ACİL SERVİS HEMŞİRELERİNİN YORGUNLUK DÜZEYİNİ VE DEVİR TESLİM ETKİNLİĞİNİ ETKİLEYEN FAKTÖRLER ÜZERİNE BİR DEĞERLENDİRME

Öz

Hemşirelerin artan iş yükü nedeniyle yorgunluk düzeylerinin ve bilgi aktarımının olumsuz etkileneceği öngörülmektedir. Bu çalışmada acil hemşirelerinde yorgunluk düzeyi, devir teslim etkinliği ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. Çalışma tanımlayıcı türde kesitsel bir çalışmadır. Araştırma verileri Türkiye'de bir ilde bulunan 8 hastanenin acil servislerinde çalışan hemşirelerden toplanmıştır. Veriler Kişisel Bilgi Formu, Devir Teslim Değerlendirme Ölçeği ve Yorgunluk Ölçeği kullanılarak Google Form aracılığıyla toplanmıştır. Hemşirelerinin yorgunluk seviyeleri ile nöbet devir teslim etkinliği arasında negatif yönlü anlamlı bir ilişki vardır (r=-0.476p<0.001). Nöbet devir teslimine hazırlık süresi ve nöbet devir teslim süresi ile nöbet devir teslim etkinliği arasında ise pozitif yönlü anlamlı bir ilişki olduğu belirlenmiştir (sırasıyla r=0.573p<0.001, r=0.497 p<0.001). Ayrıca ileri yaşta olan, acil serviste çalışmaktan memnun olmayan, sürekli gündüz çalışan, daha fazla hastaya bakım veren, acil serviste toplam çalışma süresi ve haftalık ortalama çalışma süresi fazla olan hemşirelerin daha yorgun olduğu ve nöbet devir teslim kalitesinin daha düşük olduğu saptanmıştır (p<0.05). Acil servis hemşirelerinin yorgunluğunu ve nöbet devir teslim etkinlik kalitesini etkileyen bu faktörleri saptayarak, yorgunluk seviyelerini azaltmayı ve nöbet devir teslim etkinliği kalitesini artırmayı amaçlayan stratejiler geliştirmek mümkündür.

Anahtar Kelimeler

• Acil servis
• yorgunluk
• hemşirelik
• nöbet devir teslim
• hasta güvenliği

AN EVALUATION ON THE FACTORS AFFECTING THE LEVEL OF FATIGUE AND HANDOVER EFFECTIVENESS OF EMERGENCY DEPARTMENT NURSES

Öz

It is predicted that due to the increasing work load of nurses, fatigue levels and knowledge transfer will be adversely affected. The present study aimed to determine the Fatigue Level, Handover Effectiveness, and Related Factors in Emergency Nurses. The study is a descriptive cross-sectional study. Research data were collected from nurses working in the emergency departments of 8 hospitals in a city in Turkiye. The data were collected through Google Form using the Personal Information Form, the Handover Evaluation Scale, and the Fatigue Scale. There is a negative and significant relationship between the nurses' fatigue levels and the handover effectiveness (r=-0.476 p<0.001). It was determined that there was a positive and meaningful relationship between the handover effectiveness and the handover duration and preparation time for the handover (in orderr=0.573 p<0.001, r=0.497 p<0.001). In addition, the nurses who were elderly, dissatisfied with working in the emergency department, only working during the day, caring for more patients, and having a longer total working time and weekly average working time in the emergency department were more tired and had lower handover effectiveness quality (p<0.05). It is possible to develop strategies to reduce fatigue levels and increase the quality of handover effectiveness by determining the fatigue of emergency nurses and these factors affecting the quality of handover effectiveness.

Anahtar Kelimeler

• Emergency nursing
• fatigue
• handover effectiveness
• nursing
• patient safety

Kaynakça

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