Nurses' Experiences and Ethical Dilemmas in the COVID-19 Pandemic: A Phenomenological Study

Gülcan Eyüboğlu; Arnel Böke Kılıçlı; Zehra Göçmen Baykara; Firuze Çevık Aydın

Makale detayları

Nurses' Experiences and Ethical Dilemmas in the COVID-19 Pandemic: A Phenomenological Study

Yazarlar:

Gülcan Eyüboğlu | Arnel Böke Kılıçlı | Zehra Göçmen Baykara | Firuze Çevık Aydın

Yayıncı:

Necmettin Erbakan University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Genel Sağlık Bilimleri Dergisi Vol.6 Issue 2, pp.225-238

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001324100

pISSN:

2687-5403

Anahtar kelimeler:

Özet:

 This study aimed to explore the nurses experiences and ethical dilemmas during the early stages of the COVID-19 Novel Coronavirus Disease pandemic in Türkiye. Nineteen nurses from seven different provinces in Türkiye were recruited using purposive and snowball sampling. We conducted qualitative research with an interpretative phenomenological design, collecting data through semi-structured, in-depth videoconference interviews from June to September 2020. Three themes emerged concerning experiences: a range of emotions, factors affecting nursing services, and a change in the perspective of nurses. Three themes also emerged regarding ethical dilemmas: Is the priority to benefit or not harm?, Is the priority not to harm or justice?, and Is the priority to benefit, not harm, or respect autonomy? During this period, nurses experienced intense negative emotions such as fear, anxiety, and sadness. Solidarity, team collaboration, and management support facilitated nursing care. As reported by nurses, challenges in nursing care were attributed to the use of personal protective equipment, limited resources, and physical inadequacies. Nurses frequently faced ethical dilemmas involving the prioritization of benefiting patients, avoiding harm, upholding justice, and respecting patient autonomy while caring for individuals infected with COVID-19.

 This study aimed to explore the nurses experiences and ethical dilemmas during the early stages of the COVID-19 Novel Coronavirus Disease pandemic in Türkiye. Nineteen nurses from seven different provinces in Türkiye were recruited using purposive and snowball sampling. We conducted qualitative research with an interpretative phenomenological design, collecting data through semi-structured, in-depth videoconference interviews from June to September 2020. Three themes emerged concerning experiences: a range of emotions, factors affecting nursing services, and a change in the perspective of nurses. Three themes also emerged regarding ethical dilemmas: Is the priority to benefit or not harm?, Is the priority not to harm or justice?, and Is the priority to benefit, not harm, or respect autonomy? During this period, nurses experienced intense negative emotions such as fear, anxiety, and sadness. Solidarity, team collaboration, and management support facilitated nursing care. As reported by nurses, challenges in nursing care were attributed to the use of personal protective equipment, limited resources, and physical inadequacies. Nurses frequently faced ethical dilemmas involving the prioritization of benefiting patients, avoiding harm, upholding justice, and respecting patient autonomy while caring for individuals infected with COVID-19.

 This study aimed to explore the nurses experiences and ethical dilemmas during the early stages of the COVID-19 Novel Coronavirus Disease pandemic in Türkiye. Nineteen nurses from seven different provinces in Türkiye were recruited using purposive and snowball sampling. We conducted qualitative research with an interpretative phenomenological design, collecting data through semi-structured, in-depth videoconference interviews from June to September 2020. Three themes emerged concerning experiences: a range of emotions, factors affecting nursing services, and a change in the perspective of nurses. Three themes also emerged regarding ethical dilemmas: Is the priority to benefit or not harm?, Is the priority not to harm or justice?, and Is the priority to benefit, not harm, or respect autonomy? During this period, nurses experienced intense negative emotions such as fear, anxiety, and sadness. Solidarity, team collaboration, and management support facilitated nursing care. As reported by nurses, challenges in nursing care were attributed to the use of personal protective equipment, limited resources, and physical inadequacies. Nurses frequently faced ethical dilemmas involving the prioritization of benefiting patients, avoiding harm, upholding justice, and respecting patient autonomy while caring for individuals infected with COVID-19.

 Bu çalışmanın amacı, Türkiyede COVID-19 Yeni Koronavirüs Hastalığı pandemisinin erken döneminde hemşirelerin yaşadıkları deneyimleri ve etik ikilemleri ortaya çıkarmaktır. Türkiyenin yedi farklı ilinde bulunan hemşireler n19 amaçlı ve kartopu örnekleme yöntemi kullanılarak seçilmiştir. Bu çalışmada, yorumlayıcı fenomenolojik tasarımlı nitel araştırma yürütülmüştür. Veriler, Haziran-Eylül 2020 tarihleri arasında yarı yapılandırılmış, derinlemesine video konferans görüşmeleri yoluyla toplanmıştır. Deneyimlerle ilgili üç tema ortaya çıkmıştır: bir dizi duygu, hemşirelik hizmetlerini etkileyen faktörler ve hemşirelerin bakış açısında değişiklik. Etik ikilemlerle ilgili üç tema ortaya çıkmıştır: Öncelik yarar sağlamak mı yoksa zarar vermemek mi, öncelik zarar vermemek mi yoksa adalet mi ve öncelik yarar sağlama- zarar vermeme mi yoksa özerkliğe saygı duymak mı. Pandemi sürecinde hemşireler korku, kaygı ve üzüntü gibi olumsuz duyguları yoğun olarak hissettiklerini belirtmişlerdir. Dayanışma, ekip iş birliği ve yönetim desteği hemşirelik bakımını kolaylaştıran faktörler olarak ifade edilmiştir. Hemşirelerin ifadelerine göre, kişisel koruyucu ekipman kullanımı, sınırlı kaynaklar ve fiziksel yetersizlikler hemşirelik bakımını zorlaştırmıştır. Hemşireler, COVID-19 ile enfekte olmuş bireylere bakım verirken yarar sağlama, zarar vermeme, adalet ve özerkliğe saygı etik ikilemleri ile karşılaştıklarını belirtmişlerdir.

Makale detayları

Nurses' Experiences and Ethical Dilemmas in the COVID-19 Pandemic: A Phenomenological Study

Yazarlar:

Gülcan Eyüboğlu | Arnel Böke Kılıçlı | Zehra Göçmen Baykara | Firuze Çevık Aydın

Yayıncı:

Necmettin Erbakan University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Genel Sağlık Bilimleri Dergisi Vol.6 Issue 2, pp.225-238

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001324100

pISSN:

2687-5403

COVID-19

Experience

Ethical Dilemma

Nursing

Türkiye.COVID-19

Deneyim

Etik İkilem

Hemşirelik

Türkiye.

Sayı

Makale detayları

Yazarlar: Gülcan Eyüboğlu | Arnel Böke Kılıçlı | Zehra Göçmen Baykara | Firuze Çevık Aydın

Yayıncı: Necmettin Erbakan University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Genel Sağlık Bilimleri Dergisi Vol.6 Issue 2, pp.225-238

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001324100

pISSN: 2687-5403

Sayı

Yazarlar:

Gülcan Eyüboğlu | Arnel Böke Kılıçlı | Zehra Göçmen Baykara | Firuze Çevık Aydın

Yayıncı:

Necmettin Erbakan University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Genel Sağlık Bilimleri Dergisi Vol.6 Issue 2, pp.225-238

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001324100

pISSN:

2687-5403