Yoğun bakım hemşirelerine verilen eğitimin, bakım paketi, aspirasyon bilgi düzeyi ve kanıta dayalı hemşireliğe yönelik tutuma etkisi

Yıl 2023, , 254 - 267, 23.08.2023

Serdar İyice Serpil Topçu

https://doi.org/10.56061/fbujohs.1220786

Öz

Ventilatör ilişkili pnömoni, yoğun bakım ünitelerinde (YBÜ) mekanik ventilasyon uygulanan hastalarda sık görülen bir komplikasyondur. Bakım setlerinin yoğun bakımda hemşireler tarafından kullanılması bu komplikasyonu azaltabilir. Bu çalışmanın amacı, yoğun bakım hemşirelerinin bakım paketi kullanımı ve aspirasyon uygulamalarına ilişkin eğitim öncesi ve eğitim sonrası performanslarını karşılaştırmak, bakım paketi uygulamaları ve kanıta dayalı uygulamalara yönelik tutumlarını incelemektir. Bu çalışma, tek grup ön test-son test modeli kullanılarak yapılmıştır. Mezun hemşireler ile 0-2 hasta sorumluluğu olan hemşirelerin EBNAQ puanları yüksek bulundu. Ventilatör bakım paketi ve aspirasyon izlem formu çıktılarının değerlendirilmesi “Trakea üzerinden oskültasyon ile fizik muayene yapıldı” parametresi dışında tüm alanlarda yapılan hemşirelik girişimlerine ilişkin eğitim sonrası farklılık olduğu belirlendi (p<0,05). Tüm bakım seti ve aspirasyon parametrelerinde eğitim öncesine göre eğitim sonrası uygulama oranlarında artış olduğu belirlendi.

Anahtar Kelimeler

Aspirasyon uygulaması, bakım paketi, kanıta dayalı hemşirelik

Destekleyen Kurum

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Proje Numarası

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Teşekkür

Araştırma verilerinin toplanmasında destek veren tüm katılımci hemşirelere teşekkür ederiz.

The effect of the training provided to intensive care nurses on the ventilator care bundle, aspiration knowledge level, and attitudes towards evidence-based nursing

Öz

Ventilator-associated pneumonia are common complication for patients in intensive care units [ICU] receiving mechanical ventilation. Care bundles's using by nurses in ICU can reduce this complication. The aim of this study is to compare the pre-training and post-training performance of intensive care nurses on the use of care bundle and aspiration practices, and to examine the effects of the training on their attitudes towards care bundle practices and evidence-based nursing. This study has been conducted by using the single group pretest-final test model. The EBNAQ scores of the nurses with a graduate degree and the nurses with responsibility for 0-2 patients were found to be high. Evaluation of the outputs from the ventilator care bundle and aspiration monitoring form showed a difference after the training regarding the nursing interventions conducted in all areas except for the “Performed a physical examination with auscultation over the trachea" parameter (p<0.05). It was determined that there was an increase in the application rates after the training compared to the pre-training in all care bundle and aspiration parameters.

Anahtar Kelimeler

Aspiration practice, care bundles, evidence-based nursing

Proje Numarası

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Kaynakça

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