Türkiye’de Hemşirelik Alanında ERAS Protokolü Uygulamaları ile Yapılan Lisansüstü Tezlerin İncelenmesi

Year 2024, Issue: 23, 596 - 612, 31.08.2024

Gülseren Maraş , Yeliz Sürme

https://doi.org/10.38079/igusabder.1464201

Abstract

Amaç: Bu çalışma ülkemizde hemşirelik alanında Ameliyat Sonrası Hızlı İyileşme Protokolü̈ (Enhanced Recovery After Surgery-ERAS) uygulamaları ile yapılan lisansüstü tezlerin incelenmesi amacıyla planlanmıştır.
Yöntem: Bu retrospektif tipteki literatür araştırmasında 2011-2023 yılları arasında hemşirelik alanında ERAS uygulamalarının kullanıldığı tezler incelenmiştir. Yükseköğretim Kurulu Ulusal Tez Merkezi veri tabanında incelenen tezlerin araştırmaya alınma ölçütleri; tez başlıklarında "Cerrahi sonrası hızlandırılmış iyileşme protokolü ", "Hızlandırılmış iyileşme", “Oral karbonhidrat”, "ERAS" anahtar kelimeleri yer alması, Hemşirelik ve/veya Hemşirelik anabilim dalları tarafından yapılmış olmasıdır. Tezler yüksek lisans ve doktora tezleri olarak ayrıldıktan sonra kronolojik sırayla incelenmiştir.
Bulgular: Tarama sonucunda 2011-2023 yılları arasında tam metnine ulaşılan 21 tez içerisinden 20 tez değerlendirmeye alınmıştır. Türkiye’de ERAS uygulamaları kullanılarak yapılan ilk hemşirelik tezinin 2011 yılında yapıldığı saptanmıştır. Tezlerin tamamının son 12 yılda yazıldığı ve 3 tezin doktora, 17 tezin yüksek lisans düzeyinde olduğu tespit edilmiştir. Çalışma desenleri incelendiğinde 1’i meta-analiz, 13’ü tanımlayıcı, 6’sı deneysel yöntem kullanılarak yürütülmüştür. Çalışmaların %75’i hastalarla, %10’u sağlık çalışanlarıyla, %10’u hemşirelik öğrencileri ile yürütülmüştür. Tezler kolorektal, kardiyak, bariyatrik, hepatobiliyer, tiroid, jinekolojik, ortopedik cerrahi ve sağlık çalışanlarının ERAS konusundaki bilgi düzeylerini içermektedir.
Sonuç: ERAS konusunda yapılan hemşirelik tezlerinde ERAS uygulamalarının kullanım amaçlarına göre etkili olduğu sonuca ulaşılmıştır. Aynı zamanda sağlık çalışanlarının ERAS uygulamaları konusunda bilgi düzeyinin yeterli olmadığı saptanmıştır. Bu kapsamda, ERAS uygulamalarının yaygınlaştırılması amacıyla hemşirelik alanında yapılan kanıt düzeyi yüksek deneysel çalışma sayılarının artırılması ve farkındalık yaratılması önerilmektedir.

Keywords

Cerrahi, ERAS, Hemşirelik, Hızlandırılmış İyileşme, Protokol

Examination of Postgraduate Theses on ERAS Protocol Applications in the Field of Nursing in Türkiye

Abstract

Aim: This study is designed to examine postgraduate theses conducted in the field of nursing in Türkiye focusing on the Enhanced Recovery After Surgery (ERAS) protocols.
Method: In this retrospective literature review, theses conducted in the field of nursing between 2011-2023, focusing on the utilization of ERAS practices, were examined. The inclusion criteria for the theses retrieved from the National Thesis Center database of the Higher Education Council were as follows: having key terms such as "Postoperative enhanced recovery protocol," "Enhanced recovery," "Oral carbohydrate," or "ERAS" in their thesis titles, and being conducted by departments of Nursing and/or Nursing Science. After categorizing the theses into master's and doctoral theses, they were examined in chronological order.
Results: The screening process identified 21 theses conducted between 2011-2023, excluding one thesis that was inaccessible for full text. All theses were written within the last 12 years, with 3 theses at the doctoral level and 17 at the master's level. When examining the study designs, one these was a meta-analysis, 13 were descriptive, and 6 were conducted using experimental methods. Among the studies, 75% were conducted with patients, 10% with healthcare workers, and 10% with nursing students.
Conclusion: The nursing theses conducted on ERAS have concluded that ERAS practices are effective based on their intended purposes. Additionally, it has been determined that healthcare professionals have insufficient knowledge regarding ERAS practices. Therefore, it is recommended to increase the number of studies conducted in the field of nursing to promote the widespread implementation of ERAS practices and raise awareness.

Keywords

Surgery, ERAS, Nursing, Enhanced Recovery, Protocol

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