Bir Üniversiteye Bağlı Üçüncü Basamak Hastanelerde Çalışan Tıpta Uzmanlık Öğrencilerinin ve Hemşirelerin Çalışma Koşullarının, Algılanan Stres Düzeyinin ve Pandeminin; Aile ve Çocuklarıyla Olan Yaşamlarına Yansımalarının Değerlendirilmesi

Abstract

This research was carried out with 101 nurses and 198 assistant physicians working in Hacettepe University Medical Faculty Hospitals between July and September 2021. In this study, the working conditions of health workers during the pandemic, their stress situations and their reflection on family life were investigated. 66.2% of the participants are assistant physicians and 33.8% are nurses. 66.2% of the participants are female and 33.8% are male. The mean age of the participants was 32.2±6.8, the median value was 30, and the age range ranged from 24 to 57. 60.4% of the nurses and 57.6% of the assistant physicians work in the "08:00-17:00" working order; 11.6% of resident physicians work the next day on duty, and nurses do not have such a working order (p<0.001). 33.1% of the participants stated that they, 52.1% their first-degree relatives and 26.1% their second-degree relatives were diagnosed with COVID-19. 33.3% of the resident doctors and 28.6% of the nurses stated that they had a delay in getting their children vaccinated during the pandemic period (p>0.05). The average score of the resident doctors from the Perceived Stress Scale was found to be higher than that of the nurses (p<0.001). The mean score of the nurses from the COVID-19 Household Environment Scale conflict sub-dimension was found to be higher than that of the residents (p=0.005). The mean score of the married participants on the Perceived Stress Scale was 28.9±7.8, compared to the single participants (30.8±7.7) (p=0.03). When the average score of the participants from the Perceived Stress Scale is evaluated according to their last 1 month working order; it was found that the group with the highest average score was those who worked after the shift (36 hours) (p=0.01). When the units they worked at during the pandemic were compared with the average scores they got from the Perceived Stress Scale; Those working in the intensive care unit serving COVID-19 patients (p=0.002), other services/outpatient clinics (p=0.02), and management (p=0.01) received higher scores than those working in these units. Working overtime (36 hours) for the last 1 month was found to be associated with 1.688 times higher stress level than working overtime (p=0.04). People working in the intensive care unit serving COVID-19 patients had higher stress than those not working. Their status was found to be 1.748 times (p=0.03). Those who think that there is an increase in the workload in the pandemic are the group with the highest median score. This difference between the groups was also statistically significant (p<0.001). The working conditions of healthcare workers during the pandemic are an important factor affecting their stress levels. With the experience gained from the COVID-19 pandemic, hospital pandemic plans should be established by taking measures to reduce the stress of healthcare workers in the future.