Pediatri Yoğun Bakımda Çalışan Hemşirelerin Dikkat Düzeyleri ve Etkileyen Faktörler

Yıl 2022, , 200 - 207, 11.09.2022

Leyla Zengin Aydın , Mensure Turan , Engin Turan

https://doi.org/10.38108/ouhcd.961041

Cited By: 1

Öz

Amaç: Bu araştırma, pediatri yoğun bakımda çalışan hemşirelerin dikkat düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapıldı.
Yöntem: Araştırmanın evrenini, Türkiye’deki bir ilin iki kamu hastanesinde bulunan pediatri yoğun bakım ünitelerinde çalışmakta olan hemşireler oluşturmuştur. Araştırma 18 Eylül-10 Ekim 2019 tarihleri arasında örneklem seçimine gidilmeden çalışma kriterlerine uyan ve katılmayı kabul eden 61 hemşire ile tamamlandı. Verilerin toplanmasında “Hemşire Tanıtıcı Bilgi Formu” ile “Sayı Menzili Testi” kullanıldı. Verilerin değerlendirilmesinde standart sapma, ortalama, minimum, maksimum, t testi, Kruskal wallis, pearson korelasyon analizi kullanıldı.
Bulgular: Araştırmaya katılan hemşirelerin %52.5’i kadın, %91.8’i lisans düzeyinde eğitim almış, %55.7’si evli, % 57.4’ünün 24 saatlik vardiya ile çalışmakta olduğu tespit edildi. Araştırmada hemşirelerin dikkat düzeyinin yaş, çalışılan vardiya saati ve uyku kalitesinden etkilendiği saptandı (p<0.05). Araştırmada hemşirelerin nöbet öncesi ileri sayı skoru ile nöbet sonrası ileri sayı skorları arasında anlamlı fark olduğu ve dikkat düzeyinin etkilendiği belirlendi (p<0.05).
Sonuç: Araştırmada bazı değişkenlerin hemşirelerin dikkat düzeyini etkilediği ve vardiyalı çalışmanın hemşirelerin bilişsel fonksiyonlarını etkileyerek dikkat düzeyini azalttığı belirlendi.

Anahtar Kelimeler

dikkat düzeyi, hemşire, pediatri, yoğun bakım

Destekleyen Kurum

yok

Proje Numarası

yok

Attention Levels of Nurses Working in Pediatric Intensive Care Units and the Affecting Factors

Öz

Objective: This study was conducted to determine the attention levels of nurses working in pediatric intensive care units and the affecting factors.
Methods: The research population consisted of nurses who work in the pediatric intensive care units of two public hospitals a province in Turkey. The research was conducted between September 18 - October 10, 2019. The research was completed with 61 nurses who meets the criteria for inclusion and agreed to participate without sample selection. In collecting the data, an “İnformation Form İntroducing of the Nurses” and the "Number Range Test" were used. Standard deviation, mean, minimum, maximum, t test, Kruskal Wallis test, Pearson correlation analysis were used to evaluate the data.
Results: It was determined that 52.5% of the nurses participating in the study were women, 91.8% were educated at the undergraduate level, 55.7% were married, and 57.4% were working in 24-hour shifts. In the study, it was determined that the age, shift hours worked, and sleep quality factors of nurses affect the level of attention (p<0.05). In the study, it was determined that there was a significant correlation between nurses' advanced number scores before and after the seizure and their attention level was affected (p <0.05).
Conclusion: In the study, it was determined that some variables affect the attention level of nurses and working in shifts decreased attention level by affecting the cognitive functions of nurses.

Anahtar Kelimeler

attention level, nurse, pediatric, intensive care

Proje Numarası

yok

Kaynakça

• Admi H, Tzischinsky O, Epstein R, Herer P, Lavie P. (2008). Shift work in nursing: is it really a risk factor for nurses' health and patients' safety?. Nursing Economics, 26 (4), 250-257.
• Aytekin Özdemir A, Yılmaz Kurt F. (2014). Yenidoğan yoğun bakım kliniğinde çalışan hemşirelerde iş doyumu ve etkileyen faktörler. İzmir Dr. Behçet Uz Çocuk Hast Dergisi, 24 (1), 51-58.
• Baqeas M, Rayan A. (2018). Improving psychological well-being and quality of life among palliative care nurses: literature review. American Journal of Nursing Research, 6 (3), 82-86.
• Bilazer FN, Konca GE, Uğur S, Uçak H, Erdemir F, Çıtak E. (2008). Türkiye’de hemşirelerin çalışma koşulları. Türk Hemşireler Derneği, 12-15.
• Bozkurt G, Türkmen E. (2019). Yoğun bakım hemşireliğinde sertifika programları. Yoğun Bakım Hemşireliği Dergisi, 23 (2),107-113.
• Carayon P, Alvarado CJ. (2007) Workload and patient safety among critical care nurses. Critical Care Nursing Clinics of North America, 19 (2), 121-129. Çevik C, Özyürek P. (2016). The investigation of attention level in nurses working night shifts and the relationship between sex hormone and electrodermal activity. Archives of Neuropsychiatry, 53 (3), 288.
• Dall’Ora C, Ball J, Recio-Saucedo A, Griffiths P. (2016). Characteristics of shift work and their impact on employee performance and wellbeing: A literature review. International Journal of Nursing Studies, 57, 12-27. Di Muzio M, Diella G, Di Simone E, Novelli L, Alfonsi V, Scarpelli S,et al. (2020). Nurses and night shifts: poor sleep quality exacerbates psychomotor performance. Frontiers in Neuroscience, 14, 1050.
• Douglas S, Cartmill R, Brown R, Hoonakker P, Slagle J, Van Roy et al. (2013). The work of adult and pediatric intensive care unit nurses. Nursing Research, 62 (1), 50.
• Dönmezdil S, Araç S. (2020). Effect of shift work in intensive care on attention disorder in nurses. International Journal of Clinical Practice. 75 (4), e13774.
• Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T. (2004). Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. SLEEP, 27(8), 1453-1462.
• Erol A, Keleş Ünal E, Tunç Aydin E, Mete L. (2009). Şizofrenide sosyal işlevselliği yordayan etmenler. Turk Psikiyatri Dergisi. 20 (4), 313-321.
• Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. (2016). The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Management and Healthcare Policy, 14 (9), 203-211.
• Fernandez Mendoza, J, Vgontzas AN. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15 (12), 418.
• Ganesan S, Magee M, Stone JE, Mulhall MD, Collins A, Howard ME, e al. (2019). The impact of shift work on sleep, alertness and performance in healthcare workers. Scientific Reports, 9 (1), 4635.
• Gomez-Garcia T, Ruzafa-Martinez M, Fuentelsaz-Gallego C, Madrid JA, Rol MA, Martínez-Madrid MJ, et al. (2016). Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. British Medical Journal Open, 6(8), e012073.
• İlhan MN, Durukan E, Aras E, Türkçüoğlu S, Aygün R. (2006). Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. Journal Of Advanced Nursing, 56 (5), 563-568.
• Johnson AL, Brown K, Weaver MT. (2010). Sleep deprivation and psychomotor performance among night-shift nurses. Official Journal of the American Association of Occupational Health Nurses, 58(4), 147-156.
• Karakaş, S. (2004). Bilnot Bataryası El Kitabı: Nöropsikolojik Testler İçin Araştırma ve Geliştirme Çalışmaları. Ankara, Dizayn Ofset, s.122.
• Kecklund G, Axelsson J. (2016). Health consequences of shift work and insufficient sleep. British Medical Journal, 355.
• Machado DA, Figueiredo NMAD, Velasques LDS, Bento CADM, Machado WCA, Vianna LAM. (2018). Cognitive changes in nurses working in intensive care units. Revista Brasileira De Enfermagem, 71 (1), 73-79.
• Mesulam, M. (2004). Davranışsal ve Kognitif Nörolojinin İlkeleri. I. Baskı, İstanbul, Yelkovan Yayıncılık, S.24. Miyata S, Noda A, Ozaki N, Hara Y, Minoshima M, Iwamoto K, et. al. (2010). Insufficient sleep impairs driving performance and cognitive function. Neuroscience Letters, 469 (2), 229-233.
• Niu SF, Chung MH, Chen CH, Hegney D, O'Brien A, Chou KR. (2011). The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. Journal of Nursing Research, 19 (1), 68-81.
• Niu SF, Chu H, Chen CH, Chung MH, Chang YS, Liao YM, et al. (2013). A comparison of the effects of fixed-and rotating-shift schedules on nursing staff attention levels: a randomized trial. Biological Research for Nursing, 15 (4), 443-450.
• Niu SF, Chung MH, Chu H, Tsai JC, Lin CC, Liao YM, et al (2015). Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal study. International Journal of Nursing Studies, 52 (7), 1193-1201.
• Öktem Tanör Ö. (2004). Nöropsikolojik Değerlendirme. Öge E, editör. Nöroloji. İstanbul: Nobel Tıp Kitabevleri, s.168-177.
• Özdemir PG, Selvi Y, Özkol H, Aydın A, Tülüce Y, Boysan M, et al. (2013). The influence of shift work on cognitive functions and oxidative stress. Psychiatry Research, 210 (3), 1219-1225.
• Özdemir PG, Selvi Y, Özkol H, Aydin A, Tülüce Y, Boysan M, et al. (2018). The influence of shift work on cognitive functions and oxidative stress. Klinik Psikofarmakoloji Bülteni, 22 (1), 23.
• Özsoylu, S, Akyıldız B, Dursun A. (2017). Bir üniversite hastanesinde çalışan hemşirelerin tükenmişlik düzeyi ve etkileyen faktörler. Journal of Pediatric Emergency and Intensive Care Medicine, 4, 104-109.
• Peters VP, De Rijk AE, Boumans NP. (2009). Nurses' satisfaction with shiftwork and associations with work, home and health characteristics: a survey in the Netherlands. Journal Of Advanced Nursing, 65 (12), 2689-2700.
• Selvi FF, Karakaş SA, Boysan M, Selvi Y. (2015). Effects of shift work on attention deficit, hyperactivity, and impulsivity, and their relationship with chronotype. Biological Rhythm Research, 46 (1), 53-61.
• Seki Y, Yamazaki Y. (2006). Effects of working conditions on intravenous medication errors in a Japanese hospital. Journal of Nursing Management, 14(2), 128-139.
• Shiffer D , Minonzio M, Dipaola F, Bertola M, Zamuner AR, Dalla Vecchia LA, et al. (2018). Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses. International Journal of Environmental Research and Public Health, 15(9), 2038.
• Slusher TM, Kiragu AW, Day LT, Bjorklund AR, Shirk A, Johannsen C, et al. (2018). Pediatric critical care in resource-limited settings—overview and lessons learned. Frontiers in Pediatrics, 6, 49.
• Tahkamo L, Partonen T, Pesonen AK. (2019). Systematic review of light exposure impact on human circadian rhythm. The Journal of Biological and Medical Rhythm Research, 36, 151-170.
• Thompson BJ, Stock MS, Banuelas VK. (2017). Effects of accumulating work shifts on performance-based fatigue using multiple strength measurements in day and night shift nurses and aides. Human Factors: The Journal of the Human Factors and Ergonomics Society, 59 (3), 346-356.
• Wickens CD, Hutchins SD, Laux L, Sebok A. (2015). The impact of sleep disruption on complex cognitive tasks: a meta-analysis. Human Factors: The Journal of the Human Factors and Ergonomics Society, 57 (6), 930-946.
• Zion N, Shochat T. (2018). Cognitive functioning of female nurses during the night shift: The impact of age, clock time, time awake and subjective sleepiness. The Journal of Biological and Medical Rhythm Research, 35 (11), 1595-1607.