Climate and Health Journal

Türkçe EXAMINATION OF THE RELATIONSHIP BETWEEN THE HOSPITAL ENVIRONMENT AND THE LEVELS OF EMPLOYEE'S WELL-BEING, OCCUPATIONAL STRESS AND BURNOUT

Hatice Öner — 2023-06-24

Background: In this study, it was aimed to examine the relationship between the hospital environment and employees' well-being, job stress and burnout levels.

Methods: The research was an analytical cross-sectional study. 332 hospital staff working in a state university hospital constituted the sample of the research. Data were collected using the information form and Warwick-Edinburgh Mental Well-Being Scale, A-20 Job Stress Scale and Maslach Burnout Scale to reveal the socio-demographic characteristics of the participants. In the analysis of the data, descriptive statistics, Spearman's Rho, Mann Whitney-U and Kruskall-Wallis tests were used.

Results: Work stress and emotional exhaustion mean scores of employees who evaluated the noise level as high were found to be high. Employees who find the level of illumination low have a high mean of job stress and emotional exhaustion and depersonalization, and those who find it high have a high mean score of well-being. It was understood that the employees who found the ventilation level low had high mean scores of job stress, emotional exhaustion and depersonalization, and those who found it high had high mean scores of well-being and personal achievement (p<0.05). It has been revealed that the mean score of job stress, emotional exhaustion and depersonalization of the employees who evaluate social support as bad is high, and the mean score of well-being is high for those who evaluate it as good.

Conclusion: In this study, it was understood that there is a statistically significant relationship between physical and psychosocial environmental factors and health workers' well-being, job stress and burnout levels.

Climate health challenges on people with disability

Francis Samonte — 2023-06-24

People with disabilities (PWD) ranging from physical to mental health issues are vulnerable to environmental perturbations. The emergence of climate change as an important environmental factor in health outcome- particularly in low-income communities where health care delivery system is often inadequate- has profound effect in these individuals. Recent events in 2022 (Hurricane Ian & Fiona, western & southern plains drought, extreme heat, etc..) revealed profound effects from climate change. Increase in air pollution and heat effect are some of the environmental stressors that will exacerbate the already inadequate health care infrastructure for this vulnerable population. Current strategies aimed at people with disabilities are primarily geared towards addressing delivery of medical care and related services, even though health inequities and environmental social justice remains underserved. This article looks at the challenges faced by individuals with disability and remediation needed to mtigate the profound issues.

Türkçe Doğa Temelli Uygulamalar İle Ruh Sağlığının Güçlendirilmesi

Hatice Öner — 2023-06-24

The environment is very important for the continuation of life. The natural environment is very important for people to survive and be healthy. In recent years, due to the deterioration in the balance of the ecosystem, a number of negative problems such as disasters, climate change and pollution around the world have begun to threaten human life in all aspects. Adverse environmental conditions have caused individuals to experience some mental problems such as future anxiety, eco-anxiety and depression. Diğer taraftan doğa temelli terapi ve uygulamaların da ruhsal sorunların tedavisi ve bireyin iyilik halinin güçlenmesinde çok öne çıkmıştır. It is important to increase the awareness of psychiatric nurses about ecopsychological approaches, especially in strengthening mental health.

The COVID -19 process in the context of cultural, political, and social meanings and understandings from the perspective of health care professionals: An autoethnographic study

Belgin Yıldırım — 2023-06-24

This study focused on the (first author's) experience of writing an autoethnography about the nursing experience with elderly patients during the pandemic COVID -19. Autoethnography is an interesting and promising qualitative approach. This autoethnography study aims to describe and systematically analyze personal experiences to understand the nursing experience with elderly patients during the pandemic COVID -19. The study attempted to examine the experiences and events with elderly patients that were part of the pandemic process, which was very effective in the life course and left traces, based on the remembered moments. The author did not need photographs or archival documents to support his recollections, but relied on memories of his experiences in autoethnography. I am an academic nurse. In this true story, I have expressed the complex feelings I experienced as a clinic worker during the pandemic, the sadness and thoughts of death that I felt deeply. Autoethnography begins with a personal story; in this case, my* story was informed by my experience caring for elderly patients in the emergency department during the pandemic. In my fifth year as a clinical nurse, we were confronted with the pandemic that turned the world order upside down during our routine work in the emergency department of the largest university hospital in the region. As a son, grandson, nurse, and graduate student (an autoethnographer conducting experiments), I experienced the struggles and challenges that arise from such a complex intersection of social positions. As I thought deeply about context, it was clear that I needed to write about my clinic and my family life. I think the areas in my clinic have emotional correspondences: the COVID -19 area where patients initially check in with anxiety and haste, the COVID -19 area where they become isolated, and the orange area where they wait with helplessness, ambiguity, loneliness, and growing anxieties. About my family life in the other contextual structure. After the first positive case, I left my family for 4.5 months. After my grandmother, who was the most important place of my childhood, I was involuntarily with my mother, father and patients who came to me. I cannot forget the fear and despair of my patient, a 79-year-old retired veterinarian, when he broke off his monitor and screamed, 'I beg you, I don't want to die like this." I've attempted to relate my personal experience of the fear and helplessness of health care workers during the pandemic COVID -19 to the variety of issues in the literature. What I've written at this point may provide insights into action "that are less likely to be gleaned from motivations, emotions, imagination, subjectivity, and other sources."

*Although I speak of "my" story in this autoethnography, I must admit that the second author, with his methodological support and theoretical knowledge, is the "author" of this story. My colleagues from the medical team in the emergency room are, of course, the other "authors" of this story.

Nursing, old age, COVID-19, autoethnography, qualitative research