Araştırma Makalesi
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YOĞUN BAKIM HEMŞİRELERİNE VERİLEN ENTERAL BESLENME EĞİTİMİNİN BİLGİ DÜZEYLERİNE ETKİSİ

Yıl 2023, , 34 - 42, 03.04.2023
https://doi.org/10.34108/eujhs.1109142

Öz

Bu araştırma, yoğun bakım hemşirelerine verilen enteral beslenme eğitiminin bilgi düzeylerine etkisini belirlemek amacıyla ön test ve son test düzeninde deneysel olarak tasarlanmıştır. Çalışma, bir eğitim ve araştırma hastanesinin yoğun bakım ünitelerinde çalışan 100 hemşire ile yapılmıştır. Eğitim öncesinde (ön-test) hemşirelerin bilgi puan ortalamasının 42.04±22.55 olduğu belirlenmiştir. Eğitim sonrasında (son-test) bilgi puan ortalamasının 80.12±12.51'e yükseldiği ve bu puan farkının ileri düzeyde istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0.001). Ayrıca eğitim sonrası bilgi puan ortalamaları tüm gruplarda yükselmiştir. Testin her bir alt boyutu için hemşirelerin bilgi puanlarındaki artış istatistiksel olarak anlamlıdır. Bu sonuçlara dayalı olarak hemşirelerin enteral beslenme ve hemşirelik bakımı konusunda hizmet içi eğitim programları ile geliştirilmesi ve eğitimlerin periyodik olarak tekrarlanarak bilgilerin güncellenmesi önerilmektedir.

Kaynakça

  • Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition 2019; 38(1):48-79.
  • Sobotka L. Basics in Clinical Nutrition (4 th ed). Çeviri: Klinik Enteral ve Parenteral Nütrisyon Derneği Ankara 2017; pp 309-415.
  • Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition 2017; 38(1):49-64.
  • O’Leary-Kelley C, Bawel-Brinkley K. Nutrition support protocols: enhancing delivery of enteral nutrition. Critical Care Nurse 2017; 37(2):15-23.
  • McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. Journal of Parenteral and Enteral Nutrition 2016; 40(1):159–211.
  • Lew CCH, Yandell R, Fraser RJ, et al. Association between malnutrition and clinical outcomes in the intensive care unit: a systematic review. Journal of Parenteral and Enteral Nutrition 2017; 41(5):744-758.
  • Berger MM, Reintam-Blaser A, Calder PC, et al. Monitoring nutrition in the ICU. Clinical Nutrition 2019; 38(2):584-593.
  • Taylor B, Brody R, Denmark R, et al. Improving enteral delivery through the adoption of the “Feed Early Enteral Diet adequately for Maximum Effect (FEED ME)” protocol in a surgical trauma ICU: a quality improvement review. Nutrition In Clinical Practice 2014; 29(5):639-648.
  • Ebigbo A, Karstensen JG, Aabakken L, et al. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Cascade Guideline, Thieme 2019; 7:833–836.
  • Bischoff SC, Austin P, Boeykens K, et. al. ESPEN guideline on home enteral nutrition. Clinical Nutrition 2020; 39(1):5-22.
  • Scott R, Bowling TE. Enteral tube feeding in adults. The Journal of the Royal College of Physicians of Edinburgh 2015; 45(1):49-54.
  • DeLegge MH. Enteral access and associated complications. Gastroenterology Clinics 2018; 47(1):23-37.
  • Alan N, Tuna Oran N. Enteral Beslemede Güncel Yaklaşımlar. International Social Sciences Studies Journal 2021; 86(7):3339-3346.
  • Demiray A, Kuzyaka İ, Ayşegül A, ve ark. Enteral Beslenen Yoğun Bakım Hastalarının Beslenme Süreci ve Gelişebilecek Komplikasyonlar Açısından Değerlendirilmesi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020; 10(3):289-296.
  • Ayık Bıçak D, Enç N. Enteral nutrition in intensive care patients. Yoğun Bakım Hemşireliği Dergisi 2019; 23(2):114-122.
  • Sağlık Bakanlığı, Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. https://shgmkalitedb.saglik.gov.tr/TR-84374/2021-yili-saglikta-kalite-degerlendirmeleri-hakkinda.html; Erişim Tarihi: 10.03.2021.
  • Orinovsky I, Raizman E. Improvement of nutritional intake in intensive care unit patients via a nurse-led enteral nutrition feeding protocol. Critical Care Nurse 2018; 38(3):38-44.
  • Friesecke S, Schwabe A, Stecher SS, et al. Improvement of enteral nutrition in intensive care unit patients by a nurse-driven feeding protocol. Nursing Critical Care 2014; 19(4):204-10.
  • Bloomer MJ, Clarke AB, Morphet J. Nurses' prioritization of enteral nutrition in intensive care units: a national survey. Nursing In Critical Care 2018; 23(3):152-158
  • Anderson L. Enteral feeding tubes: an overview of nursing care, British Journal of Nursing 2019; 28(12):748-754.
  • Çelebi D, Yılmaz E. Cerrahi hastalarda enteral ve parenteral beslenmede kanıta dayalı uygulamalar ve hemşirelik bakımı. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi 2019; 7:714-731.
  • Karahan A, Sultan K. Hemşirelikte mesleki yetkinlik. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2018; 5(2):160-168.
  • Al Kalaldeh M, Watson R, Hayter M. Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill. Nursing in Critical Care 2015; 20(5):229-241.
  • Goh ML, Ang EN, Chan YH, et al. Descriptive quantitative study on multi-ethnic patient satisfaction with nursing care measured by the Revised Humane Caring Scale. Applied Nursing Research 2016; 31:126-131.
  • Morphet J, Clarke AB, Bloomer MJ. Intensive care nurses’ knowledge of enteral nutrition: a descriptive questionnaire. Intensive And Critical Care Nursing 2016; 37:68-74.
  • Koçhan E, Akın S. Hemşirelerin enteral ve parenteral beslenme uygulamalarına ilişkin bilgi düzeylerinin değerlendirilmesi. Journal of Academic Research in Nursing 2018; 4(1):1-14.
  • Gimenes FRE, Pereira MCA, Prado PR, et al. Nasogastric/Nasoenteric tube-related incidents in hospitalized patients: a study protocol of a multicentre prospective cohort study. BMJ open 2019; 9(7):1-7.
  • Uysal N, Eşer İ, Khorsid L. Hemşirelerin enteral beslenme işlemine yönelik uygulama ve kayıtların incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2011; 14(2):1-9.
  • Darawad MW, Hammad S, Al-Hussami M, et al. Investigating critical care nurses' perception regarding enteral nutrition. Nurse Education Today 2015; 35(2):414-419.
  • Özbaş N, Göçmen Baykara Z. Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi. Journal of Human Sciences 2018; 15(1):359-367.
  • Boztaş D. Yoğun bakım ünitesi hemşirelerinin enteral beslenmeyle ilgili kanıta dayalı uygulamalarının incelenmesi [yüksek lisans tezi]. Bolu: Abant İzzet Baysal Üniversitesi, Sağlık Bilimler Enstitüsü; 2015.
  • Buerhaus PI, Auerbach DI, Staiger DO. Recent trends in the registered nurse labor market in the US: Short-run swings on top of long-term trends. Nursing Economics 2007; 25(2):59.
  • Aiken, LR. Questionnaires and inventories: Surveying opinions and assessing personality. New York: John Wiley & Sons, Inc; 1997.
  • Wolf, RM. Questionnaire. Educational research methodology and measurement (Ed. Keeves PS.). Oxford: Pergaman Press.USA; 1988.
  • Richey R. Designing instruction for adult learner: Systematic training the adult learner: Systematic training theory and practice. London: Kogan; 1992.
  • Annette M, Laura I, Weaver J, et al. Development of evidence-based guidelines and critical care nurses’ knowledge of enteral feeding. Critical Care Nurse 2007; 27(4):17-29.
  • Kim H, Chang SJ. Implementing an educational program to improve critical care nurses' enteral nutritional support. Australian Critical Care 2019; 32(3):218-222.
  • Ahmed FAHM, Ahmed OAE, Abd E, et al. Effect of educational nursing guidelines regarding enteral feeding on nurses' knowledge and practices at critical care units. Journal of Nursing and Health Science 2018; 7(5):69-75.

THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE

Yıl 2023, , 34 - 42, 03.04.2023
https://doi.org/10.34108/eujhs.1109142

Öz

This research was experimentally designed as a pre-test and post-test in order to determine the effect of enteral nutrition education given to intensive care nurses on their knowledge levels. The study was conducted with 100 nurses working in the intensive care units of a training and research hospital. Before training (pre-test), it was determined that the mean knowledge score of the nurses was 42.04±22.55. It was determined that it increased to 80.12±12.51 after training (post-test) and this score difference was statistically significant at an advanced level (p<0.001). In addition, post-training knowledge score averages increased in all groups. The increase in nurses' knowledge scores for each sub-dimension of the test is statistically significant. Based on these results, it is recommended to develop nurses with in-service training programs on enteral nutrition and nursing care and to keep the information up-to-date by periodically repeating the training.

Kaynakça

  • Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition 2019; 38(1):48-79.
  • Sobotka L. Basics in Clinical Nutrition (4 th ed). Çeviri: Klinik Enteral ve Parenteral Nütrisyon Derneği Ankara 2017; pp 309-415.
  • Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition 2017; 38(1):49-64.
  • O’Leary-Kelley C, Bawel-Brinkley K. Nutrition support protocols: enhancing delivery of enteral nutrition. Critical Care Nurse 2017; 37(2):15-23.
  • McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. Journal of Parenteral and Enteral Nutrition 2016; 40(1):159–211.
  • Lew CCH, Yandell R, Fraser RJ, et al. Association between malnutrition and clinical outcomes in the intensive care unit: a systematic review. Journal of Parenteral and Enteral Nutrition 2017; 41(5):744-758.
  • Berger MM, Reintam-Blaser A, Calder PC, et al. Monitoring nutrition in the ICU. Clinical Nutrition 2019; 38(2):584-593.
  • Taylor B, Brody R, Denmark R, et al. Improving enteral delivery through the adoption of the “Feed Early Enteral Diet adequately for Maximum Effect (FEED ME)” protocol in a surgical trauma ICU: a quality improvement review. Nutrition In Clinical Practice 2014; 29(5):639-648.
  • Ebigbo A, Karstensen JG, Aabakken L, et al. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Cascade Guideline, Thieme 2019; 7:833–836.
  • Bischoff SC, Austin P, Boeykens K, et. al. ESPEN guideline on home enteral nutrition. Clinical Nutrition 2020; 39(1):5-22.
  • Scott R, Bowling TE. Enteral tube feeding in adults. The Journal of the Royal College of Physicians of Edinburgh 2015; 45(1):49-54.
  • DeLegge MH. Enteral access and associated complications. Gastroenterology Clinics 2018; 47(1):23-37.
  • Alan N, Tuna Oran N. Enteral Beslemede Güncel Yaklaşımlar. International Social Sciences Studies Journal 2021; 86(7):3339-3346.
  • Demiray A, Kuzyaka İ, Ayşegül A, ve ark. Enteral Beslenen Yoğun Bakım Hastalarının Beslenme Süreci ve Gelişebilecek Komplikasyonlar Açısından Değerlendirilmesi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020; 10(3):289-296.
  • Ayık Bıçak D, Enç N. Enteral nutrition in intensive care patients. Yoğun Bakım Hemşireliği Dergisi 2019; 23(2):114-122.
  • Sağlık Bakanlığı, Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. https://shgmkalitedb.saglik.gov.tr/TR-84374/2021-yili-saglikta-kalite-degerlendirmeleri-hakkinda.html; Erişim Tarihi: 10.03.2021.
  • Orinovsky I, Raizman E. Improvement of nutritional intake in intensive care unit patients via a nurse-led enteral nutrition feeding protocol. Critical Care Nurse 2018; 38(3):38-44.
  • Friesecke S, Schwabe A, Stecher SS, et al. Improvement of enteral nutrition in intensive care unit patients by a nurse-driven feeding protocol. Nursing Critical Care 2014; 19(4):204-10.
  • Bloomer MJ, Clarke AB, Morphet J. Nurses' prioritization of enteral nutrition in intensive care units: a national survey. Nursing In Critical Care 2018; 23(3):152-158
  • Anderson L. Enteral feeding tubes: an overview of nursing care, British Journal of Nursing 2019; 28(12):748-754.
  • Çelebi D, Yılmaz E. Cerrahi hastalarda enteral ve parenteral beslenmede kanıta dayalı uygulamalar ve hemşirelik bakımı. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi 2019; 7:714-731.
  • Karahan A, Sultan K. Hemşirelikte mesleki yetkinlik. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2018; 5(2):160-168.
  • Al Kalaldeh M, Watson R, Hayter M. Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill. Nursing in Critical Care 2015; 20(5):229-241.
  • Goh ML, Ang EN, Chan YH, et al. Descriptive quantitative study on multi-ethnic patient satisfaction with nursing care measured by the Revised Humane Caring Scale. Applied Nursing Research 2016; 31:126-131.
  • Morphet J, Clarke AB, Bloomer MJ. Intensive care nurses’ knowledge of enteral nutrition: a descriptive questionnaire. Intensive And Critical Care Nursing 2016; 37:68-74.
  • Koçhan E, Akın S. Hemşirelerin enteral ve parenteral beslenme uygulamalarına ilişkin bilgi düzeylerinin değerlendirilmesi. Journal of Academic Research in Nursing 2018; 4(1):1-14.
  • Gimenes FRE, Pereira MCA, Prado PR, et al. Nasogastric/Nasoenteric tube-related incidents in hospitalized patients: a study protocol of a multicentre prospective cohort study. BMJ open 2019; 9(7):1-7.
  • Uysal N, Eşer İ, Khorsid L. Hemşirelerin enteral beslenme işlemine yönelik uygulama ve kayıtların incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2011; 14(2):1-9.
  • Darawad MW, Hammad S, Al-Hussami M, et al. Investigating critical care nurses' perception regarding enteral nutrition. Nurse Education Today 2015; 35(2):414-419.
  • Özbaş N, Göçmen Baykara Z. Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi. Journal of Human Sciences 2018; 15(1):359-367.
  • Boztaş D. Yoğun bakım ünitesi hemşirelerinin enteral beslenmeyle ilgili kanıta dayalı uygulamalarının incelenmesi [yüksek lisans tezi]. Bolu: Abant İzzet Baysal Üniversitesi, Sağlık Bilimler Enstitüsü; 2015.
  • Buerhaus PI, Auerbach DI, Staiger DO. Recent trends in the registered nurse labor market in the US: Short-run swings on top of long-term trends. Nursing Economics 2007; 25(2):59.
  • Aiken, LR. Questionnaires and inventories: Surveying opinions and assessing personality. New York: John Wiley & Sons, Inc; 1997.
  • Wolf, RM. Questionnaire. Educational research methodology and measurement (Ed. Keeves PS.). Oxford: Pergaman Press.USA; 1988.
  • Richey R. Designing instruction for adult learner: Systematic training the adult learner: Systematic training theory and practice. London: Kogan; 1992.
  • Annette M, Laura I, Weaver J, et al. Development of evidence-based guidelines and critical care nurses’ knowledge of enteral feeding. Critical Care Nurse 2007; 27(4):17-29.
  • Kim H, Chang SJ. Implementing an educational program to improve critical care nurses' enteral nutritional support. Australian Critical Care 2019; 32(3):218-222.
  • Ahmed FAHM, Ahmed OAE, Abd E, et al. Effect of educational nursing guidelines regarding enteral feeding on nurses' knowledge and practices at critical care units. Journal of Nursing and Health Science 2018; 7(5):69-75.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik
Bölüm Araştırma Makalesi
Yazarlar

Hilal Kurt 0000-0003-1750-147X

Özlem Ceyhan 0000-0002-1869-8713

Yayımlanma Tarihi 3 Nisan 2023
Gönderilme Tarihi 26 Nisan 2022
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Kurt, H., & Ceyhan, Ö. (2023). THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE. Sağlık Bilimleri Dergisi, 32(1), 34-42. https://doi.org/10.34108/eujhs.1109142
AMA Kurt H, Ceyhan Ö. THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE. JHS. Nisan 2023;32(1):34-42. doi:10.34108/eujhs.1109142
Chicago Kurt, Hilal, ve Özlem Ceyhan. “THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE”. Sağlık Bilimleri Dergisi 32, sy. 1 (Nisan 2023): 34-42. https://doi.org/10.34108/eujhs.1109142.
EndNote Kurt H, Ceyhan Ö (01 Nisan 2023) THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE. Sağlık Bilimleri Dergisi 32 1 34–42.
IEEE H. Kurt ve Ö. Ceyhan, “THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE”, JHS, c. 32, sy. 1, ss. 34–42, 2023, doi: 10.34108/eujhs.1109142.
ISNAD Kurt, Hilal - Ceyhan, Özlem. “THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE”. Sağlık Bilimleri Dergisi 32/1 (Nisan 2023), 34-42. https://doi.org/10.34108/eujhs.1109142.
JAMA Kurt H, Ceyhan Ö. THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE. JHS. 2023;32:34–42.
MLA Kurt, Hilal ve Özlem Ceyhan. “THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE”. Sağlık Bilimleri Dergisi, c. 32, sy. 1, 2023, ss. 34-42, doi:10.34108/eujhs.1109142.
Vancouver Kurt H, Ceyhan Ö. THE EFFECT OF ENTERAL NUTRITION EDUCATION GIVEN TO INTENSIVE CARE NURSES ON THEIR LEVEL OF KNOWLEDGE. JHS. 2023;32(1):34-42.