Acil servislerde hemşirelik bakım algısının karma yöntemle değerlendirmesi
Küçük Resim Yok
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu araştırma, acil servise başvuran hastaların hemşirelik bakım algısını incelemek amacıyla yapılmıştır. Materyal ve metot: Araştırma paralel karma yöntem bir tasarım olarak İnönü Üniversitesi Turgut Özal Tıp Merkezi ve Malatya Eğitim ve Araştırma Hastanesi acil servislerinde Kasım 2023- Haziran 2025 tarihleri arasında yapılmıştır. Taburcu olmasına karar verilen 1064 hastaya, acil servisten ayrılmadan önce anket uygulanmış ve anket yapılan 30 hasta ile yüz yüze görüşme yapılmıştır. Verilerin toplanmasında nicel aşama için "Hasta Tanıtım Formu" , "Hastaların Hemşirelik Bakımını Algılayışı Ölçeği" nitel aşama için "Yarı Yapılandırılmış Görüşme Formu" kullanılmıştır. Verilerin analizinde normal dağılan nicel veriler için bağımsız gruplarda t testi, varyans analizi ve Pearson Korelasyon Analizi kullanıldı. Nitel veriler tematik analiz yapılarak değerlendirildi. Bulgular: Hastaların yaş ortalaması 40.39±17.04 olup, %54.4'ü erkektir. Hastaların "Hemşirelik Bakımını Algılayışı Ölçeği'nden" aldıkları ortalama puan 41.27±11.10 olarak belirlenmiştir. Hastaların en fazla puan aldıkları madde 3.31 puan ile 'Hemşireler çoğu şeyi bana sorarak yaptılar' maddesi olmuştur. Hastaların en az puan aldıkları madde ise 2.12 puan ile "Bazı sorunların, hemşirelerin çabaları sayesinde önlendiğini biliyorum." maddesi olmuştur. Acil servislere başvuran hastaların hemşirelik bakım algısına yönelik 4 ana tema belirlendi. Bu temalar; hemşirelik bakımının tanımına ilişkin görüşler, acil servis ortamında hemşirelik bakımından beklentiler, hemşirelik bakımının yararları ve acil serviste alınan hemşirelik bakımına ilişkin değerlendirmeler olarak incelendi. Sonuç: Araştırma bulgularına göre hastaların hemşirelik bakım algısı orta düzeyde bulunmuştur. Acil servislerde hastaların hemşirelik bakımına yönelik algıları; hemşirelik bakımını nasıl tanımladıkları, acil hemşirelik bakımı sürecine dair beklentileri, bakımın kendilerine sağladığı yararlar ve aldıkları bakıma ilişkin bireysel değerlendirmeleri ile şekillenmektedir. Bu bulgular, acil servislerde hemşirelik bakım hizmetlerinin hasta beklenti ve deneyimlerine duyarlı şekilde yeniden yapılandırılmasının önemine işaret etmektedir. Anahtar Kelimeler: Acil, Bakım Algısı, Hasta, Hemşirelik Bakımı
Aim: This research was conducted to examine the care perceptions of patients applying to the emergency department. Material and Method: The research was conducted as a parallel mixed method design in the emergency departments of İnönü University Turgut Özal Medical Center and Malatya Training and Research Hospital between November 2023 and June 2025. The research was completed with 1064 patients who applied to the emergency department. "Patient Introduction Form", "Patients' Perception of Nursing Care Scale" and "Semi-structured Interview Form" were used to collect data. A survey was administered to 1064 patients who were decided to be discharged before leaving the emergency department, and 30 surveyed patients were interviewed face to face. In the analysis of data, independent groups t-test, variance analysis and Pearson Correlation Analysis were used for normally distributed quantitative data. Qualitative data were evaluated by thematic analysis. Results: The mean age of the patients was 40.39±17.04, 54.4% were male. The mean score of the patients on the "Patient's Perception of Nursing Care Scale" was found to be 41.27±11.10. The item that patients scored highest was 'Nurses did most things by asking me' with a score of 3.31. The item that received the lowest score from patients was "I know that some problems were prevented thanks to the efforts of the nurses" with a score of 2.12. Four main themes were identified regarding the perception of nursing care in patients presenting to emergency departments. These themes were examined as opinions regarding the definition of nursing care, expectations from nursing care in the emergency department environment, benefits of nursing care, and evaluations regarding the nursing care received in the emergency department. Conclusion: According to the research findings, patients' perception of nursing care was found to be at a moderate level. Patients' perceptions of nursing care in emergency departments are shaped by how they define nursing care, their expectations regarding the emergency nursing care process, the benefits of the care provided to them, and their individual evaluations of the care they receive. These findings highlight the importance of restructuring nursing care services in emergency departments to be sensitive to patient expectations and experiences. Keywords: Emergency, Nursing Care, Patient, Perception of Care
Aim: This research was conducted to examine the care perceptions of patients applying to the emergency department. Material and Method: The research was conducted as a parallel mixed method design in the emergency departments of İnönü University Turgut Özal Medical Center and Malatya Training and Research Hospital between November 2023 and June 2025. The research was completed with 1064 patients who applied to the emergency department. "Patient Introduction Form", "Patients' Perception of Nursing Care Scale" and "Semi-structured Interview Form" were used to collect data. A survey was administered to 1064 patients who were decided to be discharged before leaving the emergency department, and 30 surveyed patients were interviewed face to face. In the analysis of data, independent groups t-test, variance analysis and Pearson Correlation Analysis were used for normally distributed quantitative data. Qualitative data were evaluated by thematic analysis. Results: The mean age of the patients was 40.39±17.04, 54.4% were male. The mean score of the patients on the "Patient's Perception of Nursing Care Scale" was found to be 41.27±11.10. The item that patients scored highest was 'Nurses did most things by asking me' with a score of 3.31. The item that received the lowest score from patients was "I know that some problems were prevented thanks to the efforts of the nurses" with a score of 2.12. Four main themes were identified regarding the perception of nursing care in patients presenting to emergency departments. These themes were examined as opinions regarding the definition of nursing care, expectations from nursing care in the emergency department environment, benefits of nursing care, and evaluations regarding the nursing care received in the emergency department. Conclusion: According to the research findings, patients' perception of nursing care was found to be at a moderate level. Patients' perceptions of nursing care in emergency departments are shaped by how they define nursing care, their expectations regarding the emergency nursing care process, the benefits of the care provided to them, and their individual evaluations of the care they receive. These findings highlight the importance of restructuring nursing care services in emergency departments to be sensitive to patient expectations and experiences. Keywords: Emergency, Nursing Care, Patient, Perception of Care
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
