Hemşirelerde İş Yükü ve Tıbbi Hata Eğilimi: Tanımlayıcı ve İlişki Arayıcı Bir Çalışma

Yıl 2025, Cilt: 7 Sayı: 3, 744 - 753, 19.12.2025

Merve Tutayoğlu Yılmaz , Seda Tuğba Baykara Mat

https://doi.org/10.46413/boneyusbad.1586736

Öz

Amaç: Bu çalışma, hemşirelerin iş yükü algılarının tıbbi hata yapma eğilimleri üzerindeki etkisini incelemeyi amaçlamaktadır.
Gereç ve Yöntem: Araştırma, İstanbul’daki bir şehir hastanesinde acil servis, yataklı servis ve polikliniklerde görev yapan 215 hemşire ile gerçekleştirilmiştir. Örneklem büyüklüğü %95 güven düzeyinde 201 olarak belirlenmiştir. Veriler Kişisel ve Mesleki Bilgiler Formu, İş Yükü Ölçeği ve Tıbbi Hata Eğilimi Ölçeği ile toplanmış; analizler SPSS 25.0 programı kullanılarak yapılmıştır. İki ölçek arasındaki ilişki Spearman Korelasyon Analizi ile değerlendirilmiş (p<0,05).
Bulgular: Hemşirelerin yaş ortalaması 31.50 ± 8.10 olup %74.90’u kadın, %57.20’si bekardır. Katılımcıların %58.10’u yataklı servislerde, %74.90’ı vardiyalı sistemde çalışmaktadır. İş Yükü Ölçeği puanı 3.27 ± 0.66, Tıbbi Hata Eğilimi Ölçeği puanı 4.61 ± 0.43 olarak bulunmuş; iş yükü ile tıbbi hata eğilimi arasında anlamlı bir ilişki saptanmamıştır (p>0.05).
Sonuç: Hemşirelerin iş yükü algısı yüksek, ancak tıbbi hata eğilimleri düşük bulunmuştur. İş yükü ile tıbbi hata eğilimi arasında anlamlı bir ilişki yoktur. Gelecekteki çalışmalar, farklı hastane gruplarında daha geniş değişkenlerle yapılmalıdır.

Anahtar Kelimeler

Hemşirelik , Hemşire personel , Hastaneler , Malpraktis , Personel işyükü , Tıbbi hata

Workload and Medical Error Tendency in Nurses: A Descriptive and Correlational Study

Öz

Aim: This study examines the effect of nurses' workload perceptions on their tendency to make medical errors.
Material and Method: Conducted in a metropolitan Istanbul hospital, the study included 215 nurses from emergency, inpatient, and outpatient units. The sample size, determined as 201 at a 95% confidence level, was exceeded. Data were collected using the Nurse Personal and Professional Information Form, Workload Scale, and Medical Error Tendency Scale, then analyzed with SPSS 25.0. Spearman Correlation Analysis was used to assess relationships between variables (p<0.05).
Results: The nurses’ mean age was 31.50 ± 8.10 years; 74.90% were female, and 57.20% were single. Most worked in inpatient wards (58%) and on shifts (74.90%). The mean Workload Scale score was 3.27 ± 0.66, and the Medical Error Tendency Scale score was 4.61 ± 0.43. No significant correlation was found between workload and medical error tendency (p>0.05).
Conclusion: Despite high perceived workloads, nurses reported low tendencies toward medical errors. The lack of a significant relationship suggests other factors may influence error tendencies. Future studies should include varied settings and consider additional variables for broader insights.

Anahtar Kelimeler

Hospitals , Malpractice , Medical mistake , Nursing , Nursing staffs , Staff Workload

Etik Beyan

This study was conducted after approval from the Ethics Committee for Research in Science, Social and Non-Interventional Health Sciences of a university in Istanbul with approval number 28 on 13.09.2023. Since the research was conducted in a tertiary city hospital in Istanbul, written permission was obtained from the Provincial Health Directorate with the decision letter dated 28.11.2023 and numbered 2023/19. Written permissions were obtained from the relevant scale owners for the scales used. The data collection process was completed by obtaining verbal and written consent from the nurses participating in the study.

Teşekkür

We want to thank the professors, the thesis jury, and all the nurses who participated in the research and contributed to the writing of this thesis.

Kaynakça

• Albuhumud, M. S., & Elizabeth, V. (2023). The effect of workload on nurses who are taking care of COVID-19 patients. Saudi Journal of Nursing and Health Care, 6(7), 236–240. doi: 10.36348/sjnhc.2023.v06i07.008
• Asaloei, S. I., Jim, E. L., Dien, F. H. J., & Werang, B. R. (2023). Workload, work-related stress, and emotional exhaustion in the healthcare sector. Journal of Southwest Jiaotong University, 58(4). doi: 10.35741/jisue.v58n4.22057
• Aycan, Z., & Eskin, M. (2005). Relative contributions of childcare, spousal support, and organizational support in reducing work–family conflict for men and women: The case of Turkey. Sex Roles, 53, 453–471. doi:10.1007/s11199-005-7134-8
• Babacan, E., Öztürk, H., & Kahriman, İ. (2018). Medical errors and patient safety: Evaluation of the effectiveness of training programs for nurses. Journal of Performance and Quality in Health Care, 14(2), 57–72.
• Bagheri Hosseinabadi, M., Khanjani, N., Etemadinezhad, S., Samaei, S. E., Raadabadi, M., & Mostafaee, M. (2019). The associations of workload, individual and organizational factors on nurses’ occupational injuries. Journal of Clinical Nursing, 28(5–6), 902–911. doi:10.1111/jocn.14699m
• Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-Roldán, C., & Juan, M. A. C. (2017). Patient safety incidents and nursing workload. Revista Latino-Americana de Enfermagem, 25, e2841. doi:10.1590/1518-8345.1280.2841
• Cerit, B., Tok, H. H., & Temelli, G. (2022). Relationship between work-related strain level in nurses and their medical error tendency. Sağlık Bilimlerinde Değer, 12(1), 130–136. doi:10.33631/sabd.1055480
• Chan, M. F., Al Balushi, A. A., Al‐Adawi, S., Alameddine, M., Al Saadoon, M., & Bou‐Karroum, K. (2022). Workplace bullying, occupational burnout, work–life imbalance and perceived medical errors among nurses in Oman: A cluster analysis. Journal of Nursing Management, 30(6), 1530–1539. doi:10.1111/jonm.13432
• Duxbury, L., & Higgins, C. (1994). Interference between work and family: A status report on dual-career and dual-earner mothers and fathers. Employee Assistance Quarterly, 9(3–4), 55–80. doi:10.1300/J022v09n03_05
• El Shahhat, Z., Ahmed, M., & El-Shaer, A. (2024). Nursing workload influence on nurses job injury and patient complication. Mansoura Nursing Journal, 11(1), 369–382.
• Eraslan, S. T., & Bozkurt, G. (2023). Examination of factors affecting the tendency of intensive care nurses towards medical errors: A multicenter study in Turkey. Clinical and Experimental Health Sciences, 13(4), 732–738. doi:10.33808/clinexphealthsci.1190115
• Er, F., & Özkan, M. (2024). The effects of perceived organizational support on attitudes toward medical errors in surgical nurses: A cross-sectional study. International nursing review, 71(3), 626–634. https://doi.org/10.1111/inr.12888
• Gao, X., Hu, B., Suo, Y., Lu, Q., Chen, B., Hou, T… & Zong, Z. (2017). A large-scale survey on sharp injuries among hospital-based healthcare workers in China. Scientific Reports, 7(1), 42620.
• Garrouste-Orgeas, M., Perrin, M., Soufir, L., Vesin, A., Blot, F., Maxime, V., … & Argaud, L. (2015). The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Medicine, 41, 273–284. doi:10.1007/s00134-014-3601-4
• Jin, H., Chen, H., Munechika, M., Sano, M., & Kajihara, C. (2018). The effect of workload on nurses’ non‐observance errors in medication administration processes: A cross‐sectional study. International Journal of Nursing Practice, 24(5), e12679. doi:10.1111/ijn.12679
• Umansky, J. (2015). Workload in nursing: A descriptive study using cognitive work analysis. Rochester Institute of Technology, 1–150.
• Yazıcıoğlu, Y., & Erdoğan, S. (2014). SPSS uygulamalı bilimsel araştırma yöntemleri. Detay Yayıncılık.
• Zarea, K., Mohammadi, A., Beiranvand, S., Hassani, F., & Baraz, S. (2018). Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. International Journal of Africa Nursing Sciences, 8, 112–116. doi:10.1016/j.ijans.2018.05.001