Investigation of the Relationship between Mental Fatigue and Clinical Decision-Making in Operating Room Nurses

Yıl 2023, Cilt: 5 Sayı: 3, 237 - 244, 13.12.2023

Betül Güven , Özlem İbrahimoğlu

https://doi.org/10.48071/sbuhemsirelik.1330883

Öz

Introduction: Stressful and complex operating rooms can cause nurses to get tired mentally. The mental fatigue of nurses, who are expected to make the right clinical decisions in perioperative patient care, can directly affect patient safety.
Aim: This study was carried out to determine the relationship between mental fatigue and clinical decision making in operating room nurses.
Method: This descriptive correlational study was conducted with 168 operating room nurses working in public, private, and university hospitals in Turkey and accessed online. Data were collected with a Descriptive Characteristics
Form, the Mental Fatigue Scale, and the Clinical Decision Making in Nursing Scale. Descriptive statistics,
Mann-Whitney U and Kruskal-Wallis tests for intergroup comparisons, and Spearman correlation test for the investigation of the relationship between the scales were used to analysis data.
Results: Of the total number of nurses, 31.5% have professional experience of 1-5 years, 41.1% work in a public hospital and 94.0% work as a scrub/circulating nurse. The mean Mental Fatigue Scale score was 13.16 ± 6.81, and the mean Clinical Decision Making in Nursing Scale score was 138.87 ± 14.95. There was a statistically significant negative and weak correlation between the mean total Mental Fatigue Scale score and the mean total score of the Clinical Decision Making in Nursing Scale (r= -0.165; p<0.05).
Conclusion: It was concluded that the mental fatigue of the nurses negatively affected their decision-making. In this direction, implementation of practices that will reduce the mental fatigue will contribute to the improvement of patient care quality.

Anahtar Kelimeler

Clinical decision-making, mental fatigue, operating room nursing

Ameliyathane Hemşirelerinde Zihinsel Yorgunluk ile Klinik Karar Verme Arasındaki İlişkinin İncelenmesi

Öz

Giriş: Stresli ve karmaşık ameliyathane ortamları hemşirelerin zihinsel olarak yorulmasına neden olabilmektedir. Ameliyat öncesi, sırası ve sonrası hasta bakımında doğru klinik kararlar alması beklenen ameliyathane hemşirelerinin zihinsel yorgunluğu, hasta güvenliğini doğrudan etkileyebilir.
Amaç: Bu çalışma, ameliyathane hemşirelerinde zihinsel yorgunluk ile klinik karar verme arasındaki ilişkinin belirlenmesi amacıyla gerçekleştirildi.
Yöntem: Tanımlayıcı-ilişki arayıcı tipteki bu araştırma, Türkiye’de kamu, özel ve üniversite hastanelerinde çalışan ve çevrimiçi olarak ulaşılan 168 ameliyathane hemşiresi ile yapıldı. Veriler, Tanıtıcı Özellikler Formu, Zihinsel Yorgunluk Ölçeği ve Hemşirelikte Klinik Karar Verme Ölçeği ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, gruplar arası karşılaştırmalarda Mann-Whitney U ve Kruskal-Wallis testleri ve ölçekler arasındaki ilişkinin değerlendirilmesinde
Spearman korelasyon testi kullanıldı.
Bulgular: Hemşirelerin %31,5’i 1-5 yıl arasında mesleki deneyime sahip olup, %41,1’i kamu hastanesinde ve
%94,0’ü scrub/sirküle hemşire pozisyonunda çalışmaktadır. Hemşirelerin Zihinsel Yorgunluk Ölçeği puan ortalamasının 13,16 ± 6,81, Hemşirelikte Klinik Karar Verme Ölçeği puan ortalaması ise 138,87 ± 14,95 saptandı. Zihinsel Yorgunluk Ölçeği ile Hemşirelikte Klinik Karar Verme Ölçeği toplam puan ortalaması arasında negatif yönde ve zayıf şiddette istatistiksel olarak anlamlı bir ilişki olduğu belirlendi (r = -0,165; p < 0,05).
Sonuç: Ameliyathane hemşirelerinin zihinsel yorgunluğunun klinik karar vermelerini olumsuz yönde etkilediği sonucuna ulaşıldı. Bu doğrultuda ameliyathane hemşirelerinin zihinsel yorgunluğunu azaltacak uygulamaların yapılması, hasta bakım kalitesinin iyileşmesine katkı sağlayacaktır.

Anahtar Kelimeler

Ameliyathane hemşireliği, klinik karar verme, zihin yorgunluğu

Kaynakça

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