Hemşirelerin Çalışma Ortamlarını Değerlendirmeleri ile Tıbbi Hataya Eğilim Düzeyleri Arasındaki İlişki

Yıl 2025, Cilt: 7 Sayı: 2, 362 - 372, 07.08.2025

Cihan Volkan Kızılkeçi , Fatma Er

https://doi.org/10.46413/boneyusbad.1494699

Öz

Amaç: Bu araştırmanın amacı, hemşirelerin çalışma ortamlarını değerlendirmeleri ile tıbbi hataya eğilim düzeyleri arasındaki ilişkiyi belirlemektir.
Gereç ve Yöntem: Kesitsel türde yapılan bu araştırmanın evrenini, Malatya ilinde bir Üniversite Hastanesi’nde çalışan hemşireler oluşturmaktadır. Araştırmada evrenin tamamına ulaşılması amaçlandığından, örneklem büyüklüğü hesaplanmadı ve herhangi bir örneklem seçim yöntemi kullanılmadı. Araştırmaya gönüllü olarak katılan 219 hemşire ile araştırma tamamlandı. Veriler, “Kişisel Bilgi Formu”, “Hemşirelik İş İndeksi-Hemşirelik Çalışma Ortamını Değerlendirme Ölçeği” ve “Tıbbi Hataya Eğilim Ölçeği” ile toplandı.
Bulgular: Araştırmaya katılan hemşirelerin “Hemşirelik İş İndeksi Ölçeği” toplam puan ortalaması 2.3 ± 0.57 olarak hesaplanmış ve hemşirelerin çalışma ortamına yönelik değerlendirmeleri orta düzeyde saptandı. “Tıbbi Hataya Eğilim Ölçeği” toplam puan ortalaması 227.86 ± 28.66 olarak hesaplanmış ve hemşirelerin tıbbi hataya eğilim düzeylerinin düşük olduğu belirlendi. “Hemşirelik İş İndeksi-Hemşirelik Çalışma Ortamını Değerlendirme Ölçeği” ile “Tıbbi Hataya Eğilim Ölçeği” arasında pozitif yönde zayıf düzeyde önemli bir ilişki bulundu.
Sonuç: Hemşirelerin çalışma ortamlarını değerlendirmelerinin orta düzeyde, tıbbi hataya eğilimlerinin ise düşük düzeyde olduğu ve çalışma ortamı değerlendirmeleri olumlu yönde artıkça tıbbi hata yapma eğilimlerinin azaldığı belirlendi.

Anahtar Kelimeler

Çalışma ortamı , Hemşireler , Tıbbi hataya eğilim

The Relationship Between Nurses' Evaluation of Working Environments and Tendency to Medical Error

Öz

Aim: The aim of this study is to determine the relationship between nurses' evaluations of their work environment and levels of tendency towards medical errors.
Material and Method: The population of this cross-sectional study consisted of nurses working in Malatya province a University Hospital. Since the study aimed to cover the entire population, no sample size was calculated and in the research, no any sample selection method was used. The research was completed with 219 nurses who participated in the research voluntarily. Data were collected using the "Personal Information Form", "Practice Environment Scale-Nursing Work Index" and the "Medical Error Tendency Scale in Nursing".
Results: The nurses’ “Practice Environment Scale-Nursing Work Index” total mean score was calculated as 2.3 ± 0.57, suggesting that their attitudes towards work environment was moderate. In addition, the nurses’ “Medical Error Tendency Scale” in Nursing total mean score was calculated as 227.86±28.66, suggesting that they had low medical error tendency. A weak positive relationship was found between the nurses’ “Practice Environment Scale-Nurse Work Index” and “Medical Error Tendency Scale in Nursing” total mean scores.
Conclusion: It was found that nurses' evaluation of their work environment were at a moderate level and their tendency to make medical errors was at a low level, and their tendency to make medical errors decreased as their perceived work environment increased positively.

Anahtar Kelimeler

Nurses , Medical Error Tendency , Work environment

Kaynakça

• Aksoy, N., Polat C. (2013). Job satisfaction and affecting factors of surgical unit nurses of three different hospitals in a province in Mediterranean Region. Journal of Research and Development in Nursing, 10(2): 45- 53.
• Alan, H., Polat, Ş., Şen, T. H., Yıldırım, Ö. T. (2021). Evaluation of the working environment of the nurses working in a university hospital. Journal of Health and Nursing Management, 8(2): 203-213. doi:10.5222/SHYD.2021.92905
• Al-Dossary, R. N. (2022). The effects of nursing work environment on patient safety in Saudi Arabian hospitals. Frontiers in Medicine (Lausanne), 9:872091. doi: 10.3389/fmed.2022.872091
• Baştürk, H. (2019). Determination of Medical Errors Tendency and the Factors Affecting of Nurses. Institute of Health Sciences, Department of Nursing, Master's Thesis. Celal Bayar University, Manisa.
• Bitek, D. E., Akyol, A. (2017). The evaluation of relationsiıp between job satisfaction and perceptions relating to working environment of intensive care nurses. Journal of Health and Nursing Management, 21(1): 1-6.
• Cebeci, F., Gürsoy, E., Tekingündüz, S. (2012). Determining the level of tendency in malpractice among nurses. Journal of Anatolia Nursing and Health Sciences, 15 (3): 188-196.
• Çelik Durmuş, S., Yıldırım, A. (2018). Collaboration Amongst Nurses. Journal of Health and Nursing Management, 5(3): 210-216. doi:10.5222/SHYD.2018.210
• Er, F., & Altuntaş, S. (2016). Determination of nurses’ viewpoints about medical errors and their causes. Journal of Health and Nursing Management, 3(3): 132-139. doi: 10.5222/SHYD.2016.132
• Er, F., Sökmen, S. (2018). Investigation of the working conditions of nurses in public hospitals on the basis of nurse-friendly hospital criteria. International Journal of Nursing Sciences, 5(2): 206-212. doi:10.1016/j.ijnss.2018.01.001
• Erdağı, S., Özer, N. (2015). Examining practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics. Journal of Anatolia Nursing and Health Sciences, 18(2): 94-106.
• Heinen, M. M., Achterberg, T. V., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., … Schoonhoven, L. (2013). Nurses’ intention to leave their profession: A cross sectional observational study in 10 European countries. International Journal of Nursing Studies, 50(2): 174-184. doi: 10.1016/j.ijnurstu.2012.09.019.
• Kandemir, A., Yüksel, S. (2020). Determination of surgical nurses’ attitudes and trends towards medical Errors. Journal of Anatolia Nursing and Health Sciences, 23(2): 287-297. doi: 10.17049/ataunihem.659960
• Karacabay, K., Savcı, A., Çömez, S., Çelik, N. (2020). Determination of the relationship between workload perceptions and medical error tendencies of surgical nurses. Mersin University Journal of Health Sciences, 13(3): 404-417. doi:10.26559/mersinsbd.686481
• Kocaman, G., Yürümezoğlu, H.A., Türkmen, E., Göktepe, N., İntepeler, Ş.S. (2017). The development of healthy work environment standards for nurses in Turkey. Journal of Research and Development in Nursing, 15(1): 30-38. doi:10.5222/HEAD.2018.030
• Konatake O. (2020). The Relationsiıp Between Professional Commitment and Medical Error Tendency in Nurses. Institute of Health Sciences, Department of Fundamentals Nursing, Master's Thesis. Cumhuriyet University, Sivas.
• Koralay, G. (2021). Knowledge, Tendency, Attitudes and Opinions of Nurses Working in a Surgical Unit Regarding Medical Error: A Mixed Method Study. Institute of Health Sciences, Surgical Nursing Program. Doctoral Thesis, Hacettepe University, Ankara.
• Kökcü D. Ö., Terzi B. (2018). Investigation of care nurses in the intensive work index-working environment and burnout levels. Journal of Intensive Care Nursing, 22(2): 66-72.
• Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research Nursing & Health, 25(3):176-188. doi: 10.1002/nur.10032
• Lake, E. T., Sanders, J., Duan, R., Riman, K.A., Schoenauer, K.M., Chen, Y. (2019). A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Medical Care, 57(5): 353-361. doi: 10.1097/MLR.0000000000001109
• Lale, M. B. (2019). Nurses’ Attitudes Towards Work Environment and Their Clinical Governance Climate Levels. Institute of Health Sciences, Department of Nursing, Master's Thesis. Marmara University Istanbul.
• Malinowska-Lipień, I., Micek, A., Gabryś, T., Kózka, M,. Gajda, K., Gniadek, A., … Squires, A. (2021). Impact of the work environment on patients' safety as perceived by nurses in Poland- A Cross-Sectional Study. Internetional Journal of Environmental Research and Public Health, 18(22): 12057. doi: 10.3390/ijerph182212057
• Mihdawi, M., Al-Amer, R., Darwish, R., Randall, S., Afaneh ,T. (2020). The influence of nursing work environment on patient safety. Workplace Health & Safety, 68(8): 384-390. doi: 10.1177/2165079920901533
• Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O.A., Thienthong, H., Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International Nursing Review, 64(1): 91-98. doi: 10.1111/inr.12342
• Öncan, N. (2020). Investigate the relationship between burnout levels and tendency to make malpractice among pediatric nurses working in Izmir. Institute of Health Sciences, Department of Nursing, Master's Thesis. Celal Bayar University, Manisa.
• Özata, M., Altunkan, H. (2010). Development of malpractice trend scale in nursing and validity and reliablity analysis. Editor: Kırılmaz, H. II. Proceedings of the International Congress on Performance and Quality in Health. Ankara: Ministry of Health Publications. 415-431.
• Özbey, F. (2019). The Relationship Between Work Environment Characteristics and Nurses’ Job Performance and Patients’ Care Satisfaction. Istanbul University Cerrahpasa Institute of Graduate Studies, Nursing Management Master Thesis, Istanbul.
• Samur, M., & İntepeler Ş.S. (2017). Factors influencing nurses' perceptions of occupational safety. Archives of Environmental & Occupation Health, 72(1): 45-52. doi: 10.1080/19338244.2016.1156045
• Simonetti, M., Aiken, L H., Lake, E. T. (2019). Nursing in Chilean Hospitals: A research agenda to inform health policies and improve patient outcomes. Hispanic Health Care International, 17(2): 79-88. doi: 10.1177/1540415318819475
• Smith, J. G., Plover, C.M., McChesney, M.C., Lake, E.T. (2019). Rural hospital nursing skill mix and work environment associated with frequency of adverse events. SAGE Open Nursing, 14(5): 2-5. doi: 10.1177/2377960819848246
• Sivrikaya, K. S., Kara Ş. A. (2019). Determination the tendency of the nurses to make medical mistake. Balıkesir Health Sciences Journal, 8(1): 7-14.
• Şahin, A. Z., Özdemir, K. F. (2015). Examination of the tendency for nursing malpractice and affecting factors. Journal of Research and Development in Nursing, 12(3): 210-214. doi:10.5222/HEAD.2015.210
• Topçu, I., Türkmen, E., Badır, A., Göktepe, N., Miral, M., Albayrak, S., … Özcan, D. (2016). Relationship between nurses' practice environments and nursing outcomes in Turkey. International Nursing Review, 63(2): 242-249. doi: 10.1111/inr.12247
• T.R. Ministry of Health Security Reporting System. (2022). https://grs.saglik.gov.tr (Accessed Date: September 1, 2022).
• Türe, F. (2019). The effect of problem solving skills on medical error tendence of nurses working in intensive care ünits. Institute of Health Sciences, Department of Nursing, Master's Thesis. Istanbul Medipol University, Istanbul.
• Türkmen, E., Badır, A., Balcı, S., Topçu, S.A. (2011). The adaptation of the practice environment scale of the nursing work index into Turkish: Reliability and Validity Study. Journal of Research and Development in Nursing, 5-20.
• Ulusoy, H., Polatkan, R. (2016). Assessment of the nurses' work environment using the nursing work index scale. Cumhuriyet Medical Journal, 38(4): 246–257. doi: 10.7197/cmj.v38i3.5000196868
• WHO, (2021). Patient Safety. http://www.euro.who.int/en/health-topics/Healthsystems/patient-safety/data-and-statistics (Accessed Date: January 15, 2021).
• Yürümezoğlu, A.H., Kocaman, G. (2016). Predictors of nurses’ intentions to leave the organisation and the profession in Turkey. Journal of Nursing Management, 24(2):235-243. doi: 10.1111/jonm.12305
• Zhang, L. F., You, L. M., Liu, K., Zheng, J., Fang, J. B., Lu, M. M., … Bu, X. Q. (2014). The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave. Nursing Outlook, 62(2): 128-137. doi: 10.1016/j.outlook.2013.10.010