Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of a Mindfulness-Based Stress Reduction Program on Professional Quality of Life and Perceived Stress Level of the Pediatric Oncology-Hematology Nurses: Quasi-Experimental Study
Farkındalık Temelli Stres Azaltma Programının Pediatrik Onkoloji-Hematoloji Hemşirelerinin Mesleki Yaşam Kalitesi ve Algılanan Stres Düzeyleri Üzerine Etkisi: Yarı Deneysel Çalışma
Tuğba PEHLİVAN SARIBUDAKa , Remziye SEMERCİb , Behice Belkıs ÇALIŞKANc , Güldem YILDIZd , Nazife ALTINELd , Meryem KAPANCId
aİstanbul Arel University Faculty of Health Sciences, Department of Nursing, Department of Mental Health and Disease Nursing, İstanbul, Türkiye
bKoç University Faculty of Nursing, Department of Nursing, Department of Child Health and Disease Nursing, İstanbul, Türkiye
cİstanbul Beykent University Faculty of Health Sciences, Department of Nursing, Department of Mental Health and Disease Nursing, İstanbul, Türkiye
dİstanbul Medipol University Faculty of Medicine, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):880-8
doi: 10.5336/nurses.2024-106063
Article Language: EN
Full Text
ABSTRACT
 Objective: Pediatric oncology-hematology nurses are at risk for compassion fatigue, burnout, and stress. The research is lacking in information about the best ways for pediatric oncology-hematology nurses to handle stressful or challenging circumstances, and there is also limited information on the impact of mindfulness on these nurses' practice. This study investigated the effect of Mindfulness-Based Stress Reduction on pediatric oncology-hematology nurses' perceived stress and professional quality of life. Material and Methods: A quasi-experimental study was conducted with pediatric oncology-hematology nurses between November 2021-June 2022. Mindfulness-Based Stress Reduction program was applied to the nurses in sessions weekly 60-90 minute sessions for 8 weeks. Data was collected by the ''Nurse Information Form'', the ''Professional Quality of Life Scale-IV'', and the ''Perceived Stress Scale''. The data were analyzed using Wilcoxon signed-rank test. Cohen's d was used to calculate the effect sizes for the paired samples t-tests. Results: After the Mindfulness-Based Stress Reduction program, the nurses' mean scores of compassion fatigue and burnout, which are subdimensions of professional quality of life, decreased statistically significantly (p<0.05), while no statistically significant difference was found between the mean scores of compassion satisfaction and stress level of nurses pre- and post-intervention (p>0.05). Conclusion: Healthcare organizations should consider strategies to support nurses to care for themselves at the same priority level as caring for others. It is recommended that the Mindfulness-Based Stress Reduction program should be disseminated, and future studies should be conducted in different groups. Follow up nurses in terms of stress, burnout and compassion fatigue and implementation of preventive training programs are highly recommended.

Keywords: Burnout; compassion fatigue; mindfulness-based stress reduction; oncology nursing; pediatric
ÖZET
 Amaç: Pediatrik onkoloji-hematoloji hemşireleri, merhamet yorgunluğu, tükenmişlik ve stres açısından risk altındadırlar. Pediatrik onkoloji-hematoloji hemşirelerinin, stresli veya zorlu durumlarla başa çıkmalarının en iyi yolları hakkında bilgi eksikliği olduğu ve farkındalık uygulamalarının bu hemşirelerin üzerindeki etkisi hakkında da sınırlı bilgi olduğu bilinmektedir. Bu çalışmada, Farkındalık Temelli Stres Azaltma programının pediatrik onkoloji-hematoloji hemşirelerinin algıladıkları stres ve mesleki yaşam kalitesi üzerindeki etkisi araştırılmıştır. Gereç ve Yöntemler: Kasım 2021-Haziran 2022 tarihleri arasında pediatrik onkoloji-hematoloji hemşireleri ile yarı deneysel bir çalışma yürütülmüştür. Hemşirelere 8 hafta boyunca haftalık 60- 90 dk'lık seanslar halinde Farkındalık Temelli Stres Azaltma programı uygulandı. Veriler, ''Hemşire Bilgi Formu'', ''Profesyonel Yaşam Kalitesi Ölçeği-IV'' ve ''Algılanan Stres Ölçeği'' ile toplanmıştır. Veriler Wilcoxon işaretli sıralar testi kullanılarak analiz edilmiştir. Eşleştirilmiş örneklem t-testleri için etki büyüklüklerini hesaplamak üzere Cohen d kullanılmıştır. Bulgular: Farkındalık Temelli Stres Azaltma programından sonra hemşirelerin mesleki yaşam kalitesinin alt boyutları olan merhamet yorgunluğu ve tükenmişlik puan ortalamaları istatistiksel olarak anlamlı düzeyde azalırken (p<0,05), hemşirelerin müdahale öncesi ve sonrası merhamet memnuniyet ve stres düzeyi puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0,05). Sonuç: Sağlık kurumları, hemşirelerin kendilerine bakım vermelerini başkalarına bakım vermekle aynı öncelik düzeyinde destekleyecek stratejileri göz önünde bulundurmalıdırlar. Farkındalık Temelli Stres Azaltma programının yaygınlaştırılması ve gelecek çalışmaların farklı gruplarda yapılması önerilmektedir. Hemşirelerin stres, tükenmişlik ve merhamet yorgunluğu açısından takip edilmesi ve önleyici eğitim programlarının uygulanması şiddetle tavsiye edilmektedir.

Anahtar Kelimeler: Tükenmişlik; merhamet yorgunluğu; farkındalık temelli stres azaltma; onkoloji hemşireliği; pediatri
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