hufhsj Hacettepe University Faculty of Health Sciences Journal 2528-9918 Hacettepe University 10.21020/husbfd.1602542 Nurse Education Hemşirelik Eğitimi Yoğun Bakım Hemşireliği Sertifika Programının Mesleki Yeterlikler Üzerine Etkisi: Randomize Kontrollü Bir Çalışma Effects of Intensive Care Nursing Certificate Program on the Professional Competences: A Randomize Controlled Trial https://orcid.org/0000-0002-5086-3571 Çalışkan Figen TRAKYA ÜNİVERSİTESİ https://orcid.org/0000-0001-8855-6692 Şenyuva Emine İSTANBUL ÜNİVERSİTESİ-CERRAHPAŞA https://orcid.org/0000-0003-1323-1361 Çavuşlu Merih UNIVERSITY OF HEALTH SCIENCES, İSTANBUL BAKIRKÖY DR. SADİ KONUK TRAINING RESEARCH CENTER https://orcid.org/0000-0002-6223-0771 Güreşci Zeydan Ayten UNIVERSITY OF HEALTH SCIENCES, İSTANBUL BAKIRKÖY DR. SADİ KONUK TRAINING RESEARCH CENTER 04 30 2026 13 1 34 54 12 16 2024 12 15 2025 Copyright © 2014, Hacettepe University Faculty of Health Sciences Journal 2014 Hacettepe University Faculty of Health Sciences Journal

Amaç: Yoğun bakım üniteleri, kritik durumdaki hastaların takip, tedavi ve bakımlarının üstlenildiği yerlerdir. Bu birimlerde çalışan hemşirelerin yoğun bakım alanında uzmanlaşmaları, verdikleri hemşirelik bakımının kalitesini artırmaları, mesleki beceri ve yeterliklerini geliştirmeleri gerekmektedir. Araştırma, hemşirelerin bilgi, beceri, tutum ve yeterliklerini geliştirmek amacıyla mesleki gelişim sürecinin önemli bir parçası olan yoğun bakım sertifika programının mesleki yeterlikleri üzerindeki etkisini belirlemeyi amaçlamıştır.Gereç ve Yöntem: Bu çalışma randomize kontrollü araştırma deseni ile yürütülmüştür. Çalışma grubu, 30 müdahale ve 30 kontrol grubunda olmak üzere toplam 60 yoğun bakım hemşiresinden oluşmaktadır. Veriler hemşire bilgi formu ve Hemşirelik Mesleki Yeterlik Ölçeği kullanılarak toplanmıştır. Çalışma 19 Nisan 2021 ile 27 Ağustos 2021 tarihleri arasında yürütülmüştür.Bulgular: Sertifika programı sonrasında müdahale grubundaki hemşirelerin hasta tanılama, hemşirelik sürecini uygulama, sağlık/hastalık eğitimi, mesleki gelişim, etik uygulama, eleştirel düşünme ve ekip çalışması ile araştırma ve geliştirme yeterliklerinin kontrol grubuna göre daha yüksek olduğu görülmüştür.Sonuç: Yoğun bakım hemşirelerinin mesleki bilgi, beceri ve yeterliklerini geliştirmeye yönelik farklı sertifika programlarına, kurum içi/dışı kaynaklı hizmet içi eğitimlere, kongre ve sempozyumlara katılımlarının desteklenmesi ve yoğun bakım hemşireliği sertifika programlarının hemşirelerin mesleki yeterliklerine etkisini belirlemeye yönelik nitel çalışmaların yapılması önerilebilir.

Objectives: Intensive care units are places where the follow-up, treatment and care of critically ill patients are undertaken. Nurses working in these units need to specialize in the field of intensive care, increase the quality of nursing care they provide, improve their professional skills and competences. The research aimed to determine the effect of the intensive care certificate program, which is an important part of the professional development process, in order to improve the knowledge, skills, attitudes and competences of nurses on their professional competence. Materials and Methods: This study was conducted with a randomized controlled trial design. The study group consisted of 60 intensive care nurses in total, 30 in the intervention group and 30 in the control group. Data were collected using a nurse information form and the Nursing Professional Competence Scale. The study was conducted from April 19, 2021, through August 27, 2021.Results: After the certificate program, it was observed that the nurses in the intervention group had higher patient diagnosis, nursing process application, health/disease education, professional development, ethical practice, critical thinking and teamwork, and research and development competences than the control group.Conclusion: It would be recommended to support the participation of intensive care nurses in different certificate programs, in-house/outsourced in-service trainings, congresses and symposiums to improve their professional knowledge, skills and competences, and to conduct qualitative studies to determine the effect of intensive care nursing certificate programs on the professional competences of nurses.

 Certification intensive care nurse competence Sertifikasyon yoğun bakım hemşire yeterlik None Ali-Abadi, T., Babamohamadi, H., & Nobahar, M. (2020). Critical thinking skills in intensive care and medical-surgical nurses and their explaining factors. Nurse Education in Practice, 45, 102783. https://doi.org/10.1016/j.nepr.2020.102783. Boyle, D. K., & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: a descriptive study. Medsurg Nursing, 29(4), 229-254. Bozkurt, G., & Türkmen, E. (2019). Certification programs in intensive care nursing. Yoğun Bakım Hemşireliği Dergisi, 23(2), 107-113. Cowin, L. S., Hengstberger-Sims, C., Eagar, S. C., Gregory, L., Andrew, S., & Rolley, J. (2008). Competency measurements: testing convergent validity for two measures. Journal of Advanced Nursing,64(3), 272–277. https://doi.org/10.1111/j.1365-2648.2008.04774.x. Currey, J., Mclntyre, T., Taylor, C., Allen, J., & Jones, D. (2022). Critical care nurses’ perceptions of essential elements for an intensive care liaison or critical care outreach nurse curriculum. Australian Critical Care, 35(4), 438-444. https://doi.org/10.1016/j.aucc.2021.05.014. Çalışkan, F., & Kaya, H. (2016). Preferred information sources for clinical practice by nurses. International Journal of Human Sciences, 13(2), 3619-3628. https://doi.org/10.14687/jhs.v13i2.3853. Çalışkan, F., & Şenyuva, E. (2022). A valid and reliable tool to assess nursing professional competences: the Nursing Professional Competence Scale. Medical Journal of Bakırköy, 18, 177-188. https://doi.org/10.4274/BMJ.galenos.2021.2021.11-2. Düzgün, F., Uzelli Yılmaz, D., Karaman, D., Gökdere Çinar, H., Dikmen, Y., & Yılmaz, D. (2019). Investigation of teamwork attitude of intensive care nurses. Journal of Contemporary Medicine, 9(1), 32-36. https://doi.org/10.16899/gopctd.511231. Education Regulation of the Ministry of Health. (2014). https://www.resmigazete.gov.tr/eskiler/2014/02/20140204-2.htm. European federation of Critical Care Nursing associations (EfCCNa). (2013). EfCCNa Competencies for European Critical Care Nurses. http://www.efccna.org/images/stories/publication/competencies_cc.pdf. Forsman, H., Jansson, I., Leksell, J., Lepp, M., Andersson, C. S., Engström, M., & Nilsson, J. (2020). Clusters of competence: relationship between self-reporter professional competence and achievement on a national examination among graduating nursing students. Journal of Advanced Nursing, 76(1), 199-208. https://doi.org/10.1111/jan.14222. Gardulf, A., Nilsson, J., Florin, J., Leksell, J., Lepp, M., Lindholm, C., Nordström, G., Theander, K., Wilde-Larsson, B., Carlsson, M., & Johansson, E. (2016). The Nurse Professional Competence (NPC) Scale: self-reported competence among nursing students on the point of graduation. Nurse Education Today, 36, 165-171. https://doi.org/10.1016/j.nedt.2015.09.013. Hadjibalassi, M., Papastavrou, E., Lambrinou, E., Tsangari, H., Athini, E., Georgiou, E., Nicolaou, E., & Merkouris, A. (2012). Development of an instrument to determine competencies of postgraduate ICU nurses in Cyprus. Nursing in Critical Care, 17(5), 255–264. https://doi.org/10.1111/j.1478-5153.2012.00503.x. Halm, M. A. (2021). Specialty certification: a path to improving outcomes. American Journal of Critical Care, 30(2), 156-160. https://doi.org/10.4037/ajcc2021569. Henriksen, K. F., Hansen, B. S., Wøien, H., & Tønnessen, S. (2021). The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography. Journal of Advanced Nursing, 77(12), 4693-4710. https://doi.org/10.1111/jan.15044. Jakimowicz, S., Perry, L., & Lewis, J. (2018). Compassion Satisfaction and fatigue: a cross-sectional survey of Australian intensive care nurses. Australian Critical Care, 31(6), 396-405. https://doi.org/10.1016/j.aucc.2017.10.003. Karagöz, Y. (2014). SPSS 21.1 uygulama, biyoistatistik. (1st Ed.). Nobel Akademik Yayıncılık. Kavuran, E., Ay, E., Ay, E., & Aksoy, M. (2021). Determination of team work and job satisfaction of nurses. Turkish Journal of Science and Health, 2(1), 45-56. McIntosh, N., Oppel, E., Mohr, D., & Meterko, M. (2017). Organizational factors associated with perceived quality of patient care in closed intensive care units. American Journal of Critical Care, 26(5), 401-407. https://doi.org/10.4037/ajcc2017494. Noviani, W., Chong, M. C., & Tang, L. Y. (2023). Social in professional reality integration for nursing student transition (SPRINT) to improve professional competence: a quasi-experimental study. Heliyon,9, e13433. https://doi.org/10.1016/j.heliyon.2023.e13433. Özbudak, E., & Koç, Z. (2021). The importance of critical thinking in nursing practices. Sağlık ve Toplum, 31(2), 38-48. https://hdl.handle.net/20.500.12712/33146. Rodríguez-Suárez, C.-A., González-de la Torre, H., Hernández-De Luis, M.-N., Fernández-Gutiérrez, D.-A., Martínez-Alberto, C.-E., & Brito-Brito, P.-R. (2023). Effectiveness of a standardized nursing process using NANDA international, nursing interventions classification and nursing outcome classification terminologies: A systematic review. Healthcare, 11(17), 2449. https://doi.org/10.3390/healthcare11172449. Stokes, L. (2023). 1. ANA position statement: nurses’ professional responsibility to promote ethical practice environments. The Online Journal of Issues in Nursing, 28(1), 1-17. https://doi.org/10.3912/OJIN.Vol28No01PoSCol01. Stucky, C. H., & Wymer, J. A. (2020). Progressing toward specialty certification as the national standard for national standard for nursing. Nursing Forum, 55(3), 531-534. https://doi.org/10.1111/nuf.12459. Šabanė, E., Vimantaitė, R., & Jakuška, P. (2022). Application of evidence-based practice in intensive and critical care nursing. The Open Nursing Journal, 16, e187443462211160. https://doi.org/10.2174/18744346-v16-e221124-2022-66. Tamadoni, B. V., Shahbazi, S., Seyedrasooli, A., Gilani, N., & Gholizadeh, L. (2020). A survey of clinical competence of new nurses working in emergency department in Iran: A descriptive, cross-sectional study. Nursing Open, 7(6), 1896-1901. https://doi.org/10.1002/nop2.579. Thentz, C., Durgnat-Sciboz, C., Macé, S., Béguin, M. C., Falcy, V., Schobinger, E., & Rocha, G. D. (2022). Influence of the implementation of strengths-based nursing and healthcare on early childhood nurses’ competencies: a mixed-method study. BMC Health Services Research, 22, 1572. https://doi.org/10.1186/s12913-022-08955-7. Tuomikoski, A. M., Ruotsalainen, H., Mikkonen, K., & Kääriäinen, M. (2020). Nurses’ experiences of their competence at mentoring nursing students during clinical practice: a systematic review of qualitative studies. Nurse Education Today, 85, 104258. https://doi.org/10.1016/j.nedt.2019.104258. Vivona, B. D., Cloninger, K., & Grief, L. (2022). A qualitative study of the value, organizational supports, and barriers to specialty nursing certification. Perioperative Care and Operating Room Management, 28, 100259. https://doi.org/10.1016/j.pcorm.2022.100259. Wei, W., Niu, Y., & Ge, X. (2019). Core competencies for nurses in Chinese intensive care units: a cross-sectional study. Nursing in Critical Care, 24(5), 276-282. https://doi.org/10.1111/nicc.12398. Whitehead, L., Ghosh, M., Walker, D. K., Bloxsome, D., Vafeas, C., & Wilkinson, A. (2019). The relationship between specialty nurse certification and patient, nurse and organizational outcomes: a systematic review. International Journal of Nursing Studies, 93, 1-11. https://doi.org/10.1016/j.ijnurstu.2019.02.001. Zeydi, A. E., Ghazanfari, M. J., Azizi, E., Darvishi-Khezri, H., Mortazavi, H., Osuji, J., & Karkhah, S. (2022). Clinical competence of Iranian nurses: a systematic review and meta-analysis. Journal of Education and Health Promotion, 11, 102. https://doi.org/10.4103/jehp.jehp_352_21. Zhang, X., Meng, K., & Chen, S. (2020). Competency framework for specialist critical care nurses: a modified delphi study. Nursing in Critical Care, 25(1), 45-52. https://doi.org/10.1111/nicc.12467.