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Bölge Ruh Sağlığı ve Hastalıkları Hastanesinde Çalışan Hemşirelerin Başa Çıkma Tarzları, Psikolojik Dayanıklılık ve Ruhsal Durumlarının Değerlendirilmesi

Year 2021, Volume: 5 Issue: 2, 275 - 287, 29.05.2021
https://doi.org/10.46237/amusbfd.770861

Abstract

Amaç: Bu çalışmanın amacı bölge ruh sağlığı ve hastalıkları hastanesinde çalışan hemşirelerin psikolojik dayanıklılıkları, başa çıkma tarzları ve ruhsal durumlarının değerlendirilmesidir.
Yöntem: Tanımlayıcı araştırmadır. Çalışmanın evrenini, bir bölge ruh sağlığı ve hastalıkları hastanesinde çalışan 130 hemşire oluşurmuştur. Çalışma 97 hemşire ile tamamlanmıştır. Veriler 2 Nisan 2016- 15 Ağustos 2016 tarihleri arasında Tanıtıcı bilgiler formu, Yetişkinler için Psikolojik Dayanıklılık Ölçeği, Stresle Başa Çıkma Tarzları Ölçeği ve Kısa Semptom Envanteri kullanılarak toplanmıştır. Araştırmanın yapılabilmesi için etik kurul izni alınmıştır. İstatistiksel değerlendirmede; Student-t testi, Mann Whitney U testi, tek yönlü varyans analizi, Kruskall Wallis, Pearson Korelasyon ve Çoklu regresyon analizi kullanılmıştır.
Bulgular: Çalışmaya katılan hemşirelerin %76.3’ü kadın olup yaş ortalaması 39.26±7.63’tür. Hemşirelerin Stresle Başa Çıkma Tarzları Ölçeği kendine güvenli yaklaşım alt boyutu puan ortalaması 2.30±0.45 olup en yüksek alt boyut puanıdır. Yetişkinler için psikolojik dayanıklılık ölçeği alt boyutlarından sosyal kaynaklar alt boyut puan ortalaması 28.55±4.94’tür. Yetişkinler için Psikolojik Dayanıklılık Ölçeği alt boyutları içinde en yüksek puandır. Kısa Semptom Envanteri rahatsızlık ciddiyet indeksi skoru 0.10±0.10 (medyan=0.07)’dur. Stresle Başa çıkma Tarzları Ölçeği kendine güvenli yaklaşım alt boyut puanına Yetişkinler için Psikolojik Dayanıklılık ölçeği alt boyut puanlarının etkilerini regresyon analizi ile değerlendirildiğinde; modelin ileri düzeyde anlamlı (p:0.007; p<0.01) bulunmuştur ve R square değeri 0.419 olarak saptanmıştır.
Sonuç: Araştırmaya katılan hemşireler başa çıkma tarzları içinde en fazla kendine güvenli yaklaşım ve iyimser yaklaşımı kullanmaktadırlar. Orta düzeyde psikolojik dayanıklılığa sahiptirler. Gösterdikleri ruhsal belirtiler hastalık düzeyinde değildir.

References

  • 1. Arnold, E. C. (2007). Communication with clients in stressful situations. Interpersonal Relationships. 5th edition, Saunders Elsevier.
  • 2. Lazarus, R. (1998). Stresle baş çıkma, olumlu bir yaklaşım. Çeviren: Şahin, N. H. Türk Psikologlar Derneği Yayınları, Ankara.
  • 3. Ren Nseil, C. (2004). Stress, anxiety, and coping. Contemporary Psychiatric-Mental Health Nursing. Perason Prentice Hall. Upper Saddle River, New Jersey.
  • 4. Taylor, S. E., Stanton, A .L. (2007). Coping resources, coping processes, and mental health. Annu. Rev. Clin. Psychol., 3, 377-401.
  • 5. Li, M., & Nishikawa, T. (2012). The relationship between active coping and trait resilience across U.S and Taiwanese college student samples. Journal of College Counseling, 15, 157-171.
  • 6. Rutter, M. (2006). The Promotion of resilience in the face of adversity. In A. Clarke-Stewart & J. Dunn (Eds.), The Jacobs Foundation series on adolescence. Families count: Effects on child and adolescent development, Cambridge University Press. 26-52.
  • 7. Smith, M. M., Saklofske, D. H., Keefer, K. V., & Tremblay, P. F. (2016). Coping strategies and psychological outcomes: The moderating effects of personal resiliency. The Journal of Psychology, 150(3), 318-332, DOI: 10.1080/00223980.2015.1036828
  • 8. Aburn, G., Gott, M., & Hoare, K. (2016). What is resilience? An Integrative Review of the empirical literature. Journal of Advanced Nursing, 72(5), 980–1000. doi: 10.1111/jan.12888
  • 9. Mealer, M., Jones, J., Newman, J., McFann, K. K, Rothbaum, B., & Moss, M. (2012). The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: Results of a national survey. Int J Nurs Stud., 49, 292-9.
  • 10. Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and health. 32, 145–156.
  • 11. Mathew, J., Ram, D., Bhattacharjee, D., & Sharma, A. (2013). Self-esteem, job satisfaction and burnout between general and psychiatric nursing staff: A comparative study. Journal of Health Management, 15(4), 595–612.
  • 12. Greenglass, E. R. & Burke, R. J. (2016). Stress and the effects of hospital restructuring in nurses. Canadian Journal of Nursing Research Archive, 33(2), 212–220.
  • 13. Hasan, A. A., Elsayed, S., & Tumah, H. (2018). Occupational stress, coping strategies, and psychological-related outcomes of nurses working in psychiatric hospitals. Perspect Psychiatr Care, 54, 514– 522. DOI: 10.1111/ppc.12262
  • 14. Sari, D. H. A. & Erwina, I. (2018). Relationship between job stress and coping mechanism in psychiatric nurse in national mental health hospital. Elevate, The International Journal of Nursing Education, Practice and Research, 1(1), 76-79.
  • 15. Leka, S., Hassard, J., & Yanagıda, A. (2012). Investigating the impact of psychosocial risks and occupational stress on psychiatric hospital nurses’mental well-being in Japan. Journal of Psychiatric and Mental Health Nursing, 19, 123–131.
  • 16. Pinquart, M. (2009). Moderating effects of dispositional resilience on associations between hassles and psychological distress. Journal of Applied Developmental Psychology, 30(1), 53– 60.
  • 17. Sinclair, R. R., & Tetrick, L. E. (2000). Implications of item wording for hardiness structure, relation with neuroticism, and stress buffering. Journal of Research in Personality, 34, 1-25.
  • 18. Hwang, J. H., & Yu, C. S. (2019). Depression and resilience in ulcerative colitis and Crohn's disease patients with ostomy. Int Wound J., 16 (1), 62-70. doi:10.1111/iwj.13076
  • 19. Friborg, O., Barlaug, D., Martinussen, M., Rosenvinge, J. H., & Hjemdal, O. (2005). Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research, 14(1), 29– 42.
  • 20. Basım, H. N., & Çetin, F. (2011). Yetişkinler için psikolojik dayanıklılık ölçeği’nin güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi. 22(2),104-14.
  • 21. Hisli Şahin N, Durak A. Stresle başa çıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması. Türk Psikoloji Dergisi, 10(34), 56-73.
  • 22. Hisli Şahin, N., Güler, M., & Basim, H. N. (2009). A tipi kişilik örüntüsünde bilişsel ve duygusal zekânın stresle başa çıkma ve stres belirtileri ile ilişkisi. Türk Psikiyatri Dergisi, 20(3), 243-254.
  • 23. Şahin H. N., Durak, B. A., & Uğurtaş, S. (2002). Kısa semptom envanteri (KSE): Ergenler için kullanımının geçerlik, güvenilirlik ve faktör yapısı. Türk Psikiyatri Dergisi, 13(2), 125-135.
  • 24. Compas, B. E., Champion, J. E., & Reeslund, K. (2005). Coping with stress: implications for preventive ınterventions with adolescents. Prevention Researcher, 12(3), 17-20
  • 25. Tsaras, K., Daglas, A., Mitsi, D., Papathanasiou, I., Tzavella, F., Zyga, S., et al. (2018). A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses. Health Psychol Res., 6, 9–15.
  • 26. Golbasi, Z., Kelleci, M., & Dogan, S. (2008). Relationships between coping strategies, individual characteristics and job satisfaction in a sample of hospital nurses: Cross-sectional questionnaire survey. International Journal of Nursing Studies, 45(12), 1800-1806.
  • 27. İnce S. (2014). Hekim davranışlarının hemşirelerin stresle başetme durumları üzerine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 16(2), 53-41.
  • 28. Nehir, S., & Güngör, N. (2019). Hemşirelerin psikososyal sorunlarının ve stresle başa çıkma tarzlarının incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(3), 181-174.
  • 29. Fletcher, D., & Sarkar, M. (2015). Psychological resilience. European Psychologist, 18, 12–23. doi:10.1027/1016-9040/a000124
  • 30. Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience
  • definitions, theory, and challenges: interdisciplinary perspectives. European Journal of Psychotraumatology, 5, 25338. http://dx.doi.org/10.3402/ejpt.v5.25338
  • 31. Kutluturkan, S., Sozeri, E., Uysal, N., & Bay, F. (2016). Resilience and burnout status among nurses working in oncology. Ann Gen Psychiatry, 15, 33. DOI 10.1186/s12991-016-0121-3.
  • 32. Öksüz, E., Demiralp, M., Mersin, S., Tüzer, H., Aksu, M., & Sarıkoc, G. (2019). Resilience in nurses in terms of perceived social support, job satisfaction and certain variables. J Nurs Manag., 27, 423–432.
  • 33. Guo, Y. F., Cross, W., Plummer, V., Lam, L., Luo, Y. H., & Zhang, J. P. (2017). Exploring resilience in Chinese nurses: A cross-sectional study. Journal of Nursing Management. 25, 223–230.
  • 34. Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., & Lieb, K. (2017). Psychological interventions for resilience enhancement in adults. Cochrane Database of Systematic Reviews, (2). DOI: 10.1002/14651858.CD012527
  • 35. Aldwin, C. M. (2004). Culture, coping, and resilience to stress. In Ura, K., Galay, K. (Eds.), Gross national happiness and development. Thimpu, Bhutan: Centre for Bhutan Studies.
  • 36. Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333. https://doi.org/10.1037/0022-3514.86.2.320.
  • 37. Tong, Y., Jiang, Z. Q., Zhang, Y. X., Jia, J. L., Lu, W., Wang, J., et al. (2018). Analyzing the mental health status and its impact factors alt among female nurses in China. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing ZaZhi, 36(2),115-118. doi: 10.3760/cma.j.issn.1001-9391.2018.02.009.
  • 38. Yun, J. Y., Ham, O. K., Cho, I. S., & Lim, J. Y. (2012). Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life. Journal of Korean Public Health Nursing, 26 (2), 268-279.
  • 39. Campbell-Sillsa, L., Cohana, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behavior Research and Therapy, 44, 585–599.

Coping Styles, Psychological Resilience and Mental Health Status of Nurses Working in The Regional Mental Health and Illness Hospital

Year 2021, Volume: 5 Issue: 2, 275 - 287, 29.05.2021
https://doi.org/10.46237/amusbfd.770861

Abstract

Objective: The study aimed to evaluate psychological resilience, coping styles, and mental health status of nurses working in the regional mental health and illnesses hospital.
Methods: It was a descriptive study. The population of the study consisted of 130 nurses working in a regional mental health and diseases hospital. The study was completed with 97 nurses. Data were collected with the introductory information form, the Resilience Scale for Adults, the Coping Style Scale, and the Brief Symptom Inventory between April 2nd - 2016 and August 15th, 2016. Ethics committee permission was obtained. In the statistical analysis Student t-test, Mann Whitney U test, one way ANOVA, Kruskal Wallis, Pearson Correlation, and Multiple Regression analysis were used.
Results: 76.3% of the nurses participating in the study were women and the average age was 39.26±7.63. Coping Style Scale self-confident approach sub-dimension mean score was 2.30 ± 0.45. It was found out that the Resilience Scale for Adults' social resources sub-dimension mean score was 28.55±4.94. Brief Symptom Inventory Global Severity Index score was 0.10±0.10 (median=0.07). When the effects of the Psychological Resilience Scale sub-dimension scores for adults on the Coping Style Scale self-confident approach sub-dimension score were evaluated by regression analysis; the model was found to be highly significant (p: 0.007; p <0.01) and the R square value was 0.419.
Conclusion: The nurses mostly use a self-confident and optimistic approach among their coping styles. They have moderate psychological resilience. The mental symptoms they show are not at the illness level.

References

  • 1. Arnold, E. C. (2007). Communication with clients in stressful situations. Interpersonal Relationships. 5th edition, Saunders Elsevier.
  • 2. Lazarus, R. (1998). Stresle baş çıkma, olumlu bir yaklaşım. Çeviren: Şahin, N. H. Türk Psikologlar Derneği Yayınları, Ankara.
  • 3. Ren Nseil, C. (2004). Stress, anxiety, and coping. Contemporary Psychiatric-Mental Health Nursing. Perason Prentice Hall. Upper Saddle River, New Jersey.
  • 4. Taylor, S. E., Stanton, A .L. (2007). Coping resources, coping processes, and mental health. Annu. Rev. Clin. Psychol., 3, 377-401.
  • 5. Li, M., & Nishikawa, T. (2012). The relationship between active coping and trait resilience across U.S and Taiwanese college student samples. Journal of College Counseling, 15, 157-171.
  • 6. Rutter, M. (2006). The Promotion of resilience in the face of adversity. In A. Clarke-Stewart & J. Dunn (Eds.), The Jacobs Foundation series on adolescence. Families count: Effects on child and adolescent development, Cambridge University Press. 26-52.
  • 7. Smith, M. M., Saklofske, D. H., Keefer, K. V., & Tremblay, P. F. (2016). Coping strategies and psychological outcomes: The moderating effects of personal resiliency. The Journal of Psychology, 150(3), 318-332, DOI: 10.1080/00223980.2015.1036828
  • 8. Aburn, G., Gott, M., & Hoare, K. (2016). What is resilience? An Integrative Review of the empirical literature. Journal of Advanced Nursing, 72(5), 980–1000. doi: 10.1111/jan.12888
  • 9. Mealer, M., Jones, J., Newman, J., McFann, K. K, Rothbaum, B., & Moss, M. (2012). The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: Results of a national survey. Int J Nurs Stud., 49, 292-9.
  • 10. Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and health. 32, 145–156.
  • 11. Mathew, J., Ram, D., Bhattacharjee, D., & Sharma, A. (2013). Self-esteem, job satisfaction and burnout between general and psychiatric nursing staff: A comparative study. Journal of Health Management, 15(4), 595–612.
  • 12. Greenglass, E. R. & Burke, R. J. (2016). Stress and the effects of hospital restructuring in nurses. Canadian Journal of Nursing Research Archive, 33(2), 212–220.
  • 13. Hasan, A. A., Elsayed, S., & Tumah, H. (2018). Occupational stress, coping strategies, and psychological-related outcomes of nurses working in psychiatric hospitals. Perspect Psychiatr Care, 54, 514– 522. DOI: 10.1111/ppc.12262
  • 14. Sari, D. H. A. & Erwina, I. (2018). Relationship between job stress and coping mechanism in psychiatric nurse in national mental health hospital. Elevate, The International Journal of Nursing Education, Practice and Research, 1(1), 76-79.
  • 15. Leka, S., Hassard, J., & Yanagıda, A. (2012). Investigating the impact of psychosocial risks and occupational stress on psychiatric hospital nurses’mental well-being in Japan. Journal of Psychiatric and Mental Health Nursing, 19, 123–131.
  • 16. Pinquart, M. (2009). Moderating effects of dispositional resilience on associations between hassles and psychological distress. Journal of Applied Developmental Psychology, 30(1), 53– 60.
  • 17. Sinclair, R. R., & Tetrick, L. E. (2000). Implications of item wording for hardiness structure, relation with neuroticism, and stress buffering. Journal of Research in Personality, 34, 1-25.
  • 18. Hwang, J. H., & Yu, C. S. (2019). Depression and resilience in ulcerative colitis and Crohn's disease patients with ostomy. Int Wound J., 16 (1), 62-70. doi:10.1111/iwj.13076
  • 19. Friborg, O., Barlaug, D., Martinussen, M., Rosenvinge, J. H., & Hjemdal, O. (2005). Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research, 14(1), 29– 42.
  • 20. Basım, H. N., & Çetin, F. (2011). Yetişkinler için psikolojik dayanıklılık ölçeği’nin güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi. 22(2),104-14.
  • 21. Hisli Şahin N, Durak A. Stresle başa çıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması. Türk Psikoloji Dergisi, 10(34), 56-73.
  • 22. Hisli Şahin, N., Güler, M., & Basim, H. N. (2009). A tipi kişilik örüntüsünde bilişsel ve duygusal zekânın stresle başa çıkma ve stres belirtileri ile ilişkisi. Türk Psikiyatri Dergisi, 20(3), 243-254.
  • 23. Şahin H. N., Durak, B. A., & Uğurtaş, S. (2002). Kısa semptom envanteri (KSE): Ergenler için kullanımının geçerlik, güvenilirlik ve faktör yapısı. Türk Psikiyatri Dergisi, 13(2), 125-135.
  • 24. Compas, B. E., Champion, J. E., & Reeslund, K. (2005). Coping with stress: implications for preventive ınterventions with adolescents. Prevention Researcher, 12(3), 17-20
  • 25. Tsaras, K., Daglas, A., Mitsi, D., Papathanasiou, I., Tzavella, F., Zyga, S., et al. (2018). A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses. Health Psychol Res., 6, 9–15.
  • 26. Golbasi, Z., Kelleci, M., & Dogan, S. (2008). Relationships between coping strategies, individual characteristics and job satisfaction in a sample of hospital nurses: Cross-sectional questionnaire survey. International Journal of Nursing Studies, 45(12), 1800-1806.
  • 27. İnce S. (2014). Hekim davranışlarının hemşirelerin stresle başetme durumları üzerine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 16(2), 53-41.
  • 28. Nehir, S., & Güngör, N. (2019). Hemşirelerin psikososyal sorunlarının ve stresle başa çıkma tarzlarının incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(3), 181-174.
  • 29. Fletcher, D., & Sarkar, M. (2015). Psychological resilience. European Psychologist, 18, 12–23. doi:10.1027/1016-9040/a000124
  • 30. Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience
  • definitions, theory, and challenges: interdisciplinary perspectives. European Journal of Psychotraumatology, 5, 25338. http://dx.doi.org/10.3402/ejpt.v5.25338
  • 31. Kutluturkan, S., Sozeri, E., Uysal, N., & Bay, F. (2016). Resilience and burnout status among nurses working in oncology. Ann Gen Psychiatry, 15, 33. DOI 10.1186/s12991-016-0121-3.
  • 32. Öksüz, E., Demiralp, M., Mersin, S., Tüzer, H., Aksu, M., & Sarıkoc, G. (2019). Resilience in nurses in terms of perceived social support, job satisfaction and certain variables. J Nurs Manag., 27, 423–432.
  • 33. Guo, Y. F., Cross, W., Plummer, V., Lam, L., Luo, Y. H., & Zhang, J. P. (2017). Exploring resilience in Chinese nurses: A cross-sectional study. Journal of Nursing Management. 25, 223–230.
  • 34. Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., & Lieb, K. (2017). Psychological interventions for resilience enhancement in adults. Cochrane Database of Systematic Reviews, (2). DOI: 10.1002/14651858.CD012527
  • 35. Aldwin, C. M. (2004). Culture, coping, and resilience to stress. In Ura, K., Galay, K. (Eds.), Gross national happiness and development. Thimpu, Bhutan: Centre for Bhutan Studies.
  • 36. Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333. https://doi.org/10.1037/0022-3514.86.2.320.
  • 37. Tong, Y., Jiang, Z. Q., Zhang, Y. X., Jia, J. L., Lu, W., Wang, J., et al. (2018). Analyzing the mental health status and its impact factors alt among female nurses in China. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing ZaZhi, 36(2),115-118. doi: 10.3760/cma.j.issn.1001-9391.2018.02.009.
  • 38. Yun, J. Y., Ham, O. K., Cho, I. S., & Lim, J. Y. (2012). Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life. Journal of Korean Public Health Nursing, 26 (2), 268-279.
  • 39. Campbell-Sillsa, L., Cohana, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behavior Research and Therapy, 44, 585–599.
There are 40 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Saliha Bozdoğan Yeşilot 0000-0001-6294-6115

Ayşe İnel Manav 0000-0002-0173-0000

Yakup Dündar 0000-0002-1807-7415

Nesibe Kılıç 0000-0002-2002-1998

Didem Ateş 0000-0002-3039-3947

Sinan Özler 0000-0002-9143-1345

Publication Date May 29, 2021
Published in Issue Year 2021 Volume: 5 Issue: 2

Cite

APA Bozdoğan Yeşilot, S., İnel Manav, A., Dündar, Y., Kılıç, N., et al. (2021). Bölge Ruh Sağlığı ve Hastalıkları Hastanesinde Çalışan Hemşirelerin Başa Çıkma Tarzları, Psikolojik Dayanıklılık ve Ruhsal Durumlarının Değerlendirilmesi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(2), 275-287. https://doi.org/10.46237/amusbfd.770861