Hemşirelerin Fizik Muayeneye Yönelik Tutumları ve Etkileyen Faktörler: Tanımlayıcı ve Kesitsel Bir Çalışma

Year 2023, Volume: 26 Issue: 4, 297 - 306, 29.12.2023

Azize Özdaş , Öznur Gürlek Kısacık

https://doi.org/10.5152/JANHS.2023.23516

Abstract

Amaç: Bu çalışmanın amacı, hemşirelerin fizik muayene yapma konusundaki özelliklerini, fizik muayeneye yönelik mevcut tutumlarını ve etkileyen faktörleri belirlemektir.

Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırma, Afyonkarahisar ilindeki bir devlet ve üniversite hastanesinde görev yapan 488 hemşire ile gerçekleştirilmiştir. Veriler Hemşire Bilgi
Formu ve Fizik Muayene Tutum ve Uygulama Ölçeğinin Türkçe versiyonu kullanılarak toplandı.

Bulgular: Hemşirelerin fizik muayeneye yönelik tutum puanı 45.89 ± 10.32 (min:19, maks:87) olarak bulundu. Çoklu doğrusal regresyon analizi sonuçlarına göre; fizik muayene yapmak (β = −0.318,
P < .001), lisans mezunu olmak (β = −0.179, P < .001), kadın olmak (β = –0.175, P < .001), yüksek lisans derecesine sahip olmak (β = −0.168, P < .001), daha az hastanın günlük bakımından sorumlu
olmak (β = −0.158, P = .005), fizik muayeneyi hemşirelik uygulamalarının bir parçası olarak görmek (β = −0.155, P = .002) ve fizik muayene hakkında yeterli bilgi düzeyine sahip olmak (β = −0.140,
P = .001), fizik muayeneye yönelik daha olumlu tutuma sahip olma üzerine etkili olan anlamlı yordayıcılardı.

Sonuç: Bu çalışmanın sonuçları, hemşirelerin fizik muayeneye yönelik olumlu bir tutuma sahip olduklarını gösterdi. Fizik muayene yapma deneyimi tutumun ana belirleyicisiydi. Hemşirelerin fizik muayene becerilerini etkin bir şekilde kullanmalarını sağlamak için, bilgi ve beceri düzeylerinin geliştirilmesi ve kurumsal düzeyde politikaların oluşturulmasını öneriyoruz

Keywords

Tutum, hemşire, uygulama, fizik muayene

Nurses’ Attitudes Towards Physical Examination and Influencing Factors: A Descriptive and Cross-Sectional Study

Abstract

Objective: The aim of the study was to determine the characteristics of Turkish nurses with regard to performing physical examination, their current attitudes towards physical examination,
and the factors affecting them.

Methods: This descriptive and cross-sectional study was conducted with 488 nurses working in a state and an university hospital in the Afyonkarahisar province of Turkey. The data were collected
with the Nurse Information Form and the Turkish version of the Physical Examination Attitude and Practice Scale.

Results: Nurses’ attitude score towards physical examination was found to be 45.89 (SD = 10.32, minimum: 19, maximum: 87). As per the multiple linear regression results, performing physical
examination (β = −0.318, P < .001), having undergraduate degree (β = −0.179, P < .001), being female (β= −0.175, P < .001), having postgraduate degree (β = −0.168, P < .001), being responsible
for the daily care of fewer patients (β = −0.158, P = .005), considering physical examination as part of nursing practices (β = −0.155, P = .002), and having sufficient knowledge level about physical
examination (β = −0.140, P = .001) were significant factors that were effective in having a more positive attitude towards physical examination.

Conclusion: The results of this study revealed that nurses have a positive attitude towards physical examination. Experience performing a physical examination was the main predictor of attitude
towards physical examination. To enable nurses to use their physical examination skills effectively, it is recommended to improve their knowledge and skill levels and to establish policies at the
institutional level.

Keywords

Attitude, nurse, practice, physical examination

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