Hemşirelerin COVID-19 Hastalarında Fiziksel Tespit Uygulamalarına İlişkin Bilgi, Tutum ve Uygulamaları

Öz

Giriş: COVID-19 enfeksiyonu, akut bakım ortamlarında fiziksel tespit ihtiyacını artırmaktadır. Amaç: Bu araştırma, hemşirelerin COVID-19 hastalarında fiziksel tespit kullanımına ilişkin bilgi, tutum ve uygulamalarını incelemeyi amaçlamaktadır. Yöntem: Bu tanımlayıcı çalışma, 285 yoğun bakım hemşiresi ile çevrimiçi anket yöntemi kullanılarak yürütülmüştür. Verilerin toplanmasında “Hemşire Bilgi Formu” ve “Hemşirelerin Fiziksel Tespit Kullanma Bilgi, Tutum ve Uygulama Düzeyleri Ölçeği” kullanılmıştır. Bulgular: Hemşirelerin toplam ölçek puan ortalaması 76.11±9.21, bilgi puanı ortalaması 8.07±1.60, tutum puanı ortalaması 32.67±7.08, uygulama puanı ortalaması 35.36±3.66 idi. Hemşirelerin fiziksel tespit kullanım oranlarının pandemi öncesine göre anlamlı olarak arttığı saptandı (p<0,05). Hemşirelerin %59,3'ü fiziksel tespiti için hastaya semi-fowler pozisyonu verdiğini ve hemşirelerin tamamı alternatif bir yöntem kullanmadığını belirtmişlerdir. Sonuç: Hemşirelerin fiziksel tespit ile ilgili bilgi düzeyleri yüksek, COVID-19 hastalarına yönelik tutum ve uygulamaları olumludur. Hemşirelerin fiziksel kısıtlamaya alternatifler konusunda eğitime ihtiyaçları vardır. Gelecekteki çalışmalar, fiziksel tespite alternatifler belirlemeye, geliştirmeye ve bunların hastalarda tespit oranları üzerindeki etkilerini değerlendirmeye odaklanmalıdır.

Anahtar Kelimeler

• Fiziksel tespit
• COVID-19
• yoğun bakım
• hemşire
• hasta güvenliği

Nurses' Knowledge, Attitudes and Practices regarding the Use of Physical Restraint on Patients with COVID-19

Öz

Background: COVID-19 infection increases the need for physical restraint in acute care settings. Objective: This study aims to examine nurses' knowledge, attitudes and practices regarding the use of physical restraint in patients with COVID-19. Methods: This descriptive study was conducted using online self-report questionnaires distributed to 285 intensive care nurses. In the data collection, “Nurses Information Form” and “Level of Knowledge, Attitude and Practices for Using Physical Restraint Scale for Nurses” were used. Results: The mean score of the total scale of the nurses was 76.11±9.21, the mean knowledge score was 8.07±1.60, the mean attitude score was 32.67±7.08, the mean practice score was 35.36±3.66. It was found that physical restraint usage rates of nurses increased significantly compared to the pre-pandemic period (p<0.05). 59.3% of the nurses stated that they gave the semi-fowler position who would undergo physical restraint, and all of them did not use an alternative method. Discussion: The knowledge of nurses about physical restraint is high, their attitudes and practices are positive toward patients with COVID-19. The nurses need training on alternatives to physical restraint. Future studies should focus on determining and developing alternatives to physical restraint and evaluating their effects on the rates of restraint in the patients.

Anahtar Kelimeler

• Physical restraint
• COVID-19
• intensive care
• nurse
• patient safety

Kaynakça

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