Objective: To aims determine the level of compliance with workload, work-related strain and isolation measures as well as the effect of work overload and work-related strain with isolation in physicians and nurses working in a state hospital throughout the COVID-19 pandemic. Material and Methods: The study was conducted in a descriptive design. The study was conducted in a descriptive design. The data were obtained from 91 physicians and 386 nurses (n=477) working in a public hospital in Istanbul between November 2020 and February 2021 who volunteered to participate in the study. Data were collected using personal information form, workload, workrelated strain and compliance with isolation measures scales. Results: The work overload score and compliance with isolation measure scores perceived by physicians and nurses were higher than the average, and work-related stress scores perceived were average. There was a moderate positive relationship with participants' work-related strain scores and the work overload; while there was a weak and negative relationship with acompliance with isolation measures. The model was significant in the analyse performed for isolation measures. Conclusion: It was detected that there existed a significant relationship between the participants' work-related strain, work overload, and isolation measures.
Keywords: Workload; work-related strain; compliance with isolation measures; healthcare professionals
Amaç: Bu çalışma, COVID-19 sürecinde bir kamu hastanesinde çalışan hekim ve hemşirelerin iş yükü, işe bağlı gerginlik ve izolasyon önlemlerine uyum düzeylerini ve iş yükü ve işe bağlı gerginliğin izolasyona uyuma etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı bir çalışmadır. Araştırmanın verileri, Kasım 2020-Şubat 2021 tarihleri arasında İstanbul ilinde bulunan bir kamu hastanesinde çalışan ve çalışmaya katılmaya gönüllü olan 91 hekim ve 386 hemşireden (n=477) toplandı. Veriler; kişisel bilgi formu, iş yükü, işe bağlı gerginlik ve izolasyon önlemlerine uyum ölçekleri kullanılarak toplandı. Bulgular: Hekim ve hemşirelerde iş yükü ve işe bağlı gerginlik skoru ortalamanın üstünde, izolasyon önlemlerine uyum skoru ise yüksek düzeyde saptandı. Sağlık çalışanlarında iş yükü ile işe bağlı gerginlik arasında anlamlı ve pozitif yönlü, işe bağlı gerginlik ile izolasyon önlemlerine uyum arasında anlamlı ve negatif yönlü bir ilişkinin olduğu belirlendi. İş yükü ve işe bağlı gerginliğin izolasyon önlemlerine uyumu anlamlı bir şekilde etkilediği görüldü. Sonuç: Çalışmada, katılımcıların işe bağlı gerginliği, iş yükü ve izolasyon önlemlerine uyumları arasında anlamlı ilişki olduğu saptandı.
Anahtar Kelimeler: İş yükü; işe bağlı gerginlik; izolasyon önlemlerine uyum; sağlık çalışanları
- Yüksel İ. Hemşirelerin iş güçlüçü faktörlerinin belirlenmesi, işdoyumu ve örgütsel bağlılık üzerindeki etkisinin analizi [The determination of job difficulty factors of nurses and analysis of their effect on job satisfaction and organizational commitment]. Öneri Dergisi. 2003;5(20):131-9. [Crossref]
- Saygun M. Sağlık çalışanlarında iş sağlığı ve güvenliği sorunları [Occupational health and safety problems in health workers]. TAF Preventive Medicine Bulletin. 2012;11(4):373382. [Link]
- Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross-sectional study. Brain Behav Immun. 2020;87:11-7. [Crossref] [PubMed] [PMC]
- Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368:m1211. [Crossref] [PubMed]
- Simione L, Gnagnarella C. Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy. Front Psychol. 2020;11:2166. [Crossref] [PubMed] [PMC]
- Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. [Crossref] [PubMed] [PMC]
- Arpacıoğlu MS, Baltacı Z, Ünübol B. COVID-19 pandemisinde sağlık çalışanlarında tükenmişlik, COVID korkusu, depresyon, mesleki doyum düzeyleri ve ilişkili faktörler [Burnout, fear of Covid, depression, occupational satisfaction levels and related factors in healthcare professionals in the COVID-19 pandemic]. Çukurova Med J. 2021;46(1):88-100. [Link]
- Kayaoğlu K, Polat H, Asi Karakaş S, Şahin Altun Ö. COVID-19 enfeksiyonunun hemşirelerin kaygı ve umutsuzluk düzeylerine etkisi [The effect of COVID-19 infection on nurses' anxiety and hopelessness levels]. Turkiye Klinikleri J Nurs Sci. 2021;13(4):958-70. [Crossref]
- World Health Organization [Internet]. © 2023 WHO. Coronavirus disease 2019 (COVID-19) Situation Report-51 2020. Erişim Tarihi: 05/Ocak/2022 [Link]
- Pamuk S, Özkan A, Polat B. Epidemiology, pathogenesis, diagnosis and management of COVID-19. Tr-ENT. 2020;30(Supp 1):1-9. [Crossref]
- Turkish Thorax Association. Türk Toraks Derneği Mesleksel Akciğer Hastalıkları Çalışma Grubu. Sağlık çalışanlarında COVID-19 salgını sırasında mesleki riskler hakkında bilgilendirme ve öneriler 2020. [Erişim tarihi: 24.07.2020]. Erişim linki: [Link]
- Erer B. Covid-19 Sürecinde hastane çalışanlarının yaşadığı duygusal tükenme algıladıkları aşırı iş yükü ile açıklanabilir mi? [Is the emotional exhaustion experienced of the hospital employees in the covıd19 process might be explained by the overwork load they perceived?]. Afyon Kocatepe University Journal of Social Sciences. 2020;23(2):680-93. [Crossref]
- Baltacı A. İş yükü ve performans arasındaki ilişkiler: ampirik bir araştırma [The relationship between workload and performance: an empirical investigation]. Sosyal Bilimler Enstitü Dergisi. 2017;3(1):101-21.
- López-Nú-ez MI, Rubio-Valdehita S, Diaz-Ramiro EM, Aparicio-García ME. Psychological capital, workload, and burnout: what's new? The impact of personal accomplishment to promote sustainable working conditions. Sustainability. 2020;12(19):8124. [Crossref]
- Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, et al. The impact of occupational stress on nurses' caring behaviors and their health related quality of life. BMC Nurs. 2016;15:56. [Crossref] [PubMed] [PMC]
- Xu ZQ, Wang JZ, Wang HR, He JF, Wang B, Yang YC, et al. Research on COVID-19 prevention and control strategies, and the effect of home quarantine in Shenzhen, China, 2020. Preventive Medicine. 2020 Apr 29. [Crossref]
- Yıldırım M, Geçer E, Akgül Ö. The impacts of vulnerability, perceived risk, and fear on preventive behaviours against COVID-19. Psychol Health Med. 2021;26(1):35-43. [Crossref] [PubMed]
- Sharma SK, Nuttall C, Kalyani V; Hemlata. Clinical nursing care guidance for management of patient with COVID-19. J Pak Med Assoc. 2020;70(Suppl 3)(5):S118-23. [Crossref] [PubMed]
- Duxbury L, Higgins C. Interference between work and family: a status report on dual-career and dual-earner mothers and fathers. Employee Assistance Quarterly. 1994;9(3-4):55-80. [Crossref]
- Aycan Z, Eskin M. Relative contributions of childcare, spousal support, and organizational support in reducing work-family conflict for men and women: the case of Turkey. Sex Roles. 2005;53(7):453-71. [Crossref]
- Revicki DA, May HJ, Whitley TW. Reliability and validity of the work-related strain inventory among health professionals. Behav Med. 1991;17(3):111-20. [Crossref] [PubMed]
- Aslan SH, Alparslan ZN, Aslan RO, Kesepara C, Ünal M. Work-related strain validity and reliability of the scale in health professionals. Düşünen Adam. 1998;11(2):4-8. [Link]
- Tayran N, Ulupınar S. Bir ölçek geliştirme çalışması: izolasyon önlemlerine uyum ölçeğinin geçerlik ve güvenirliği [Development of a scale study: Validity and reliability of a scale compliance with isolation precautions]. İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksekokulu Dergisi. 2011;19(2):89-98. [Link]
- Oliveira JF, Santos AMD, Primo LS, Silva MRSD, Domingues ES, Moreira FP, et al. Job satisfaction and work overload among mental health nurses in the south of Brazil. Cien Saude Colet. 2019;24(7):2593-9. [Crossref] [PubMed]
- Karacabay K, Savcı A, Çömez S, Çelik N. Cerrahi hemşirelerinin iş yükü algilari ile tıbbi hata eğilimleri arasindaki ilişkinin belirlenmesi [Determination of the relationship between workload perceptions and medical error tendencies of surgical nurses]. Mersin Üniv Sağlık Bilim Derg. 2020;13(3):404-17. [Crossref]
- Baye Y, Demeke T, Birhan N, Semahegn A, Birhanu S. Nurses' work-related stress and associated factors in governmental hospitals in Harar, Eastern Ethiopia: A cross-sectional study. PLoS One. 2020;15(8):e0236782. [Crossref] [PubMed] [PMC]
- Alyahya S, AboGazalah F. Work-related stressors among the healthcare professionals in the fever clinic centers for individuals with symptoms of COVID-19. Healthcare (Basel). 2021;9(5):548. [Crossref] [PubMed] [PMC]
- Baydın NÜ, Tural Büyük E, Pazarlı B. The effect of professional attitudes of nurses working in different areas on the compliance with isolation precautions. Samsun Sağlık Bilimleri Dergisi. 2021;6(1):187-95. [Crossref]
- Özlü İ, Karaman Özlü Z, Tekin E, Onur Can N, Şöhret T. The compliance of emergency healthcare personnel with isolation precautions during the COVID-19 pandemic: a cross-sectional questionnaire study. Int J Clin Pract. 2021;75(10):e14492. [Crossref] [PubMed] [PMC]
- Vimercati L, Dell'Erba A, Migliore G, De Maria L, Caputi A, Quarato M, et al. Prevention and protection measures of healthcare workers exposed to SARS-CoV-2 in a university hospital in Bari, Apulia, Southern Italy. J Hosp Infect. 2020;105(3):454-8. [Crossref] [PubMed] [PMC]
- Luce-o-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(15):5514. [Crossref] [PubMed] [PMC]
- Etim JJ, Okoi NO, Ndep AO, Ibiang OE. Work-overload and work-place stress on hospital staff in Ugep-urban of Yakurr Local Government Area, Cross River State, Nigeria. Journal of Health, Medicine and Nursing. 2017;42:196-208. [Link]
- Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses' experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiatry. 2020;20(1):489. [Crossref] [PubMed] [PMC]
- Çelmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Front Psychol. 2020;11:597624. [Crossref] [PubMed] [PMC]
- Magnavita N, Soave PM, Antonelli M. Prolonged stress causes depression in frontline workers facing the COVID-19 pandemic-a repeated cross-sectional study in a COVID-19 hub-hospital in central Italy. Int J Environ Res Public Health. 2021;18(14):7316. [Crossref] [PubMed] [PMC]
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