Hemşireler ‘’Doğru Yanıt’’ takip ediyor mu? Karma yöntem araştırması

Yıl 2025, Cilt: 30 Sayı: 1, 102 - 111, 29.01.2025

Cevriye Ozdemir , Seda Şahan

https://doi.org/10.21673/anadoluklin.1415506

Öz

Amaç: İlaç uygulama ve yönetimi, klinik hemşirelik uygulamaları arasında önemli bir prosedür olup, hasta güvenliğini ve bakım kalitesini etkileyen önemli göstergelerden biridir. Hemşirelerin ilaç uygulaması sonrasında ilaç etkilerini takip etme durumlarının belirlenmesi amaçlanmıştır.

Yöntemler: Araştırmada keşfedici ve karma araştırma yöntemlerinden sıralı açıklayıcı tasarım kullanılmıştır. Araştırmanın nicel verileri veri toplama formu, nitel verileri ise yarı yapılandırılmış görüşme formu kullanılarak Temmuz-Eylül 2023 tarihleri arasında derinlemesine ve bireysel görüşme yöntemi ile toplanmıştır. Yapılan görüşmeler ses kayıt cihazı ile kayıt edilmiştir.

Bulgular: Hemşirelerin yaş, çalışma yılı, haftalık çalışma saati ve günlük bakılan hasta sayıları ortalamalarının sırasıyla 30.46±6.96, 7.1±6.31, 44.92±5.71, 15.42±11.89 yıl olduğu belirlendi. Hemşirelerin %54.2’si ilaç uygulamalarını yapmadan önce ilaç prospektüsünü kontrol ettiği, %74.5’inin ilaç uygulama öncesinde ilaç ve besin alerjisi öyküsünü her zaman hayati önemi olan bir durum olduğunu düşündüğü, %97.9’unun beklenmeyen yan/toksik etkileri bildirdiği saptandı. Araştırmaya katılan hemşireler ile yapılan derinlemesine görüşmeler sonucunda ise doğru ilaç uygulama ilkeleri yaklaşımı, doğru yanıt takip etme yaklaşımı ve hemşirelerin ilaç uygulama sonrası takip etme durumları olmak üzere üç tema belirlenmiştir.

Sonuç: Çalışmada, hemşirelerin doğru ilaç uygulama ilkeleri konusunda bilgi eksikliği olduğu, iş yükünün fazla olması, hemşire sayısının az olması ve zaman yetersizliği nedenleriyle doğru yanıt ilkesini uygulayamadıkları belirlenmiştir. Hemşirelerin, doğru yanıt takibinin sorumluluğunu hasta veya hasta yakınına verdiği görülmüştür. Doğru yanıt ilkesinin uygulanmama nedenleri değerlendirilerek, hemşire sayısının artırılması, iş yükünün düzenlenmesi, hemşirelerin doğru ilaç uygulama ilkeleri konusunda ve özellikle doğru yanıtın önemi konusunda eğitimler alması önerilmektedir. Ayrıca hemşirelerin görev, yetki ve sorumlulukları konusunda da eğitim ve danışmanlık alması da önerilerimiz arasında yerini almaktadır.

Anahtar Kelimeler

Hemşireler, ilaç takibi, ilaç tedavisi

Do nurses follow the “Right Response”? Mixed methods research

Öz

Aim: Drug administration and management is an important procedure among clinical nursing practices and is one of the significant indicators affecting patient safety and quality of care. It was aimed to determine the nurses’ monitoring of drug effects after drug treatment.

Methods: In the study, sequential explanatory design from exploratory and mixed research methods was used. Quantitative data were collected using a data collection form and qualitative data were collected through in-depth and individual interviews using a semi-structured interview form. The interviews were recorded with a voice recorder.

Results: It was determined that the average age, working years, weekly working hours, and daily number of patients cared for by the nurses were respectively 30.46±6.96, 7.1±6.31, 44.92±5.71, 15.42±11.89 years. It was found that 54.2% of the nurses checked the drug package insert before administering the medication, 74.5% of the nurses always considered the history of drug and food allergy to be of vital importance before drug administration, and 97.9% of the nurses reported unexpected side/toxic effects. As a result of in-depth interviews with the nurses participating in the study, three themes were identified: the approach of right drug administration principles, the approach of following the right response, and the follow-up status of nurses after drug administration.

Conclusion: In the study, it was determined that nurses lacked knowledge about the right medication, and could not implement the right response due to high workload, low number of nurses, and lack of time. It was observed that nurses gave the responsibility of right response follow-up to the patient or the patient’s relatives. By evaluating the reasons for not implementing the right response, it is recommended that the number of nurses should be increased, the workload should be regulated, and nurses should receive training on the right drug administration and especially on the importance of the right response. It is also recommended that nurses receive training and counseling on their duties, authorities, and responsibilities.

Anahtar Kelimeler

Drug monitoring, drug therapy, nurses

Kaynakça

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