Araştırma Makalesi
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HEMŞİRELERİN TÜKENMİŞLİK NEDENLERİNİN İNCELENMESİ: DELPHİ VE SWARA UYGULAMASI

Yıl 2024, Cilt: 27 Sayı: 1, 139 - 154, 27.03.2024

Gizem Zevde Aydın Elif Dikmetaş Yardan

https://doi.org/10.61859/hacettepesid.1380998

Öz

Çalışma ile sağlık hizmet sunumunun kilit paydaşlarından olan hemşirelerde tükenmişliğe neden olan faktörlerin belirlenmesi ve bahse konu faktörlerin önceliklendirilmesi amaçlanmıştır. Bu amaç doğrultusunda Delphi ve SWARA yöntemi kullanılmıştır. Araştırma, Türkiye’nin Karadeniz Bölgesinde hizmet veren özel bir hastanede gerçekleştirilmiştir. Delphi yöntemine alanında uzman 10 birim yöneticisi hemşire katılmıştır. Üç aşamalı Delphi uygulaması sonucunda 16 tükenmişlik nedeni belirlenmiştir. Belirlenen 16 neden SWARA yöntemiyle önceliklendirilmiştir. SWARA yöntemine 47 hemşire katılım sağlamıştır. Araştırma sonucunda en önemli tükenmişlik nedeninin yapılan işin maddi olarak karşılığını alamamak/düşük ücret olduğu belirlenmiştir. Anlaşılması güç hasta yakınlarının ise en az önemli tükenmişlik nedeni olduğu sonucuna ulaşılmıştır. Yoğun çalışan hemşirelerin maddi, manevi ödüllendirilmesinin fayda sağlayacağı düşünülmektedir. Verilen emek ve hizmet karşılığında tatmin edici ücretlendirme yapılması ya da çeşitli katkılarla ham ücretin desteklenmesi ve artırılması önerilebilir. Hemşirelerin tükenmişlik ve başa çıkma konusunda bilinçlendirilmesi önerilebilir.

Anahtar Kelimeler

Delphi SWARA Tükenmişlik Çok Kriterli Karar Verme (ÇKKV) Hemşire

Kaynakça

  • Balali, A., Moehler, R. C., & Valipour, A. (2022). Ranking cost overrun factors in the mega hospital construction projects using Delphi-SWARA method: An Iranian case study. International Journal of Construction Management, 22(13), 2577-2585. doi.org/10.1080/15623599.2020.1811465
  • Bakker, A. B., Killmer, C. H., Siegrist, J., & Schaufeli, W. B. (2008). Effort–reward imbalance and burnout among nurses. Journal of advanced nursing, 31(4), 884-891.
  • Bjorkman, A., Engstrom, M., Olsson, A., & Wahlberg, A. C. (2017). Identified obstacles and prerequisites in telenurses’ work environment–a modified Delphi study. BMC Health Services Research, 17, 1-11. doi.org/ 10.1186/s12913-017-2296-y
  • Brandes, P. M. (1997). Organizational cynicism: Its nature, antecedents, and consequences. University of Cincinnati. Doctor Of Philosophy in the Department of Management of the College of Business Administration.
  • Browne, N., Robinson, L., & Richardson, A. (2002). A Delphi study on the research priorities of European oncology nurses. European Journal of Oncology Nursing, 6(3), 133-144. doi.org/10.1054/ejon.2002.0191
  • Choudhary, M., Kumar, A., & Pandey, V. (2020). Modified Delphi Technique: Content Validity of The Burnout Syndrome Assessment Scale. IOSR Journal of Nursing and Health Science, 9(5), 7-9. doi.org/10.9790/1959-0905020709
  • Cohen, M. Z., Harle, M., Woll, A. M., Despa, S., & Munsell, M. F. (2004). Delphi survey of nursing research priorities. In Oncology Nursing Forum. 31(5), 1011. doi.org/10.1188/04.ONF.1011-1018
  • Cooper, E., Spilsbury, K., McCaughan, D., Thompson, C., Butterworth, T., & Hanratty, B. (2017). Priorities for the professional development of registered nurses in nursing homes: a Delphi study. Age and Ageing, 46(1), 39-45. doi.org/10.1093/ageing/afw160
  • Dalkey, N., & Helmer, O. (1963). An Experimental Application of the DELPHI Method to the Use of Experts. Management Science, 9(3), 458–467. doi.org/10.1287/mnsc.9.3.458
  • Davis, L., Taylor, H., & Reyes, H. (2014). Lifelong learning in nursing: A Delphi study. Nurse Education Today, 34(3), 441-445. doi.org/10.1016/j.nedt.2013.04.014
  • De Diego-Cordero, R., Iglesias-Romo, M., Badanta, B., Lucchetti, G., & Vega-Escaño, J. (2022). Burnout and spirituality among nurses: A scoping review. Explore, 18(5), 612-620. doi.org/10.1016/j.explore.2021.08.001
  • De Hert, S. (2020). Burnout in healthcare workers: prevalence, impact and preventative strategies. Local and regional anesthesia, 171-183. doi.org/10.2147/LRA.S240564
  • de Meyrick, J. (2003). The Delphi method and health research. Health education, 103(1), 7-16. doi.org/10.1108/09654280310459112
  • Dean Jr, J. W., Brandes, P., & Dharwadkar, R. (1998). Organizational cynicism. Academy of Management review, 23(2), 341-352. doi.org/10.5465/amr.1998.533230
  • Debnath, B., Bari, A. M., Haq, M. M., de Jesus Pacheco, D. A., & Khan, M. A. (2023). An integrated stepwise weight assessment ratio analysis and weighted aggregated sum product assessment framework for sustainable supplier selection in the healthcare supply chains. Supply Chain Analytics, 1, 100001. doi.org/10.1016/j.sca.2022.100001
  • Demir, A., Ulusoy, M., & Ulusoy, M. F. (2003). Investigation of factors influencing burnout levels in the professional and private lives of nurses. International journal of nursing studies, 40(8), 807-827.
  • Edú-Valsania, S., Laguía, A., & Moriano, J. A. (2022). Burnout: A review of theory and measurement. International journal of environmental research and public health, 19(3), 1780. doi.org/10.3390/ijerph19031780
  • Foote, D. C., Donkersloot, J. N., Sandhu, G., Ziegler, K., & Lau, J. (2022). Identifying institutional factors in general surgery resident wellness and burnout. The American Journal of Surgery, 223(1), 53-57. doi.org/10.1016/j.amjsurg.2021.07.014
  • Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID‐19 pandemic: A systematic review and meta‐analysis. Journal of advanced nursing, 77(8), 3286-3302. doi.org/10.1111/jan.14839
  • Ghasemi, P., Mehdiabadi, A., Spulbar, C., & Birau, R. (2021). Ranking of sustainable medical tourism destinations in Iran: an integrated approach using fuzzy SWARA-PROMETHEE. Sustainability, 13(2), 683. doi.org/10.3390/su13020683
  • Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendin-Garcia, L., Vargas-Pecino, C., Ortega-Campos, E. M., & Canadas-De la Fuente, G. A. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical care nurse, 37(5), e1-e9. doi.org/10.4037/ccn2017508
  • Gómez-Urquiza, J. L., Monsalve-Reyes, C. S., Luis-Costas, S., Fernández-Castillo, R., Aguayo-Estremera, R., & Canadas-de la Fuente, G. A. (2016). Risk factors and burnout levels in Primary Care nurses: A systematic review. Atencion primaria, 49(2), 77-85.
  • Grant, J. S., & Kinney, M. R. (1992). Using the Delphi technique to examine the content validity of nursing diagnoses. International Journal of Nursing Terminologies and Classifications, 3(1), 12-22. doi.org/10.1111/j.1744-618X.1992.tb00193.x
  • Greenglass, E. R., Burke, R. J., & Fiksenbaum, L. (2001). Workload and burnout in nurses. Journal of community & applied social psychology, 11(3), 211-215.
  • Grime, M. M., & Wright, G. (2016). Delphi method. Wiley StatsRef: Statistics Reference Online, 1, 16. doi.org/10.1002/9781118445112.stat07879
  • Hosseini Sarkhosh, S. M., Zahedi, M., & Kazemzadeh, M. (2022). Prioritizing Factors Related to Hospital Readiness against COVID-19. Health Information Management, 19(1), 9-15. doi.org/10.48305/him.2022.24340
  • Hsu, C. C., & Sandford, B. A. (2007). The Delphi technique: making sense of consensus. Practical assessment, research, and evaluation, 12(1), 10. doi.org/10.7275/pdz9-th90
  • Jones, U. L. (2019). A Qualitative Delphi Study of RNs’ Experiences and Perceptions regarding Self-Care and Burnout. Doctoral dissertation, Ashford University.
  • Joo, J. Y., & Liu, M. F. (2021). Nurses' barriers to caring for patients with COVID-19: A qualitative systematic review. International Nursing Review, 68, 202–213. doi.org/10.1111/inr.12648
  • Keeney, S., Hasson, F., & McKenna, H. P. (2001). A critical review of the Delphi technique as a research methodology for nursing. International journal of nursing studies, 38(2), 195-200. doi.org/10.1016/S0020-7489(00)00044-4
  • Keeney, S., McKenna, H. A., & Hasson, F. (2011). The Delphi technique in nursing and health research. John Wiley & Sons.
  • Keršuliene, V., Zavadskas, E. K., & Turskis, Z. (2010). Selection of rational dispute resolution method by applying new step‐wise weight assessment ratio analysis (SWARA). Journal of business economics and management, 11(2), 243-258. doi.org/10.3846/jbem.2010.12
  • Khatatbeh, H., Pakai, A., Al‐Dwaikat, T., Onchonga, D., Amer, F., Prémusz, V., & Oláh, A. (2022). Nurses’ burnout and quality of life: A systematic review and critical analysis of measures used. Nursing Open, 9(3), 1564-1574. doi.org/10.1002/nop2.936
  • Kumar, A., Mani, V., Jain, V., Gupta, H., & Venkatesh, V. G. (2023). Managing healthcare supply chain through artificial intelligence (AI): A study of critical success factors. Computers & Industrial Engineering, 175, 108815. doi.org/10.1016/j.cie.2022.108815
  • Liu, R., Hou, L. X., Liu, H. C., & Lin, W. (2020). Occupational health and safety risk assessment using an integrated SWARA-MABAC model under bipolar fuzzy environment. Computational and Applied Mathematics, 39, 1-17. doi.org/10.1007/s40314-020-01311-7
  • Lynn, M. R., Layman, E. L., & Englebardt, S. P. (1998). Nursing administration research priorities: a national Delphi study. JONA: The Journal of Nursing Administration, 28(5), 7-11.
  • Manzano-García, G., & Ayala, J. C. (2017). Insufficiently studied factors related to burnout in nursing: Results from an e-Delphi study. PloS one, 12(4), e0175352. doi.org/10.1371/journal.pone.0175352
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AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS

Yıl 2024, Cilt: 27 Sayı: 1, 139 - 154, 27.03.2024

Gizem Zevde Aydın Elif Dikmetaş Yardan

https://doi.org/10.61859/hacettepesid.1380998

Öz

This study aims to determine the factors that cause burnout in nurses, who are critical stakeholders in health service delivery, and to prioritize these factors. For this purpose, Delphi and SWARA methods were used. The research was conducted in a private hospital serving Black Sea Region Türkiye. 10-unit manager nurses who are experts in their fields participated in the Delphi method. As a result of the three-stage Delphi implementation, 16 burnout causes were determined. The 16 identified causes were prioritized with the SWARA method. 47 nurses participated in the SWARA method. As a result of the research, it was determined that the most critical reason for burnout was not being able to get money for the work done/low salary. It was concluded that obscure patient relatives were the least important cause of burnout. It is thought that the financial and moral reward of nurses who work hard will be beneficial. It may be suggested to make satisfactory remuneration for the labor and service provided or to support and increase the raw wage with various contributions. It can be suggested to raise awareness among nurses about burnout and coping.

Anahtar Kelimeler

Delphi SWARA Burnout Multiple Criteria Decision Making (MCDM) Nurse

Kaynakça

  • Balali, A., Moehler, R. C., & Valipour, A. (2022). Ranking cost overrun factors in the mega hospital construction projects using Delphi-SWARA method: An Iranian case study. International Journal of Construction Management, 22(13), 2577-2585. doi.org/10.1080/15623599.2020.1811465
  • Bakker, A. B., Killmer, C. H., Siegrist, J., & Schaufeli, W. B. (2008). Effort–reward imbalance and burnout among nurses. Journal of advanced nursing, 31(4), 884-891.
  • Bjorkman, A., Engstrom, M., Olsson, A., & Wahlberg, A. C. (2017). Identified obstacles and prerequisites in telenurses’ work environment–a modified Delphi study. BMC Health Services Research, 17, 1-11. doi.org/ 10.1186/s12913-017-2296-y
  • Brandes, P. M. (1997). Organizational cynicism: Its nature, antecedents, and consequences. University of Cincinnati. Doctor Of Philosophy in the Department of Management of the College of Business Administration.
  • Browne, N., Robinson, L., & Richardson, A. (2002). A Delphi study on the research priorities of European oncology nurses. European Journal of Oncology Nursing, 6(3), 133-144. doi.org/10.1054/ejon.2002.0191
  • Choudhary, M., Kumar, A., & Pandey, V. (2020). Modified Delphi Technique: Content Validity of The Burnout Syndrome Assessment Scale. IOSR Journal of Nursing and Health Science, 9(5), 7-9. doi.org/10.9790/1959-0905020709
  • Cohen, M. Z., Harle, M., Woll, A. M., Despa, S., & Munsell, M. F. (2004). Delphi survey of nursing research priorities. In Oncology Nursing Forum. 31(5), 1011. doi.org/10.1188/04.ONF.1011-1018
  • Cooper, E., Spilsbury, K., McCaughan, D., Thompson, C., Butterworth, T., & Hanratty, B. (2017). Priorities for the professional development of registered nurses in nursing homes: a Delphi study. Age and Ageing, 46(1), 39-45. doi.org/10.1093/ageing/afw160
  • Dalkey, N., & Helmer, O. (1963). An Experimental Application of the DELPHI Method to the Use of Experts. Management Science, 9(3), 458–467. doi.org/10.1287/mnsc.9.3.458
  • Davis, L., Taylor, H., & Reyes, H. (2014). Lifelong learning in nursing: A Delphi study. Nurse Education Today, 34(3), 441-445. doi.org/10.1016/j.nedt.2013.04.014
  • De Diego-Cordero, R., Iglesias-Romo, M., Badanta, B., Lucchetti, G., & Vega-Escaño, J. (2022). Burnout and spirituality among nurses: A scoping review. Explore, 18(5), 612-620. doi.org/10.1016/j.explore.2021.08.001
  • De Hert, S. (2020). Burnout in healthcare workers: prevalence, impact and preventative strategies. Local and regional anesthesia, 171-183. doi.org/10.2147/LRA.S240564
  • de Meyrick, J. (2003). The Delphi method and health research. Health education, 103(1), 7-16. doi.org/10.1108/09654280310459112
  • Dean Jr, J. W., Brandes, P., & Dharwadkar, R. (1998). Organizational cynicism. Academy of Management review, 23(2), 341-352. doi.org/10.5465/amr.1998.533230
  • Debnath, B., Bari, A. M., Haq, M. M., de Jesus Pacheco, D. A., & Khan, M. A. (2023). An integrated stepwise weight assessment ratio analysis and weighted aggregated sum product assessment framework for sustainable supplier selection in the healthcare supply chains. Supply Chain Analytics, 1, 100001. doi.org/10.1016/j.sca.2022.100001
  • Demir, A., Ulusoy, M., & Ulusoy, M. F. (2003). Investigation of factors influencing burnout levels in the professional and private lives of nurses. International journal of nursing studies, 40(8), 807-827.
  • Edú-Valsania, S., Laguía, A., & Moriano, J. A. (2022). Burnout: A review of theory and measurement. International journal of environmental research and public health, 19(3), 1780. doi.org/10.3390/ijerph19031780
  • Foote, D. C., Donkersloot, J. N., Sandhu, G., Ziegler, K., & Lau, J. (2022). Identifying institutional factors in general surgery resident wellness and burnout. The American Journal of Surgery, 223(1), 53-57. doi.org/10.1016/j.amjsurg.2021.07.014
  • Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID‐19 pandemic: A systematic review and meta‐analysis. Journal of advanced nursing, 77(8), 3286-3302. doi.org/10.1111/jan.14839
  • Ghasemi, P., Mehdiabadi, A., Spulbar, C., & Birau, R. (2021). Ranking of sustainable medical tourism destinations in Iran: an integrated approach using fuzzy SWARA-PROMETHEE. Sustainability, 13(2), 683. doi.org/10.3390/su13020683
  • Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendin-Garcia, L., Vargas-Pecino, C., Ortega-Campos, E. M., & Canadas-De la Fuente, G. A. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical care nurse, 37(5), e1-e9. doi.org/10.4037/ccn2017508
  • Gómez-Urquiza, J. L., Monsalve-Reyes, C. S., Luis-Costas, S., Fernández-Castillo, R., Aguayo-Estremera, R., & Canadas-de la Fuente, G. A. (2016). Risk factors and burnout levels in Primary Care nurses: A systematic review. Atencion primaria, 49(2), 77-85.
  • Grant, J. S., & Kinney, M. R. (1992). Using the Delphi technique to examine the content validity of nursing diagnoses. International Journal of Nursing Terminologies and Classifications, 3(1), 12-22. doi.org/10.1111/j.1744-618X.1992.tb00193.x
  • Greenglass, E. R., Burke, R. J., & Fiksenbaum, L. (2001). Workload and burnout in nurses. Journal of community & applied social psychology, 11(3), 211-215.
  • Grime, M. M., & Wright, G. (2016). Delphi method. Wiley StatsRef: Statistics Reference Online, 1, 16. doi.org/10.1002/9781118445112.stat07879
  • Hosseini Sarkhosh, S. M., Zahedi, M., & Kazemzadeh, M. (2022). Prioritizing Factors Related to Hospital Readiness against COVID-19. Health Information Management, 19(1), 9-15. doi.org/10.48305/him.2022.24340
  • Hsu, C. C., & Sandford, B. A. (2007). The Delphi technique: making sense of consensus. Practical assessment, research, and evaluation, 12(1), 10. doi.org/10.7275/pdz9-th90
  • Jones, U. L. (2019). A Qualitative Delphi Study of RNs’ Experiences and Perceptions regarding Self-Care and Burnout. Doctoral dissertation, Ashford University.
  • Joo, J. Y., & Liu, M. F. (2021). Nurses' barriers to caring for patients with COVID-19: A qualitative systematic review. International Nursing Review, 68, 202–213. doi.org/10.1111/inr.12648
  • Keeney, S., Hasson, F., & McKenna, H. P. (2001). A critical review of the Delphi technique as a research methodology for nursing. International journal of nursing studies, 38(2), 195-200. doi.org/10.1016/S0020-7489(00)00044-4
  • Keeney, S., McKenna, H. A., & Hasson, F. (2011). The Delphi technique in nursing and health research. John Wiley & Sons.
  • Keršuliene, V., Zavadskas, E. K., & Turskis, Z. (2010). Selection of rational dispute resolution method by applying new step‐wise weight assessment ratio analysis (SWARA). Journal of business economics and management, 11(2), 243-258. doi.org/10.3846/jbem.2010.12
  • Khatatbeh, H., Pakai, A., Al‐Dwaikat, T., Onchonga, D., Amer, F., Prémusz, V., & Oláh, A. (2022). Nurses’ burnout and quality of life: A systematic review and critical analysis of measures used. Nursing Open, 9(3), 1564-1574. doi.org/10.1002/nop2.936
  • Kumar, A., Mani, V., Jain, V., Gupta, H., & Venkatesh, V. G. (2023). Managing healthcare supply chain through artificial intelligence (AI): A study of critical success factors. Computers & Industrial Engineering, 175, 108815. doi.org/10.1016/j.cie.2022.108815
  • Liu, R., Hou, L. X., Liu, H. C., & Lin, W. (2020). Occupational health and safety risk assessment using an integrated SWARA-MABAC model under bipolar fuzzy environment. Computational and Applied Mathematics, 39, 1-17. doi.org/10.1007/s40314-020-01311-7
  • Lynn, M. R., Layman, E. L., & Englebardt, S. P. (1998). Nursing administration research priorities: a national Delphi study. JONA: The Journal of Nursing Administration, 28(5), 7-11.
  • Manzano-García, G., & Ayala, J. C. (2017). Insufficiently studied factors related to burnout in nursing: Results from an e-Delphi study. PloS one, 12(4), e0175352. doi.org/10.1371/journal.pone.0175352
  • Mardani, A., Saraji, M. K., Mishra, A. R., & Rani, P. (2020). A novel extended approach under hesitant fuzzy sets to design a framework for assessing the key challenges of digital health interventions adoption during the COVID-19 outbreak. Applied Soft Computing, 96, 106613. doi.org/10.1016/j.asoc.2020.106613
  • Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of organizational behavior, 2(2), 99-113. doi.org/10.1002/job.4030020205 Maslach, C., & Leiter, M. P. (1997). The truth about burnout: How organizations cause personal stress and what to do about it. John Wiley & Sons.
  • Maslach, C., & Leiter, M. P. (2016). Burnout. In Stress: Concepts, cognition, emotion, and behavior (pp. 351-357). Academic Press. doi.org/10.1016/B978-0-12-800951-2.00044-3
  • McHugh, M. D., & Ma, C. (2014). Wage, work environment, and staffing: effects on nurse outcomes. Policy, Politics, & Nursing Practice, 15(3-4), 72-80.
  • Mcilfatrick, S. J., & Keeney, S. (2003). Identifying cancer nursing research priorities using the Delphi technique. Journal of advanced nursing, 42(6), 629-636. doi.org/10.1046/j.1365-2648.2003.02666.x
  • Meidute-Kavaliauskiene, I., & Ghorbani, S. (2021). Supply chain contract selection in the healthcare industry: A hybrid mcdm method in uncertainty environment. Independent Journal of Management & Production, 12(4), 1160-1187. doi.org/10.14807/ijmp.v12i4.1356
  • Moreno‐Casbas, T., Martín‐Arribas, C., Orts‐Cortés, I., & Comet‐Cortés, P. (2001). Identification of priorities for nursing research in Spain: a Delphi study. Journal of Advanced Nursing, 35(6), 857-863. doi.org/10.1046/j.1365-2648.2001.01923.x
  • Nasa, P., Jain, R., & Juneja, D. (2021). Delphi methodology in healthcare research: how to decide its appropriateness. World Journal of Methodology, 11(4), 116. doi.org/ 10.5662/wjm.v11.i4.116
  • Nogueira, L.S., Sousa, R.M.C., Guedes, E.S., Santos, M.A., Turrini, R.N.T., Cruz, D.A.L.M. (2018). Burnout and nursing work environment in public health institutions. Revista brasileira de enfermagem, 71, 336-342. doi.org/10.1590/0034-7167-2016-0524
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. doi.org/10.1016/j.bbi.2020.05.026
  • Ramos, D., Arezes, P., & Afonso, P. (2016). Application of the Delphi Method for the inclusion of externalities in occupational safety and health analysis. Dyna, 83(196), 14-20. doi.org/10.15446/dyna.v83n196.56603
  • Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career development international, 14(3), 204-220. doi.org/10.1108/13620430910966406
  • Schell, K. A. (2006). A Delphi study of innovative teaching in baccalaureate nursing education. Journal of Nursing Education, 45(11), 439-448.
  • Shahzad, M. N., Ahmed, M. A., & Akram, B. (2019). Nurses in double trouble: Antecedents of job burnout in nursing profession. Pakistan journal of medical sciences, 35(4), 934. doi.org/10.12669/pjms.35.4.600
  • Sim, J., Crookes, P., Walsh, K., & Halcomb, E. (2018). Measuring the outcomes of nursing practice: A Delphi study. Journal of Clinical Nursing, 27(1-2), e368-e378. doi.org/10.1111/jocn.13971
  • Trevelyan, E. G., & Robinson, N. (2015). Delphi methodology in health research: how to do it?. European Journal of Integrative Medicine, 7(4), 423-428. doi.org/10.1016/j.eujim.2015.07.002
  • Turoff, M., Linstone, H. A. (2002). The Delphi Method Techniques and Applications. MA: Addison-Wesley. doi.org/ 10.2307/3150755
  • Van Houwelingen, C. T., Moerman, A. H., Ettema, R. G., Kort, H. S., & Ten Cate, O. (2016). Competencies required for nursing telehealth activities: A Delphi-study. Nurse education today, 39, 50-62. doi.org/10.1016/j.nedt.2015.12.025
  • Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018). Burnout Syndrome and shift work among the nursing staff. Revista latino-americana de enfermagem, 26, e3022.
  • WHO. (2019, May 28). Burn-out an “occupational phenomenon”: International Classification of Diseases. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
  • WHO. (2023). Occupational stress, burnout and fatigue. https://www.who.int/tools/occupational-hazards-in-health-sector/occup-stress-burnout-fatigue
  • Yüksel Kaçan, C., Örsal, Ö., & Köşgeroğlu, N. (2016). Hemşirelerde tükenmişlik düzeyinin incelenmesi. Cumhuriyet Hemşirelik Dergisi, 5(2), 65-74.
Toplam 59 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Yönetimi
Bölüm Makaleler
Yazarlar

Gizem Zevde Aydın 0000-0002-8249-6788

Elif Dikmetaş Yardan 0000-0002-8300-8715

Yayımlanma Tarihi 27 Mart 2024
Gönderilme Tarihi 25 Ekim 2023
Kabul Tarihi 5 Mart 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 27 Sayı: 1

Kaynak Göster

APA Aydın, G. Z., & Dikmetaş Yardan, E. (2024). AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS. Hacettepe Sağlık İdaresi Dergisi, 27(1), 139-154. https://doi.org/10.61859/hacettepesid.1380998
AMA Aydın GZ, Dikmetaş Yardan E. AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS. HSİD. Mart 2024;27(1):139-154. doi:10.61859/hacettepesid.1380998
Chicago Aydın, Gizem Zevde, ve Elif Dikmetaş Yardan. “AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS”. Hacettepe Sağlık İdaresi Dergisi 27, sy. 1 (Mart 2024): 139-54. https://doi.org/10.61859/hacettepesid.1380998.
EndNote Aydın GZ, Dikmetaş Yardan E (01 Mart 2024) AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS. Hacettepe Sağlık İdaresi Dergisi 27 1 139–154.
IEEE G. Z. Aydın ve E. Dikmetaş Yardan, “AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS”, HSİD, c. 27, sy. 1, ss. 139–154, 2024, doi: 10.61859/hacettepesid.1380998.
ISNAD Aydın, Gizem Zevde - Dikmetaş Yardan, Elif. “AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS”. Hacettepe Sağlık İdaresi Dergisi 27/1 (Mart 2024), 139-154. https://doi.org/10.61859/hacettepesid.1380998.
JAMA Aydın GZ, Dikmetaş Yardan E. AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS. HSİD. 2024;27:139–154.
MLA Aydın, Gizem Zevde ve Elif Dikmetaş Yardan. “AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS”. Hacettepe Sağlık İdaresi Dergisi, c. 27, sy. 1, 2024, ss. 139-54, doi:10.61859/hacettepesid.1380998.
Vancouver Aydın GZ, Dikmetaş Yardan E. AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS. HSİD. 2024;27(1):139-54.
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