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Hemşirelerin Yaşam Bulgularını İzleme ve Hasta Güvenliği Tutumları Arasındaki İlişki: Kesitsel Bir Çalışma

Year 2025, Volume: 8 Issue: 1, 165 - 173, 05.04.2025
https://doi.org/10.38108/ouhcd.1405925

Abstract

Amaç: Bu araştırmanın amacı hemşirelerin yaşam bulgularını izleme ve hasta güvenliği tutumları arasındaki ilişkinin incelenmesidir.
Yöntem: Tanımlayıcı, ilişki arayıcı ve kesitsel tipteki çalışma, Türkiye’de bir üniversite hastanesinde yürütülmüştür. Çalışmanın evreni 390 hemşire olup, araştırmaya güç analizi ile en az 206 hemşirenin dahil edilmesi planlanmıştır. Çalışma 218 hemşire ile Haziran 2020- Mayıs 2021 tarihleri arasında yürütülmüştür. Veriler, Hemşire Bilgi Formu, Yaşam Bulguları Ölçeği ve Hasta Güvenliği Tutum Ölçeği kullanılarak, basılı veri toplama formları ile toplanmıştır.
Bulgular: Hemşirelerin Yaşam Bulguları Ölçeği puan ortalaması 59.51±8,89, Hasta Güvenliği Tutum Ölçeği puan ortalaması 169.89±27.46 olarak belirlenmiştir. Hemşirelerin Yaşam Bulguları Ölçeği ve Hasta Güvenliği Tutum Ölçeği ortalama puanları arasında pozitif yönde, düşük düzeyde anlamlı ilişki olduğu saptanmıştır (r=0.248, p<0.001). Lineer regresyon analizi sonuçlarına göre son bir yıl içinde hasta güvenliği eğitimi alma ve Hasta Güvenliği Tutum Ölçeği “güvenlik iklimi” ve “stresi tanımlama” alt boyut puanlarının Yaşam Bulguları Ölçeği toplam puanlarını anlamlı derecede etkilediği belirlenmiştir (p=0.022, p=0.032, p=0.002, sırasıyla).
Sonuç: Bu çalışmada hemşirelerin yaşam bulgularını izleme ve hasta güvenliği tutumları ortalamanın üzerinde ve bu tutum puanları arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur.

References

  • Barton C, Chettipally U, Zhou Y, Jiang Z, Lynn-Palevsky A, Le S, et al. (2019). Evaluation of a machine learning algorithm for up to 48-hour advance prediction of sepsis using six vital signs. Computers in Biology and Medicine, 109, 79-84.
  • Baykal Ü, Şahin NH, Altuntaş S. (2010). Turkish adaptation of patient safety attitude questionnaire. Journal of Education and Research in Nursing, 7(1), 39-45.
  • Brekke IJ, Puntervoll LH, Pedersen PB, Kellett J, Brabrand M. (2019). The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PLoS One, 14(1), e0210875.
  • Brasaite I, Kaunonen M, Suominen T. (2015). Healthcare professionals’ knowledge, attitudes and skills regarding patient safety: a systematic literature review. Scandinavian Journal of Caring Sciences, 29, 30-50.
  • Breteler MJM, KleinJan EJ, Dohmen DAJ, Leenen LPH, van Hillegersberg R, Ruurda JP. et al. (2020). Vital signs monitoring with wearable sensors in high-risk surgical patients: a clinical validation study. Anesthesiology, 132(3), 424-439.
  • Burchill CN, Polomano R. (2016). Certification in emergency nursing associated with vital signs attitudes and practices. International Emergency Nursing, 27, 17-23.
  • Cheng H, Yang, H, Ding, Y, Wang, B. (2020). Nurses' mental health and patient safety: An extension of the Job Demands–Resources model. Journal of Nursing Management, 28, 653–663.
  • Chua WL, Mackey S Liaw SY. (2013). Front line nurses' experiences with deteriorating ward patients: a qualitative study. International Nursing Review, 60, 501-509.
  • Dall'Ora C, Griffiths P, Hope J, Barker H, Smith GB. (2020). What is the nursing time and workload involved in taking and recording patients' vital signs? A systematic review. Journal of Clinical Nursing, 29(13-14), 2053-2068.
  • Durgun H, Kaya H. (2018). The attitudes of emergency department nurses towards patient safety. International Emergency Nursing, 40, 29-32.
  • Eddahchouri Y, Koeneman M, Plokker M, Brouwer E, van de Belt TH, van Goor H. et al. (2021). Low compliance to a vital sign safety protocol on general hospital wards: A retrospective cohort study. International Journal of Nursing Studies, 115, 103849.
  • Elliott M, Endacott R. (2022). The clinical neglect of vital signs’ assessment: an emerging patient safety issue? Contemporary Nurse, 58(4), 249-252.
  • Ertuğ N. (2018). Evaluating the validity and reliability of the V‐scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring. International Journal of Nursing Practice, 24(3), e12637.
  • Fu M, Wang T, Hu S, Zhang X, Wang F, Pan Y. et al. (2022). Patient safety value, safety attitude, and safety competency among emergency nurses in China: A structural equation model analysis. Journal of Nursing Management, 30(8), 4452-4460.
  • Griffiths P, Ball J, Bloor K, Böhning D, Briggs J, Dall'Ora C. et al. (2018). Nurse staffing levels missed vital signs and mortality in hospitals: a retrospective longitudinal observational study. Health Services and Delivery Research, 6(38).
  • Gülnar E, Doğan Yılmaz E, Özveren H. (2020). determination of nurses’ attitudes and applications on vital signs. The Journal of Kırıkkale University Faculty of Medicine, 22(3), 377-385.
  • Haegdorens F, Monsieurs KG, Meester KD, Bogaert PV. (2019). An intervention including the national early warning score improves patient monitoring practice and reduces mortality: A cluster randomized controlled trial. Journal of Advanced Nursing, 75, 1996–2005.
  • International Council of Nursing (2022). The greatest threat to global health is the workforce shortage. Accessed on: 25.12.2023, https://www.icn.ch/news/greatest-threat-globalhealth-workforce-shortage-international-council-nurses-international
  • Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. (2018). Frequency of vital sign measurement among intubated patients in the general ward and nurses' attitudes toward vital sign measurement. Journal of Multidisciplinary Healthcare, 15(11), 575-581.
  • Kellett J, Sebat F. (2017). Make vital signs great again- A call for action. European Journal of Internal Medicine, 45, 13-19.
  • Koç Z, Eraydin C, Tezcan B. (2020). Determining nurses’ perception of patient safety culture and the factors affecting perceptions. Manisa Celal Bayar University Journal of Institute of Health Science. 7(2), 102-109.
  • Kyriacos U, Jelsma J, Jordan S. (2011). Monitoring vital signs using early warning scoring systems: a review of the literature. Journal of Nursing Management, 19, 311–330.
  • Merriam-Webster. (n.d.) Attitude. In Merriam-Webster.com dictionary. Retrieved January 8, 2023, from https://www.merriam-webster.com/dictionary/ attitude
  • Mok W, Wang W, Cooper S, Ang ENK, Liaw SE. (2015). Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses. International Journal for Quality in Health Care, 27(3), 207–213.
  • Özsaban A, Turan N, Beki Ç, Aşti T. (2022). The relationship between nurses’ attitudes toward vital signs monitoring and emotional intelligence levels. Journal of General Medicine, 32(6), 652-657.
  • Pozam M, Khorshid L, Sarı D. (2022). Determination of the nurses' attitudes towards vital signs monitoring: A descriptive study. Turkiye Klinikleri Journal of Nursing Sciences, 14(2), 398-406.
  • Prgomet M, Cardona-Morrell M, Nicholson M, Lake R, Long J, Westbrook J, et al. (2016). Vital signs monitoring on general wards: Clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology. International Journal for Quality in Health Care, 28(4), 515-521.
  • Redfern O, Griffiths P, Maruotti A, Saucedo AR, Smith GB. (2019). The association between nurse staffing levels and the timeliness of vital signs monitoring: a retrospective observational study in the UK.BMJ Open. 9, e032157.
  • Rose L, Clarke SP. (2010). Vital signs. American Journal of Nursing, 110(5), 11.
  • Sexton, JB, Helmreich, RL, Neilands, TB, Rowan, K, Vella, K, Boyden, J. et al. (2006). The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44.
  • Turan N, Çulha Y, Arıkan NE. (2022). Examination of the relationship between the education level of nurses, working at night shift, and monitoring vital signs. Ordu University Journal of Nursing Studies, 5(2), 180-190.
  • Ünver S, Yeniğün SC. (2020). Patient safety attitude of nurses working in surgical units: a cross-sectional study in Turkey. Journal of PeriAnesthesia Nursing, 35(6), 671-675.
  • Vaismoradi M, Tella S, Logan PA, Khakurel J, Vizcaya-Moreno F. (2020). Nurses' adherence to patient safety principles: a systematic review. International Journal of Environmental Health Research, 17(6), 2028.
  • Watkins T, Whisman L, Booker P. (2015). Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal of Clinical Nursing, 25, 278–281.
  • Weber J, Kelly J. (2010). Assessing general status & vital signs (chapter 7). Health Assessment in Nursing (4th edition). 77-90. Wolters Kluwer | Lippincott Williams & Wilkins.
  • World Health Organization (2021). Global Patient Safety Action Plan 2021-2030. Accessed on: 03.01.2023, https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
  • Wood C, Chaboyer W, Carr P. (2019). How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. International Journal of Nursing Studies, 94, 166-178

Relationship Between Nurses’ Vital Signs Monitoring and Patient Safety Attitudes: A Cross-sectional Study

Year 2025, Volume: 8 Issue: 1, 165 - 173, 05.04.2025
https://doi.org/10.38108/ouhcd.1405925

Abstract

Objective: This study aimed to investigate the relationship between nurses' attitudes toward monitoring vital signs and patient safety.
Methods: This descriptive, correlational, cross-sectional study was conducted at a university hospital in Turkey. The population of the study was 390 nurses, and it was planned to include at least 206 nurses in the study with power analysis. The study was completed with 218 nurses between June 2020 and May 2021. The data were collected using tools like the Nurse Information Form, V-Scale Instrument, and Patient Safety Attitude Questionnaire.
Results: Nurses’ V-Scale total mean score was 59.51±8.89, and the Patient Safety Attitude Questionnaire total mean score was 169.89±27.46 in this study. A positive, low-level significant correlation existed between the nurses’ V-Scale and SAQ total scores (r=0.248, p<0.001). According to the results of linear regression analysis, receiving patient safety training in the current year and Patient Safety Attitude Questionnaire “safety climate” and “stress recognition” sub-dimension scores significantly affected V-Scale total scores (p=0.022, p=0.032, p=0.002, respectively).
Conclusions: In this study, nurses’ vital signs monitoring and patient safety attitudes were above average, and there was a statistically significant correlation between these attitude scores.
Keywords: Nursing assessment, patient monitoring, patient safety, vital signs

References

  • Barton C, Chettipally U, Zhou Y, Jiang Z, Lynn-Palevsky A, Le S, et al. (2019). Evaluation of a machine learning algorithm for up to 48-hour advance prediction of sepsis using six vital signs. Computers in Biology and Medicine, 109, 79-84.
  • Baykal Ü, Şahin NH, Altuntaş S. (2010). Turkish adaptation of patient safety attitude questionnaire. Journal of Education and Research in Nursing, 7(1), 39-45.
  • Brekke IJ, Puntervoll LH, Pedersen PB, Kellett J, Brabrand M. (2019). The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PLoS One, 14(1), e0210875.
  • Brasaite I, Kaunonen M, Suominen T. (2015). Healthcare professionals’ knowledge, attitudes and skills regarding patient safety: a systematic literature review. Scandinavian Journal of Caring Sciences, 29, 30-50.
  • Breteler MJM, KleinJan EJ, Dohmen DAJ, Leenen LPH, van Hillegersberg R, Ruurda JP. et al. (2020). Vital signs monitoring with wearable sensors in high-risk surgical patients: a clinical validation study. Anesthesiology, 132(3), 424-439.
  • Burchill CN, Polomano R. (2016). Certification in emergency nursing associated with vital signs attitudes and practices. International Emergency Nursing, 27, 17-23.
  • Cheng H, Yang, H, Ding, Y, Wang, B. (2020). Nurses' mental health and patient safety: An extension of the Job Demands–Resources model. Journal of Nursing Management, 28, 653–663.
  • Chua WL, Mackey S Liaw SY. (2013). Front line nurses' experiences with deteriorating ward patients: a qualitative study. International Nursing Review, 60, 501-509.
  • Dall'Ora C, Griffiths P, Hope J, Barker H, Smith GB. (2020). What is the nursing time and workload involved in taking and recording patients' vital signs? A systematic review. Journal of Clinical Nursing, 29(13-14), 2053-2068.
  • Durgun H, Kaya H. (2018). The attitudes of emergency department nurses towards patient safety. International Emergency Nursing, 40, 29-32.
  • Eddahchouri Y, Koeneman M, Plokker M, Brouwer E, van de Belt TH, van Goor H. et al. (2021). Low compliance to a vital sign safety protocol on general hospital wards: A retrospective cohort study. International Journal of Nursing Studies, 115, 103849.
  • Elliott M, Endacott R. (2022). The clinical neglect of vital signs’ assessment: an emerging patient safety issue? Contemporary Nurse, 58(4), 249-252.
  • Ertuğ N. (2018). Evaluating the validity and reliability of the V‐scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring. International Journal of Nursing Practice, 24(3), e12637.
  • Fu M, Wang T, Hu S, Zhang X, Wang F, Pan Y. et al. (2022). Patient safety value, safety attitude, and safety competency among emergency nurses in China: A structural equation model analysis. Journal of Nursing Management, 30(8), 4452-4460.
  • Griffiths P, Ball J, Bloor K, Böhning D, Briggs J, Dall'Ora C. et al. (2018). Nurse staffing levels missed vital signs and mortality in hospitals: a retrospective longitudinal observational study. Health Services and Delivery Research, 6(38).
  • Gülnar E, Doğan Yılmaz E, Özveren H. (2020). determination of nurses’ attitudes and applications on vital signs. The Journal of Kırıkkale University Faculty of Medicine, 22(3), 377-385.
  • Haegdorens F, Monsieurs KG, Meester KD, Bogaert PV. (2019). An intervention including the national early warning score improves patient monitoring practice and reduces mortality: A cluster randomized controlled trial. Journal of Advanced Nursing, 75, 1996–2005.
  • International Council of Nursing (2022). The greatest threat to global health is the workforce shortage. Accessed on: 25.12.2023, https://www.icn.ch/news/greatest-threat-globalhealth-workforce-shortage-international-council-nurses-international
  • Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. (2018). Frequency of vital sign measurement among intubated patients in the general ward and nurses' attitudes toward vital sign measurement. Journal of Multidisciplinary Healthcare, 15(11), 575-581.
  • Kellett J, Sebat F. (2017). Make vital signs great again- A call for action. European Journal of Internal Medicine, 45, 13-19.
  • Koç Z, Eraydin C, Tezcan B. (2020). Determining nurses’ perception of patient safety culture and the factors affecting perceptions. Manisa Celal Bayar University Journal of Institute of Health Science. 7(2), 102-109.
  • Kyriacos U, Jelsma J, Jordan S. (2011). Monitoring vital signs using early warning scoring systems: a review of the literature. Journal of Nursing Management, 19, 311–330.
  • Merriam-Webster. (n.d.) Attitude. In Merriam-Webster.com dictionary. Retrieved January 8, 2023, from https://www.merriam-webster.com/dictionary/ attitude
  • Mok W, Wang W, Cooper S, Ang ENK, Liaw SE. (2015). Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses. International Journal for Quality in Health Care, 27(3), 207–213.
  • Özsaban A, Turan N, Beki Ç, Aşti T. (2022). The relationship between nurses’ attitudes toward vital signs monitoring and emotional intelligence levels. Journal of General Medicine, 32(6), 652-657.
  • Pozam M, Khorshid L, Sarı D. (2022). Determination of the nurses' attitudes towards vital signs monitoring: A descriptive study. Turkiye Klinikleri Journal of Nursing Sciences, 14(2), 398-406.
  • Prgomet M, Cardona-Morrell M, Nicholson M, Lake R, Long J, Westbrook J, et al. (2016). Vital signs monitoring on general wards: Clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology. International Journal for Quality in Health Care, 28(4), 515-521.
  • Redfern O, Griffiths P, Maruotti A, Saucedo AR, Smith GB. (2019). The association between nurse staffing levels and the timeliness of vital signs monitoring: a retrospective observational study in the UK.BMJ Open. 9, e032157.
  • Rose L, Clarke SP. (2010). Vital signs. American Journal of Nursing, 110(5), 11.
  • Sexton, JB, Helmreich, RL, Neilands, TB, Rowan, K, Vella, K, Boyden, J. et al. (2006). The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44.
  • Turan N, Çulha Y, Arıkan NE. (2022). Examination of the relationship between the education level of nurses, working at night shift, and monitoring vital signs. Ordu University Journal of Nursing Studies, 5(2), 180-190.
  • Ünver S, Yeniğün SC. (2020). Patient safety attitude of nurses working in surgical units: a cross-sectional study in Turkey. Journal of PeriAnesthesia Nursing, 35(6), 671-675.
  • Vaismoradi M, Tella S, Logan PA, Khakurel J, Vizcaya-Moreno F. (2020). Nurses' adherence to patient safety principles: a systematic review. International Journal of Environmental Health Research, 17(6), 2028.
  • Watkins T, Whisman L, Booker P. (2015). Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal of Clinical Nursing, 25, 278–281.
  • Weber J, Kelly J. (2010). Assessing general status & vital signs (chapter 7). Health Assessment in Nursing (4th edition). 77-90. Wolters Kluwer | Lippincott Williams & Wilkins.
  • World Health Organization (2021). Global Patient Safety Action Plan 2021-2030. Accessed on: 03.01.2023, https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
  • Wood C, Chaboyer W, Carr P. (2019). How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. International Journal of Nursing Studies, 94, 166-178
There are 37 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Araştırma
Authors

Aysel Özsaban 0000-0002-8739-8829

Nuray Turan 0000-0002-8362-3427

Yasemin Kıyak 0000-0002-5782-6781

Ayşen Karabacak 0000-0002-7768-9796

Gözde Ataş 0000-0001-9884-9069

Gizem Öner 0000-0001-6290-285X

Türkinaz Aştı 0000-0002-9127-7798

Early Pub Date March 27, 2025
Publication Date April 5, 2025
Submission Date December 21, 2023
Acceptance Date May 17, 2024
Published in Issue Year 2025 Volume: 8 Issue: 1

Cite

APA Özsaban, A., Turan, N., Kıyak, Y., Karabacak, A., et al. (2025). Relationship Between Nurses’ Vital Signs Monitoring and Patient Safety Attitudes: A Cross-sectional Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(1), 165-173. https://doi.org/10.38108/ouhcd.1405925