Çocuk Hastaların Ağrısını Değerlendirmede Kanıta Dayalı Uygulama Önerilerine Uyumun Arttırılması İçin Kullanılan Stratejiler

Yıl 2018, Cilt: 3 Sayı: 1, 23 - 31, 31.01.2018

Yeliz Akatın , Gülseren Kocaman

Öz

Çocuk Hastaların Ağrısını Değerlendirmede Kanıta Dayalı Uygulama Önerilerine Uyumun Arttırılması İçin Kullanılan Stratejiler 

 

Özet 

Amaç:Bu derlemenin amacı, hemşirelerin, çocuk hastaların ağrısını değerlendirmede kanıta dayalı önerileri kullanmalarını sağlamak için uygulanan stratejilerin etkinliğini değerlendirmek üzere yayınlanan çalışmaların sonuçlarını incelemektir. Gereç ve Yöntem: İlgili çalışmalara “Cochrane Library, OVID, EBSCO, PubMed, Elsevier Science Direct” veri tabanlarında tarama yapılarak ulaşılmıştır. Bulgular: Tarama sonucunda yedi çalışma incelemeye alınmıştır. Kanıta dayalı uygulama rehberinin kullanımı ve yararları hakkında sağlık profesyonellerine grup eğitimi verilmesi en yaygın kullanılan profesyonel stratejidir. Organizasyonel yapıda değişim, kalite iyileştirme ve/veya performans ölçüm sistemlerinde değişim en çok kullanılan örgütsel stratejiler arasında yer almaktadır. Çocuk hastaların ağrılarının değerlendirilmesinde, uygulanan stratejilerden sonra; ağrı değerlendirme oranı %13 ile %30 arasında, tekrar değerlendirme oranı ortalama %4.25 ile %30 arasında artmıştır. Sonuç: Çocuk hastaların ağrı değerlendirmesinde kanıta dayalı uygulama önerilerinin uygulama alanına aktarılması için farklı stratejiler kullanılmaktadır. Profesyonel ve örgütsel girişimlerin bir arada kullanıldığı stratejiler 

uyumu olumlu yönde artırmaktadır. 

Anahtar Kelimeler:Hemşirelik, çocuk hasta, ağrı değerlendirme, tekrar değerlendirme, rehbere uyum.

 

Strategies on Compliance to Evidence-Based Practice Recommendations Regarding Pain Assessment in Pediatric Patients 

 

Abstract 

Objective: The aim of this review is to analyze the results of studies published to assess the effectiveness of strategies applied to ensure that nurses use evidence-based recommendations to assess the pain in pediatric patients. Material and Methods: The related studies were accessed by screening the databases of “Cochrane Library, OVID, EBSCO, PubMed and Elsevier Science Direct”. Findings: As a result of the screening, seven studies were reviewed. Providing group training for health professionals on the use and benefits of the evidence-based practice guidelines is the most widely used professional strategy. Alterations in the organizational structure, in quality improvement and / or performance measurement systems are among the most used organizational strategies. After the implementation of the strategies, in the assessment of pediatric patients’ pain, the pain assessment rate increased between 13% and 30%, and the re-assessment rate increased between 4.25% and 30% on average. Conclusion: In the assessment of 

pediatric patients’ pain, different strategies are used to put evidence-based practice recommendations into practice. Strategies in which professional and organizational interventions are used together contribute to compliance positively. 

Keywords: Nursing, child patient, pain assessment, re-evaluation, compliance to guidelines.

Anahtar Kelimeler

Hemşirelik, çocuk hasta, ağrı değerlendirme, tekrar değerlendirme, rehbere uyum

Kaynakça

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