Aim: This study was conducted to determine the knowledge of nurses working in surgical clinics about pressure injuries, prevention, and treatment.
Material and Methods: The research sample consisted of 360 nurses working in surgical clinics in a public hospital in Ankara. In the data collection, forms prepared by the researcher by reviewing the literature and taking current guidelines as a source, containing questions to determine the socio-demographic characteristics of nurses and their level of knowledge about pressure injuries, were used. The data were analyzed by number, percentile, Kruskal Wallis H test, and Mann-Whitney U test.
Results: The average score of nurses taken from the questions about pressure injuries was found as 51.98±14.52. It was seen that the themes in which average scores are lowest are etiology and risk factors, and the themes in which average scores are highest are treatment and care. It was determined that there was a statistically significant difference between the age, gender, education level, and previous education about pressure injury and the knowledge score averages of the nurses.
Conclusion: In preventing pressure injuries, one of the health care quality indicators, nurses' knowledge and ability to identify risk factors are directly effective in prevention, treatment, and care. In parallel with the developments in science and technology, it is recommended to review the current literature on this subject, organize in-service training programs based on current guidelines, encourage nurses’ participation in courses or certificate programs, and inform them about in-house policies and procedures.
ÖZETAraştırma; hemşirelerin hasta ve hemşire güvenliği açısından acil servislerin çalışma ortamına ilişkin görüşlerini belirlemek amacıyla yapılmış tanımlayıcı bir çalışmadır. Araştırmanın örneklemini, 01.03. 2009-15.08.2009 tarihleri arasında araştırmanın yapıldığı hastanelerin acil servislerinde çalışan, araştırmaya katılmayı kabul eden 88 hemşire oluşturmuştur. Çalışmanın verileri; araştırmacı tarafından geliştirilen, hemşirelerin tanıtıcı özellikleri, hasta güvenliğini tehdit eden olaylar, hemşire güvenliğini tehdit eden olaylar ve acil servisin fiziki ortamından kaynaklanan olumsuz koşullara ilişkin görüşlerin yer aldığı dört bölümden oluşan Bilgi Formu kullanılarak toplanmıştır. Araştırmada elde edilen veriler SPSS 12 paket programı yardımı ile değerlendirilmiş olup değişkenlere ilişkin frekans ve yüzdesel değerler verilmiştir. Elde edilen verilerde hemşireler; uygun olmayan koşullarda hastaya bakım ve tedavi verilmesini (%21,2) hasta güvenliğini tehdit eden durumlar arasında, kısa zamanda hızlı hareket edilmesini (%34,1) hemşire güvenliğini tehdit eden durumlar arasında en yüksek oranda görüldüğünü, ancak çok düşük oranda raporlandırıldığını belirtmişlerdir. Tehdit eden durumların oluşma nedenleri arasında, hemşire başına düşen hasta sayısının çokluğu (%17,0), hastanın bilinç durumu (%22,7), hastaları hareket ettirmeye yardım için yeterli sayıda personel olmaması (%27,7), güvenlik tedbirlerinin ve yasal yaptırımların yeterli olmaması (%29,9) olarak ilk sırada ifade etmişlerdir. Araştırma sonuçları, acil servisin çalışma ortamında hasta ve hemşire güvenliğini tehdit eden durumlarla karşılaşıldığını, hemşirelerin bu durumları çok düşük oranda raporlandırdığını ve özel hastanelerin kalite yönetim sürecini diğer hastanelere göre daha iyi uyguladığını göstermektedir.
ABSTRACTThe objective of this study was to investigate emergency service nurses experiences and perceptions about safety of patient and nurse in emergency medicine working environment. It was a descriptive study and sample of the study was formed by 88 nurses who were working in emergency services in between the dates of 01.03. 2009-15.08.2009 and who volunteered to be participated. Data collection was performed by the Inquiry Form which was developed by the researcher and containing four categories (identifier characteristics of nurses, threatening events for patient safety and for nurse safety and unfavorable conditions of emergency service physical environment itself). Interpretation of data was made with SPSS (version 12) and frequency and percentage values of variables were documented. Nurses reported to give medical care in inappropriate conditions as the most common (21.2%) threatening event for patient safety and to act fast in little time as the most common (34.1%) threatening event for nurse safety. They also reported both of the two condition were reported less. Excess number of patient per nurse care (17.0%), the conscious level of the patient (22.7%), inadequate number of auxiliary health personnel to move the patients (27.7%) and ...
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