Turkiye Klinikleri Journal of Nursing Sciences

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Şefkat Yorgunluğu Ölçeği'nin Hemşireler Üzerinde Türkçe Geçerlilik ve Güvenilirliği Çalışması: Metodolojik Araştırma
Study of Turkish Validity and Reliability on Nurses of the Compassion Fatigue Scale: Methodological Research
Sevde UÇAR ÖZDEMİRa, Adalet KOCA KUTLUb
aManisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü, Manisa, Türkiye
bManisa Celal Bayar Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü, Manisa, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):495-506
doi: 10.5336/nurses.2020-78721
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, orijinal adı 'Compassion Fatigue Self-Test' olan Şefkat Yorgunluğu Ölçeği'nin hemşireler üzerinde dil uyarlaması, geçerlilik ve güvenilirliğinin incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Metodolojik tipte olan bu araştırmanın evrenini, bir üniversite hastanesinde görev yapan 980 hemşire, örneklemini ise gönüllü olarak çalışmaya katılmayı kabul eden 416 hemşire oluşturdu. Araştırmada veri toplama aracı olarak 'Hemşire Bilgi Formu' ve 'Şefkat Yorgunluğu Ölçeği' kullanıldı. Verilerin analizi SPSS 22.0 ve LISREL 8.4 programları kullanılarak yapıldı. Şefkat Yorgunluğu Ölçeği'nin geçerliliği; kapsam geçerliliği, yapı geçerliliği ve bilinen gruplar geçerliliği; güvenilirliği ise standart hata, iç tutarlılık ve zamana göre değişmezlik ile değerlendirildi. Bulgular: Ölçeğin geçerliliği, yapı ve kapsam geçerliliği ile sınandı. Ölçeğin dil ve kapsam geçerliliği değeri 0,85 ile kabul edilebilir düzeydeydi. Şefkat Yorgunluğu Ölçeği'nin açıklayıcı faktör analizi, varyansın %53,61'ini açıklamakta idi. Verilerin faktör analizine uygunluğu için Kaiser-Meyer-Olkin değeri 0,86, Bartlett küresellik testi χ2 değeri ise 5025,330 (p<0,001) olarak bulundu. Doğrulayıcı faktör analizi (DFA) uyum iyiliği indekslerinde; 4 faktörlü yapılan DFA uyum iyiliği indekslerinin daha iyi sonuçlar verdiği, χ2 serbestlik derecesinin 2,79 (yaklaşık hataların ortalama karekökü 0,066, normlanmış uyum indeksi 0,85 ve karşılaştırmalı uyum indeksi 0,90) ile anlamlı olduğu görüldü. Ölçeğin güvenilirlik düzeyi için Cronbach alfa katsayısı 0,87, test-tekrar test korelasyon katsayısı 0,71 değeri ile istatistiksel olarak anlamlı bulundu. Sonuç: Şefkat Yorgunluğu Ölçeği'nin Türkçe formunun geçerlilik ve güvenilirlik sonuçlarının kabul edilebilir düzeyde olduğu belirlendi. Ölçeğin farklı gruplarda geçerlilik ve güvenilirlik çalışması yapılabilir.

Anahtar Kelimeler: Şefkat yorgunluğu; geçerlilik; güvenilirlik, hemşirelik
ABSTRACT
 Objective: This study was conducted for the purpose of language adaptation, validity and reliability of the Compassion Fatigue Scale, which was originally called 'Compassion Fatigue Self-Test.' Material and Methods: The population of this methodologic type study was composed of 980 nurses who works in a university hospital, and sample was composed of 416 nurses who volunteered to participate in the study. For data gathering, 'Nurse Information Form' and 'Compassion Fatigue Scale' was used. The analysis of the data was made using the SPSS 22.0 and the LISREL 8.4 program. The validity of Compassion Fatigue Scale was evaluated by content validity, construct validity and known groups validity, and reliability was evaluated by standard error, internal consistency and time-invariance. Results: Validity of the scale tested by construct and content validity. Content and lingual validity of the scale was acceptable with 0.85 value. Explanatory factor analysis of Compassion Fatigue Scale explained 53.61% of factor analysis variance. Kaiser-Meyer-Olkin value for suitable for factor analysis was found 0.86 and Barlett sphericity test χ2 was found 5025.330 (p<0.001). Indexes of confirmatory factor analysis (CFA) analysis performed with 4 factors had seemed to have better results and χ2 degree of freedom found significant with 2.79 (root mean square error of approximation 0.066, normed fit index 0.85 and comparative fit index 0.90). For validity level of scale Cronbach alfa coefficient was 0.87 and test-re-test correlation coefficient of the scale was found 0.71 and statistically significant. Conclusion: Validity and reliability results of Turkish version of Compassion Fatigue Scale was considered acceptable. The validity and reliability of the scale might be studied in different groups.

Keywords: Compassion fatigue; validity; reliability; nursing
REFERENCES:
  1. Sinclair S, Raffin-Bouchal S, Venturato L, Mijovic-Kondejewski J, Smith-MacDonald L. Compassion fatigue: a meta-narrative review of the healthcare literature. Int J Nurs Stud. 2017;69:9-24. [Crossref]  [PubMed] 
  2. Ledoux K. Understanding compassion fatigue: understanding compassion. J Adv Nurs. 2015;71(9):2041-50. [Crossref]  [PubMed] 
  3. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci. 2010;12(2):235-43. [Crossref]  [PubMed] 
  4. Showalter SE. Compassion fatigue: what is it? Why does it matter? Recognizing the symptoms, acknowledging the impact, developing the tools to prevent compassion fatigue, and strengthen the professional already suffering from the effects. Am J Hosp Palliat Care. 2010;27(4):239-42. [Crossref]  [PubMed] 
  5. Yoder EA. Compassion fatigue in nurses. Appl Nurs Res. 2010;23(4):191-7. [Crossref]  [PubMed] 
  6. Austin W, Goble E, Leier B, Byrne P. Compassion fatigue: the experience of nurses. Ethics and Social Welfare. 2009;3(2):195-214. [Crossref] 
  7. Nolte AG, Downing C, Temane A, Hastings-Tolsma M. Compassion fatigue in nurses: a metasynthesis. J Clin Nurs. 2017;26(23-24):4364-78. [Crossref]  [PubMed] 
  8. Portnoy D. Overextended and Undernourished: A Selfcare Guide for People in Helping Roles. Minneapolis: Johnson Institute; 1996. p.63-8.
  9. Sabo BM. Compassion fatigue and nursing work: can we accurately capture the consequences of caring work? Int J Nurs Pract. 2006;12(3):136-42. [Crossref]  [PubMed] 
  10. Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, et al. Compassion fatigue and burnout: prevalence among oncology nurses. Clin J Oncol Nurs. 2010;14(5):E56-62. [Crossref]  [PubMed] 
  11. Berg GM, Harshbarger JL, Ahlers-Schmidt CR, Lippoldt D. Exposing compassion fatigue and burnout syndrome in a trauma team: a qualitative study. J Trauma Nurs. 2016;23(1):3-10. [Crossref]  [PubMed] 
  12. Wentzel D, Brysiewicz P. The consequence of caring too much: compassion fatigue and the trauma nurse. J Emerg Nurs. 2014;40(1):95-7. [Crossref]  [PubMed] 
  13. Harris C, Griffin MT. Nursing on empty: compassion fatigue signs, symptoms, and system interventions. J Christ Nurs. 2015;32(2):80-7. [Crossref]  [PubMed] 
  14. Abendroth M, Flannery J. Predicting the risk of compassion fatigue: a study of hospice nurses. J Hosp Palliat Nurs. 2006;8(6):346-56. [Crossref] 
  15. Sheppard K. Compassion fatigue among registered nurses: connecting theory and research. Appl Nurs Res. 2015;28(1):57-9. [Crossref]  [PubMed] 
  16. Lachman VD. Compassion fatigue as a threat to ethical practice: Identification, personal and workplace prevention/management strategies. MedSurg Nursing. 2016;25(4):275-8. [Link] 
  17. Durkin M, Gurbutt R, Carson J. Qualities, teaching, and measurement of compassion in nursing: a systematic review. Nurse Educ Today. 2018;63:50-8. [Crossref]  [PubMed] 
  18. Drury V, Craigie M, Francis K, Aoun S, Hegney DG. Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: phase 2 results. J Nurs Manag. 2014;22(4):519-31. [Crossref]  [PubMed] 
  19. Kelly L, Runge J, Spencer C. Predictors of compassion fatigue and compassion satisfaction in acute care nurses. J Nurs Scholarsh. 2015;47(6):522-8. [Crossref]  [PubMed] 
  20. Al-Majid S, Carlson N, Kiyohara M, Faith M, Rakovski C. Assessing the degree of compassion satisfaction and compassion fatigue among critical care, oncology, and charge nurses. J Nurs Adm. 2018;48(6):310-5. [Crossref]  [PubMed] 
  21. Lombardo B, Eyre C. Compassion fatigue: a nurse's primer. Online J Issues Nurs. 2011;16(1):3. [Crossref]  [PubMed] 
  22. Alkema K, Linton JM, Davies R. A study of the relationship between self-care, compassion satisfaction, compassion fatigue, and burnout among hospice professionals. J Soc Work End Life Palliat Care. 2008;4(2):101-19. [Crossref]  [PubMed] 
  23. Jenkins B, Warren NA. Concept analysis: compassion fatigue and effects upon critical care nurses. Crit Care Nurs Q. 2012;35(4):388-95. [Crossref]  [PubMed] 
  24. Melvin CS. Professional compassion fatigue: what is the true cost of nurses caring for the dying? Int J Palliat Nurs. 2012;18(12):606-11. [Crossref]  [PubMed] 
  25. Braunschneider H. Preventing and managing compassion fatigue and burnout in nursing. ESSAI. 2013;11:14-8. [Link] 
  26. Hevezi JA. Evaluation of a meditation intervention to reduce the effects of stressors associated with compassion fatigue among nurses. J Holist Nurs. 2016;34(4):343-50. [Crossref]  [PubMed] 
  27. Perry B, Toffner G, Merrick T, Dalton J. An exploration of the experience of compassion fatigue in clinical oncology nurses. Can Oncol Nurs J. 2011;21(2):91-105. [Crossref]  [PubMed] 
  28. Romano J, Trotta R, Rich VL. Combating compassion fatigue: an exemplar of an approach to nursing renewal. Nurs Adm Q. 2013;37(4):333-6. [Crossref]  [PubMed] 
  29. Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs. 2010;36(5):420-7. [Crossref]  [PubMed] 
  30. Akdeniz S, Deniz ME. Merhamet Ölçeği'nin Türkçeye uyarlanması: geçerlik ve güvenirlik çalışması [The Turkish adaptation of the Compassion Scale: a validity and reliability study]. The Journal of Happiness & Well-Being. 2016;4(1):50-61. [Link] 
  31. Dinç S, Ekinci M. Psikiyatride güncel yaklaşımlar [Current approaches in psychiatry]. 2019;11(Suppl 1):192-202. [Crossref] 
  32. Akgül A. Tıbbi Araştırmalarda İstatistiksel Analiz Teknikleri- SPSS Uygulamaları. 3. Baskı. Ankara: Emek Ofset Ltd.Şti; 2005. p.95-382.
  33. Esin MN. Geçerlilik güvenilirlik veri toplama yöntemleri ve araçları. Erdoğan S, Nahcivan N, Esin MN, ed. Hemşirelikte Araştırma. 2. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2014. p.193-233.
  34. Özdamar K. Paket Programlar ile İstatistiksel Veri Analizi. 5. Baskı. Eskişehir: Kaan Kitabevi; 2004.
  35. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Sosyal Bilimler için Çok Değişkenli İstatistik: SPSS ve LİSREL Uygulamaları. 5. Baskı. Ankara: Pegem Akademi Yayıncılık; 2010.

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