Transition shock among nurses/technicians during redeployment at the COVID department at the Clinical Hospital Center Split

Uvod: Pandemija koronavirusa pogodila je čitav svijet. Ova pandemija jedna je od najvećih prijetnji koje je čovječanstvo iskusilo u smislu bolesti i epidemija. Za borbu protiv COVID-19 virusa najveće zasluge možemo pripisati zdravstvenim djelatnicima na prvoj crti borbe protiv ovog nevidljivog neprijatelja. Zdravstveni djelatnici su također i pretrpjeli najveću ''štetu'' tijekom borbe protiv virusa zbog novonastalih brojnih problema među zdravstvenim osobljem u smisli povećane razine stresa, tjeskobe, depresije i straha. Upravo je to razlog zašto je nužno omogućiti zdravstvenom djelatniku pravilno i dovoljno vrijeme prilagodbe na rad na novim odjelima, u ovom slučaju prilagodbu na rad na COVID odjelima. Cilj: Cilj rada je ispitati pojavu tranzicijskog šoka među medicinskim sestrama i tehničarima koji su bili preraspoređeni na rad sa svojih matičnih odjela na rad unutar COVID odjela ili još uvijek rade na COVID odjelima Kliničkog bolničkog centra Split. Materijali i metode: U istraživanju je sudjelovalo 120 ispitanika iz KBC-a Split od kojih je 76 bilo medicinskih sestara i 44 medicinskih tehničara. Instrument mjerenja korišten unutar istraživanja je anketni upitnik u online formatu. Prvi dio upitnika odnosio se na opće i sociodemografske karakteristike ispitanika, dok je drugi dio anketnog upitnika bio sačinjen od Skale tranzicijskog šoka i COVID-19 upitnika. Rezultati: Unutar istraživanja dobiveni su zanimljivi i pomalo neočekivani rezultati. Iako je većina djelatnika na COVID odjelima mlađe medicinske sestre i tehničari, nižu razinu tranzicijskog šoka primjećujemo kod starijih djelatnika. Stariji djelatnici imali su bolju prilagodbu ali su također imali više poteškoća u obavljanju aktivnosti nakon odrađenog radnog dana što govori u prilog pretjeranoj iscrpljenosti tijekom radnog dana. Mlađi djelatnici su više osjećali frustriranost i tjeskobu. Medicinske sestre i tehničari koji su sudjelovali u ovom istraživanju smatraju da je iznimno bitno imati dozu autoriteta i hijerarhije na COVID odjelima ali koja ne prelazi u strah i depresiju uzorkovanu pretjeranim autoritetom. Zaključak: Iako hipoteze ovog istraživanja nisu dokazane, od velike je važnosti djelatnicima pružiti adekvatnu potporu i pravilne uvjete rada. Rad na COVID odjelima nije lagan posao, bilo da je riječ o mlađim ili starijim zaposlenicima, stoga je nužno olakšati im rad koliko je to god moguće.Introduction: The coronavirus pandemic has affected the whole world. This pandemic is one of the greatest threats that humanity has experienced in terms of disease and epidemics. For the fight against COVID-19, the greatest credit can be attributed to health workers on the front line of the fight against this invisible enemy. Health workers have also suffered the greatest "damage" during the fight against the virus due to the newly emerging numerous problems among health workers in terms of increased levels of stress, anxiety, depression and fear. This is exactly the reason why it is necessary to allow the healthcare worker proper and sufficient time to adapt to work in new departments, in this case adaptation to work in the COVID wards. Aim: The aim of the work is to examine the incidence of transition shock among nurses and technicians who were reassigned to work from their home departments to work in the COVID departments or are still working in the COVID departments of the Clinical Hospital Center. Materials and methods: 120 respondents from KBC Split participated in the research, of which 76 were nurses and 44 were medical technicians. The measurement instrument used in the research is a survey questionnaire in online form. The first part of the questionnaire referred to general and sociodemographic characteristics of the respondents, while the second part of the questionnaire consisted of the Transition Shock Scale and the COVID-19 Questionnaire Results: Interesting and somewhat unexpected results were obtained within the research. Although the majority of employees in the COVID wards are younger nurses and technicians, we notice a lower level of transition shock among older employees. Older employees had a better adaptation but also had more difficulties in performing activities after a working day, which speaks in favor of excessive exhaustion during the working day. Younger employees felt more frustrated and anxious. Nurses and technicians who participated in this research believe that it is extremely important to have a dose of authority and hierarchy in the COVID wards, but which does not turn into fear and depression patterned by excessive authority. Conclusion: Although the hypotheses of this research have not been proven, it is of great importance to provide employees with adequate support and proper working conditions. Working in the COVID departments is not an easy job, whether it is for younger or older employees, so it is necessary to make their work as easy as possible