Yoğun Bakım Hemşireleri ve Hekimlerinin Ölüm Öncesi ve Sonrası Değişiklikler Konusundaki Yeterliliklerinin Değerlendirilmesi: Kapsamlı Bir İnceleme

Abstract

Amaç: Bu çalışma, ölüm öncesi ve sonrası meydana gelen doğal ve doğal olmayan değişikliklere ilişkin yoğun bakım hemşireleri ve hekimlerinin bilgi düzeylerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Araştırma, Mart-Mayıs 2024 tarihleri arasında Türkiye’nin kuzeyindeki üç hastanenin yoğun bakım ünitelerinde gerçekleştirilmiştir. Çalışmaya, bu ünitelerde görev yapan sağlık çalışanları katılmıştır. Veriler, araştırmacılar tarafından literatür taramasına dayanarak geliştirilen 32 soruluk bir anket aracılığıyla toplanmıştır. Bulgular: Araştırmaya katılanların %78.4’ünün kadın, %93.3’ünün hemşire olduğu belirlenmiştir. Katılımcılar, ayda ortalama 4.9 ± 0.2 ölüm vakasıyla karşılaştıklarını bildirmiştir. Anket sonuçlarına göre en yüksek doğru yanıt oranı (%81.35) beyin ölümü ile ilgili sorularda, en düşük doğru yanıt oranı ise (%45.95) post-mortem değişikliklere ilişkin sorularda belirlenmiştir. Sonuç: Ölüm öncesi ve sonrası meydana gelen değişikliklerin doğru şekilde yorumlanması hem bilgi hem de deneyim gerektirmektedir. Bu değişikliklerin anlaşılması, tıbbi, hukuki ve etik karar alma süreçleri açısından kritik öneme sahiptir. Bakım kalitesinin artırılabilmesi için sağlık profesyonellerine yönelik temel eğitim programlarının güncellenmesi gerekmektedir. Bu eğitimlerin disiplinlerarası bir yaklaşımla, güncel bilimsel kanıtlara dayalı olarak sürekli mesleki gelişim programlarına entegre edilmesi önem arz etmektedir.

Keywords

• Ölüm
• Yoğun bakım
• Ölüm sonrası değişiklikler

Assessing Intensive Care Nurses' and Physicians’ Proficiency in Ante-Post Mortem Changes: A Comprehensive Evaluation

Abstract

Objective: This study aims to evaluate the knowledge levels of intensive care nurses and physicians regarding the natural and unnatural changes that occur before and after death. Materials and Methods:. This descriptive study was conducted from March-May 2024, in the intensive care units of three hospitals in northern Türkiye. The participants included healthcare professionals from these units. Data were collected through a 32-question questionnaire developed by the researchers, based on a literature review. Results: The study found that 78.4% of the participants were female, and 93.3% were nurses. On average, the participants reported encountering 4.9 ± 0.2 deaths per month. In the questionnaire, the highest correct answer rate (81.35%) was observed for questions related to brain death, while the lowest correct answer rate (45.95%) was for questions about post-mortem changes. Conclusion: Correctly interpreting the changes that occur before and after death requires both knowledge and experience. Understanding these changes is critical to medical, legal and ethical decision-making processes. In order to improve the quality of care, basic education programs for health professionals need to be updated. It is important that these trainings are integrated into continuous professional development programs with an interdisciplinary approach and based on current scientific evidence.

Keywords

• Death
• Intensive care
• Post öortem changes

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