Bir üniversite hastanesinde karşılanmayan hemşirelik bakım gereksinimi miktarı ve nedenleri

Year 2019, Volume: 44 Issue: 4, 1226 - 1236, 29.12.2019

Nagihan İlaslan , Nuriye Yıldırım Şişman

https://doi.org/10.17826/cumj.509488

Cited By: 8

Abstract

Amaç: Çalışmanın amacı, bir üniversite hastanesinde karşılanmayan hemşirelik bakım gereksinimi miktarı ve nedenlerini değerlendirmektir. 

Gereç ve Yöntem: Tanımlayıcı nitelikteki çalışma, Mart-Aralık 2017 tarihleri arasında bir üniversite hastanesinde çalışan ve çalışmaya katılmayı gönüllük esasına dayalı olarak kabul eden 94 hemşire ile gerçekleştirilmiştir. Veriler, araştırmacılar tarafından literatür doğrultusunda oluşturulan anket formu ve Karşılanmayan Hemşirelik Bakım Gereksinimi Ölçeği ile toplanmıştır. 

Bulgular: Sıklıkla karşılanmayan hemşirelik bakımlarının, hastayı günde üç kez veya gerektiği kadar ayağa kaldırma/dolaştırma (%41), düzenlenen disiplinler arası bakım konferanslarına katılma (%41),  hastaya ve/veya hasta yakınlarına duygusal destek verilmesi (%40) ve taburcu olan hastanın kullanacağı ilaçların dozu, alınma zamanı ve yan etkilerinin hasta ile birlikte gözden geçirilmesi (%33) olduğu görülmektedir. Çalışılan birim  ve karşılanmayan hemşirelik bakım gereksinimi kavramı hakkında bilgi sahibi olma durumu  ile karşılanmayan hemşirelik bakım gereksinimleri arasında; hemşire sayısı yeterliliğini algılama ile karşılanmayan hemşirelik bakım hizmetlerinin nedenleri arasında anlamlı bir ilişki olduğu  bulunmuştur.

Sonuç: Karşılanmayan hemşirelik bakımı, hemşirelik bakımının kalitesini olumsuz etkilemekte ve hasta güvenliğini riske sokmaktadır. Kavramın yapılacak çalışmalarla yakından ele alınması ve bu doğrultuda uygun protokollerin geliştirilmesi önerilmektedir.

Keywords

Hemşirelik, hemşire, hemşirelik bakımı

Evaluation of nurses in a university hospital for the amount and reasons of unmet nursing need

Abstract

Purpose: This study evaluates the amount and causes of unmet nursing care needs at a university hospital.

Materials and Methods: This descriptive study was conducted between March and December 2017 with 94 university hospital nurses who participated voluntarily. Data were collected using a questionnaire form and the “Unmet Nursing Care Needs Scale”, which was created in accordance with the literature by the researchers. 

Results: The unmet nursing care needs were getting up or walking patients three times a day or as needed (41%), participating in multidisciplinary care conferences (41%), providing patient/patient relatives with emotional support (40%) and reviewing the dosage, taking time and side effects of the drugs the patient will use with the patient (33%). There was a significant relationship between having information about the unit and the concept of unmet nursing care needs, and perceiving the adequacy of number of nurses and the causes of unmet nursing care needs.

Conclusion: Unmet nursing care needs affect the quality of nursing care and risk the safety of patients. This concept should be studied carefully by future studies, and proper protocols should be enhanced accordingly.

Keywords

nursing, nurses, nursing care

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