Pediatrik Gastrointestinal Endoskopi Ünitesinde Çalışan Endoskopi Hemşirelerinin Anestezi Yönetimi Konusundaki Farkındalığı; Bir Anket Çalışması

Year 2023, Volume: 17 Issue: 5, 412 - 417, 25.09.2023

Feyza Sever Şamil Hızlı

https://doi.org/10.12956/tchd.1344595

Abstract

Amaç: Bu çalışmada, endoskopi hemşirelerinin klinik uygulamada karşılaştıkları anestezi uygulamaları konusundaki farkındalık ve bilgi düzeylerini belirlemeyi amaçladık
Gereç ve Yöntem: Bu çalışmaya Türkiye'deki Pediatrik Gastrointestinal Endoskopi ünitelerinde çalışan endoskopi hemşireleri davet edildi. Toplam 33 sorudan oluşan anketin yedi sorusu, endoskopi hemşirelerinin demografik bilgilerini ve mesleki çalışma sürelerini sorgulayan bölümde yer aldı (Bölüm 1). Diğer bölümde, anestezi uygulaması ve postoperatif derlenme süreci sırasında bilinmesi gereken konularla ilgili 16 soru soruldu (Bölüm 2). Kalan on soru, pediatrik gastrointestinal endoskopi ünitelerinde anestezi uygulamaları konusundaki farkındalık düzeyini belirleyen ifadelerdi (Bölüm 3).
Sonuçlar: Toplam 80 katılımcının yaş ortalaması 40.3±9.1 yıl olup %91.3'ü kadındı. Katılımcıların %77'si, "Endoskopi hemşiresi, hastaların ASA sınıflamasını dikkate alarak olası komplikasyonları değerlendirebilmelidir" ifadesine "evet" yanıtını verdi. Katılımcıların %35'i Modifiye Aldrete Skoru sistemi hakkında bilgi sahibiydi. Ortalama yaş, toplam çalışma süresi ve pediatrik GI endoskopi ünitesindeki çalışma süresi, "Hastalar endoskopi ünitesindeki işleminden iki saat sonra ebeveyn/yardımcılarıyla herhangi bir skor veya kriter değerlendirmesi olmaksızın taburcu edilebilir" ifadesine katılanlarda daha düşük bulundu.
Tartışma: Pediatrik endoskopi hemşiresi anestezi yönetimi uygulamalarından sorumlu olmasa da, anestezi yönetimi hakkındaki edineceği bilgi ve farkındalık ile hastanın güvenliğini sağlamak adına endoskopi ve anestezi ekibi için kilit bir rol oynayacaktır.

Keywords

Çocuk, anestezi, endoskopi, hemşire

Awareness of Endoscopy Nurses About Anesthesia Management in the Pediatric Gastrointestinal Endoscopy Unit; A Survey Study

Abstract

Objective: We aimed to determine the awareness and knowledge levels of endoscopy nurses working in Pediatric Gastrointestinal Endoscopy units on anesthesia applications they encountered in clinical practice.
Material and Methods: Endoscopy nurses that work in Pediatric Gastrointestinal Endoscopy units in Turkey were invited to this study. Among the 33 questions, seven were in the section questioning the endoscopy nurses’ demographics and occupational working time (Section 1). In the other part, 16 questions were asked about what should be known during the anesthesia administration and recovery process (Section 2). The remaining 10 questions were statements that determined the level of awareness regarding anesthesia practices in pediatric GI endoscopy units. (Section 3)
Results: The total of 80 participants’ mean age was 40.3±9.1 years, and 91.3% were female. Seventy seven percent of the participants replied “yes” to the statement of “The endoscopy nurse should be able to evaluate possible complications by considering the ASA classification of the patients.” Thirty five percent of participants knew about the Modified Aldrete Scoring system. The mean age, total working time, and working time in the pediatric GI endoscopy unit were found to be lower in those who agreed with the statement "Patients can be discharged with their parents/caregiver without any scoring or criteria evaluation two hours after the procedure"
Conclusion: In conclusion, although the pediatric endoscopy nurse is not responsible for anesthesia management practices, their awareness and knowledge about anesthesia management play a key role for the endoscopy and the anesthesia team in ensuring patient safety.

Keywords

Children, anesthesia, endoscopy, nurse

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