Ameliyathane Kaynaklı Cerrahi Alan Enfeksiyonlarını Önlemeye İlişkin Ameliyathane Hemşirelerinin Bilgi Düzeyleri

Yıl 2019, Cilt: 6 Sayı: 2, 299 - 309, 01.06.2019

Dilek Yıldırım Tank , Sevim Çelik , Elif Karahan , Nurten Taşdemir

Öz

DOI:10.17681/hsp.458122

Amaç: Bu araştırma, ameliyathane hemşirelerinin cerrahi
alan enfeksiyonlarını önlemeye ilişkin kanıta dayalı uygulamalar hakkında bilgi
düzeylerinin belirlenmesi amacıyla tanımlayıcı olarak planlanmıştır.

Gereç ve Yöntem: Çalışma 01.04.2018-
15.05.2018 tarihleri arasında Zonguldak’ta bir devlet hastanesi ve bir sağlık
uygulama ve araştırma merkezinin ameliyathane ünitesinde çalışan hemşireler ile
yapılmıştır. Araştırmacılar tarafından oluşturulan anket formu, sosyodemografik
verileri içeren 11 soru ve kanıta dayalı uygulama rehberleri doğrultusunda
cerrahi alan enfeksiyonlarını önlemeye yönelik kanıta dayalı uygulamaları
sorgulayan 33 soru, alınabilecek en yüksek puan 33, en düşük puan 0 olmak üzere
toplam 44 sorudan oluşturulmuştur. Madde güvenilirlik analizi Cronbach Alpha
skalasına göre 0,70 olarak hesaplanmıştır. Verilerin değerlendirilmesinde,
sayı, yüzde, ortalama, standart sapma, minimum ve maksimum değerler ve Man
Whitney U testi ve Kruskal-Wallis varyans analizi kullanılmıştır.

Bulgular: Araştırmadan elde edilen verilere göre
hemşirelerin cerrahi alan enfeksiyonlarını önlemeye ilişkin yönelik kanıta
dayalı uygulamalar hakkında bilgi puan ortalaması 22,05±3,53 (min: 10, max: 32)
olarak bulunmuştur. Çalışmaya katılan hemşirelerin ortalama yaşlarının 38,29 ± 9,00
olduğu ve çoğunluğunun %63,2 ile lisans mezunu oldukları belirlenmiştir.
Hemşirelerin  %75,4’ünün 6 yıldan daha
uzun süredir ameliyathanede çalıştığı ve %77,2 sinin scrub ve sirküle hemşire
olarak çalıştığı görülmüştür. Hemşirelerin tümünün cerrahi alan enfeksiyonları
ile ilgili eğitim aldıkları ve bunun %66,72’sini hizmet içi eğitimin
oluşturduğu bildirilmiştir. Hemşirelerin %64,9’u kurumlarında kanıta dayalı
uygulamaların uygulandığını düşünmektedir. Hemşirelerin demografik özellikleri
ile puan ortalamaları arasında istatistiksel olarak anlamlı farklılık
bulunmamıştır.

Sonuç: Araştırmadan sonuçlarına göre hemşirelerin cerrahi
alan enfeksiyonlarını önlemeye ilişkin yönelik kanıta dayalı uygulamalar
hakkında bilgi puan ortalaması 22,05±3,53 puan ile orta seviyenin üstünde
bulunmuştur.

Anahtar Kelimeler

Ameliyathane Hemşiresi, Cerrahi Alan Enfeksiyonu

Knowledge Levels Of The Operating Room Nurses Related To Prevention Of Surgical Site Infections

Öz

DOI:10.17681/hsp.458122

Purpose: This study was conducted to determine the knowledge levels of operating
room nurses on evidence based practices to prevent surgical site infections.

Materials and Methods: This descriptive study was carried out
between 01.04.2018 and 15.05.2018 with nurses working in the operating theater
unit of state and university hospitals in Zonguldak province. The questionnaire
created by the researcher in the light of the literature was consisted of 44
questions, 11 questions including sociodemographic data and 33 questions, which
can get minimum 0 point and maximum 33 points, questioning about evidence-based
practices to prevent surgical site infections. The item reliability analysis of
the questionnaire was calculated to be 0,70 with Cronbach alpha. Data were
analyzed by descriptive statistics as well as Mann Whitney U test and Kruskal-Wallis
test.

Results: According to the data obtained from the study, the information score
means of the nurses’ knowledge about the evidence –based practices to prevent
surgical site infections was found to be 22,05±3,53 (min:10, max:32). It was
determined that the average age of the nurses participating in the study was 38,29±9,00
and the majority of the nurses had a bachelor's degree with 63,2%. It was
reported that 75,4% of the nurses worked in the operating room unit for 6 or
more years and 77,2% of nurses worked as scrub and circulating nurses. It was
reported that all nurses were trained on surgical site infections and that
in-service training constituted 66,7% of the education. 64,9% of the nurses
think that they are working with evidence-based practices in the hospital. No
statistically significant difference was found between the demographical
characteristics and the nurses' information score means.

Conclusion: The study showed that operating room nurses
had moderate level knowledge about the evidence-based practices for prevention
of surgical site infections.

Anahtar Kelimeler

Evidence-based practices, Operating room nurse, surgical site infection

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