Background:The global COVID-19 pandemic has led to massive disruptions in daily life, business, education, lifestyle and economies worldwide. Nurses are a professional group who care directly for COVID-19 patients and thus face direct exposure to the virus. The nurses who work on the front lines during this period put their own well-being at risk to care for these patients.Purpose/Aim: The aim of this study was to identify the experiences and challenges faced by nurses working in pandemic clinics in Turkey during the COVID-19 pandemic.Methods: This qualitative study was based on semi-structured in-depth interviews conducted through the mobile application Whatsapp with 19 nurses who were actively working in pandemic clinics. Due to the pandemic, the snowball sampling method was used to reach the sample group. Interviews were continued until data saturation was achieved. All interviews were audio recorded and later transcribed.The study data were interpreted according to themes identified using thematic analysis. Throughout the study, the authors followed the COREQ checklist.
Results:The experiences of nurses caring for COVID-19 patients were summarised into five major themes: psychosocial adaptation, protection, difficulty in care and treatment, access to information and working conditions.
Conclusion:Nurses caring for COVID-19 patients in Turkey have been affected psychologically, socially and physiologically. They experienced stigmatisation, exhaustion and burnout. One of the biggest challenges for the nurses was difficulty providing physical care and treatment due to the use of personal protective equipment. Nurses want improved compensation in addition to applause from the public. Interventions to help bolster nurses' psychological and physiological strength are recommended.
Relevance to clinical practice:This study emphasised nurses' psychologically, socially and physiologically affected. Therefore, improvements in financial and moral support would provide psychological reinforcement for nurses during the epidemic. Informing the public is necessary to reduce the stigmatisation of nurses working in pandemic clinics.
Major predictors of feelings of being burdened were hopelessness, conflict in decision making, leisure activity deficits and social isolation of the person with MS. Psychological, social and financial support should be considered to reduce the burden of caregivers in Turkey.
It may be suggested that taking precautions at units, providing better working conditions, defining the duties of nurses and providing further dialysis education for nurses may decrease burnout rates.
Although burnout has been researched widely with regard to nurses working in different settings, until now it has not been investigated among stem cell transplantation unit nurses. This study's aim was to determine the burnout level of 57 nurses who were working in stem cell transplantation units in Turkey. The research instruments that were used included a form of demographic characteristics and the Maslach Burnout Inventory. For all the hematopoietic stem cell transplantation nurses, the mean subscale scores for emotional exhaustion were the highest, followed by personal accomplishment and then depersonalization. The burnout level rose with increasing age and duration on the job. Interventions to reduce burnout are needed at both the administrative and organizational levels. In addition, it is essential to address and prevent the problems that are related to burnout, especially among nurses who work in the same unit for a long time.
This descriptive study was conducted to determine the sexual satisfaction of patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) and the factors affecting same. A demographic questionnaire and the evaluation form of sexual satisfaction were completed by 33 patients. The patients' disease activity and functional condition were also evaluated with DAS28 and HAQ for RA and the BASDAI and BASFI for AS. Results indicated that the difference between patients' sexual satisfaction scores before and after onset of their disease was statistically significant. We also found that the sexual satisfaction score was low with a statistically significant difference in female RA patients, those who experienced discord with their husband due to the illness, and those who believed medication affected their sex life. It was also found that the sexual satisfaction score of RA patients was negatively correlated with DAS 28 and HAQ. In conclusion, sexual satisfaction was particularly low in RA patients. These findings certainly indicate that nurses should be aware of the patient's sexual lifestyle and functioning.
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