Yoğun bakımda kültürel uygulamalar ve kültüre duyarlı bakımın incelenmesi
Küçük Resim Yok
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ÖZET Yoğun Bakımda Kültürel Uygulamalar ve Kültüre Duyarlı Bakımın İncelenmesi Amaç: Bu araştırma, yoğun bakım hemşirelerinin kültürel yeterlilik ve duyarlılık düzeylerini belirlemek; hasta yakınlarının kültürel bakım gereksinimlerini incelemek amacıyla yapılmıştır. Materyal ve Metot: Araştırma, Adıyaman Eğitim ve Araştırma Hastanesi'nin altı farklı yoğun bakım ünitesinde yürütülmüş olup paralel karma desende yapılmıştır. Nicel veriler, 215 hemşireye uygulanan "Kültürel Yeterlilik Ölçeği" ve "Kültürlerarası Duyarlılık Ölçeği" ile toplanmıştır. Nitel veriler ise 30 hasta yakınıyla gerçekleştirilen yarı yapılandırılmış görüşmeler yoluyla elde edilmiştir. Nicel veriler t testi, korelasyon analizi ve ANOVA testi ile, nitel veriler tematik analiz yapılarak değerlendirilmiştir. Bulgular: Hemşirelerin %63.5'i kadın olup ve yaş ortalamaları 31.48±7.09 yıldır. Hasta yakınlarının ise 14'ü erkek, 16'sı kadındır. Hemşireler Kültürel Yeterlilik Ölçeğinden 70.22±17.70, Kültürlerarası Duyarlılık Ölçeğinden 81.76±14.90 puan almıştır. İki ölçek arasında pozitif yönde düşük düzeyde istatistiksel olarak önemli bir ilişki vardır (p<0.05). Yoğun bakım sürecinde hasta yakınlarının kültürel ihtiyaçları ve kültürel bakım anlayışları çerçevesinde 6 ana tema saptanmıştır. Bu temalar "kültüre uygun iletişim, gerçekleri bilmek ve karar verebilmek, farkındalıkla verilen bakıma katılabilmek, mahremiyeti koruyacak seçimlerin yapılabilmesi, özen gösterilmesi ve korumanın sağlanması ve psikolojik destek sağlanması olarak nitelendirilmiştir. Sonuç: Hemşirelerin kültürlerarası duyarlılık düzeylerinin artmasıyla kültürel yeterliliklerinin de arttığı belirlenmiştir. Hasta yakınları ise kültürel bakım ihtiyaçlarını genellikle iletişim, mahremiyet, bilgiye erişim, bakım sürecine katılım, özenli yaklaşım ve psikolojik destek çerçevesinde tanımlamıştır. Bu bulgular, yoğun bakımda kültüre duyarlı hemşirelik bakımının hasta ve aile memnuniyeti ile bakım kalitesini artırmada kritik bir rol oynadığını göstermektedir. Anahtar Kelimeler: Kültüre Duyarlı Bakım, Kültürel Uygulamalar, Yoğun Bakım
ABSTRACT Cultural Practices in Intensive Care and Examination of Culturally Sensitive Care Purpose: This study was conducted to determine the levels of cultural competence and intercultural sensitivity among intensive care nurses and to examine the cultural care needs of patients' relatives. Material and Method: The research was carried out in six different intensive care units of Adıyaman Training and Research Hospital using a convergent parallel mixed- methods design. Quantitative data were collected from 215 nurses using the "Cultural Competence Scale" and the "Intercultural Sensitivity Scale." Qualitative data were obtained through semi-structured interviews conducted with 30 patients' relatives. Quantitative data were analyzed using t-test, correlation analysis, and ANOVA, while qualitative data were evaluated through thematic analysis. Results: Of the nurses, 63.5% were female with a mean age of 31.48±7.09 years. Among the patients' relatives, 14 were male and 16 were female. The nurses scored 70.22±17.70 on the Cultural Competence Scale and 81.76±14.90 on the Intercultural Sensitivity Scale. There was a statistically significant low-level positive correlation between the two scales (p<0.05). Within the context of the intensive care process, six main themes were identified regarding the cultural needs and understanding of cultural care among patients' relatives. These themes were: culturally appropriate communication, being informed and able to make decisions, participating in care with awareness, making choices that preserve privacy, ensuring attentiveness and protection, and receiving psychological support. Conclusion: It was found that an increase in nurses' intercultural sensitivity levels was associated with an increase in their cultural competence. Patients' relatives generally described their cultural care needs within the framework of communication, privacy, access to information, participation in the care process, a considerate approach, and psychological support. These findings indicate that culturally sensitive nursing care in intensive care units plays a critical role in improving both patient and family satisfaction, as well as the overall quality of care. Keywords: Culturally Sensitive Care, Cultural Practices, Intensive Care
ABSTRACT Cultural Practices in Intensive Care and Examination of Culturally Sensitive Care Purpose: This study was conducted to determine the levels of cultural competence and intercultural sensitivity among intensive care nurses and to examine the cultural care needs of patients' relatives. Material and Method: The research was carried out in six different intensive care units of Adıyaman Training and Research Hospital using a convergent parallel mixed- methods design. Quantitative data were collected from 215 nurses using the "Cultural Competence Scale" and the "Intercultural Sensitivity Scale." Qualitative data were obtained through semi-structured interviews conducted with 30 patients' relatives. Quantitative data were analyzed using t-test, correlation analysis, and ANOVA, while qualitative data were evaluated through thematic analysis. Results: Of the nurses, 63.5% were female with a mean age of 31.48±7.09 years. Among the patients' relatives, 14 were male and 16 were female. The nurses scored 70.22±17.70 on the Cultural Competence Scale and 81.76±14.90 on the Intercultural Sensitivity Scale. There was a statistically significant low-level positive correlation between the two scales (p<0.05). Within the context of the intensive care process, six main themes were identified regarding the cultural needs and understanding of cultural care among patients' relatives. These themes were: culturally appropriate communication, being informed and able to make decisions, participating in care with awareness, making choices that preserve privacy, ensuring attentiveness and protection, and receiving psychological support. Conclusion: It was found that an increase in nurses' intercultural sensitivity levels was associated with an increase in their cultural competence. Patients' relatives generally described their cultural care needs within the framework of communication, privacy, access to information, participation in the care process, a considerate approach, and psychological support. These findings indicate that culturally sensitive nursing care in intensive care units plays a critical role in improving both patient and family satisfaction, as well as the overall quality of care. Keywords: Culturally Sensitive Care, Cultural Practices, Intensive Care
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
