COVID-19 pandemisi sürecinde görev yapan hemşirelerin hasta güvenliği kültürünün incelenmesi
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma COVID-19 pandemisi sürecinde görev yapan hemşirelerin hasta güvenliği kültürünün (HGK) incelenmesi amacıyla planlanan tanımlayıcı bir araştırmadır. Araştırmanın evrenini, 1 Temmuz – 31 Ekim 2021 tarihleri arasında Gaziemir Nevvar Salih İşgören Devlet Hastanesi (N=88) ve Torbalı Devlet Hastanesi'nin (N=207) farklı kliniklerinde görev yapmakta olan hemşireler oluşturmaktadır. Araştırmanın örneklem seçiminde herhangi bir örneklem seçimi yöntemi kullanılmamış olup, araştırma kriterlerine uyan tüm hemşireler örnekleme dahil edilmiştir (n=213). Araştırmanın içleme kriterleri, meslekte çalışma süresi altı aydan fazla olma, 20 yaşından büyük olma ve araştırmaya katılmayı kabul etmedir. Çalışmanın yürütüldüğü tarihlerde izinli ya da raporlu olan hemşireler araştırma kapsamı dışında tutulmuştur. Araştırma verilerinin toplanması aşamasında sosyal medya (Instagram, Facebook, Whatsapp) ve e-posta üzerinden Google Form anketi kullanılarak veriler toplanmıştır. Verilerin toplanmasında araştırmacının literatür ışığında hazırladığı "Birey Tanıtım Formu" ve "Hasta Güvenliği Kültürü Hastane Anketi" (HGKHA) kullanılmıştır. Araştırmaya katılan hemşirelerden edinilen veriler SPSS 26.0 (Statistical Package for Social Sciences) ile değerlendirilmiştir. Çalışma verilerinin değerlendirilmesi aşamasında demografik verilerinin analizinde tanımlayıcı istatistiksel yöntemler ve iki grup arasındaki farkın anlamlılığını araştırmak için Ki-Kare(x2) testi kullanıldı. Hasta güvenliği kültürüne ilişkin pozitif yanıtların ortalama yüzdesi bir bileşik puan olarak hesaplandı, (pozitif yanıtlar: "kesinlikle katılıyorum", "katılıyorum", "her zaman" ya da "çoğu zaman"). Her bir maddeye verilen pozitif cevapların tüm cevaplara oranı belirlenmiştir. Sonuçlar %95 güven aralığında değerlendirilmiştir (p<0,05). Araştırma neticesinde; araştırma kapsamına alınan hemşirelerin %43,7'sinin 20-30 yaş grubunda, %80,3'ünün kadın, %72,2'sinin lisans mezunu, %96,7'sinin klinik hemşiresi ve %32,9'unun meslekte çalışma süresinin 6 ay-5 yıl olduğu tespit edilmiştir. Hemşirelerin %74,6'sının birimlerinde yeteri kadar hemşire çalışmadığını düşündüğü, %92,5'inin COVID-19'un kendisine, %98,6'sının COVID-19 ailesine bulaşacağından endişe ettiği, %92'sinin pandemi sürecinin güvenli bakım verme davranışlarını olumsuz etkilediğini düşündüğü belirlenmiştir. HGKHA toplam pozitif yanıt ortalama yüzdesi %40 olarak saptanmıştır. Hemşirelerin %80,7'si son 12 ayda hiç olay raporlamamış ve %66,2'si birimindeki hasta güvenliği düzeyini "kabul edilebilir" olarak değerlendirmiştir. Yapılan istatistiksel analiz sonuçlarına göre; hemşirelerin eğitim durumlarının ve birimde çalışma pozisyonlarının, son 12 ayda olay raporu yazma durumları üzerinde etkisi olduğu tespit edilmiştir. Hemşirelerin yaş grupları, çalıştıkları birim ve pandemi sürecinin güvenli bakım verme davranışlarını olumsuz etkilediğini düşünme durumunun, hasta güvenliği düzeyini değerlendirme konusu üzerinde etkisi olduğu saptanmıştır. Hemşirelerin yaş grupları ve cinsiyetlerinin pandemi sürecinin güvenli bakım verme davranışlarını olumsuz etkileme durumu üzerinde etkisi olduğu tespit edilmiştir. Sonuçlar doğrultusunda hemşirelerin olay raporlama kültürünün istenilen düzeyde olmadığı ve hasta güvenliği algılarının düşük olduğu saptanmıştır.
This research is a descriptive study planned to examine the patient safety culture of nurses working during the COVID-19 pandemic. The population of the study consists of nurses working in different clinics of Gaziemir Nevvar Salih İşgören State Hospital (N=88) and Torbalı State Hospital (N=207) between July 1 and October 31, 2021. No sample selection method was used in the sample selection of the study, and all nurses who met the research criteria were included in the sample (n=213). The inclusion criteria of the study were working in the profession for more than six months, being over 20 years old, and agree to participate in the research. Nurses who were on leave or on a report at the time of the study were excluded from the scope of the study. During the collection of research data, data were collected by using the Google Form questionnaire over social media (Instagram, Facebook, Whatsapp) and e-mail. "Individual Information Form" and " Hospital Survey on Patient Safety Culture" (HSPSC) prepared by the researcher in line with the literature were used to collect the data. The data obtained from the nurses participating in the study were evaluated using the SPSS 26.0 (Statistical Package for Social Sciences) package program. While evaluating the study data, descriptive statistical methods were used in the analysis of demographic data and the chi-square (x2) test was used to investigate whether there was a significant difference in the comparisons between the two groups. The average percentage of positive responses regarding the patient safety culture was calculated as a composite score, i.e., the percentage of nurses who answered the question as "strongly agree", "agree", "always" or "often". The ratio of positive responses to each item to all responses was determined. The results were evaluated within the 95% confidence interval (p<0.05). As a result of the research, 43.7% of the nurses participating in the research are in the 20-30 age group, 80.3% are female, 72.2% are undergraduate graduates, 96.7% are clinical nurses, and 32.9% are working in the profession. It has been determined to be 6 months-5 years. 74.6% of the nurses think that there are not enough nurses working in their units, 92.5% are worried that COVID-19 will infect themselves, 98.6% are worried that COVID-19 will infect the family, 92% of them think that the pandemic process will be safe. were found to have a negative impact on their behavior Hospital Survey on Patient Safety Culture's total positive response percentage average was determined as 40%. 80.7% of the nurses did not write any incident report in the last 12 months and 66.2% evaluated the patient safety level in their unit as "acceptable". According to the results of the statistical analysis, it has been determined that the education status of the nurses and their working positions in the unit have an effect on the incident report writing in the last 12 months. It has been determined that the age groups of nurses, the unit they work in and the state of thinking that the pandemic process negatively affects their safe caregiving behaviors have an impact on the evaluation of the level of patient safety. It has been determined that the age groups and genders of the nurses affect on the negative impact of the pandemic process on their safe caregiving behaviors. In line with the results, it was determined that the incident reporting culture of the nurses was not at the desired level and their perception of patient safety was low.
This research is a descriptive study planned to examine the patient safety culture of nurses working during the COVID-19 pandemic. The population of the study consists of nurses working in different clinics of Gaziemir Nevvar Salih İşgören State Hospital (N=88) and Torbalı State Hospital (N=207) between July 1 and October 31, 2021. No sample selection method was used in the sample selection of the study, and all nurses who met the research criteria were included in the sample (n=213). The inclusion criteria of the study were working in the profession for more than six months, being over 20 years old, and agree to participate in the research. Nurses who were on leave or on a report at the time of the study were excluded from the scope of the study. During the collection of research data, data were collected by using the Google Form questionnaire over social media (Instagram, Facebook, Whatsapp) and e-mail. "Individual Information Form" and " Hospital Survey on Patient Safety Culture" (HSPSC) prepared by the researcher in line with the literature were used to collect the data. The data obtained from the nurses participating in the study were evaluated using the SPSS 26.0 (Statistical Package for Social Sciences) package program. While evaluating the study data, descriptive statistical methods were used in the analysis of demographic data and the chi-square (x2) test was used to investigate whether there was a significant difference in the comparisons between the two groups. The average percentage of positive responses regarding the patient safety culture was calculated as a composite score, i.e., the percentage of nurses who answered the question as "strongly agree", "agree", "always" or "often". The ratio of positive responses to each item to all responses was determined. The results were evaluated within the 95% confidence interval (p<0.05). As a result of the research, 43.7% of the nurses participating in the research are in the 20-30 age group, 80.3% are female, 72.2% are undergraduate graduates, 96.7% are clinical nurses, and 32.9% are working in the profession. It has been determined to be 6 months-5 years. 74.6% of the nurses think that there are not enough nurses working in their units, 92.5% are worried that COVID-19 will infect themselves, 98.6% are worried that COVID-19 will infect the family, 92% of them think that the pandemic process will be safe. were found to have a negative impact on their behavior Hospital Survey on Patient Safety Culture's total positive response percentage average was determined as 40%. 80.7% of the nurses did not write any incident report in the last 12 months and 66.2% evaluated the patient safety level in their unit as "acceptable". According to the results of the statistical analysis, it has been determined that the education status of the nurses and their working positions in the unit have an effect on the incident report writing in the last 12 months. It has been determined that the age groups of nurses, the unit they work in and the state of thinking that the pandemic process negatively affects their safe caregiving behaviors have an impact on the evaluation of the level of patient safety. It has been determined that the age groups and genders of the nurses affect on the negative impact of the pandemic process on their safe caregiving behaviors. In line with the results, it was determined that the incident reporting culture of the nurses was not at the desired level and their perception of patient safety was low.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
