Öğrencilerin Cerrahi Hastalarının Öğrenim Gereksinimlerini Saptama Durumları ve Etkileyen Faktörler

Year 2025, Volume: 18 Issue: 1, 15 - 31

Fatma Gök , Saide Faydalı

https://doi.org/10.46483/jnef.1620893

Abstract

Giriş: Cerrahi hastalarının bireysel gereksinimleri dikkate alınarak gerçekleştirilen planlı hasta eğitiminin ameliyat sürecini ve sonuçlarını olumlu etkilediği bilinmektedir.
Amaç: Bu çalışmanın amacı hemşirelik bölümü öğrencilerinin cerrahi hastalarının öğrenim gereksinimlerini saptama durumlarını ve etkileyen faktörleri ortaya koymaktır.
Yöntem: Tanımlayıcı ve ilişki arayıcı türdeki araştırma 118 ikinci sınıf öğrencisi ile bi devlet üniversitesi tıp fakültesi hastanesinde gerçekleştirilmiştir. Veriler “Öğrenci Soru Formu” ve “Hasta Öğrenim Gereksinimleri Ölçeği” kullanılarak 19 Nisan-24 Mayıs 2017 tarihleri arasında araştırmacı tarafından toplanmıştır. Veriler, yüzde, Kolmogrov–Smirnov, Pearsonki-kare, bağımsız örneklem t testi ve tek yönlü ANOVA testleri ile değerlendirilmiştir.
Bulgular: Araştırmaya katılan öğrencilerin %88.1’inin hastasının öğrenim gereksinimini saptadığı, %45.8’inin hasta eğitimi konusunda kendini yeterli algıladığı bulunmuştur. Öğrencilerin %72.1’i günlük yaşam aktiviteleriyle, %44.2’si tedavi ve komplikasyonlarla ilgili hastasının öğrenim gereksinimini saptamıştır. Öğrenciler tarafından öğrenim gereksinimleri saptanan ve saptanmayan hastaların “Hasta Öğrenim Gereksinimleri Ölçeği” puanları arasında anlamlı bir fark bulunmamıştır (p>0.05).
Sonuç: Öğrencilerin cerrahi hastalarının öğrenim gereksinimlerini saptamalarına rağmen hastaya özgü gereksinimleri ayırt etmede zorlandıkları görülmüştür. Öğrencilerin hasta eğitimi konusunda öğrenim yaşantılarının geliştirilmesi, mesleki yaşamlarında hasta eğitiminde sorumluluk almalarını sağlayacaktır.

Keywords

Hemşirelik, Hasta Eğitimi, Öğrenci, Cerrahi, Hasta Öğrenim Gereksinimleri

Determining the Educational Needs of Surgical Patients of Students and Affecting Factors

Abstract

Background: It was determined that planned patient education, which was carried out taking into account the requirements of individualsurgical patients, had a positive effect on the perioperative process and on results.
Objectives: The purpose of this study is to reveal the situation with regard the educational needs of the surgical patients of students of a nursing department and the factors affecting them.
Methods: The research was of a descriptive and relational type and was carried out with 118 sophomore students at aa university’s medical faculty hospital. The data were collected by the researcher between 19 April and 24 May 2017 using the Questionnaire for Students and The Patient Learning Needs Scale. Data were evaluated with frequency, Kolmogorov–Smirnov, Pearson Chi-square, independent sample t-test and one-way ANOVA tests.
Results: The students who participated in the study were found that 88.1% of the students had determined that their patients needed to be educated, only 45.8% of them felt self-sufficient in patient education. 72.1% of the students determined that their patients needed to learn about daily life activities and 44.2% that they needed to learn about treatment and complications. There was no significant difference between The Patient Learning Needs Scale scores of patients whose needs had been determined by the students and those whose needs had not(p>0.05).
Conclusion: It was observed that although the students determined the learning needs of surgical patients, they had difficulty in distinguishing the patient-specific needs. Improving students’ learning experiences on patient education will enable them to take responsibility in patient education in their professional lives.

Keywords

Nursing, Patient Education, Student, Surgery, Educational Needs of Patients

References

• Avşar, G., Kaşikçi, M. (2011). Evaluation of patient education provided by clinical nurses in Turkey. International Journal of Nursing Practice, 17(1), 67-71.
• Badiyepeymaiejahromi, Z., Kargar Jahromi, M., Ramezanli, S. (2016). Nursing students’ professional self-concept and clinical performance. Bangladesh Journal of Medical Science, 15(1), 615-621
• Bell, J., Paul, S., Sesti, J., Granger, B. (2019). Improving Self-Reported Preoperative Anxiety Through a Preoperati-ve Education Program: A Quality Improvement Project. Journal of Doctoral Nursing Practice, 12(1), 117-124.
• Burch, J., Balfour, A. (2020). Preoperative patient education. In Enhanced Recovery after Surgery (ss. 37-49). Springer, Cham.
• Büyüköztürk, Ş (2014). Sosyal bilimler için veri analizi el kitabı.Ankara.Pegem Akademi.
• Chevillon, C., Hellyar, M., Madani, C., Kerr, K., Kim, S. C. (2015). Preoperative education on postoperative deli-rium, anxiety, and knowledge in pulmonary thromboendarterectomy patients. American Journal of Critical Care, 24(2), 164-171.
• Crawford, T., Roger, P., Candlin, S. (2018). Supporting patient education using schema theory: A discourseanalysis. Colegian, 1-7.
• Cutilli, C., C. (2020). Excellence in patient education: Evidence-based education that “sticks” and improves patient outcomes. Nursing Clinics, 55(2), 267-282.
• Çatal E, Dicle A. (2008). Öğrenim gereksinimleri ölçeği geçerlilik ve güvenirlik çalışması. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 1(1):19-32.
• Dayılar, H., Çelik, G., Kamer, E. (2016). Genel cerrahi kliniklerinde yatan hastaların öğrenim gereksinimlerinin be-lirlenmesi. Ege Klinik Tıp Dergisi, 54(3), 129-133.
• Eloranta, S., Katajisto, J., Leino-Kilpi, H. (2016). Orthopaedic patient education practice. International Journal of Orthopaedic and Trauma Nursing, 21, 39-48.
• Fereidouni, Z., Sarvestani, R. S., Hariri, G., Kuhpaye, S. A., Amirkhani, M., Kalyani, M. N. (2019). Moving into action: The master key to patient education. The journal of nursing research, 27(1), 1.
• Forbes, R., Clasper, B., Ilango, A., Kan, H., Peng, J., Mandrusiak, A. (2021). Effectiveness of patient education tra-ining on health professional student performance: A systematic review. Patient Education and Counseling, 104(10), 2453-2466.
• Ghorbani, R., Soleimani, M., Zeinali, M. R., Davaji, M. (2014). Iranian nurses and nursing students’ attitudes on barriers and facilitators to patient education: A survey study. Nurse Education in Practice, 14(5), 551-556.
• Guo, P. (2014). Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: a review of randomised controlled trials. Journal of Clinical Nursing, 24(1-2), 34-46.
• Halse, K., Fonn, M., Christiansen, B. (2014). Health education and the pedagogical role of the nurse: Nursing stu-dents learning in the clinical setting. Journal of Nursing Education and Practice, 4(3), 30-37.
• İskender, M. D., Bektas, O., Eren, H. (2020). Effect of preoperative in‐bed exercises and mobilization training on postoperative anxiety and mobilization level. Japan Journal of Nursing Science, 17(4):e12339.
• Kahraman, H., Kurşun, Ş. (2023). Cerrahi kliniklerde çalışan hemşirelerin ameliyat öncesi hasta eğitimini uygulama durumları. Genel Sağlık Bilimleri Dergisi, 4(3), 258-268.
• Kelley, L., Liles, A. M. (2018). Active learning activity aimed to develop group patient education skills. TechTrends, 62, 250–258.
• King, J., Chamberland, P., Rawji, A., Ager, A., Léger, R., Michaels, R., … Warren, M., (2014). Patient educational needs of patients undergoing surgery for lung cancer. Journal of Cancer Education, 29(4), 802-807.
• Mitchell, M. (2010). A patient-centred approach to day surgery nursing. Nursing Standard, 24(44), 40-46
• Mosleh, S. M., Eshah, N. F., Almalik, M. M. (2017). Perceived learning needs according to patients who have un-dergone major coronary interventions and their nurses. Journal Of Clinical Nursing, 26(3-4), 418-426.
• Oswald, N., Hardman, J., Kerr, A., Bishay, E., Steyn, R., Rajesh, P., ... Naidu, B. (2018). Patients want more in-formation after surgery: a prospective audit of satisfaction with perioperative information in lung cancer surgery. Journal of cardiothoracic surgery, 13(1), 1-5.
• Oyetunde, M. O., Akinmeye, A. J. (2015). Factors influencing practice of patient education among nurses at the University College Hospital, Ibadan. Open Journal of Nursing, 5(05), 500.
• Özşaker, E., Akan, S., Dolgun, E., Candan Dönmez, Y. (2022). Cerrahi Hastalarının Öğrenim Gereksinimleri ile Anksiyeteleri Arasındaki İlişkinin İncelenmesi: Kesitsel Çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 14(1).
• Poland, F., Spalding, N., Gregory, S., McCulloch, J., Sargen, K., Vicary, P. (2017). Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study. British Medical Journal Open, 7(6), e013498.
• Pueyo-Garrigues, M., Pardavila-Belio, M. I., Canga-Armayor, A., Esandi, N., Alfaro-Díaz, C., Canga-Armayor, N. (2022). Nurses’knowledge, skills and personal attributes for providing competent health education practice, and its influencing factors: A cross-sectional study. Nurse Education in Practice, 58, 103277.
• Richard, E., Evans, T., Williams, B. (2018). Nursing students’ perceptions of preparation to engage in patient edu-cation. Nurse Education in Practice, 28, 1-6.
• Sanchez, L. M., Cooknel,l L. E. (2017). The Power of 3: Using adult learning principles to facilitate patient educa-tion. Nursing, 47(2), 17-19.
• See, M.T.A., Chee, S., Rajaram, R., Kowitlawakul, Y., Liaw, S.Y. (2020). Missed nursing care in patient education: A qualitative study of different levels of nurses’ perspectives. Journal of Nursing Management, 28(8), 1960–1967.
• Seeman, K. (2019). The importance of quality perioperative patient education. Journal of Consumer Health on the Internet, 23(1), 94-101.
• Seyedin, H., Goharinezhad, S., Vatankhah, S., Azmal, M. (2015). Patient education process in teaching hospitals of tehran university of medical sciences. Medical journal of the Islamic Republic of Iran, 29, 220.
• Sherman, J. R. (2016). An initiative to improve patient education by clinical nurses. Medsurg Nursing, 25(6), 297-333.
• Soyer, Ö., Dönmez, Y. C., van Gıersbergen, M. Y. (2018). Ameliyat olan hastaların öğrenim gereksinimlerinin belir-lenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(3), 200-208.
• Şenyuva, E., Kaya, H., Can, G. (2020). A valid and reliable tool in assessing patient education: the Patient Educa-tion Implementation Scale. International Journal of Nursing Practice, 26(1), e12800.
• Tadesse, B., Kumar, P., Girma, N., Anteneh, S., Yimam, W., Girma, M. (2023). Preoperative patient education practices and predictors among nurses working in east amhara comprehensive specialized hospitals, ethiopia, 2022. Journal of Multidisciplinary Healthcare, 237-247.
• Tahery, N., Razieh, S., Hamidreza, A., Geravandi, S., Mohammadi, M. J. (2019). Nursing teaching role performance from the viewpoint of discharging patient from the Abadan and Khorramshahr hospitals. Clinical Epidemiology and Global Health, 7(4), 611-614.
• Tanır, F. (2017). Sağlık Eğitimi. M. Akbaba, H. Demirhindi (Der.), Temel Halk Sağlığı içinde (ss. 203-2011). Anka-ra, Akademisyen Kitabevi.
• Terzian, T., Watson, J. M., Miller, S. (2021). Nursing students’ experiences in providing patient education in the clinical setting. International Journal of Studies in Nursing, 6(4), 49.
• Thompson, D. L., May, E. J., Leach, M., Smith, C. P., Fereday, J. (2021). The invisible nature of learning: Patient education in nursing. Collegian, 28(3), 341-345.
• Yalçın, S., Arpa, Y., Cengiz, A., Doğan, S. (2015). Hemşirelerin hastaların taburculuk eğitim gereksinimlerine yö-nelik görüşleri ile hastaların eğitim gereksinimlerine yönelik görüşlerinin karşılaştırılması. Hemşirelikte Eğitim ve Araştırma Dergisi, 12(3), 204-209.
• Yavuz, M. (2014). Cerrahi bakım: ameliyat öncesi bakım. A. Karadakovan, F. Eti Aslan (Der.), Dahili ve Cerrahi Hastalıklarında Bakım (3. bs) içinde (223-238). Ankara, Akademisyen Kitabevi.
• Yazıcı, G., Aktaş, D., Tayaz, E., Erciyas, A. (2023). Öğrenci hemşirelerin verdiği taburculuk eğitiminin hastaların öğrenme gereksinimlerini karşılama durumu. Genel Sağlık Bilimleri Dergisi, 5(1), 1-10.
• Quinn, S., Bond, R., Nugent, C. (2017). Ontological modelling and rule‐based reasoning for the provision of perso-nalized patient education. Expert Systems, 34(2), 1-11.