Araştırma Makalesi
Yıl 2025,
Cilt: 18 Sayı: 3, 392 - 405
Öz
Giriş: Şefkat yorgunluğu, bireyin acı çeken bir kişiye yoğun fiziksel ve duygusal güç uygulaması sonrasında ortaya çıkan empati kaybı, duygusal geri çekilme, duygusal kapanma, çaresizlik ve öfke olarak tanımlanmaktadır. Ayrıca şefkat yorgunluğu hemşirelerin tükenmişliğini ve bakım verme becerisindeki kaybı tanımlamak için de kullanılmaktadır.
Amaç: Bu çalışmanın amacı hemşirelerin yaşadıkları şefkat yorgunluğunun bakım davranışlarına etkisini belirlemektir.
Yöntem: Tanımlayıcı tipte olan bu araştırmanın evrenini İstanbul şehir merkezindeki tüm hastanelerde görev yapan 42.410 hemşire, örneklemini ise güç analizi ile belirlenen 381 hemşire oluşturmuş olup, çalışma kartopu yöntemiyle gönüllü olarak katılan 403 hemşire ile gerçekleştirilmiştir. Veriler Tanıtıcı Bilgi Formu, Şefkat Yorgunluğu Ölçeği ve Bakım Davranışları Ölçeği-24 ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, normallik testi, bağımsız gruplarda t-testi, ANOVA, post hoc analizler ve Pearson korelasyon testleri ile çoklu doğrusal regresyon analizleri kullanılmaktadır.
Bulgular: Hemşirelerin Şefkat Yorgunluğu Ölçeği puan ortalamasının 1,91±0,31, Bakım Davranışları Ölçeği puan ortalamasının ise 5,46±0,55 olduğu belirlendi. şefkat yorgunluğu ile bakım davranışları ölçeklerinin alt boyutları arasında anlamlı ve zayıf ilişkiler bulunmuştur.
Sonuç: Hemşirelerin şefkat yorgunluğu algılarının orta düzeyde, bakım davranışları algılarının ise yüksek düzeyde olduğu belirlendi. Ayrıca şefkat yorgunluğu algısının bakım davranışlarını etkilediği tespit edilmiştir.
Anahtar Kelimeler
Kaynakça
- Bağcıvan, E. (2019). Çocuk Hemşirelerinde Merha- met Yorgunluğunun Mesleki Yaşam Kalitesi ile İliş- kisi. Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, Yüksek Lisans Tezi.
- Boz, İ. & Kesbiç, Ş. (2020). Compassion fatigue at health care professionals in perinatal area: cost of caring. The Journal of Gynecology-Obstetrics and Neonatology, 17(3), 487-491. https://doi.org/10.38136/ jgon.666569
- Boz, İ., & Kol, E. (2020). A Literature review On caring behaviors in intensive care nursing. Journal of the Turkish Society of Critical Care Nurses, 24(1), 32-38.
- Chen, Y. P., Tsai, J. M., Lu, M. H., Lin, L. M., Lu, C. H. & Wang, K. W. K. (2018). The influence of personality traits and socio‐demographic characteristics on paediatric nurses’ compassion satisfaction and fatigue. Journal of Advanced Nursing, 74(5), 1180-1188. DOI: 10.1111/jan.13516
- Çolak, O. D., & Uğur, E. (2017). The effects of nurses’ emotional intelligence levels on their caring behaviors. Acıbadem University Health Sciences Journal, (2),104-109.
- Dığın, F., Özkan Kızılcık, Z. & Şahin, A. (2022). Determining the relationship between compassion fatigue of surgical nurses and care behaviors. Online Turkish Journal of Health Sciences, 7(2), 272-277. doi: 10.26453/otjhs.1055157
- Dikmen, Y., & Aydın, Y. (2016). Compassion Fatıgue in Nurses: What? How? What To Do? J hum rhythm, 2(1):13-21 https://dergipark.org.tr/tr/download/artic- le-file/566343
- Er, B. (2023). Okul Psikolojik danışmanlarının şefkat yorgunluğu düzeylerinin duygu düzenleme becerileri ve ruminasyon düzeylerine göre yordanması. (Yayım- lanmamış yüksek lisans tezi). Ege Üniversitesi, İzmir. Erenoğlu, R., Can, R. & Tambağ, H. (2019). Nursing care behaviors and factors related to care behaviors; Maternity Hospital. Health and Society, 29 (1), 79-88.
- Erol, F., & Türk, G. (2019). Assessing The caring behaviours and occupational professional attitudes of nurses. J Pak Med Assoc, 69(6),783-787.
- Hiçdurmaz, D. & İnci, F. A. (2015). Compassion fatigue: description, causes and prevention. -Current Approaches in Psychiatry, 7(3), 295-303. doi:10.5455/ cap.20141128113430
- Katran, H. B., Gür, S., Arpağ, N., & Çavuşlu, M. (2021). Compassion fatigue in intensive care nurses in the COVID-19 Pandemi. Journal of the Turkish So- ciety of Critical Care Nurses, 25(2), 42-50.
- Kelly, L., Runge, J. & Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing Scholarship, 47(6): 522–528. DOI: 10.1111/jnu.12162
- Kelly, L., Runge, J., & Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing scholarship, 47(6), 522-528.
- Kılıç, D., Bakan, A.B., Aslan, G. & Uçar, F. (2020). An Investigation of the Relationship between Ethical Sensitivity and Compassion Fatigue in Nurses Who Working in Oncology Units and Intensive Care Units. Journal of Adnan Menderes University Health Sciences Faculty, 4(1), 20-29.
- Kurşun, Ş., & Kanan, N. (2012). Validity and reliability study of the Turkish version of caring behaviors inventory-24. Journal of Anatolia Nursing and Health Sciences, 15(4),229-235.
- Labrague, L. J., & de Los Santos, J. A. A. (2021). Resilience as a mediator between compassion fatigue, nurses’ work outcomes, and quality of care during the COVID-19 pandemic. Applied Nursing Research, 61, 151476.
- Lafçı, D., & Canlı, F. (2023). Evaluation of care behavior characteristics and perception of professional commitment of x and y generations nurses. Journal of Health Academics, 10(2), 254-267. DOI: 10.52880/sa- gakaderg.1240879
- Mangoulia, P., Koukia, E., Alevizopoulos, G., Fildis- sis, G. & Katostaras, T. (2015). Prevalence of secondary traumatic stress among psychiatric nurses in Greece. Arch Psychiatr Nurs, 29(5), 333-8. doi: 10.1016/j.apnu.2015.06.001.
- Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103- 111.
- MeSH. National library of medicine medical subject headings. (2016). Retrieved February 21, 2023 from https://www.nlm.nih.gov/cgi/mesh/2016/ MB_cgi . Erişim Murphy, B. S. (2014). Exploring holistic foundations for alleviating and understanding compassion fatigue. Beginnings, 34(4), 6-9.
- Nolte, A.G., Downing, C., Temane, A., Hastings-Tolsma, M. (2017). Compassion fatigue in nurses: a metasynthesis. J Clin Nurs. 26:4364–4378. https://doi. org/10.1111/jocn.13766
- Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. Nurs Forum. 1–15. DOI: 10.1111/ nuf.12274
- Polat, F. N. & Erdem, R. (2017). The relationship between the level of compassion fatigue and quality of professional life: the case of medical professionals. Journal of Süleyman Demirel University Institute of Social Sciences, (26), 291-312.
- Sacco, TL., Ciurzynski, SM., Harvey, ME. & Ingersoll, GL. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse, 35(4):32-43.
- Uslu, Y., & Demir, K. F. (2020). Compassion Fati- gue in Cardiovascular Surgery Intensive Care Nurses and Determination Of Affecting Health Statistics Year Book 2021. Retrieved April 1, from: https://dosyasb.saglik.gov.tr/Eklenti/45317,siy2021-ingilizcep- df.pdf?0
- Steffen, P. R. & Masters, K. S. (2005). Does compassion mediate the intrinsic religionhealthrelationship?. Annals of Behavioral Medicine, 30(3), 217-224. DOI: 10.1207/ s15324796abm30036
- Tabachnick & Fidell, 2013 B.G. Tabachnick, L.S. Fidell Using Multivariate Statics (6. ed.) Pearson, Boston.
- TDK, (2023). Retrieved March 17, 2023 from: https:// sozluk.gov.tr/ Uçar Özdemir, S., & Koca Kutlu, A. (2022). Study of Turkish Validity and Reliability on Nurses of the Compassion Fatigue Scale: Methodological Research. Turki- ye Klinikleri Journal of Nursing Sciences, 14(2), 495- 506.
- Uña Cidón, E., Cuadrillero Martín, F., Hijas Villaizán, M., & López Lara, F. (2012). A pilot study of satisfaction in oncology nursing care: an indirect predictor of quality of care. International journal of health care quality assurance, 25(2), 106-117.
- Uslu, E., & Buldukoğlu, K. (2017). Compassion Fatigue in Psychiatric Nursing: A Systematic Review. Current Approaches in Psychiatry, 9(4), 421-430. https://doi. org/10.18863/pgy.310831
- Uslu, Y., & Demir, K. F. (2017). Emotional Side Of The Nurse: Compassion Fatigue. Jornal of Ege University Nursing Faculty, 33(1), 123-133.
- Xie, W., Chen, L., Feng, F., Okoli, C.T.C., Tang, P., Zeng, L., ... Wang, J. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. Int J Nurs Stud, 120, 103973. doi: 10.1016/j.ijnurstu.2021.103973. Epub 2021 May 15. PMID: 34102372.
- Yazıcıoğlu, Y. & Erdoğan, S. (2004). SPSS Applied scientific research methods. Ankara: Detay Publishing.
- Yu, H., Jiang, A., & Shen, J. (2016). Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: A cross-sectional survey. International journal of nursing studies, 57, 28-38
- Zhang, Y. Y., Han, W. L., Qin, W., Yin, H. X., Zhang, C. F., Kong, C., & Wang, Y. L. (2018). Extent of compassion satisfaction, compassion fatigue and burnout in nursing: A meta-analysis. Journal of nursing management, 26(7), 810-819.
Yıl 2025,
Cilt: 18 Sayı: 3, 392 - 405
Öz
Background: Compassion fatigue is defined as the loss of empathy, affective withdrawal, emotional shutdown, helplessness and anger that occurs after an individual applies intense physical and emotional force to a suffering person. In addition, compassion fatigue is also used to describe nurses' burnout and loss of ability to provide care.
Objectives: The aim of this study was to determine the effect of compassion fatigue experienced by nurses on their caring behaviors.
Methods: The population of this descriptive study was 42.410 nurses working in all hospitals in the city center of Istanbul, and the sample was 381 nurses determined by power analysis, and the study was conducted with 403 nurses who voluntarily participated by snowball method. Data were collected with Introductory Information Form, Compassion Fatigue Scale, and Caring Behaviors Scale-24. In the analysis of the data, descriptive statistics, normality test, t-test in independent groups, ANOVA, post hoc analyses, and Pearson correlation tests, as well as multiple linear regression analyses.
Results: It was determined that the mean score on Compassion Fatigue Scale was 1.91±0.31, and the mean score on Caring Behaviors Scale was 5.46±0.55 for Nurses. Significant and weak correlations were found between compassion fatigue and the sub-dimensions of caring behaviors scales.
Conclusion: It was found that the nurses' perception of compassion fatigue was at a moderate level, and their perception of caring behaviors was at a high level. In addition, it was determined that the perception of compassion fatigue affected caring behaviors.
Anahtar Kelimeler
Kaynakça
- Bağcıvan, E. (2019). Çocuk Hemşirelerinde Merha- met Yorgunluğunun Mesleki Yaşam Kalitesi ile İliş- kisi. Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, Yüksek Lisans Tezi.
- Boz, İ. & Kesbiç, Ş. (2020). Compassion fatigue at health care professionals in perinatal area: cost of caring. The Journal of Gynecology-Obstetrics and Neonatology, 17(3), 487-491. https://doi.org/10.38136/ jgon.666569
- Boz, İ., & Kol, E. (2020). A Literature review On caring behaviors in intensive care nursing. Journal of the Turkish Society of Critical Care Nurses, 24(1), 32-38.
- Chen, Y. P., Tsai, J. M., Lu, M. H., Lin, L. M., Lu, C. H. & Wang, K. W. K. (2018). The influence of personality traits and socio‐demographic characteristics on paediatric nurses’ compassion satisfaction and fatigue. Journal of Advanced Nursing, 74(5), 1180-1188. DOI: 10.1111/jan.13516
- Çolak, O. D., & Uğur, E. (2017). The effects of nurses’ emotional intelligence levels on their caring behaviors. Acıbadem University Health Sciences Journal, (2),104-109.
- Dığın, F., Özkan Kızılcık, Z. & Şahin, A. (2022). Determining the relationship between compassion fatigue of surgical nurses and care behaviors. Online Turkish Journal of Health Sciences, 7(2), 272-277. doi: 10.26453/otjhs.1055157
- Dikmen, Y., & Aydın, Y. (2016). Compassion Fatıgue in Nurses: What? How? What To Do? J hum rhythm, 2(1):13-21 https://dergipark.org.tr/tr/download/artic- le-file/566343
- Er, B. (2023). Okul Psikolojik danışmanlarının şefkat yorgunluğu düzeylerinin duygu düzenleme becerileri ve ruminasyon düzeylerine göre yordanması. (Yayım- lanmamış yüksek lisans tezi). Ege Üniversitesi, İzmir. Erenoğlu, R., Can, R. & Tambağ, H. (2019). Nursing care behaviors and factors related to care behaviors; Maternity Hospital. Health and Society, 29 (1), 79-88.
- Erol, F., & Türk, G. (2019). Assessing The caring behaviours and occupational professional attitudes of nurses. J Pak Med Assoc, 69(6),783-787.
- Hiçdurmaz, D. & İnci, F. A. (2015). Compassion fatigue: description, causes and prevention. -Current Approaches in Psychiatry, 7(3), 295-303. doi:10.5455/ cap.20141128113430
- Katran, H. B., Gür, S., Arpağ, N., & Çavuşlu, M. (2021). Compassion fatigue in intensive care nurses in the COVID-19 Pandemi. Journal of the Turkish So- ciety of Critical Care Nurses, 25(2), 42-50.
- Kelly, L., Runge, J. & Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing Scholarship, 47(6): 522–528. DOI: 10.1111/jnu.12162
- Kelly, L., Runge, J., & Spencer, C. (2015). Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing scholarship, 47(6), 522-528.
- Kılıç, D., Bakan, A.B., Aslan, G. & Uçar, F. (2020). An Investigation of the Relationship between Ethical Sensitivity and Compassion Fatigue in Nurses Who Working in Oncology Units and Intensive Care Units. Journal of Adnan Menderes University Health Sciences Faculty, 4(1), 20-29.
- Kurşun, Ş., & Kanan, N. (2012). Validity and reliability study of the Turkish version of caring behaviors inventory-24. Journal of Anatolia Nursing and Health Sciences, 15(4),229-235.
- Labrague, L. J., & de Los Santos, J. A. A. (2021). Resilience as a mediator between compassion fatigue, nurses’ work outcomes, and quality of care during the COVID-19 pandemic. Applied Nursing Research, 61, 151476.
- Lafçı, D., & Canlı, F. (2023). Evaluation of care behavior characteristics and perception of professional commitment of x and y generations nurses. Journal of Health Academics, 10(2), 254-267. DOI: 10.52880/sa- gakaderg.1240879
- Mangoulia, P., Koukia, E., Alevizopoulos, G., Fildis- sis, G. & Katostaras, T. (2015). Prevalence of secondary traumatic stress among psychiatric nurses in Greece. Arch Psychiatr Nurs, 29(5), 333-8. doi: 10.1016/j.apnu.2015.06.001.
- Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103- 111.
- MeSH. National library of medicine medical subject headings. (2016). Retrieved February 21, 2023 from https://www.nlm.nih.gov/cgi/mesh/2016/ MB_cgi . Erişim Murphy, B. S. (2014). Exploring holistic foundations for alleviating and understanding compassion fatigue. Beginnings, 34(4), 6-9.
- Nolte, A.G., Downing, C., Temane, A., Hastings-Tolsma, M. (2017). Compassion fatigue in nurses: a metasynthesis. J Clin Nurs. 26:4364–4378. https://doi. org/10.1111/jocn.13766
- Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. Nurs Forum. 1–15. DOI: 10.1111/ nuf.12274
- Polat, F. N. & Erdem, R. (2017). The relationship between the level of compassion fatigue and quality of professional life: the case of medical professionals. Journal of Süleyman Demirel University Institute of Social Sciences, (26), 291-312.
- Sacco, TL., Ciurzynski, SM., Harvey, ME. & Ingersoll, GL. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse, 35(4):32-43.
- Uslu, Y., & Demir, K. F. (2020). Compassion Fati- gue in Cardiovascular Surgery Intensive Care Nurses and Determination Of Affecting Health Statistics Year Book 2021. Retrieved April 1, from: https://dosyasb.saglik.gov.tr/Eklenti/45317,siy2021-ingilizcep- df.pdf?0
- Steffen, P. R. & Masters, K. S. (2005). Does compassion mediate the intrinsic religionhealthrelationship?. Annals of Behavioral Medicine, 30(3), 217-224. DOI: 10.1207/ s15324796abm30036
- Tabachnick & Fidell, 2013 B.G. Tabachnick, L.S. Fidell Using Multivariate Statics (6. ed.) Pearson, Boston.
- TDK, (2023). Retrieved March 17, 2023 from: https:// sozluk.gov.tr/ Uçar Özdemir, S., & Koca Kutlu, A. (2022). Study of Turkish Validity and Reliability on Nurses of the Compassion Fatigue Scale: Methodological Research. Turki- ye Klinikleri Journal of Nursing Sciences, 14(2), 495- 506.
- Uña Cidón, E., Cuadrillero Martín, F., Hijas Villaizán, M., & López Lara, F. (2012). A pilot study of satisfaction in oncology nursing care: an indirect predictor of quality of care. International journal of health care quality assurance, 25(2), 106-117.
- Uslu, E., & Buldukoğlu, K. (2017). Compassion Fatigue in Psychiatric Nursing: A Systematic Review. Current Approaches in Psychiatry, 9(4), 421-430. https://doi. org/10.18863/pgy.310831
- Uslu, Y., & Demir, K. F. (2017). Emotional Side Of The Nurse: Compassion Fatigue. Jornal of Ege University Nursing Faculty, 33(1), 123-133.
- Xie, W., Chen, L., Feng, F., Okoli, C.T.C., Tang, P., Zeng, L., ... Wang, J. (2021). The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. Int J Nurs Stud, 120, 103973. doi: 10.1016/j.ijnurstu.2021.103973. Epub 2021 May 15. PMID: 34102372.
- Yazıcıoğlu, Y. & Erdoğan, S. (2004). SPSS Applied scientific research methods. Ankara: Detay Publishing.
- Yu, H., Jiang, A., & Shen, J. (2016). Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: A cross-sectional survey. International journal of nursing studies, 57, 28-38
- Zhang, Y. Y., Han, W. L., Qin, W., Yin, H. X., Zhang, C. F., Kong, C., & Wang, Y. L. (2018). Extent of compassion satisfaction, compassion fatigue and burnout in nursing: A meta-analysis. Journal of nursing management, 26(7), 810-819.
Toplam 35 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Ruh Sağlığı Hemşireliği, Hemşirelik (Diğer) |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Temmuz 2025 |
| Yayımlanma Tarihi | |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 18 Sayı: 3 |
Etkili Hemşirelik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ 14 Kasım 2022 tarihinden beri SCOPUS tarafından indekslenmektedir.
Dokuz Eylül Üniversitesi Yayınevi Web Sitesi
https://kutuphane.deu.edu.tr/yayinevi/
Dergi İletişim Bilgileri Sayfası
https://dergipark.org.tr/tr/pub/jnef/contacts
Etkili Hemşirelik DergisiDergisi Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License ile lisanslanmıştır.