Mezun durumundaki öğrenci hemşirelerin halk sağlığı hemşireliği yeterliliklerinin belirlenmesi

Year 2020, , 155 - 171, 31.08.2020

Aslıhan Ozturk Eyimaya , Ebru Dığrak , Hümeyra Zengin Ayfer Tezel

https://doi.org/10.20518/tjph.630643

Abstract

Amaç: Halk sağlığı hemşireleri çalışmalarını yürütürken halk sağlığı hemşireliği yeterlilikleri doğrultusunda profesyonel sağlık hizmeti sunmalıdır. Bu yeterlilikler güvenli ve etik uygulama yapmak için gerekli olan bilgi, beceri, yargı ve nitelikleri içerir. Bu araştırmada mezuniyet aşamasındaki hemşirelik öğrencilerinin halk sağlığı hemşireliği yeterliliklerini belirlemek amaçlanmıştır. Yöntem: Tanımlayıcı olarak yapılan araştırmanın evrenini halk sağlığı hemşireliği dersi almış mezuniyet aşamasındaki öğrenciler (N=130) oluşturmuştur. Araştırmaya katılmayı gönüllü kabul eden bütün öğrenciler çalışma kapsamına alınmıştır ve katılım oranı %87.6’dır. Veriler 83 sorudan oluşan durum tanılama formu ile toplanmıştır. Formda 4 ana başlık halinde ele alınan yeterlilikler toplumun değerlendirilmesi, toplum temelli planlama, hemşirelik girişimlerinin uygulanması, süreçlerin ve çıktıların değerlendirilmesidir. Verilerin değerlendirilmesinde tanımlayıcı istatistikler kullanılmıştır. Araştırmanın yapılabilmesi için kurum izni, etik kurul izni ve öğrencilerden bilgilendirilmiş onam alınmıştır. Bulgular: Öğrencilerin %87.7’si kadın, %59.6’si 22 yaşındadır. Toplumun değerlendirilmesi alanında madde puan ortalaması en yüksek olan madde “Bireysel ve ailevi verilerinin gizliliğini sağlayabilirim (3.84±0.41)”, toplum temelli planlama alanında ise “Girişimleri seçerken etik ilkelere uyarım (3.71±0.58)” ve “Etnik inanç ve kültüre saygı duyarım (3.71±0.57)” maddeleridir. Girişimlerin uygulaması alanında en düşük puan ortalaması “Toplumdaki asemptomatik hastalık durumlarını ya da tanınmayan sağlık risk faktörleri olan bireyleri belirleyebilirim (3.38±0.65)” olarak saptanmıştır. Süreç ve çıktıların değerlendirilmesi alanında ise en düşük puan ortalamasına “Toplanan bilgileri analiz etmek için uygun istatistikleri kullanırım (3.33±0.71)” maddesi sahiptir. Sonuç: Mezuniyet aşamasındaki hemşirelerin halk sağlığı hemşireliği yeterliliklerinin çoğunun yüksek düzeyde olduğu saptanmıştır. Halk sağlığı hemşireliği yeterliliklerinin daha da geliştirilebilmesi için lisans eğitim programlarında düzenlemeler yapılması ve mezuniyet sonrasında da hemşirelerin hizmet içi eğitim programları ile desteklenmeleri önerilebilir.

Keywords

Halk sağlığı hemşireliği, ders çıktıları, mesleki yeterlilik

Supporting Institution

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Project Number

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Thanks

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Determination of the public health nursing competencies of the nursing students at graduation stage

Abstract

Objective: Public health nurses should provide professional health services in line with their competences in public health nursing when undertaking interventions. These qualifications include the knowledge, skills, judgment and qualifications necessary to make safe and ethical practice. In this study, it was aimed to determine the public health nursing competencies of nursing students at graduation stage. Method: The universe of the research carried out as descriptive was the students at the graduation stage who took the course of public health nursing. All students who accepted to participate in the study voluntarily were included in the study and participation rate was 87.6%. The data of the study was collected with a condition diagnosis form consisting of 83 questions. The qualifications discussed in the form as 4 main headings; evaluation of society, community based planning, implementation of nursing interventions, evaluation of processes and outputs. Descriptive statistics were used in the evaluation of the data. In order to conduct the research, the permission of the institution, the approval of the ethics committee and informed consent were obtained from the students. Results: 87.7% of the students are women and 59.6% are 22 years old. The highest item score average in the field of evaluation of society “I can ensure the confidentiality of individual and family data (3.84±0.41)”, in the field of community based planning “I comply with ethical principles when choosing initiatives (3.71±0.58)” and “I respect ethnic beliefs and culture (3.71±0.57)”. The lowest average score in the field of implementation of nursing interventions was determined as “I can identifyasymptomatic disease states in the community or individuals with unrecognized health risk factors (3.38±0.65)”. In the field of evaluation of processes and outputs the lowest average score was “I use appropriate statistics to analyze the collected information (3.33±0.71)”. Conclusions: Most of the public health nursing qualifications of nurses at graduation stage were found to be high. In order to further develop public health nursing qualifications, it may be suggested to make arrangements in undergraduate education programs and to support nurses with in-service training programs after graduation.

Keywords

Public health nursing, Course outcomes, Professional competence

Project Number

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References

• 1. Metaxiotis K. Healthcare knowledge management. In: Encyclopedia of Knowledge Management, Second Edition. IGI Global. 2011. p. 366-375.
• 2. McCarthy G, Cornally N, Moran J, Courtney M. Practice nurses and general practitioners: perspectives on the role and future development of practice nursing in Ireland. Journal of clinical nursing. 2012;21(15‐16):2286-2295.
• 3. Australian nursing federation annual report. (2009). Available at: http://www.anmf.org.au/documents/reports/Annual_Report_2009.pdf Accessed: 08 May 2018.
• 4. Özkahraman Ş. Halk sağlığında yeni yönelim: Halk sağlığı öz yeterlikleri. Düzce üniversitesi sağlık bilimleri enstitüsü dergisi. 2012;2(1):36-40.
• 5. Altuğ Özsoy S, Koca B. Dünyada halk sağlığı hemşireliği. Ege üniversitesi hemşirelik fakültesi dergisi. 2015;31(3):108-118.
• 6. Anderson D, Guthrie T, Schirle R A Nursing model of community organization for change. Public Health Nursing. 2002;19(1):40-46.
• 7. Gebbie KM, Hwang I. Preparing currently employed public health nurses for changes in the health system. American Journal of Public Health. 2000;90:716-721.
• 8. Public health nursing discipline specific competencies version. (2009). Available at: https://phabc.org/wp-content/uploads/2015/07/Community-Health-Nurses-Public-Health-Core-Competencies.pdf. Accessed: 12 April 2018.
• 9. Core competencies for public health in Canada, Her majesty the queen in right of Canada, represented by the minister of health. (2008). Available at: http://www.phac-aspc.gc.ca/php-psp/ccph-cesp/pdfs/cc-manual-eng090407.pdf Accessed: 12 April 2018.
• 10. Quad council of public health nursing organizations. (2011). Core competencies for public health nurses. Washington, DC: Quad Council of Public Health Organizations. Available at: http://quadcouncilphn.org/Research 12, 195–205. Accessed: 12 May 2018.
• 11. Hewitt CM, Roye C, Gebbie KM. Core competency model for the family planning public health nurse. Public health nursing. 2014;31(5):472-479.
• 12. Day C, Bialek R, Downing D. Competencies for health care workers in public health. Abstr Acad Health Services Res Health Policy Meeting. 2002;19:2-8.
• 13. Swider S, Levin P, Ailey S, Breakwell S, Cowell J, McNaughton D, O'Rourke M. Matching a graduate curriculum in public/community health nursing to practice competencies: the Rush University experience. Public Health Nursing. 2006;23(2): 190-195.
• 14. Nontapet O, Isaramalai SA, Petpichatchain W, Brooks CW. Conceptual structure of primary care competency for Thai primary care unit (PCU) nurses. Pacific rim international journal of nursing research. 2008;12(3):195-206.
• 15. Witt RR, Almeida MCPD. Identification of nurses’ competencies in primary health care through a Delphi study in southern Brazil. Public Health Nursing. 2008;25(4):336-343.
• 16. Moaveni A, Gallinaro A, Conn LG, Callahan S, Hammond M, Oandasan I. A Delphi approach to developing a core competency framework for family practice registered nurses in Ontario. Nursing Leadership. 2010;23:45-60.
• 17. Royal college of general practitioners (RCGP) general practice foundation. (2012). General practice nurse competencies. royal college of general practitioners. Available at: http://www.rcgp.org.uk/membership/practice-teamsnurses-and-managers/~/media/Files/Mem bership/GPF/RCGP-GPF-Nurse-Com petencies.ashx Accessed: 1 may 2018.
• 18. Karahan A, Toruner K, Abbasoglu A, Ceylan A. Perceptions of new graduate nurses regarding their competence in nursing skills. Hacettepe university faculty of health sciences nursing journal. 2012;62-72.
• 19. Quad council of public health nursing organizations. (2011). Core competencies for public health nurses. Washington, DC: Quad council of public health organizations. Available at: http://quadcouncilphn.org/ Accessed: 18 May 2018.
• 20. Poulton B. Barriers and facilitators to the achievement of community-focused public health nursing practice: a UK perspective. Journal of nursing management. 2009; 17:74-83.
• 21. Reckinger D, Cross S, Block D, Josten L, Savik K. Public health nursing competency instrument: scale reduction and reliability of factors. Public Health Nursing, 2013;30(6):566-574.
• 22. Polivka BJ, Stanley SA, Gordon D, Taulbee K, Kieffer G, McCorkle SM. Public health nursing competencies for public health surge events. Public Health Nursing, 2008;25(2):159-165.
• 23. Zahner SJ, Henriques JB. Public health practice competency ımprovement among nurses. Am J Prev Med. 2014;47(5):352-359.
• 24. Carter KF, Kaiser KL. O'Hare PA, Callister LC. Use of PHN competencies and ACHNE essentials to develop teaching–learning strategies for generalist C/PHN curricula. Public health nursing. 2006;23(2):146-160.
• 25. Andrioti D, Lemonakis N, Charalambous G. Assessment of knowledge, attitudes and competencies of health professionals attended an ınternational training programme in public health. International journal of caring sciences. 2013;6(3):543-563