Hemşirelerin Kanser Hastalarıyla Çalışmaya İlişkin Görüşleri, Başetme Biçimleri, Memnuniyet Düzeyleri ve Memnuniyet Düzeylerinin Yordayıcıları
Öz
Hemşirelerin Kanser Hastalarıyla Çalışmaya İlişkin Görüşleri, Başetme Biçimleri, Memnuniyet Düzeyleri ve Memnuniyet Düzeylerinin Yordayıcıları
Amaç: Çalışma onkoloji alanında çalışan hemşirelerin kanser hastalarıyla çalışmaya ilişkin görüşlerini, başetme biçimlerini, memnuniyet düzeylerini ve memnuniyet düzeylerini yordayan faktörleri belirlemek amacıyla gerçekleştirilmiştir.
Yöntem: Ülke çapında gerçekleştrilen çalışma kesitsel ve tanımlayıcı türdedir. Araştırmanın örneklemini, Türkiye’de hasta kapasitesi fazla olan 32 hastanenin onkoloji bölümünde çalışan toplam 1189 hemşire oluşturmuştur. Veriler araştırmacılar tarafından ilgili literatür incelenerek hazırlanan anket formu ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, t testi, Varyans analizi, Pearson korelasyonu ve çoklu regresyon analizi kullanılmıştır.
Bulgular: Hemşireler, kansere ve kanser hastalarının bakımına ilişkin olumsuz görüşler bildirmiştir. Kanser hastalarıyla çalışmaktan orta düzeyde memnuniyet duyan hemşirelerin kanser hastalarıyla çalışmanın olumsuz etkileriyle başetmede, ekip olarak birbirini destekleme (%53.8) ve hobilerle ilgilenme (%44.2) yöntemlerini kullandıkları görülmüştür. Hemşirelerin yaşı, eğitim düzeyi, hastane tipi, çalışma biçimi, onkolojide çalışılan birim, hemşire olarak ve mevcut hastanede çalışma süresi, onkolojide isteyerek çalışma durumu, çalıştığı birimi değiştirme isteği ve psikososyal bakımla ilgili eğitim alma durumu çoklu regresyon analizine dâhil edilmiş, model, hemşirelerin kanser hastalarıyla çalışmaya ilişkin memnuniyetini tahmin etmede anlamlı bulunmuş ve varyansın %23’nü açıklamıştır. Özel hastanede çalışmak, onkolojide çalışmayı seçmiş olmak ve çalıştığı birimi değiştirmeyi istememek kanser hastalarıyla çalışma memnuniyetinin bağımsız yordayıcıları olarak belirlenmiştir.
Sonuç: Hemşirelerin kansere ve kanser hastalarının bakımına ilişkin algılarının değiştirilmesine ihtiyaç vardır. Onkoloji alanında çalışacak hemşirelerin seçiminde ve çalışma koşullarının düzenlenmesinde dikkate alınabilecek sonuçlar ortaya çıkmıştır.
Anahtar kelimeler: Kanser; hemşirelik bakımı; başetme; iş tatmini.
Bu çalışma Vehbi Koç Vakfı Hemşirelik Fonu tarafından desteklenmiştir [hibe numarası 2016.2-2].
Anahtar Kelimeler
Destekleyen Kurum
Bu çalışma Vehbi Koç Vakfı Hemşirelik Fonu tarafından desteklenmiştir [hibe numarası 2016.2-2].
Proje Numarası
2016.2.2 nolu “Onkoloji Alanında Çalışan Hemşirelerin Psikososyal Bakım Verme Konusundaki Gereksinimlerinin Belirlenmesi” isimli projenin bir bölümüne ait bulguları içermektedir.
Kaynakça
- Arantzamendi, M., Kearney, N. (2004). The psychological needs of patients receiving chemotherapy: an exploration of nurse perceptions. European Journal of Cancer Care, 13, 23-31. doi: 10.1111/j.1365-2354.2003.00438.x.
- Ayakdas, E., Unsal Avdal, E., Arkan, B., Ozgursoy, B.N., Pamuk, B.O. (2018). Investigation of the relationship between stress, burnout, job satisfaction of nurses working in oncology clinic. Medical Science, 22(90), 148-155.
- Balbay, O.A., Işikhan, V., Balbay, E.G., Annakkaya, A.N., Arbak, P.M. (2011). Burnout status of health care personnel working in oncology and their coping methods. Healthmed, 5(4), 730-740.
- Banerjee, S.C., Manna, R., Coyle, N., Johnson Shen, M., Pehrson, C., Zaider, T. … Bylund, C.L. (2016). Oncology nurses' communication challenges with patients and families: A qualitative study. Nurse Education in Practice, 16, 193-201.
- Bordignon, M., Monteiro, M.I., Mai, S., Martins, M.F.S.V., Rech, C.R.A., Trindade, L.L. (2015). Oncology nursing professionals’ job satisfaction and dissatisfaction in Brazil and Portugal. Texto Contexto Enferm Florianópolis, 24(4), 925-33. doi:10.1590/0104-0707201500004650014
- Bryant-Lukosius, D., Green, E., Fitch, M., Macartney, G., Robb-Blenderman, L., McFarlane, S. …Milne, H. (2007). A survey of oncology advanced practice nurses in Ontario: Profile and predictors of job satisfaction. Nursing Leadership, 20(2), 50-68.
- Castaneda, G.A., Scanlan, J.M. (2014). Job satisfaction in nursing: A concept analysis. Nursing Forum, 49(2), 130-138. doi: 10.1111/nuf.12056
- Cummings, G.G., Olson, K., Hayduk, L., Bakker, D., Fitch, M., Green, E., Butler, L., Conlon, M. (2008). The relationship between nursing leadership and nurses' job satisfaction in Canadian oncology work environments. Journal of Nursing Management, 16, 508-518. doi: 10.1111/j.1365-2834.2008.00897.x.
- Çam O, Babacan Gümüş A, Yıldırım S (2014). Fiziksel hastalıklara verilen psikososyal tepkiler. Ed: Çam O, Engin E, Ruh Sağlığı ve Hastalıkları Hemşireliği Bakım Sanatı, İstanbul Tıp Kitabevi, 1.Baskı, İstanbul (ISBN- 978-605-4499-92-2).
- Dedeli, O., Kacer Daban, U., Pakyuz, S.C. (2016). Turkish nurses’ attitudes towards patients with cancer. International Journal of Nursing Science, 6(1), 1-6. doi: 10.5923/j.nursing.20160601.01
- Demirci, S., Yildirim, Y.K., Ozsaran, Z., Uslu, R., Yalman, D., Aras, A.B. (2010). Evaluation of burnout syndrome in oncology employess. Medical Oncology, 27(3), 968-974. doi: 10.1007/s12032-009-9318-5
- Friese, C.R., Himes-Ferris, L. (2013). Nursing practice environments and job outcomes in ambulatory oncology settings. The Journal of Nursing Administration, 43(3), 149-154. doi:10.1097/NNA.0b013e318283dc3f
- Gallegher, R., Gormley, D.K. (2009). Perceptions of stress, burnout, and support systems in pediatric bone marrow transplantation nursing. Clinical Journal of Oncology Nursing, 13(6), 681-685.
- Guveli, H., Anuk, D., Oflaz, S., Guveli, M.E., Kocaman Yildirim, N., Ozkan, M., Ozkan, S. (2015). Oncology staff: burnout, job satisfaction and coping with stress. Psychooncology, 24(8), 926-931. doi: 10.1002/pon.3743
- Güner, P., Hiçdurmaz, D., Kocaman Yıldırım, N., İnci, F. (2018). Psychosocial care from the perspective of nurses working in oncology: A qualitative study. European Journal of Oncology Nursing, 34, 68-75. doi:10.1016/j.ejon.2018.03.005
- Hedenstorm, M.L., Sneha, S., Nalla, A., Wilson, B. (2021). Nursing student perceptions and attitudes toward patients with cancer after education and mentoring: integrative review. JMIR Cancer, 7(3), e27854. doi: 10.2196/27854
- İster, E.D., Altınbaş, Y. (2021). Nurses attitudes toward cancer and affecting factors. Turkish Journal of Oncology, 36(1),79-86. doi: 10.5505/tjo.2020.2303
- Kamisli, S., Yuce, D., Karakilic, B., Kilickap, S., Hayran, M. (2017). Cancer patients and oncology nursing: perspectives of oncology nurses in Turkey. Nigerian Journal of Clinical Practice, 20 (9), 1065-1073. doi:10.4103/njcp.njcp_108_16
- Kearney, N., Miller, M., Paul, J., Smith, K., Rice, A.M. (2003). Oncology health care professionals’ attitudes to cancer: a professional concern. Annals of Oncology, 14, 57-61. doi: 10.1093/annonc/mdg018.
- Lagerlund, M., Sharp, L., Lindqvist, R., Runesdotter, S., Tishelman, C. (2015). Intention to leave the workplace among nurses working with cancer patients in acute care hospitals in Sweden. European Journal of Oncology Nursing, 19, 629-637. doi: 10.1016/j.ejon.2015.03.011
- McCaughan, E., Parahoo, K. (2000). Medical and surgical nurses' perceptions of their level of competence and educational needs in caring for patients with cancer. Journal of Clinical Nursing, 9, 420-428. doi: 10.1046/j.1365-2702.2000.00403.x.
- Mohan, S., Wilkes, L.M., Ogunsıjı, O., Walker, A. (2005). Caring for patients with cancer in non-specialist wards: the nurse experience. European Journal of Cancer Care, 14, 256-263. doi: 10.1111/j.1365-2354.2005.00566.x
- Onan, N., Işıl, Ö., Ünsal Barlas, G. (2013). The effect of a new coping intervention on stress and burnout in Turkish oncology nurses. MÜSBED, 3(3), 121-130. doi: 10.5455/musbed.20130814120535
- Purandare, L. (1997). Attitudes to cancer may create a barrier to communication between the patient and caregiver. European Journal of Cancer Care, 6, 92-99. doi:10.1046/j.1365-2354.1997.00017.x.
- Sherman, A.C., Edwards, D., Simonton, S., Mehta, P. (2006). Caregiver stress and burnout in an oncology unit. Palliative & Supportive Care, 4, 65-81. doi:10.1017/s1478951506060081.
- Silva, R.V., Velasque, L.S., Tonini, T. (2017). Job satisfaction in an oncology nursing team. Revista Brasileira de Enfermagem, 70(5), 988-995. doi: 10.1590/0034-7167-2016-0422
- Subramanian, S., Kumar, M.V. (2012). Burn-out and coping strategies among nurses treating HIV/AIDS, cancer and general patients. Journal of Organization and Human Behavior, 1(3), 54-61.
- Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. (2020). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: Cancer Journal for Clinicians, 71, 209-249. doi:10.3322/caac.21660
- Taş, B. (2006). Adaptation process to the European Union for Turkey’s new region concept: the nomenclature of territorial units for statistics (NUTS). Journal of Social Science, 8(2), 186-198.
- Tuna, R., Baykal, U. (2017). A qualitative study on emotional labor behavior of oncology nurses and its effects. International Journal of Caring Sciences, 10(2), 929-936. http://www.internationaljournalofcaringsciences.org/
- Turkey Statistical Institute (TUIK) (2024). Causes of death statistics. [Erişim tarihi:17.02.2024]. Erişim linki: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679
- Watts, R., Botti, M., Hunte, M. (2010). Nurses’ perspectives on the care provided to cancer patients. Cancer Nursing, 33(2), E1-E8. doi: 10.1097/NCC.0b013e3181b5575a.
- World Health Organization (WHO) (2024). Global cancer burden growing, amidst mounting need for services. [Erişim tarihi: 17.02.2024]. Erişim linki: https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services
- Zamanzadeh, V., Rassouli, M., Abbaszadeh, A., Nikanfar, A., Alavi-Majd, H., Ghahramanian, A. (2014). Factors influencing communication between the patients with cancer and their nurses in oncology wards. Indian Journal of Palliative Care, 20(1), 12-20. doi: 10.4103/0973-1075.125549
- Zareifar, S., Haghpanah, S., Beigipour, Z., Hosseini, S., Molavi, M.A., Naderi, M. (2017). Job satisfaction and stress levels of nurses working in oncology wards; A multicenter study. Galen Medical Journal, 6(2), 128-135. doi: 10.31661/gmj.v6i2.722
Nurses' Opinions on Working with Cancer Patients, Their Copeing Styles, Their Satisfaction Levels, and the Predictors of the Satisfaction Levels
Öz
Objective: The study was carried out to determine the opinions of nurses working in the field of oncology about working with cancer patients, their coping styles, their satisfaction levels and the factors that predict their satisfaction levels.
Methods: The study, conducted nationwide, is cross-sectional and descriptive. The sample of the study consisted of a total of 1189 nurses working in the oncology departments of 32 hospitals with high patient capacity in Turkey. The data was collected with a survey form prepared by the researchers by reviewing the relevant literature. Descriptive statistics, t test, analysis of variance, Pearson correlation and multiple regression analysis were used to analyze the data.
Results: Nurses reported negative views regarding cancer and the care of cancer patients. It was observed that nurses who were moderately satisfied with working with cancer patients used the methods of supporting each other as a team (53.8%) and engaging in hobbies (44.2%) in coping with the negative effects of working with cancer patients. The nurses' age, education level, hospital type, working style, oncology unit, working time as a nurse and in the current hospital, willingly working in oncology, willingness to change the unit they work in, and receiving training on psychosocial care were included in the multiple regression analysis. It was found to be significant in predicting satisfaction with working with patients and explained 23% of the variance. Working in a private hospital, choosing to work in oncology, and not wanting to change the unit they work in were determined as independent predictors of satisfaction with working with cancer patients.
Conclusion: There is a need to change nurses' perceptions about cancer and the care of cancer patients. Results have emerged that can be taken into account in the selection of nurses to work in the field of oncology and the regulation of their working conditions.
Keywords: Cancer; nursing care; coping; job satisfaction.
This work was supported by the Vehbi Koç Foundation Nursing Fund, in Istanbul, Turkey [grant number 2016.2-2].
Anahtar Kelimeler
Proje Numarası
2016.2.2 nolu “Onkoloji Alanında Çalışan Hemşirelerin Psikososyal Bakım Verme Konusundaki Gereksinimlerinin Belirlenmesi” isimli projenin bir bölümüne ait bulguları içermektedir.
Kaynakça
- Arantzamendi, M., Kearney, N. (2004). The psychological needs of patients receiving chemotherapy: an exploration of nurse perceptions. European Journal of Cancer Care, 13, 23-31. doi: 10.1111/j.1365-2354.2003.00438.x.
- Ayakdas, E., Unsal Avdal, E., Arkan, B., Ozgursoy, B.N., Pamuk, B.O. (2018). Investigation of the relationship between stress, burnout, job satisfaction of nurses working in oncology clinic. Medical Science, 22(90), 148-155.
- Balbay, O.A., Işikhan, V., Balbay, E.G., Annakkaya, A.N., Arbak, P.M. (2011). Burnout status of health care personnel working in oncology and their coping methods. Healthmed, 5(4), 730-740.
- Banerjee, S.C., Manna, R., Coyle, N., Johnson Shen, M., Pehrson, C., Zaider, T. … Bylund, C.L. (2016). Oncology nurses' communication challenges with patients and families: A qualitative study. Nurse Education in Practice, 16, 193-201.
- Bordignon, M., Monteiro, M.I., Mai, S., Martins, M.F.S.V., Rech, C.R.A., Trindade, L.L. (2015). Oncology nursing professionals’ job satisfaction and dissatisfaction in Brazil and Portugal. Texto Contexto Enferm Florianópolis, 24(4), 925-33. doi:10.1590/0104-0707201500004650014
- Bryant-Lukosius, D., Green, E., Fitch, M., Macartney, G., Robb-Blenderman, L., McFarlane, S. …Milne, H. (2007). A survey of oncology advanced practice nurses in Ontario: Profile and predictors of job satisfaction. Nursing Leadership, 20(2), 50-68.
- Castaneda, G.A., Scanlan, J.M. (2014). Job satisfaction in nursing: A concept analysis. Nursing Forum, 49(2), 130-138. doi: 10.1111/nuf.12056
- Cummings, G.G., Olson, K., Hayduk, L., Bakker, D., Fitch, M., Green, E., Butler, L., Conlon, M. (2008). The relationship between nursing leadership and nurses' job satisfaction in Canadian oncology work environments. Journal of Nursing Management, 16, 508-518. doi: 10.1111/j.1365-2834.2008.00897.x.
- Çam O, Babacan Gümüş A, Yıldırım S (2014). Fiziksel hastalıklara verilen psikososyal tepkiler. Ed: Çam O, Engin E, Ruh Sağlığı ve Hastalıkları Hemşireliği Bakım Sanatı, İstanbul Tıp Kitabevi, 1.Baskı, İstanbul (ISBN- 978-605-4499-92-2).
- Dedeli, O., Kacer Daban, U., Pakyuz, S.C. (2016). Turkish nurses’ attitudes towards patients with cancer. International Journal of Nursing Science, 6(1), 1-6. doi: 10.5923/j.nursing.20160601.01
- Demirci, S., Yildirim, Y.K., Ozsaran, Z., Uslu, R., Yalman, D., Aras, A.B. (2010). Evaluation of burnout syndrome in oncology employess. Medical Oncology, 27(3), 968-974. doi: 10.1007/s12032-009-9318-5
- Friese, C.R., Himes-Ferris, L. (2013). Nursing practice environments and job outcomes in ambulatory oncology settings. The Journal of Nursing Administration, 43(3), 149-154. doi:10.1097/NNA.0b013e318283dc3f
- Gallegher, R., Gormley, D.K. (2009). Perceptions of stress, burnout, and support systems in pediatric bone marrow transplantation nursing. Clinical Journal of Oncology Nursing, 13(6), 681-685.
- Guveli, H., Anuk, D., Oflaz, S., Guveli, M.E., Kocaman Yildirim, N., Ozkan, M., Ozkan, S. (2015). Oncology staff: burnout, job satisfaction and coping with stress. Psychooncology, 24(8), 926-931. doi: 10.1002/pon.3743
- Güner, P., Hiçdurmaz, D., Kocaman Yıldırım, N., İnci, F. (2018). Psychosocial care from the perspective of nurses working in oncology: A qualitative study. European Journal of Oncology Nursing, 34, 68-75. doi:10.1016/j.ejon.2018.03.005
- Hedenstorm, M.L., Sneha, S., Nalla, A., Wilson, B. (2021). Nursing student perceptions and attitudes toward patients with cancer after education and mentoring: integrative review. JMIR Cancer, 7(3), e27854. doi: 10.2196/27854
- İster, E.D., Altınbaş, Y. (2021). Nurses attitudes toward cancer and affecting factors. Turkish Journal of Oncology, 36(1),79-86. doi: 10.5505/tjo.2020.2303
- Kamisli, S., Yuce, D., Karakilic, B., Kilickap, S., Hayran, M. (2017). Cancer patients and oncology nursing: perspectives of oncology nurses in Turkey. Nigerian Journal of Clinical Practice, 20 (9), 1065-1073. doi:10.4103/njcp.njcp_108_16
- Kearney, N., Miller, M., Paul, J., Smith, K., Rice, A.M. (2003). Oncology health care professionals’ attitudes to cancer: a professional concern. Annals of Oncology, 14, 57-61. doi: 10.1093/annonc/mdg018.
- Lagerlund, M., Sharp, L., Lindqvist, R., Runesdotter, S., Tishelman, C. (2015). Intention to leave the workplace among nurses working with cancer patients in acute care hospitals in Sweden. European Journal of Oncology Nursing, 19, 629-637. doi: 10.1016/j.ejon.2015.03.011
- McCaughan, E., Parahoo, K. (2000). Medical and surgical nurses' perceptions of their level of competence and educational needs in caring for patients with cancer. Journal of Clinical Nursing, 9, 420-428. doi: 10.1046/j.1365-2702.2000.00403.x.
- Mohan, S., Wilkes, L.M., Ogunsıjı, O., Walker, A. (2005). Caring for patients with cancer in non-specialist wards: the nurse experience. European Journal of Cancer Care, 14, 256-263. doi: 10.1111/j.1365-2354.2005.00566.x
- Onan, N., Işıl, Ö., Ünsal Barlas, G. (2013). The effect of a new coping intervention on stress and burnout in Turkish oncology nurses. MÜSBED, 3(3), 121-130. doi: 10.5455/musbed.20130814120535
- Purandare, L. (1997). Attitudes to cancer may create a barrier to communication between the patient and caregiver. European Journal of Cancer Care, 6, 92-99. doi:10.1046/j.1365-2354.1997.00017.x.
- Sherman, A.C., Edwards, D., Simonton, S., Mehta, P. (2006). Caregiver stress and burnout in an oncology unit. Palliative & Supportive Care, 4, 65-81. doi:10.1017/s1478951506060081.
- Silva, R.V., Velasque, L.S., Tonini, T. (2017). Job satisfaction in an oncology nursing team. Revista Brasileira de Enfermagem, 70(5), 988-995. doi: 10.1590/0034-7167-2016-0422
- Subramanian, S., Kumar, M.V. (2012). Burn-out and coping strategies among nurses treating HIV/AIDS, cancer and general patients. Journal of Organization and Human Behavior, 1(3), 54-61.
- Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. (2020). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: Cancer Journal for Clinicians, 71, 209-249. doi:10.3322/caac.21660
- Taş, B. (2006). Adaptation process to the European Union for Turkey’s new region concept: the nomenclature of territorial units for statistics (NUTS). Journal of Social Science, 8(2), 186-198.
- Tuna, R., Baykal, U. (2017). A qualitative study on emotional labor behavior of oncology nurses and its effects. International Journal of Caring Sciences, 10(2), 929-936. http://www.internationaljournalofcaringsciences.org/
- Turkey Statistical Institute (TUIK) (2024). Causes of death statistics. [Erişim tarihi:17.02.2024]. Erişim linki: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679
- Watts, R., Botti, M., Hunte, M. (2010). Nurses’ perspectives on the care provided to cancer patients. Cancer Nursing, 33(2), E1-E8. doi: 10.1097/NCC.0b013e3181b5575a.
- World Health Organization (WHO) (2024). Global cancer burden growing, amidst mounting need for services. [Erişim tarihi: 17.02.2024]. Erişim linki: https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services
- Zamanzadeh, V., Rassouli, M., Abbaszadeh, A., Nikanfar, A., Alavi-Majd, H., Ghahramanian, A. (2014). Factors influencing communication between the patients with cancer and their nurses in oncology wards. Indian Journal of Palliative Care, 20(1), 12-20. doi: 10.4103/0973-1075.125549
- Zareifar, S., Haghpanah, S., Beigipour, Z., Hosseini, S., Molavi, M.A., Naderi, M. (2017). Job satisfaction and stress levels of nurses working in oncology wards; A multicenter study. Galen Medical Journal, 6(2), 128-135. doi: 10.31661/gmj.v6i2.722
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Ruh Sağlığı Hemşireliği |
| Bölüm | Özgün Araştırma |
| Yazarlar | |
| Proje Numarası | 2016.2.2 nolu “Onkoloji Alanında Çalışan Hemşirelerin Psikososyal Bakım Verme Konusundaki Gereksinimlerinin Belirlenmesi” isimli projenin bir bölümüne ait bulguları içermektedir. |
| Yayımlanma Tarihi | 22 Ağustos 2025 |
| Gönderilme Tarihi | 4 Mart 2024 |
| Kabul Tarihi | 27 Kasım 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 41 Sayı: 2 |
