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Web Tabanlı Eğitimin Yoğun Bakım Hemşirelerinin Sedasyon Yönetimi Bilgi ve Uygulamalarına Etkisi

Year 2024, , 95 - 108, 25.04.2024
https://doi.org/10.46413/boneyusbad.1403724

Abstract

Amaç: Araştırma, web tabanlı eğitimin, yoğun bakım hemşirelerinin sedasyon yönetimi hakkındaki bilgi ve uygulamalarına etkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Tek grup, ön test-son test desende gerçekleştirilen çalışmada, 62 yoğun bakım hemşiresinin, sedasyon yönetimi konusundaki bilgi düzeyleri ve uygulamaları değerlendirilmiştir. Hemşirelere web tabanlı sedasyon yönetim eğitimi verilmiş, eğitimden bir ay sonra araştırmaya katılan hemşirelerin yoğun bakım hastasında sedasyon yönetimi konusundaki bilgi düzeyleri ve uygulamaları tekrar değerlendirilmiş, eğitim öncesi ve sonrası veriler analiz edilerek eğitimin etkinliği değerlendirilmiştir.
Bulgular: Web tabanlı eğitim sonrasında, hemşirelerin sedasyon yönetimine ilişkin ifadeleri doğru yanıtlama oranlarında anlamlı artış olduğu belirlenmiştir. Hemşirelerin ajitasyonu önlemeye ve hastaların sedasyon ihtiyacını azaltmaya yönelik hemşirelik girişimlerini uygulama oranlarının eğitim sonrasında anlamlı şekilde arttığı saptanmıştır.
Sonuç: Web tabanlı eğitimin, yoğun bakım hemşirelerinin sedasyon yönetimi konusundaki bilgi ve uygulamalarının arttırılmasını destekleyen bir yaklaşım olduğu belirlenmiştir. Yoğun bakım hemşirelerinin etkili ajitasyon-sedasyon yönetimi gerçekleştirebilmelerinde web tabanlı eğitim programlarının desteklenmesi önerilmektedir.

Supporting Institution

SİVAS CUMHURİYET ÜNİVERSİTESİ BİLİMSEL ARAŞTIRMA PROJELERİ (CÜBAP)

Project Number

SBF- 074

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The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses

Year 2024, , 95 - 108, 25.04.2024
https://doi.org/10.46413/boneyusbad.1403724

Abstract

Aim: The research was conducted to evaluate the effect of web-based education on the knowledge and practices of intensive care nurses about sedation management.
Material and Method: In this study, which was carried out in a single group, pre-test-post-test design, the knowledge levels and practices of 62 intensive care nurses on sedation management were evaluated. The nurses were given web-based sedation management education, one month after the education, the knowledge levels and practices of the nurses participating in the study on sedation management in intensive care patients were re-evaluated, and the effectiveness of the education was evaluated by analyzing the data before and after the education.
Results: After the web-based education, it was determined that there was a significant increase in the rate of correct answers to the statements about sedation management by nurses. It was determined that the rate of nurses applying nursing interventions to prevent agitation and reduce the sedation need of patients increased significantly after the education.
Conclusion: It has been determined that web-based education is an approach that supports increasing the knowledge and practices of intensive care nurses on sedation management. It is recommended that web-based education programs be supported in order for intensive care nurses to perform effective agitation-sedation management.

Project Number

SBF- 074

References

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  • Abdar, M. E., Rafiei, H., Abbaszade, A., Hosseinrezaei, H., Abdar, Z. E., Delaram, M., Ahmadineja, M. (2013). Effects of nurses practice of a sedation protocol on sedation and consciousness levels of patients on mechanical ventilation. Iran J Nurs Midwifery Res,18: 391–395.
  • Aitken, L. M., Marshall, A. P., Elliott, R., McKinley, S. (2009). Critical care nurses’ decision making: sedation assessment and management in intensive care. Journal of Clinical Nursing, 18(1), 36-45.
  • Akın Korhan, E., Khorshid, L., Uyar, M. (2011). The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. Journal of Clinical Nursing, 20(7-8), 1026-1034.
  • Aktaş, Y. Y., Koraş, K., Karabulut, N. (2017). Yoğun bakım hemşirelerinin teknolojiye ilişkin tutumları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(2), 36-48.
  • Alasad, J. A., Tabar, N. A., Ahmad, M. M. (2015). Patients' experience of being in intensive care units. Journal of Critical care, 30(4), 859-e7.
  • Almeida, T. M. L. D., Azevedo, L. C. P. D., Nosé, P. M. G., Freitas, F. G. R. D., Machado, F. R. (2016). Fatores de risco para desenvolvimento de agitação em pacientes críticos. Revista Brasileira de Terapia Intensiva, 28, 413-419.
  • Ateş, E. (2019). Omurilik hasarlı bireylere verilen web tabanlı eğitimin komplikasyon kontrolü ve yaşam kalitesine etkisi. Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Ayasrah, S. (2016). Care-related pain in critically ill mechanically ventilated patients. Anaesthesia and intensive care, 44(4), 458-465.
  • Barisone, M., Bagnasco, A., Aleo, G., Catania, G., Bona, M., Scaglia, S. G., ... Sasso, L. (2019). The effectiveness of web-based learning in supporting the development of nursing students’ practical skills during clinical placements: A qualitative study. Nurse education in practice, 37, 56-61.
  • Barr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Gélinas, C., Dasta, J. F., ... Jaeschke, R. (2013). Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical care medicine, 41(1), 263-306.
  • Bion, V., Lowe, A. S., Puthucheary, Z., Montgomery, H. (2018). Reducing sound and light exposure to improve sleep on the adult intensive care unit: an inclusive narrative review. Journal of the Intensive Care Society, 19(2), 138-146.
  • Brown, D. T., Westbury, J. L., Schüz, B. (2015). Sleep and agitation in nursing home residents with and without dementia. International psychogeriatrics, 27(12), 1945-1955.
  • Burk, R. S., Grap, M. J., Munro, C. L., Schubert, C. M., Sessler, C. N. (2014). Predictors of agitation in critically ill adults. American journal of critical care, 23(5), 414-423.
  • Celis-Rodríguez, E., Birchenall, C., De la Cal, M. Á., Arellano, G. C., Hernández, A., Ceraso, D., ... Rubiano, S. (2013). Clinical practice guidelines for evidence-based management of sedoanalgesia in critically ill adult patients. Medicina Intensiva (English Edition), 37(8), 519-574.
  • Chang, Y. Y., Yu, H. H., Loh, E. W., Chang, L. Y. (2016). The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints. Journal of Nursing Research, 24(1), 79-86.
  • Choi, J., Tate, J. A., Rogers, M. A., Donahoe, M. P., Hoffman, L. A. (2016). Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge. Heart Lung, 45(2), 140-146.
  • Christensen, M. (2007). Noise levels in a general intensive care unit: a descriptive study. Nursing in critical care, 12(4), 188-197.
  • Chuang, Y. H., Tsao, C. W. (2013). Enhancing nursing students' medication knowledge: the effect of learning materials delivered by short message service. Computers & Education, 61, 168-175.
  • Çelik, Ş., & Çelik, P. (2022). An Evaluation of the Opinions of the First and Emergency Aid Students on Online Education During the Covid-19 Pandemic Period. Turkish Journal of Science and Health, 3(2), 85-91.
  • Çevik, B., Kılıç, G., Sultan, K. A. V., Karahan, A., Eşer, A. K., Doğan, N. (2020). Hemşirelerin invaziv arteriyel kan basıncı ölçümüne yönelik bilgi düzeyleri ve yaşadıkları güçlükler. Yoğun Bakım Hemşireliği Dergisi, 24(2), 89-98.
  • Çömez, S. (2016). Meme kanseri olan kadınlar ve eşleri için oluşturulan web tabanlı eğitimin yaşam kalitesi ve eş uyumuna etkisi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
  • Da Silva, P. S. L., Fonseca, M. C. M. (2012). Unplanned endotracheal extubations in the intensive care unit: Systematic review, critical appraisal, and evidence-based recommendations. Anesthesia and Analgesia, 114(5): 1003–1014.
  • Davidson, J. E., Winkelman, C., Gelinas, C., Dermenchyan, A. (2015). Pain, agitation, and delirium guidelines: nurses’ involvement in development and implementation. Critical care nurse, 35(3), 17-31.
  • Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5,194-197.
  • de Groot, R. I., Dekkers, O. M., Herold, I. H., de Jonge, E., Arbous, M. S. (2011). Risk factors and outcomes after unplanned extubations on the ICU: a case-control study. Crit Care, 15(1): R19.
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There are 75 citations in total.

Details

Primary Language English
Subjects ICU Nursing
Journal Section RESEARCH ARTICLES
Authors

Pelin Çelik 0000-0002-1179-4227

Hatice Tel Aydın 0000-0002-1518-8080

Project Number SBF- 074
Early Pub Date April 25, 2024
Publication Date April 25, 2024
Submission Date December 12, 2023
Acceptance Date February 11, 2024
Published in Issue Year 2024

Cite

APA Çelik, P., & Tel Aydın, H. (2024). The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, 6(1), 95-108. https://doi.org/10.46413/boneyusbad.1403724
AMA Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. April 2024;6(1):95-108. doi:10.46413/boneyusbad.1403724
Chicago Çelik, Pelin, and Hatice Tel Aydın. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi 6, no. 1 (April 2024): 95-108. https://doi.org/10.46413/boneyusbad.1403724.
EndNote Çelik P, Tel Aydın H (April 1, 2024) The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6 1 95–108.
IEEE P. Çelik and H. Tel Aydın, “The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, vol. 6, no. 1, pp. 95–108, 2024, doi: 10.46413/boneyusbad.1403724.
ISNAD Çelik, Pelin - Tel Aydın, Hatice. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6/1 (April 2024), 95-108. https://doi.org/10.46413/boneyusbad.1403724.
JAMA Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6:95–108.
MLA Çelik, Pelin and Hatice Tel Aydın. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, vol. 6, no. 1, 2024, pp. 95-108, doi:10.46413/boneyusbad.1403724.
Vancouver Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6(1):95-108.

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