Kanıta Dayalı Hemşireliğe Yönelik Tutum Ve Araştırma Kullanım Engelleri: Pediatri Hemşireleri Örneği

Abstract

Amaç: Bu araştırma Türkiye’deki pediatri kliniklerinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları ve araştırma kullanım engellerini belirlemek amacıyla gerçekleştirildi.
Yöntem: Bu araştırma, tanımlayıcı ve kesitsel bir çalışmadır. Araştırma Türkiye’nin kuzey bölgesinde büyük bir şehirde kamuya bağlı iki büyük hastanede yer alan pediatri kliniklerinde gerçekleştirildi. Araştırmanın örneklemini 244 hemşire oluşturdu. Veri toplama araçları olarak Kişisel Bilgi Formu, Araştırma Kullanımının Önündeki Engeller Ölçeği (HAYEÖ) ve Kanıta Dayalı Hemşirelik Anketi (KDHYTÖ) kullanıldı.
Bulgular: Hemşirelerin% 67,6'sının herhangi bir bilimsel etkinliğe katılmadığı belirlendi. Çalışmaya dahil edilen hemşirelerin KDHYTÖ toplam puan ortalamasının 46.80 ± 2.99 ve HAYEÖ toplam puan ortalamasının 58.11 ± 16.29 olduğu bulundu. Hemşirelerin araştırmaları kullanmalarında en önemli engelin ‘İş yerinde araştırmaları okumak için yeterli zaman olmaması’ (%46.3) olduğu belirlendi. Araştırmadan yararlanmada engeller ölçeği toplam puan ortalamaları ile çalışma süresi ve sahip oldukları pozisyon arasında istatistiksel olarak anlamlı bir fark olduğu görülmüştür (p <0.05). Ayrıca hemşirelik ile ilgili herhangi bir bilimsel etkinliğe katılma durumu ve bilimsel etkinlik şekli ile kanıta dayalı hemşireliğe yönelik tutum ölçeği toplam puan ortalamaları arasında istatistiksel olarak anlamlı farklılıklar bulundu (p<0.05).
Sonuçlar ve Öneriler: Bu çalışmada hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları ve araştırmalarından yararlanmada algıladıkları engellerin orta düzeyde olmasına rağmen, hemşirelerin çoğunluğunun bilimsel bir etkinliğe katılmadıkları, literatürde kanıt aramadıkları, kanıta dayalı bir uygulamanın çalışma ortamına getirilmesine katkıda bulunmadıkları ve bu konuda kendilerini yeterli bulmadıkları belirlenmiştir. Hemşirelerin en çok araştırma kullanım engellerinin hemşire ve kurum kaynaklı olduğu tespit edilmiştir.

Keywords

• Kanıta dayalı uygulama;
• Araştırma engelleri;
• Hemşire;
• Pediatri

ATTITUDES TOWARDS EVIDENCE-BASED NURSING AND BARRIERS AGAINST UTILIZING RESEARCH: THE CASE OF PEDIATRICS NURSES

Abstract

determining the attitudes of nurses working in the pediatrics clinics towards evidence-based nursing and the barriers they encounter while trying to utilize research.
Methods: This research is a descriptive and cross-sectional study. Study was conducted in the pediatrics clinics of two big public hospitals located in a metropolitan city in the northern region of Turkey. The sample of the study consists of 244 nurses. A Personal Information Form, the Barriers to Research Utilization Scale (BRUS), and the Attitude Towards Evidence-Based Nursing Questionnaire (ATEBNQ) were used as data collection instruments.
Results: It was determined that 67.6% of the nurses did not participate in any scientific event. It was found that the total average BRUS score of the nurses included in the study was 46.80±2.99 and the total average ATEBNQ score was 58.11±16.29. It was determined that the most important barrier in the use of research by nurses was "Not enough time to read scientific studies because of work" (46.3%). It was seen that there is a statistically significant difference between the total score averages of the research utilization scale and the working duration time and the workload they have (p <0.05). In addition, statistically significant differences were found between the level of participation in scientific activities and the type of these activities, and the total mean ATEBNQ scores (p <0.05).
Conclusion and Suggestions: In this study, it was determined that nurses' attitudes towards evidence-based nursing and their perceived barriers against utilizing from their research were moderate; however, the majority of the nurses stated that they did not participate in scientific events, did not review the literature, did not try to bring an evidence-based approach to clinical practice, and that they did not consider themselves competent on this matter. It was determined that most of the barriers against the use of scientific studies in nursing practices stem from nurses and institutions.

Keywords

• Evidence-based practic;
• Research utilization;
• Nurse;
• Pediatric.

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