The effects of the nervous behaviors that surgeons make in the operating rooms on Nurses

Purpose: To determine the events giving rise to tension between nurses working with physicians in branch of surgery; and its reflection on their work motivation.Introduction: Relationship between nurses and physicians, common occupational areas of whom are patient care and treatment, is shaped depending on the institution they work, the community they appeal to, their professional training and professional associations. In this case, it leads to conflicts causing difficulties in coordination, as in every occupational group. Through understanding the relationship between physicians and nurses; and resolving conflicts between them, more efficient and safer patient care will be provided; and thus, the operation of hospitals and other health institutions will be easier.Material and method: Our study consist of 550 surgical nurses working in operating rooms in university hospitals, training and research hospitals, public hospitals and private hospitals in Afyon, Ankara, Bursa, İstanbul, Karaman, Konya, between the dates indicated. In the study, no sample selection has been made; 100 nurses, who accept to participate and are available in the institution, have been included.Data of the research have been obtained through questionnaires. The questionnaire administrated to the surgical nurses consists of 29 questions. Additionally, Maslach Burnout Inventory-Trait Anger Expression Scale has been used. Questions determining age, gender, school of graduate, total working time, total time of working as a surgical nurse, surgical departments they worked in, status of satisfaction with the working place, situations causing tense behaviors and the reactions, have been asked.Findings: The average age of the nurses included was 32,8 ± 7,13(min: 21 ? max: 48); %51 of them were graduates of associate degree and %56 worked in public hospitals.%66 of the participants worked as surgical nurses for more than 2 years, %77 of them, working in day and night shift system, worked in the profession for an average of 12 years. In our study, it is seen that %96 of the nurses are exposed to tense behaviors of physicians working in operating rooms; that they are negatively affected(%49); and that they were furious with these behaviors; but did not express (%52,06). It is thought that the events breaking the nerves of the physicians are usually caused by environmental factors (%46,5). %97 of the participants indicates that they do not identify these behaviors correct. In addition, it is thought that these behaviors derive from personal problems of the physicians and cannot be prevented (%36,47).It is observed that the educational level of the nurses affects tension; and that the tension is most frequently observed in university hospitals or in training and research hospitals. It is concluded that tension is observed usually in general surgical department; it affects relationship between physicians and nurses negatively; the reasons most frequently met in tension between physicians and nurses are technical inadequacies; the tension is most frequently observed during surgeries; there is more tension in major surgeries; the physicians express their tension by shouting out loud; the nurses do not approve this behavior but continue working without any reactions.Conclusion: In our study shows that, because of the negatives reactions of the surgeries to the nurses in the operatig room most of the nurses effected adversely and this situation reduces the performance of the nurses.The nurses who undergo this situation has shown that burnout ınventory and Trait Anger Expression Scala points has gone up is determined.Keywords: Doctor-Nurse Relationship, Surgical Nurse, Surgeon-Nurse Disagreement