Paramedik Öğrencilerinin Obstetrik Acillere Yönelik Yeterlilik ve Algı Düzeyleri

Abstract

Amaç: Bu çalışma, paramedik öğrencilerinin obstetrik acillere yönelik yeterliliklerini ve algılarını belirlemek amacıyla yürütülmüştür. Gereç ve Yöntem: Bu kesitsel çalışma, üniversitenin Paramedik Programı’na kayıtlı 81 öğrenci ile gerçekleştirilmiştir. Veriler, 06.01.2025 ve 27.01.2025 tarihlerinde öğrencilerin final ve bütünleme sınavları sırasında toplanmıştır. Anket formu, literatür doğrultusunda araştırmacılar tarafından geliştirilmiştir. Verilerin analizinde SPSS 21 programı kullanılmış; değerlendirmeler sayı, yüzde dağılımları ve ki-kare testi ile yapılmıştır. İstatistiksel anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Bulgular: Paramedik öğrencilerinin büyük çoğunluğunun obstetrik acillere yönelik teorik eğitim aldığı, ancak bu eğitim kapsamında klinik uygulama yapma oranının oldukça düşük olduğu belirlenmiştir. Öğrencilerin yaklaşık yarısının doğum sürecinin izlenmesi, vajinal muayene, doğuma yardımcı olma ve göbek kordonunun kesilmesi gibi temel klinik uygulamaları hiç gerçekleştirmediği saptanmıştır. Obstetrik acillerde uygulama yapma sıklığı ile öğrencilerin mesleki yeterlilik algıları arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05). Sonuç: Paramedik öğrencilerinin obstetrik acillere ilişkin teorik bilgi düzeylerinin yüksek olmasına rağmen, pratik deneyimlerinin sınırlı olduğu görülmüştür. Bu durumun, mevcut staj uygulama alanlarının acil sağlık istasyonları ile sınırlı olmasından kaynaklandığı düşünülmektedir. Öğrencilerin mesleki yeterlilik kazanımlarını artırmak amacıyla staj rotasyonlarına kadın doğum kliniklerinin dahil edilmesi, doğum simülasyon modelleri ile uygulamalı eğitimlerin yaygınlaştırılması ve simülasyon destekli öğretim modellerinin entegrasyonu önerilmektedir.

Keywords

• Paramedik Öğrencileri
• Obstetrik Aciller
• Mesleki Uygulama
• Yeterlilik Algısı.

Competence and Perception Status of Students Studying in First and Emergency Aid Program towards Birth and Birth Emergencies

Abstract

Objective: The study was conducted to determine the competence and perceptions of paramedic students towards obstetric emergencies. Material and Methods: This cross-sectional study was conducted with 81 students enrolled in the Paramedic Program at the university. Data were collected on 06.01.2025 and 27.01.2025 during the final and make-up exams of the students. The questionnaire form was developed by the researchers in line with the literature review. SPSS 21 program was used to analyze the data, and evaluation was made with number, percentage distributions and chi-square test. The significance level was accepted as p<0.05. Results: It was determined that the majority of the paramedic students received theoretical training on obstetric emergencies, but the rate of performing clinical practices within the scope of this training was quite low. Approximately half of the paramedic students had never performed basic clinical practices such as monitoring the labor process, vaginal examination, assisting with delivery, and cutting the umbilical cord. A statistically significant relationship was found between the frequency of practicing in obstetric emergencies and the paramedic students' perceptions of their professional competence (p<0.05). Conclusion: Although paramedic students have a high level of theoretical knowledge about obstetric emergencies, their practical experience was observed to be limited. This is due to the fact that current internship practice areas are limited to emergency health stations. It is recommended that obstetrics clinics should be included in internship rotations, practical trainings using birth simulation models should be widespread, and simulation-supported teaching models should be integrated to increase students' professional competence gains.

Keywords

• Paramedic Students
• Obstetric Emergencies
• Professional Practice
• Perception of Competence.

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