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COVID-19 Pandemisi Sürecinde Sağlık Profesyonellerinin Mesleki Yorgunluklarının Değerlendirilmesi

Year 2021, Volume: 3 Issue: 3, 232 - 238, 01.09.2021
https://doi.org/10.37990/medr.914982

Abstract

Amaç: Bu çalışma ile COVİD 19 pandemisi sürecinde sağlık çalışanlarının mesleki yorgunluk düzeylerinin saptanması ve ilişkili olduğu düşünülen bazı değişkenlerin değerlendirilmesi amaçlanmıştır.
Materyal ve Metod: Çalışma, Haziran-Temmuz 2020 tarihleri arasında hekim ve hemşireler üzerinde yapılan kesitsel tanımlayıcı bir araştırmadır. Çalışmanın amacına uygun olarak literatürden de faydalanılarak bir anket form hazırlanmıştır. Anket form, sağlık çalışanlarının bazı sosyodemografik özelliklerini, çalışma yeri ve çalışma koşulları ile ilgili bazı özellikleri, COVİD 19 hastaları ile temas hakkındaki bazı bilgileri ve Mesleki Yorgunluk Tükenmişlik Toparlanma Ölçeğinin maddelerinden oluşmaktadır. Çalışma grubunu oluşturanların 308’i kadın, 98’i ise erkektir. Veriler normal dağılım göstermediğinden iki guruplu değişkenler için Mann-Whitney U testi, ikiden fazla guruplu değişkenler için Kruskal-Wallis-H testi kullanıldı.
Bulgular: Sağlık çalışanlarının Mesleki Yorgunluk Tükenmişlik Toparlanma Ölçeğinin Kronik Yorgunluk, Akut Yorgunluk Toparlanma Alt boyutlarından aldıkları puanlar sırasıyla 60.65 ± 29.10, 65.52±21.64 ve 45.09 ± 19.1, puan idi. Çalışma grubunda kadınların, 49 yaş ve altı yaş grubunda olanların, haftalık çalışma süresi 40 saatten fazla olanların, COVİD 19 hastaları ile her gün temas edenlerin yorgunluk düzeyleri daha yüksek bulunmuştur.
Sonuç: COVID-19 hastalarının bakımıyla doğrudan ilgilenen sağlık profesyonelleri, pandemi sürecinde yorgunluk, tükenmişlik düzeylerinin orta düzeyden daha fazla olduğu, toparlanma düzeylerinin ise orta düzeyde olduğunu bildirdiler. Pandemi ortamında çalışma şartları daha da zorlaşan sağlık çalışanlarının haklarının iyileştirilmesi, dinlenme ihtiyaçlarının planlanarak, sadece bulaşma riski değil yorgunluğa bağlı oluşacak risk faktörlerin kontrol altına alınmasını sağlayacak çalışma ortamlarının oluşturulmasına yönelik idari çalışmaların yapılması önerilmektedir.

References

  • Referans1 Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
  • Referans2 CDC, Coronavirus Disease 2019 (COVID-19); American Thoracic Society What is COVID-19? Worldometer Age, Sex, Existing Conditions of COVID-19 Cases and Deaths. Erişim tarihi: 01.06.2020. https://www.worldometers.info/coronavirus/ coronavirus-age-sex-demographics/
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  • Referans6 Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976
  • Referans7 Chen Q, Liang M, Li Y, et al. Mentalhealthcareformedicalstaff in Chinaduringthe COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15–e16.
  • Referans8 Dugani S, Afari H, Hirschhorn LR, et al. Prevalence and factors associated with burnout among front line primary health care providers in low- and middle-in come countries: A systematic review. Gates Open Res. 2018;2:4.
  • Referans9 Winwood PC, Winefield AH, Dawson D, Lushington, K. Development and validation of a scale to measure work related fatigue and recovery: the occupational fatigue exhaustion/recovery scale (OFER). JOEM. 2005; 47 (6):594-606.
  • Referans10 Havlioglu S, Ortabag T, Winwood PC. Turkish validity and reliability of the occupational fatigue exhaustion / recovery scale. Medicine Science. 2019;8(4):916-22.
  • Referans11 Dimitriu MC, Pantea-Stoian A, Smaranda AC, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses. 2020;144:109972.
  • Referans12 Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. Journal of Advanced Nursing. 2011; 67(6): 1370-1382.
  • Referans13 Gunasingam N, Burns K, Edwards J, Dinh M, Walton M. Reducing stress and burnout in juniordoctors: theimpact of debriefingsessions. Postgrad Med J. 2015;91(1074):182–187.
  • Referans14 Dinibutun SR. Factors Associated with Burnout Among Physicians: An Evaluation During a Period of COVID-19 Pandemic. Journal of Healthcare Leadership. 2020:12:85-94.
  • Referans15 Yu F, Somerville D, King A. Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units. Applied Nursing Research. 50 (2019) 1511912.
  • Referans16 Chen J, Davis KG, Daraiseh NM. et al. Fatigue and recovery in 12-hour day shift hospital nurses. Journal of Nursing Management. 2014;(22):593–603.
  • Referans17 Hazzard B, Johnson K, Dordunoo D. et al. Workandnonwork-related factors associated with PACU nurses fatigue. Journal of Peri Anesthesia Nursing. 2013;28(4):201-209.
  • Referans18 Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. Journal of Clinical Nursing. 2020. 10.1111/jocn.15314.

Assessment of Occupational Fatigue in Healthcare Professionals During the COVID-19 Pandemia

Year 2021, Volume: 3 Issue: 3, 232 - 238, 01.09.2021
https://doi.org/10.37990/medr.914982

Abstract

Aim: This study aimed to determine the level of occupational fatigue in healthcare professionals during the COVID-19 pandemic process and assess some variables considered to have a relationship with it.
Material and Method: This study used a descriptive cross-sectional design and was carried out on physicians and nurses between June and July 2020. The study data were collected using a questionnaire with items questioning some socio-demographic data of the healthcare professionals, characteristics of their workplace and working conditions, and contact with patients with COVID-19, and the items of the Occupational Fatigue-Exhaustion Recovery Scale. The study group consisted of 308 females and 98males. In non-normal distributions, the Mann-Whitney U test was used for variables with two groups and Kruskal–Wallis-H test for variables with more than two groups.
Results: The mean scores of the healthcare professionals from the chronic fatigue and acute fatigue sub-domains of the Occupational Fatigue Exhaustion Recovery Scale were 60.65±29.10, 65.52±21.64 and 45.09±19.1, respectively. In the study group, fatigue levels were higher in women who were aged 49 years or younger, had weekly working hours of more than 40 hours, and came into contact with COVID 19 patients every day..
Conclusion: The fatigue and burnout levels of healthcare professionals who are directly involved in the care of patients with COVID-19 during the pandemic process were above moderate levels, and the level of their recovery was at a moderate level. It is recommended that necessary administrative initiatives should be taken to improve healthcare workers’ rights, whose working conditions are getting more difficult in the pandemic environment, their needs for rest should be planned, and that working environments that will ensure that not only the risk of contamination but also the risk factors that will arise due to fatigue are under control should be created.

References

  • Referans1 Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
  • Referans2 CDC, Coronavirus Disease 2019 (COVID-19); American Thoracic Society What is COVID-19? Worldometer Age, Sex, Existing Conditions of COVID-19 Cases and Deaths. Erişim tarihi: 01.06.2020. https://www.worldometers.info/coronavirus/ coronavirus-age-sex-demographics/
  • Referans3 https://www.osha.gov/SLTC/covid-19/, erişim tarihi: 21.09.2020)
  • Referans4 https://www.toraks.org.tr/halk/news.aspx?detail=5768, erişim tarihi 16.08.2020).
  • Referans5 Morgantini LA, Naha U, Wang H, Francavilla S, Acar Ö, Flores JM, Crivellaro S, Moreira D, Abern M, Eklund M, Vigneswaran HT, Weine SM. Factors Contributingto Healthcare Professional Burnout During the COVID-19 Pandemic: A Rapid Turn around Global Survey.
  • Referans6 Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976
  • Referans7 Chen Q, Liang M, Li Y, et al. Mentalhealthcareformedicalstaff in Chinaduringthe COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15–e16.
  • Referans8 Dugani S, Afari H, Hirschhorn LR, et al. Prevalence and factors associated with burnout among front line primary health care providers in low- and middle-in come countries: A systematic review. Gates Open Res. 2018;2:4.
  • Referans9 Winwood PC, Winefield AH, Dawson D, Lushington, K. Development and validation of a scale to measure work related fatigue and recovery: the occupational fatigue exhaustion/recovery scale (OFER). JOEM. 2005; 47 (6):594-606.
  • Referans10 Havlioglu S, Ortabag T, Winwood PC. Turkish validity and reliability of the occupational fatigue exhaustion / recovery scale. Medicine Science. 2019;8(4):916-22.
  • Referans11 Dimitriu MC, Pantea-Stoian A, Smaranda AC, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses. 2020;144:109972.
  • Referans12 Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. Journal of Advanced Nursing. 2011; 67(6): 1370-1382.
  • Referans13 Gunasingam N, Burns K, Edwards J, Dinh M, Walton M. Reducing stress and burnout in juniordoctors: theimpact of debriefingsessions. Postgrad Med J. 2015;91(1074):182–187.
  • Referans14 Dinibutun SR. Factors Associated with Burnout Among Physicians: An Evaluation During a Period of COVID-19 Pandemic. Journal of Healthcare Leadership. 2020:12:85-94.
  • Referans15 Yu F, Somerville D, King A. Exploring the impact of 12-hour shifts on nurse fatigue in intensive care units. Applied Nursing Research. 50 (2019) 1511912.
  • Referans16 Chen J, Davis KG, Daraiseh NM. et al. Fatigue and recovery in 12-hour day shift hospital nurses. Journal of Nursing Management. 2014;(22):593–603.
  • Referans17 Hazzard B, Johnson K, Dordunoo D. et al. Workandnonwork-related factors associated with PACU nurses fatigue. Journal of Peri Anesthesia Nursing. 2013;28(4):201-209.
  • Referans18 Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. Journal of Clinical Nursing. 2020. 10.1111/jocn.15314.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Özlem Çağan 0000-0001-8671-3279

Zeynep Irmak Kaya 0000-0002-3954-1985

Publication Date September 1, 2021
Acceptance Date August 14, 2021
Published in Issue Year 2021 Volume: 3 Issue: 3

Cite

AMA Çağan Ö, Irmak Kaya Z. Assessment of Occupational Fatigue in Healthcare Professionals During the COVID-19 Pandemia. Med Records. September 2021;3(3):232-238. doi:10.37990/medr.914982

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Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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