinics]. The Journal of Pediatric Research. 2014;1(3):130-7. [Crossref] 
  16. Erdem Y, Duyan V. A determination of the factors that aff ect the level of pediatric nurses' liking of children. Turk J Med Sci. 2011;41(2):295-305.
  17. Altay N, Kılıçarslan Törüner E. Determining pediatric nursing students' clinical stress and liking of children scores. DEUHYO ED. 2014;7(3):166-70.
  18. Bektaş M, Ayar D, Bektaş I, Selekoğlu Y, Akdeniz Kudubeş A, Sal Altan S. Determining the factors that influence nursing students' affection for children. The Journal of Pediatric Research. 2015;2(1):37-41. [Crossref] 
  19. Tutar Güven S, Kaya A, Isler Dalgiç A. Pediatric nursing students' status of liking of children and affecting factors. International Journal on New Trends in Education & Their Implications. 2016;7(4):50-6.
  20. Kellogg MB, Knight M, Dowling JS, Crawford SL. Secondary traumatic stress in pediatric nurses. J Pediatr Nurs. 2018;43:97-103. [Crossref]  [PubMed] 
  21. Hinderer KA, von Rueden KT, Friedmann E, McQuillan KA, Gilmore R, Kramer B, et al. Burnout, compassion fatigue, compassion satisfaction, and secondary traumatic stress in trauma nurses. J Trauma Nurs. 2014;21(4):160-9. [Crossref]  [PubMed] 
  22. Meadors P, Lamson A, Swanson M, White M, Sira N. Secondary traumatization in pediatric healthcare providers: compassion fatigue, burnout, and secondary traumatic stress. OMEGA (Westport). 2010;60(2):103-28. [Crossref]  [PubMed] 
  23. Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh. 2015;47(2):186-94. [Crossref]  [PubMed] 
  24. Barnett MA, Sinisi CS. The initial validation of a liking of children scale. J Pers Assess. 1990;55(1-2):161-7. [Crossref] 
  25. Başkale H, Partlak Günüşen N, Serçekuş P. Investigation of professional quality of life and affecting factors of nurses who are working in a state hospital. Pamukkale Medical Journal. 2016;9(2):125-33. [Crossref] 
  26. Akgül A. [Correlation analysis]. Tıbbi Araştırmalarda İstatistiksel Analiz Teknikleri SPSS Uygulamaları. 3. Baskı. Ankara: Emek Ofset Ltd. Şti; 2005. p.382-402.
  27. Gribben JL, Kase SM, Waldman ED, Weintraub AS. A cross-sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric critical care physicians in the United States. Pediatr Crit Care Med. 2019;20(3):213-22. [Crossref]  [PubMed] 
  28. Meyer RM, Li A, Klaristenfeld J, Gold JI. Pediatric novice nurses: examining compassion fatigue as a mediator between stress exposure and compassion satisfaction, burnout, and job satisfaction. J Pediatr Nurs. 2015;30(1):174-83. [Crossref]  [PubMed] 
  29. Sekol MA, Kim SC. Job satisfaction, burnout, and stress among pediatric nurses in various specialty units at an acute care hospital. J Nurs Educ Prac. 2014;4(12):115-24. [Crossref] 
  30. Jacobs LM, Nawaz MK, Hood JL, Bae S. Burnout among workers in a pediatric health care system. Workplace Health Saf. 2012;60(8):335-44. [Crossref]  [PubMed] 
  31. Akman O, Ozturk C, Bektas M, Ayar D, Armstrong MA. Job satisfaction and burnout among paediatric nurses. J Nurs Manag. 2016;24(7):923-33. [Crossref]  [PubMed] 
  32. Maytum JC, Heiman MB, Garwick AW. Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. J Pediatr Health Care. 2004;18(4):171-9. [Crossref]  [PubMed] 
  33. Merk T. Compassion fatigue, compassion satisfaction & burnout among pediatric nurses. Air Medical Journal. 2018;37(5):291-8. [Crossref] 

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