THE EFFECT OF PROFESSIONAL ATTITUDES OF NURSES WORKING IN DIFFERENT AREAS ON THE COMPLIANCE WITH ISOLATION PRECAUTIONS

Year 2021, Volume: 6 Issue: 1, 187 - 195, 28.05.2021

Nihal Ünaldı Baydın Esra Tural Büyük Büşra Pazarlı

https://doi.org/10.47115/jshs.885221

Cited By: 1

Abstract

Objective: This research was conducted as a descriptive and cross-sectional study in order to determine the effect of professional attitudes of nurses working ın different areas on the compliance of isolation precautions.
Materials and Methods: This study was a correlational, cross-sectional and descriptive design and was conducted with 351 nurses employed in a university hospital in the north of Turkey. The data were collected through a questionnaire prepared by the researchers and the Inventory of Professional Attitude at Occupation and a Scale Compliance with Isolation Precautions. The data were collected between March and May 2019. In the analysis of the data, t test, Kruskal-Wallis test, Mann Whitney U test and variance analysis (ANOVA) were used.
Results: 94% of the nurses received training on health care-related infections. It was observed that professional attitude at occupation was higher in nurses over the age of 41, single, having a 16-20 years of clinical experience and working as nurse manager, and showed statistically significant difference (p <0.05). In addition, it was observed that nurses working in intensive care units were more compliance with isolation precautions than nurses working in other fields and showed a statistically significant difference (p <0.05). It was detected that scale compliance with isolation precautions mean score of the nurses was 61.16±4.70 and professional attitude at occupation scale mean score was 135.77±17.17, and there was a significant, positively and weak relationship between the two scales (r=0.148, p<0.000).
Conclusion: Although the nurses' professional attitude score averages were high, compliance with the isolation measures was above the average. In the study, it was determined that the professional attitude score of the nurses was high, and some sociodemographic characteristics of the nurses affect their professional attitudes.

Keywords

nurse, isolation precautions, compliance, professional attitude

Farklı Alanlarda Çalışan Hemşirelerin Profesyonel Tutumlarının İzolasyon Önlemleri Uyumlarına Etkisi

Abstract

Amaç: Bu araştırma, farklı alanlarda çalışan hemşirelerin profesyonel tutumlarının izolasyon önlemlerine uyumuna etkisini belirlemek amacıyla tanımlayıcı ve kesitsel bir çalışma olarak gerçekleştirilmiştir.
Gereç ve Yöntemler: Bu çalışma ilişkisel, kesitsel ve tanımlayıcı bir tasarımda olup, Türkiye'nin kuzeyinde bir üniversite hastanesinde çalışan 351 hemşirenin oluşturduğu örneklemde gerçekleştirilmiştir. Veriler, araştırmacılar tarafından hazırlanan anket formu, Meslekte Profesyonel Tutum Envanteri ve İzolasyon Önlemlerine Uyum Ölçeği ile Mart-Mayıs 2019 tarihleri arasında toplanmıştır. Verilerin analizinde t testi, Kruskal-Wallis testi, Mann Whitney U testi ve ANOVA testi kullanılmıştır.
Bulgular: Hemşirelerin %94’ü hastane enfeksiyonları ile ilgili eğitim almışlardır. Mesleki profesyonel tutumun 41 yaş üzeri, bekar, 16-20 yıl klinik deneyimi olan ve sorumlu hemşire olarak görev yapan hemşirelerde daha yüksek olduğu ve istatistiksel olarak anlamlılık gösterdiği (p<0.05). Ayrıca yoğun bakımda çalışan hemşirelerin diğer alanlarda çalışan hemşirelere göre daha fazla izolasyon önlemlerine uyumunun olduğu ve istatistiksel olarak anlamlılık gösterdiği belirlenmiştir (p<0.05). Hemşirelerin İzolasyon Önlemleri Uyumu ölçeği puan ortalaması 61.16±4.70 ve meslekte profesyonel tutum ölçeği puan ortalaması 135.77±17.17 saptanmış olup iki ölçek arasında anlamlı, pozitif yönde ve zayıf bir ilişki olduğu görülmüştür (r=0.148, p<0.000).
Sonuç: Hemşirelerin mesleki tutum puan ortalamaları yüksek olmasına rağmen izolasyon ölçütlerine uyumu ortalamanın üzerindedir. Araştırmada hemşirelerin mesleki tutum puanlarının yüksek olduğu ve hemşirelerin bazı sosyodemografik özelliklerinin mesleki tutumlarını etkilediği belirlenmiştir.

Keywords

Hemşire;, İzolasyon önlemlerine uyum;, Profesyonel tutum

References

• 1. Abukan P., Tuncer İE., Ural O., Çağlayan V. (2016). Evaluation of knowledge about hospital infections among hospital staff, research assistants, nurses and cleaning staff of selcuk university faculty of medicine. Journal of General Medicine, 26(1):14-18.
• 2. Alkan Çeviker S., Simavlıoğlu G., Çetinkaya S.(2019). Yoğun bakımlarda görev yapan hemşirelerinin izolasyon yöntemleri hakkında bilgi ve tutumlarının araştırılması. 6. Uluslararası 17. Ulusal Hemşirelik Kongresi Özet Kitabı. 19-21 Aralık 2019. Ankara. 299.
• 3. Allen S., Cronin SN. (2012). Improving staff compliance with isolation precautions through use of an educational intervention and behavioral contract. Dımens Crıt Care Nurs.31(5):290-294.
• 4. Alotaibi MM, Almasari SM, Alkadam AN, Alanazi YA, Al Gahtani KA. Knowledge and compliance with standard isolation precautions among healthcare students in Al-Kharj Governorate, Saudi Arabia. J Health Spec 2017;5:162-70
• 5. Arli Karadağ Ş., Bakan Berivan A. (2017). Nurses' compliance with isolation precautions and the affecting factors. Applied Nursing Research.38:175-178.
• 6. Çelik, S., & Hisar, F. (2012). The İnfluence of the professionalism behaviour of nurses working in health institutions on job satisfaction. International Journal of Nursing Practice, 18, 180-187.
• 7. Doost F.T., Moghadas T., Momeni M., & Rafiei H. (2016). Factor in fluencing professionalism: a cross sectional study among Iranian registered nurses. Journal of Nursing and Health Science, 5(3), 47-49.
• 8. Erbil N., Bakır A. (2009). Meslekte Profesyonel Tutum Envanterinin Geliştirilmesi. Developing inventory of professional attitude at occupation. Uluslararası İnsan Bilimleri Dergisi, 6:290-302.
• 9. Erden S., Bayrak Kahraman B., Bulut H. (2015). Evaluation of compliance of physicians and nurses with isolation precautions in intensive care units. Gümüşhane University Journal o f Health Sciences,4(3): 388- 398.
• 10. Erol F, Türk G. (2019).Assessing the caring behaviours and occupational professional attitudes of nurses J Pak Med Assoc.69(6):783-787
• 11. Ghadirian F., Salsali M., Cheraghi MA. (2014). Nursing professionalism: an evolutionary concept analysis, Iranian Journal of Nursing And Midwifery Research, 19(1):1-10.
• 12. Karadağ A., Hisar F., Elbaş NÖ.(2007). The Level of Professionalism among nurses in Turkey. Journal of Nursing Scholarship, 39:371-374.
• 13. Karahan E., Taşdemir N., Çelik S.(2019). Factors ınfluencing compliance with ısolation precautions among nurses who work in turkish surgical clinics. Int J Med Invest., 8(2):31-39.
• 14. Kaushal G, Doke P, Shah A, Verma V. (2015). An Analysis of Knowledge, Attitude and Practices regarding Standard Precautions of Infection Control and Impact of Knowledge and Attitude of ICU Nurses on Self-reported Practices of Infection Control. International Journal of Research Foundation of Hospital and Healthcare Administration 3(2),79-85.DOI: 10.5005/jp-journals-10035-1041.
• 15. Kirtil İ, Akyüz N.(2018).Precautions Taken by Nurses about the Prevention of Hospital-Acquired Infections in Intensive Care Units. Pak J Med Sci. 2018 Mar-Apr; 34(2), 399–404.doi: 10.12669/pjms.342.14610
• 16. Lindberg M, Skytt B, LindbergM. (2019). Perceptions of infection control practices and the use of Vignettes to Alter Infection Control Behavior: A feasibility study. FNJN Florence Nightingale Journal of Nursing,27(3), 231-240.
• 17. Lobo D., Martha Sams L., Fernandez SL. (2019). Correlation between health professionals’ knowledge, attitude and practice about infection control measures. J Med Allied Sci, 9(1):26-31.
• 18. Lombarts KMJMH, Plochg T, Thompson CA, Arah OA. (2014). Measuring Professionalism in Medicine and Nursing: Results of a European Survey. PLOS ONE, 9(5),e97069. doi:10.1371/journal.pone.0097069.
• 19. Mohammadzadeh M, Behnaz F, Parsa S. (2013). Knowledge, practice and attitude towards standard isolation precautions in nurses, auxiliary nurses and midwives of Shahid Sadoughi Hospital, Yazd, Iran. International Journal of Infection Control, 9(1),1-8. doi: 10.3396/ijic.v9i1.005.13
• 20. Pereira FMV, Malaguti-Toffano SE, Silva AM, Canini SRMS, Gir E. (2013). Adherence to standard precautions of nurses working in intensive care at a university hospital Rev. Esc. Enferm. USP ,vol.47(3), doi:10.1590/S0080-623420130000300023
• 21. Suliman M., Aloush S., Aljezawi M., Albashtawy M. (2018). Knowledge and practices of isolation precautions among nurses in Jordan. American Journal Of Infection Control, 46(6):680-684.
• 22. Şatır Güleç D., Güneri Er S., Öztürk R., Bülbül Maraş G., Mertoğlu A., Sevil Ü. (2019). Evaluating the compliance and factors affecting with ısolation precautions of nurses: Izmir Sample. Journal of Tepecik Education And Research Hospital, 29(3):218-222.
• 23. Tanaka M., Taketomi K., Yonemitsu Y., & Kawamoto R. (2015). Professional behaviours and factors contributing to nursing professionalism among nurse managers. Journal of Nursing Management, 24,12-20.
• 24. Tayran N., Ulupınar S. (2011). Development of a scale study: validity and reliability of a scale compliance with isolation precautions. Istanbul University Journal Of Florence Nightingale School Nursing,19(2):89-98.
• 25. Ten Hoeve Y, Jansen G, Roodbo P. (2014). The nursing profession: public image, self-concept and professional identity. A discussion paper. Journal of Advanced Nursing, 70(2), 295–309. doi: 10.1111/jan.12177
• 26. Thu T., Anh N., Chau N., Hung N. (2012). Knowledge, attitude and practices regarding standard and isolation precautions among vietnamese health care workers: a multicenter cross-sectional survey. Intern Med,2:4.
• 27. Yıldırım N., Tapan B., Gayef A., Sezen A., Alıcı S., Kayan Tapan T.(2015). Applications for the prevention of nosocomial infections and a hospital practice. Journal of Tepecik Education And Research Hospital, 25(2):93-100-126.
• 28. Zengin M., Yayan EH., Yıldırım N., Akın E., Mamiş E.(2018). Effect of Professional Values upon Professional Attitudes of Pediatrıc Nurses. Sağlık Bilimleri ve Meslekleri Dergisi, 5(3):316-323.