Akut Bakım Servislerinde Bireyselleştirilmiş Bakımda Hasta Tercihlerinin Dikkate Alınmasının Araştırılması

Yıl 2024, , 220 - 232, 27.09.2024

Gözde Özaras , Sevilay Ergün Arslanlı

https://doi.org/10.53493/avrasyasbd.1515650

Öz

Amaç: Akut bakım servislerinde bireyselleştirilmiş bakımda hasta tercihlerinin dikkate alınmasının araştırılması amaçlanmıştır.
Yöntem: Bu, betimleyici fenomenolojik yaklaşımın kullanıldığı nitel bir çalışmadır. Araştırmaya bir kamu hastanesinin cerrahi, göğüs hastalıkları, dahiliye, nöroloji, kadın doğum ve ortopedi servislerinde çalışan 29 hemşire katılmıştır ve amaçlı örnekleme yöntemi kullanılmıştır. Veriler yarı yapılandırılmış görüşmeler yoluyla toplanmıştır. Bu çalışma, nitel araştırmaların raporlanması için birleştirilmiş kriterlere (COREQ) göre raporlanmıştır.
Bulgular: Verilerden üç ana tema ortaya çıktı. Birincisi, “bireyselleştirilmiş bakımda olumlu terapötik ilişki kurmak”, hastaların duygusal ihtiyaçlarının dikkate alınması, istek ve taleplerinin belirlenmesi ve bilgilendirilmesidir. İkincisi, “hastanın bireyselleştirilmiş bakımına katılımının desteklenmesi”, hastaların bakımına ilişkin kararlarının desteklenmesi, bakımlarının sorumluluğunun kendilerine verilmesi ve günlük alışkanlıklarının sürdürülmesi gerektiğini açıkladı. Üçüncüsü, “bireyselleştirilmiş bakımın uygulanmasında kararlara katılımın önündeki engeller”, sağlık hizmetlerinin sunumunda yaşanan engelleri, iş yükünün fazlalığını ve hastalar arasındaki sosyokültürel farklılıklardan kaynaklanan engelleri açıklamaktadır.
Sonuç: Hemşireler, hastaların tercihlerine saygı duyarak hastaları bakımlarına dahil etme konusunda oldukça istekli ve başarılıdırlar. Ek olarak, farklı katılım düzeyleri hastaların amaçlarına, duygusal durumlarına, bakım ve iyileşme süreçlerine katılım istekleri ve taleplerine bağlı olarak değişmektedir.

Anahtar Kelimeler

bireyselleştirilmiş bakım, hemşirelik uygulamaları, bakım, hemşire, niteliksel çalışma

Etik Beyan

Çankırı Karatekin Üniversitesi Sağlık Bilimleri Etik Kurulu'ndan (Tarih: 25.10.2022 No: 8d523ace0be24724 Karar No: 3), hastane başhekimliğinden ve il sağlık müdürlüğünden (Tarih: 06/11/2022, No: E) etik onayı alındı. -53449070-771-158).

Teşekkür

Potansiyel katılımcılara ulaşmayı sağlayan Çankırı Devlet Hastanesi yönetimlerine ve bu çalışmaya katılan hemşirelere özellikle teşekkür ederiz.

Investigating the Consideration of Patient Preferences in Individualized Care in Acute Care Services

Öz

Objective: We aimed to investigate the consideration of patient preferences in individualized care in acute care services.
Method: This is a qualitative study using the descriptive phenomenological approach. Participants were 29 nurses working in the surgery, chest diseases, internal, neurology, obstetrics and orthopaedics wards of a public hospital and purposive sampling method was used. Data were collected through semi-structured interviews. This study was reported per the Consolidated criteria for reporting qualitative research (COREQ).
Results: Three main themes emerged from the data. First, “establishing a positive therapeutic relationship in individualized care,” explained the consideration of patients’ emotional needs, determining their wishes and demands, and informing them. Second, “supporting the patient in participating in their individualized care,” explained that patients’ decisions regarding their care should be supported, they should be given responsibility for their care, and their daily habits should be maintained. Third, “barriers to participation in decisions in the practice of individualized care,” explained the barriers experienced in delivering health services, the excess workload, and the barriers arising from the sociocultural differences among patients.
Conclusion: Nurses are highly willing and successful in involving patients in their care by respecting their preferences. Additionally, different levels of participation vary depending on patients’ aims, emotional states, wishes, and demands of participating in care, healing processes.

Anahtar Kelimeler

individualized care, nursing practices, care, nurse, qualitative work

Kaynakça

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