Yıl: 2021 Cilt: 9 Sayı: 1 Sayfa Aralığı: 46 - 54 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2020.4838 İndeks Tarihi: 21-06-2021

Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study

Öz:
Objective: The Coronavirus disease-19 (COVID-19) pandemicoutbreak put a heavy burden on the health system. In this process,determining the difficulties faced by healthcare professionalsis important in terms of making the necessary preparations forsimilar outbreaks and improving healthcare provision. The aim ofthe study was to determine the views of healthcare professionalsabout healthcare provision and the difficulties they faced during theCOVID-19 pandemic period.Methods: The descriptive study was carried out with theparticipation of 89 doctors and 58 nurses working in a universityhospital in the Black Sea Region. In the study, the data formdeveloped by the researchers and the job-related strain were used asdata collection tools.Results: While the psychological difficulty stated by the participantsin the study was the anxiety of infecting the family/relatives (93.2%),the factor that made the service delivery the most participantswas expressed as the discomfort (85%) caused by using personalprotective equipment. It was found that the level of anxiety feltwhile providing healthcare services was higher in women comparedto men (p=0.01) and nurses than physicians (p=0.001). The averagescore of the participants on the job-related strain was 37.51±5.80.Conclusion: The concern of infecting relatives/family during theCOVID-19 pandemic poses a psychological difficulty for healthcare professionals. Using many personal protective equipments is a factorthat makes service delivery difficult. The level of anxiety associatedwith providing health care is higher in nurses and women duringthis period.
Anahtar Kelime:

Sağlık Çalışanlarının COVİD-19 Salgını Sırasında Sağlık Hizmeti Sunumuna İlişkin Görüşleri: Betimleyici Bir Çalışma

Öz:
Amaç: Koronavirüs Hastalığı-19 (COVID-19) pandemisi sağlık sistemi için ağır bir yük getirmiştir. Bu süreçte, sağlık çalışanlarının karşılaştığı güçlüklerin belirlenmesi, benzer salgınlar için gerekli hazırlıkların yapılabilmesi ve sağlık hizmeti sunumunun iyileştirilebilmesi açısından önem taşımaktadır. Çalışmada sağlık çalışanlarının COVID-19 salgın döneminde sağlık hizmeti sunumuna ilişkin görüşlerinin ve bu süreçte karşılaştıkları güçlüklerin belirlenmesi amaçlandı. Yöntemler: Tanımlayıcı nitelikte olan çalışma Karadeniz Bölgesi’nde bulunan bir üniversite hastanesinde çalışmakta olan 89 doktor ve 58 hemşirelerin katılımıyla gerçekleştirildi. Çalışmada veri toplama aracı olarak araştırmacılar tarafından geliştirilen veri formu ve işe bağlı gerginlik ölçeği kullanıldı. Bulgular: Çalışmada en fazla katılımcı tarafından belirtilen psikolojik güçlük aile/yakınlara hastalık bulaştırma kaygısı (%93,2) iken hizmet sunumunu en fazla güçleştiren etmen kişisel koruyucu ekipman kullanmanın verdiği rahatsızlık (%85) olarak ifade edildi. COVID-19 salgın döneminde sağlık hizmeti verirken hissedilen kaygı düzeyinin kadınlarda erkeklere göre (p=0,01) ve hemşirelerde hekimlere göre (p=0,001) daha fazla olduğu bulundu. Katılımcıların işe bağlık gerginlik ölçeğinden aldığı ortalama puan 37,51±5,80 idi. Sonuç: COVID-19 salgın döneminde yakınlar/aileye hastalık bulaştırma endişesi sağlık çalışanları için psikolojik bir güçlük oluşturmaktadır. Birçok kişisel koruyucu ekipman kullanmak hizmet sunumunu güçleştiren bir etmendir. Hemşirelerde ve kadınlarda bu dönemde sağlık hizmeti sunma ile ilişkili kaygı düzeyi daha fazladır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. World Health Organization. Archived: WHO Timeline - COVID-19. Last Accessed Date: 28.06.2020. Available from: https://www.who. int/news-room/detail/27-04-2020-who-timeline---covid-19.
  • 2. Our world in Data. Statistics and Research - Coronavirus Pandemic (COVID-19). Last Accessed Date: 28.06.2020 Available from: https://ourworldindata.org/coronavirus.
  • 3. Xu ZQ, Wang JZ, Wang HR, He JF, Wang B, Yang YC. et al. Research on COVID-19 prevention and control strategies, and the effect of home quarantine in Shenzhen, China, 2020. Preventive Medicine 2020 Apr 29. doi:10.21203/rs.3.rs-23969/v1. [Epub ahead of print]
  • 4. Yıldırım M, Geçer E, Akgül Ö. The impacts of vulnerability, perceived risk, and fear on preventive behaviours against COVID-19. Psychol Health Med 2021;26:35-43.
  • 5. Katie Pearce. John Hopkins University. What is social distancing and how can it slow the spread of COVID-19? Last Accessed Date: 28.06.2020. Available from: https://hub.jhu.edu/2020/03/13/whatis- social-distancing.
  • 6. Açikgöz Ö, Günay A. The early impact of the Covid-19 pandemic on the global and Turkish economy. Turk J Med Sci 2020;50:520-526.
  • 7. Kaltwasser J. Coronavirus: For health care workers, risk of infection, but also burnout. Last Accessed Date: 27.03.2020 Available from: https://www.contagionlive.com/news/for-health-care-workers-riskof- infection-but-also-burnout. The Lancet. COVID-19: Protecting health-care workers. Lancet 2020;395:922.
  • 8. Ministerio de Sanidad Espana. Informe sobre la situación de COVID-19 en España. Informe COVID-19 nº 20. 3 de abril 2020. Last Accessed Date: 25.06.2020. Available from: https://www. isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/ EnfermedadesTransmisibles/Paginas/InformesCOVID-19.aspx.
  • 9. Jewett C, Szabo L. True Toll Of COVID-19 on U.S. health care workers unknown. Keiser Health News. Last Accessed Date: 25.06.2020. Available from: https://khn.org/news/true-toll-of- COVID-19-on-u-s-health-care-workers-unknown.
  • 10. Beyazadam D, Alimoğlu O. Healthcare Workers Are Losing Their Lives in the Battle of COVID-19 All Over the Globe. Anadolu Clinic Journal of Medical Sciences 2020;25:183-4.
  • 11. Shmerling HR. What’s it like to be a healthcare worker in a pandemic? Last Accessed Date: 27.04.2020. Available from: https://www.health. harvard.edu/blog/whats-it-like-to-be-a-healthcare-worker-in-apandemic- 2020040819485.
  • 12. Choudhury T, Debski M, Wiper A, Abdelrahman A, Wild S, Chalil S, et al. COVID-19 Pandemic: Looking after the mental health of uur healthcare workers. J Occup Environ Med 2020;62:373-6.
  • 13. Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry 2007;52:233-40.
  • 14. Aoyagi Y, Beck CR, Dingwall R, Nguyen-Van-Tam JS. Healthcare workers’ willingness to work during an influenza pandemic: a systematic review and meta-analysis. Influenza Other Respir Viruses 2015;9:120-30.
  • 15. Manninen O. Willingness and ability to keep on working: Care work and care working communities compared with 10,000 other tasks and working communities. Work Among the Elderly, Edition: Book, Publisher: Work Life Ability Networks, Tampere Adult Educational Centre, And The ISCES Society; Finland: Printing Company Kopijyvä Oy Ltd, Tampere; 2011.p.9-31.
  • 16. Revicki DA, May HJ, Whitley TW. Reliability and validity of the work related strain inventory among health professionals. Behavioral Medicine 1991; 17:20.
  • 17. Aslan SH, Alparslan ZN, Aslan RO, Kesepara C, Ünal M (1998). Validity and reliability of job-related strain scale in healthcare workers. Dusunen Adam The Journal of Psychiatry and Neurological Science 1998;11::4-8.
  • 18. Aslan H, Coşkun S, Alpaslan N. Bakırköy ruh ve sinir hastalıkları hastanesi’nde çalışan hemşirelerde tükenme, işe bağlı gerginlik, A-tipi kişilik ve mükemmeliyetçilik. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi 2020;25:135-141.
  • 19. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ 2003;168:1245- 51.
  • 20. Su A. Doctors and nurses fighting coronavirus in China die of both infection and fatigue. Los Angeles Times Feb, 25. Last Accessed Date: 25.06.2020. Available from: https://www.latimes.com/world-nation/ story/2020-02-25/doctors-fighting-coronavirus-in-china-die-ofboth- infection-and-fatigue.
  • 21. Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L, et al. Presumed asymptomatic carrier transmission of COVID-19. JAMA 2020;323:1406-7.
  • 22. Hu Z, Song C, Xu C, Jin G, Chen Y, Xu X, et al. Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Sci China Life Sci 2020;63:706-11.
  • 23. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. JAMA 2020;323:1439-40.
  • 24. Ng K, Poon BH, Kiat Puar TH, Shan Quah JL, Loh WJ, Wong YJ, et al. COVID-19 and the risk to health care workers: A case report. Ann Intern Med 2020;172:766-7.
  • 25. Oranges T, Janowska A, Dini V. Reply to: Skin damage among health care workers managing coronavirus disease-2019. J Am Acad Dermatol 2020;82:233-4.
  • 26. Center for the study of traumatic stress. Prolonged operations in personal protective equipment during COVID-19: Recommendations for workers and managers. Last Accessed Date: 20.06.2020. Available from: https://www.cstsonline.org/assets/media/documents/CSTS_ FS_Prolonged_Operations_in_Personal_Protective_Equipment.pdf.
  • 27. WHO. Health Workforce. Last Accessed Date: 20.06.2020. Available from: https://www.who.int/health-topics/healthworkforce# tab=tab_1.
  • 28. Public Health England (PHE) COVID-19: Guidance for healthcare providers who have diagnosed a case within their facility. London: PHE. Last Accessed Date: 22.03.2020. Available from: https:// www.gov.uk/government/publications/COVID-19-guidance-forhealthcare- providers-who-have-diagnosed-a-case-within-their-facility
  • 29. Keeley AJ, Evans C, Colton H, Ankcorn M, Cope A, State A, et al. Roll-out of SARS-CoV-2 testing for healthcare workers at a large NHS foundation trust in the United Kingdom, March 2020. Euro Surveill 2020;25:2000433.
  • 30. Information and advice on occupational risks to healthcare professionals during the COVID-19 outbreak. Turkish Thoracic Society. Last Accessed Date: 20.06.2020. Available from: https:// www.toraks.org.tr/halk/news.aspx?detail=5768.
  • 31. Etokidem A, Ogaji D, Nsan E, Ikpeme BM, Oyo-Ita AE, Ndifon WO, et al. Influenza A H1N1 (Pandemic 2009): How prepared are healthcare providers in Calabar, Nigeria? J Infect Dis Immun 2012;4:23-28.
  • 32. Marshall AP, West SH, Aitken LM. Preferred information sources for clinical decision making: Critical care nurses’ perceptions of information accessibility and usefulness. Worldviews Evid Based Nurs 2011;8:224-35.
  • 33. Podichetty VK, Booher J, Whitfield M, Biscup RS. Assessment of internet use and effects among healthcare professionals: A cross sectional survey. Postgrad Med J 2006;82:274-9.
  • 34. Zhai Y, Wang Y, Zhang M, Gittell JH, Jiang S, Chen B, et al. From Isolation to Coordination : How Can Telemedicine Help Combat the COVID - 19 Outbreak? medRxiv 2020 Feb 23. doi.10.1101/2020.0 2.20.20025957. [Epub ahead of print]
  • 35. Ocak HN. The Psychological Effects of the Pandemic Process Spreads As Fast As The Virus. Last Accessed Date: 20.06.2020. Available from: https://www.istanbul.edu.tr/tr/haber/pandemi-surecininpsikolojik- etkileri-virus-kadar-hizla-yayiliyor4B006900540051006B 0032004600690073004300720039007900700046006200610041 004F003200370077003200.
  • 36. Schwartz J, King CC, Yen MY. Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) Outbreak: Lessons from Taiwan’s severe acute respiratory syndrome response. Clin Infect Dis 2020;71:858-60.
  • 37. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:203976.
  • 38. Turkish Psychiatric Association. A guide to coping with fear and anxiety for COVID-19 for physicians and healthcare professionals. Last Accessed Date: 22.06.2020. Available from: https://www. psikiyatri.org.tr/uploadFiles/213202011418-saglikcalisanibrosur. pdf.
  • 39. Wong TW, Yau JK, Chan CL, Kwong RS, Ho SM, Lau CC, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med 2005;12:13-8.
APA Tatli O, ŞİMŞEK P, GÜNER Y, KILIÇ GÜNER E, GÜNDÜZ A (2021). Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. , 46 - 54. 10.14235/bas.galenos.2020.4838
Chicago Tatli Ozgur,ŞİMŞEK Perihan,GÜNER YASEMİN,KILIÇ GÜNER Elif,GÜNDÜZ Abdülkadir Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. (2021): 46 - 54. 10.14235/bas.galenos.2020.4838
MLA Tatli Ozgur,ŞİMŞEK Perihan,GÜNER YASEMİN,KILIÇ GÜNER Elif,GÜNDÜZ Abdülkadir Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. , 2021, ss.46 - 54. 10.14235/bas.galenos.2020.4838
AMA Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. . 2021; 46 - 54. 10.14235/bas.galenos.2020.4838
Vancouver Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. . 2021; 46 - 54. 10.14235/bas.galenos.2020.4838
IEEE Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A "Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study." , ss.46 - 54, 2021. 10.14235/bas.galenos.2020.4838
ISNAD Tatli, Ozgur vd. "Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study". (2021), 46-54. https://doi.org/10.14235/bas.galenos.2020.4838
APA Tatli O, ŞİMŞEK P, GÜNER Y, KILIÇ GÜNER E, GÜNDÜZ A (2021). Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. Bezmiâlem Science, 9(1), 46 - 54. 10.14235/bas.galenos.2020.4838
Chicago Tatli Ozgur,ŞİMŞEK Perihan,GÜNER YASEMİN,KILIÇ GÜNER Elif,GÜNDÜZ Abdülkadir Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. Bezmiâlem Science 9, no.1 (2021): 46 - 54. 10.14235/bas.galenos.2020.4838
MLA Tatli Ozgur,ŞİMŞEK Perihan,GÜNER YASEMİN,KILIÇ GÜNER Elif,GÜNDÜZ Abdülkadir Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. Bezmiâlem Science, vol.9, no.1, 2021, ss.46 - 54. 10.14235/bas.galenos.2020.4838
AMA Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. Bezmiâlem Science. 2021; 9(1): 46 - 54. 10.14235/bas.galenos.2020.4838
Vancouver Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study. Bezmiâlem Science. 2021; 9(1): 46 - 54. 10.14235/bas.galenos.2020.4838
IEEE Tatli O,ŞİMŞEK P,GÜNER Y,KILIÇ GÜNER E,GÜNDÜZ A "Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study." Bezmiâlem Science, 9, ss.46 - 54, 2021. 10.14235/bas.galenos.2020.4838
ISNAD Tatli, Ozgur vd. "Health Care Professionals’ Views on Healthcare Provision During the COVID-19 Pandemic: A Descriptive Study". Bezmiâlem Science 9/1 (2021), 46-54. https://doi.org/10.14235/bas.galenos.2020.4838