Sağlık çalışanlarına yönelik şiddet olaylarının hemşirelerin mesleki bağlılığı üzerine etkisi
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Dosyalar
Tarih
2022
Yazarlar
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Yayıncı
Trakya Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Tanımlayıcı ve kesitsel olarak planlanan bu araştırmada, sağlık çalışanlarına yönelik şiddetin hemşirelerin mesleki bağlılığı üzerine etkisi amaçlanmıştır. Araştırmanın hipotezleri; H 0 : Sağlık çalışanlarına yönelik şiddetin hemşirelerin mesleki bağlılıkları üzerine etkisi yoktur. H 1 : Sağlık çalışanlarına yönelik şiddetin hemşirelerin mesleki bağlılıkları üzerine etkisi vardır. şeklindedir. Araştırma; 22.12.2021-21.01.2022 tarihleri arasında Edirne ilinde faaliyet gösteren Trakya Üniversitesi Araştırma ve Uygulama Merkezi’nde poliklinik ve klinik birimlerinde çalışan 336 hemşire ile yürütüldü. Veriler “Hemşire Bilgi Formu (EK-1)” ve “Mesleki Bağlılık Ölçeği (EK-2)” kullanılarak toplanmıştır. Çalışmaya katılan hemşirelerin demografik özelliklerine bakıldığında %30`unun 25-29 yaş aralığında olup, %85,8`ni kadınlar oluşturmaktadır. Çalışmaya katılan hemşirelerin %45,5’nin meslekte toplam çalışma yılı ve %42,3`ünün hastanede toplam çalışma yılı 10 yıl ve üzeridir. Meslek hayatları boyunca hemşirelerin %44,4’ü şiddete maruz kalmamış iken; %43,5’i 1-2 kez şiddete maruz kalmıştır. Hemşirelerin %68,9’unun son 1 yıl içerisinde şiddete maruz kalmadığı saptanmıştır. Çalıştıkları birimde arkadaşlarının şiddete maruz kalmasına %46,5’i şahit olmuş veya duymuştur. Maruz kaldıkları şiddetin %58,5`i hasta yakını/ziyaretçi ve %32,1`i ise hasta kaynaklı iken, şiddet türü ise %69,2 oran ile sözlü şiddet, tehdit kaynaklıdır. Hemşirelerde şiddet kaynaklı oluşan duygular incelendiğinde %63,1 ile üzüntü/kırgınlık, %26,3 ile öfke/sinir ve %16,0 oran ile değersiz hissetme duyguları tespit edilmiştir. Hastanede çalışma süresi farklı sağlık çalışanları arasında Devam Bağlılığı puanı bakımından istatistiksel anlamlı fark bulunmaktadır (p<0,05). 1-2 yıldır hastanede çalışanlarda Devam Bağlılığı en düşük iken (18,47), 20 yıl ve üzeri süredir çalışanlarda en yüksektir (21,00). Hasta tarafından şiddete maruz kalan sağlık çalışanları ile hasta tarafından şiddete maruz kalmayan sağlık çalışanları arasında Duygusal ve Devam Bağlılığı puanları bakımından istatistiksel anlamlı fark tespit edilmiştir; şiddete maruz kalanların Duygusal Bağlılığı daha düşük iken, Devam Bağlılığının daha yüksek olduğu tespit edilmiştir.
In this descriptive and cross-sectional study, the effect of violence against health workers on nurses' professional commitment was aimed. The hypotheses of the research; H0: Violence against health workers has no effect on nurses' professional commitment. H1: Violence against health workers has an impact on nurses' professional commitment. are as follows. The research was carried out with 336 nurses working in outpatient clinics and clinical units at Trakya University Research and Application Center operating in Edirne Province between at date 2.12.2021 and 21.01.2022. The data were collected using the ”Nurse Information Form“ and the ”Occupational Commitment Scale". Considering the demographic characteristics of the nurses participating in the study, 30% of them are between the ages of 25-29, and 85.8% are women. The total working years of 45.5% of the nurses participating in the study and the total working years of 42.3% of them in the hospital is 10 years or more. 54 While 44.4% of nurses have not been exposed to violence throughout their professional life; 43.5% were exposed to violence 1-2 times. It was determined that 68.9% of the nurses had not been exposed to violence in the last 1 year. 46.5% of them witnessed or heard that their friends were exposed to violence in the unit they worked. While 58.5% of the violence they are exposed to is caused by the relatives/visitors and 32.1% by the patient, the type of violence is verbal violence and threats with a rate of 69.2%. When the emotions caused by violence in nurses were examined, it was determined that 63.1% sadness/offended, 26.3% anger/nervousness and 16.0% felt worthless. There is a statistically significant difference in terms of Continuance Commitment score among healthcare workers with different working time in the hospital (p<0.05). While Continuance Engagement is lowest in those who have worked in a hospital for 1-2 years (18,47), it is highest in those who have worked for 20 years or more (21.00). A statistically significant difference was found between the health workers who were exposed to violence by the patient and those who were not exposed to violence by the patient in terms of Emotional and Continuance Commitment scores; It has been determined that while the Emotional Commitment of those who have been exposed to violence is lower, Continuance Commitment is higher.
In this descriptive and cross-sectional study, the effect of violence against health workers on nurses' professional commitment was aimed. The hypotheses of the research; H0: Violence against health workers has no effect on nurses' professional commitment. H1: Violence against health workers has an impact on nurses' professional commitment. are as follows. The research was carried out with 336 nurses working in outpatient clinics and clinical units at Trakya University Research and Application Center operating in Edirne Province between at date 2.12.2021 and 21.01.2022. The data were collected using the ”Nurse Information Form“ and the ”Occupational Commitment Scale". Considering the demographic characteristics of the nurses participating in the study, 30% of them are between the ages of 25-29, and 85.8% are women. The total working years of 45.5% of the nurses participating in the study and the total working years of 42.3% of them in the hospital is 10 years or more. 54 While 44.4% of nurses have not been exposed to violence throughout their professional life; 43.5% were exposed to violence 1-2 times. It was determined that 68.9% of the nurses had not been exposed to violence in the last 1 year. 46.5% of them witnessed or heard that their friends were exposed to violence in the unit they worked. While 58.5% of the violence they are exposed to is caused by the relatives/visitors and 32.1% by the patient, the type of violence is verbal violence and threats with a rate of 69.2%. When the emotions caused by violence in nurses were examined, it was determined that 63.1% sadness/offended, 26.3% anger/nervousness and 16.0% felt worthless. There is a statistically significant difference in terms of Continuance Commitment score among healthcare workers with different working time in the hospital (p<0.05). While Continuance Engagement is lowest in those who have worked in a hospital for 1-2 years (18,47), it is highest in those who have worked for 20 years or more (21.00). A statistically significant difference was found between the health workers who were exposed to violence by the patient and those who were not exposed to violence by the patient in terms of Emotional and Continuance Commitment scores; It has been determined that while the Emotional Commitment of those who have been exposed to violence is lower, Continuance Commitment is higher.
Açıklama
Anahtar Kelimeler
Şiddet türleri, Sağlıkta şiddet, Örgütsel bağlılık, Mesleki bağlılık, Duygusal bağlılık, Violence in health, Types on violence, Organizational commitment, Professional commitment, Emotional commitment
