Journal of Advanced Research in Health Sciences

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Research Article


DOI :10.26650/JARHS2021-982400   IUP :10.26650/JARHS2021-982400    Full Text (PDF)

Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study

Melek Nihal Esin, Ayşe Dost, Nursel Gülyenli

Objective: This study aimed to determine the ethical issues experienced by nurses working in family health centers during the COVID-19 pandemic. Materials and Methods: This research was carried out as a qualitative study following a phenomenological pattern. The sample of the study consisted of eight nurses working in seven different family health centers in the European Region of Istanbul and who were added to the study using the snowball sampling method. Data were collected and recorded using the in-depth interview method on an online platform between June and July 2021. Data were collected in line with the interview form consisting of 12 questions. After transcription of the data, content analysis was performed using the MAXQDA 2020 program. Results: In the interview, it was found that there were nine codes and 44 subcodes. These codes were handled in three main categories: working conditions, service delivery and psychological process. Nurses in the working conditions category expressed their problems regarding physical space, personal protective equipment, and increased workload. In the service delivery category, they expressed the problems and difficulties they experienced under the codes of changes in the provision of services that are routinely applied, services that are interrupted/ postponed, services that cannot be performed and newly added services/tasks. In the category of psychological processes, they talked about the difficulties they experienced regarding their perceptions and motivations regarding the pandemic and the process. Conclusion: It was observed that the ethical problems experienced by the nurses working in the family health center during their practice were mostly related to the ethical principles of justice, beneficence, and non-maleficence. Negative aspects such as the lack of follow-up of chronic patients by the nurses, the disruption of routine services or the inability to perform them, and the increase in the workload with newly assigned tasks were frequently expressed.

Keywords: COVID-19, ethic, family health center, nurse, pandemic
DOI :10.26650/JARHS2021-982400   IUP :10.26650/JARHS2021-982400    Full Text (PDF)

Aile Sağlığı Merkezlerinde Çalışan Hemşirelerin COVID-19 Pandemisi Sürecinde Karşılaştıkları Etik Sorunlar: Bir Nitel Çalışma

Melek Nihal Esin, Ayşe Dost, Nursel Gülyenli

Amaç: Bu araştırmada aile sağlığı merkezlerinde çalışan hemşirelerin COVID-19 pandemisi sırasında karşılaştıkları etik sorunların belirlenmesi amaçlandı. Gereç ve Yöntem: Araştırma, fenomenolojik desenli bir nitel çalışma olarak gerçekleştirildi. Araştırmanın örneklemini İstanbul İli Avrupa Bölgesi’nde yer alan yedi farklı aile sağlığı merkezinde çalışan ve kartopu örnekleme yöntemi ile ulaşılan sekiz hemşire oluşturdu. Veriler, Haziran-Temmuz 2021 tarihleri arasında çevrimiçi bir platform kullanılarak derinlemesine görüşme yöntemiyle toplandı ve kaydedildi. Veriler 12 sorudan oluşan görüşme formu doğrultusunda toplandı. Verilerin deşifre edilmesinden sonra MAXQDA 2020 programı kullanılarak içerik analizi yapıldı. Bulgular: Görüşmeler sonucunda dokuz kod ve 44 alt kod elde edildi. Bu kodlar; çalışma koşulları, hizmet sunumu ve psikolojik süreçler ile ilgili etik sorunlar olmak üzere üç temel kategoride ele alındı. Çalışma koşulları ile ilgili etik sorunlar kategorisinde hemşireler; fiziksel alan, kişisel koruyucu ekipman ve artan iş yüküne ilişkin sorunlarını ifade ettiler. Hizmet sunumu ile ilgili etik sorunlar kategorisinde; rutinde uygulanan hizmetlerin sunumundaki değişimler, aksayan/ertelenen hizmetler, yapılamayan hizmetler ve yeni eklenen hizmetler/ görevler kodlarının altında yaşadıkları sorunları ve zorlukları ifade ettiler. Psikolojik süreçler ile ilgili etik sorunlar kategorisinde ise pandemiye ve sürece ilişkin algılarından ve motivasyonlarına ilişkin yaşadıkları zorluklardan bahsettiler. Sonuç: Çalışmanın bulguları ışığında aile sağlığı merkezinde çalışan hemşireler tarafından kronik hasta izlemlerinin yapılmaması, rutin hizmetlerin aksaması ya da gerçekleştirilememesi ve yeni verilen görevlerle iş yükünün artması gibi olumsuzluklar sıklıkla ifade edilmiş olup, uygulamaları sırasında yaşadıkları etik sorunların en fazla adalet, yararlı olma ve zarar vermeme etik ilkeleriyle ilgili olduğu saptandı. 

Keywords: Aile sağlığı merkezi, COVID-19, etik, hemşire, pandemi

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APA

Esin, M.N., Dost, A., & Gülyenli, N. (2021). Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study. Journal of Advanced Research in Health Sciences, 4(1), 51-62. https://doi.org/10.26650/JARHS2021-982400


AMA

Esin M N, Dost A, Gülyenli N. Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study. Journal of Advanced Research in Health Sciences. 2021;4(1):51-62. https://doi.org/10.26650/JARHS2021-982400


ABNT

Esin, M.N.; Dost, A.; Gülyenli, N. Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study. Journal of Advanced Research in Health Sciences, [Publisher Location], v. 4, n. 1, p. 51-62, 2021.


Chicago: Author-Date Style

Esin, Melek Nihal, and Ayşe Dost and Nursel Gülyenli. 2021. “Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study.” Journal of Advanced Research in Health Sciences 4, no. 1: 51-62. https://doi.org/10.26650/JARHS2021-982400


Chicago: Humanities Style

Esin, Melek Nihal, and Ayşe Dost and Nursel Gülyenli. “Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study.” Journal of Advanced Research in Health Sciences 4, no. 1 (Sep. 2024): 51-62. https://doi.org/10.26650/JARHS2021-982400


Harvard: Australian Style

Esin, MN & Dost, A & Gülyenli, N 2021, 'Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study', Journal of Advanced Research in Health Sciences, vol. 4, no. 1, pp. 51-62, viewed 11 Sep. 2024, https://doi.org/10.26650/JARHS2021-982400


Harvard: Author-Date Style

Esin, M.N. and Dost, A. and Gülyenli, N. (2021) ‘Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study’, Journal of Advanced Research in Health Sciences, 4(1), pp. 51-62. https://doi.org/10.26650/JARHS2021-982400 (11 Sep. 2024).


MLA

Esin, Melek Nihal, and Ayşe Dost and Nursel Gülyenli. “Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study.” Journal of Advanced Research in Health Sciences, vol. 4, no. 1, 2021, pp. 51-62. [Database Container], https://doi.org/10.26650/JARHS2021-982400


Vancouver

Esin MN, Dost A, Gülyenli N. Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study. Journal of Advanced Research in Health Sciences [Internet]. 11 Sep. 2024 [cited 11 Sep. 2024];4(1):51-62. Available from: https://doi.org/10.26650/JARHS2021-982400 doi: 10.26650/JARHS2021-982400


ISNAD

Esin, MelekNihal - Dost, Ayşe - Gülyenli, Nursel. “Ethical Problems Encountered by Nurses Working in Family Health Centers during the COVID-19 Pandemic: A Qualitative Study”. Journal of Advanced Research in Health Sciences 4/1 (Sep. 2024): 51-62. https://doi.org/10.26650/JARHS2021-982400



TIMELINE


Submitted13.08.2021
Accepted23.09.2021
Published Online04.11.2021

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