Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Sağlık Çalışanlarının Şiddete Maruz Kalma Durumu ve Geleceğe Yönelik Endişeleri: COVID-19 Pandemisi Öncesi ve Sırasına İlişkin Tanımlayıcı ve İlişki Arayıcı Bir Çalışma
Healthcare Workers' Exposure to Violence and Future Concerns: A Descriptive and Correlational Study Before and During the COVID-19 Pandemic
Melek KARATUZLAa , Tuğba ULUOCAK KÖSEb , Betül SÖNMEZc
aİstanbul Üniversitesi-Cerrahpaşa Lisansüstü Eğitim Enstitüsü, Hemşirelikte Yönetim Doktora Programı, İstanbul, Türkiye
bAnkara İl Sağlık Müdürlüğü, Sağlık Hizmetleri Başkanlığı/Sağlık Hizmetleri İzleme, Değerlendirme ve Denetim Birimi, Ankara, Türkiye
cİstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, Hemşirelikte Yönetim AD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):785-97
doi: 10.5336/nurses.2023-101088
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, İstanbul'da çalışan sağlık çalışanlarının koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisi öncesi ve sırasındaki; şiddete maruz kalma ve gelecekte şiddete uğrama endişeleri arasındaki ilişki ve bu ilişkinin sağlık çalışanlarının çeşitli özelliklerine göre farklılık gösterip göstermediğini incelemektir. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı tasarımdaki bu araştırmanın örneklemini İstanbul'da çalışan 392 sağlık çalışanı oluşturmuştur. Araştırmanın verileri; sosyodemografik soru formu, Şiddete Maruz Kalma Ölçeği ve Gelecekte Şiddete Maruz Kalma Korkusu Ölçeği ile toplanmıştır. Sağlık çalışanlarının şiddete maruz kalma ve gelecekte şiddete uğrama endişeleri arasındaki ilişkiler yapısal eşitlik modeli ile şiddete maruz kalma ve gelecekte şiddete maruz kalma endişelerinin, çalışanların çeşitli özelliklerine göre farklılık gösterip göstermediği ise farklılık testleri ile incelenmiştir. Bulgular: Yapısal eşitlik modeli sonuçlarına göre çalışanlarının COVID-19 pandemisi öncesi ve sırasındaki doğrudan ve dolaylı şiddete maruz kalmaları ile gelecekte şiddete uğrama endişeleri arasındaki ilişki doğru orantılıdır. Farklılık testleri sonuçlarına göre ise kadın sağlık çalışanlarının erkek sağlık çalışanlarına göre gelecekte şiddete maruz kalma endişesinin daha yüksek olduğu, vardiyalı çalışma şekline sahip sağlık çalışanlarının COVID-19 sırasında iş yerinde doğrudan şiddete maruz kalma durumunun sürekli gündüz çalışanlarda daha yüksek olduğu, haftalık çalışma saati 51-60 saat arasında olan sağlık çalışanlarının ≤40 saat çalışan sağlık çalışanlarına göre daha yüksek olduğu görülmüştür. Sonuç: COVID-19 pandemisi öncesinde sağlıkta şiddet varlığını sürdürürken, pandemi döneminde de artarak devam etmiştir. Bu durum sağlık çalışanlarının gelecekte de şiddete maruz kalma endişelerini artırmıştır.

Anahtar Kelimeler: COVID-19 pandemisi; endişe; iş yeri şiddeti; şiddet maruziyeti; sağlık çalışanı
ABSTRACT
 Objective: The aim of this study is to examine the relationship between the concerns of healthcare workers in Istanbul about being exposed to violence and being exposed to violence in the future before and during the coronavirus disease-2019 (COVID-19) pandemic and whether this relationship differs according to various characteristics of healthcare workers. Material and Methods: The sample of this descriptive and correlational design study consisted of 392 healthcare professionals working in İstanbul. The data were collected using a sociodemographic questionnaire, the Exposure to Violence Scale, and the Fear of Future Violence Scale. The relationships between health care workers' exposure to violence and fear of future violence were examined by structural equation modeling, and whether exposure to violence and fear of future violence differed according to various characteristics of the employees was analyzed by difference tests. Results: According to the results of the structural equation model, the relationship between employees' exposure to direct and indirect violence before and during the COVID-19 pandemic and their concerns about being exposed to violence in the future is directly proportional. According to the results of the difference tests, it was observed that female healthcare workers had higher concerns about being exposed to violence in the future than male healthcare workers, healthcare workers with shift working patterns had higher exposure to direct violence at work during COVID-19 than those working continuous daytime, and healthcare workers with 51-60 hours of weekly working hours were higher than healthcare workers working ≤40 hours. Conclusion: While violence in health continued to exist before the COVID-19 pandemic, it continued to increase during the pandemic period. This situation has increased the concerns of healthcare workers about being exposed to violence in the future.

Keywords: COVID-19 pandemic; anxiety; workplace violence; exposure to violence; healthcare worker
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