Ameliyathanelerdeki Yapısal Kalite Göstergeleri ile Hemşirelerin Risk Algıları Arasındaki İlişki: Yapısal Kalite ve Risk Algısı Ölçekleri ile Bir Değerlendirme

Abstract

Amaç: Bu çalışma, ameliyathanelerdeki yapısal kalite göstergelerinin hemşirelerin risk algıları üzerindeki etkisini, bireysel ve kurumsal risk yaklaşımlarına odaklanarak incelemeyi amaçlamıştır. Gereç ve Yöntem: Kesitsel bir tasarım kullanılarak, Türkiye’de Erzurum Şehir Hastanesi ve Konya Selçuk Üniversitesi Tıp Fakültesi Hastanesi’nde, Ağustos-Ekim 2024 tarihleri arasında 174 ameliyathane hemşiresinden veri toplanmıştır. Yapısal kalite, “Ameliyathane Yapısal Kalite Göstergeleri Ölçeği” (SIOR) ile değerlendirilirken risk algısı ise “Hemşirelerin Çalışma Ortamındaki Risklere Yönelik Tutum Ölçeği” (NATWERS) ile değerlendirilmiştir. Veriler, tek yönlü varyans analizi (ANOVA) ile analiz edilmiştir. Bulgular: Katılımcıların %69’u kadın, yaş ortalaması 33,5 ± 7,2 yıl ve mesleki deneyim ortalaması 11,2 ± 7,8 yıl olarak bulunmuştur. SIOR skorları düşük (2,98 ± 0,77), orta (3,59 ± 0,36) ve yüksek (4,28 ± 0,46) yapısal kalite gruplarında anlamlı farklılıklar göstermiştir (p < 0,001). NATWERS toplam skorları, yapısal kalite arttıkça yükselmiş; özellikle kurumsal yaklaşım alt boyutunda güçlü bir ilişki gözlenmiştir (p < 0,001). Sonuç: Yapısal kalite göstergelerindeki iyileşmeler, hemşirelerin risk algılarını olumlu yönde etkilemekte ve güvenlik tutumlarını güçlendirmektedir. Ameliyathane tasarımında ergonomi, aydınlatma ve güvenlik kaynaklarının optimizasyonu önerilmektedir.

Keywords

• ameliyathaneler
• hemşirelerin risk algıları
• yapısal kalite göstergeleri

Relationship Between Structural Quality Indicators in Operating Rooms and Nurses' Risk Perceptions in the Working Environment

Abstract

Aim: This study aimed to investigate the effect of structural quality indicators in operating rooms on nurses’ risk perceptions, focusing on individual and institutional risk approaches. Methods: A cross-sectional design was employed, collecting data from 174 operating room nurses at Erzurum City Hospital and Konya Selçuk University Faculty of Medicine Hospital in Turkey between August and October 2024. Structural quality was assessed using the “Structure Indicators in the Operating Room” (SIOR) scale, while risk perception was measured with the “Nurses’ Attitudes Toward Work Environment Risks Scale” (NATWERS). Data were analyzed using one-way analysis of variance (ANOVA). Findings: Participants were predominantly female (69%), with a mean age of 33.5 ± 7.2 years and a mean professional experience of 11.2 ± 7.8 years. SIOR scores significantly differed across low (2.98 ± 0.77), moderate (3.59 ± 0.36), and high (4.28 ± 0.46) structural quality groups (p < 0.001). NATWERS total scores increased with higher structural quality, with a particularly strong association in the institutional approach subdimension (p < 0.001). Conclusion: Improvements in structural quality indicators positively influence nurses’ risk perceptions and enhance safety attitudes. Optimizing operating room design, including ergonomics, lighting, and safety resources, is recommended to improve risk management and workplace safety.

Keywords

• nurses’ risk perceptions
• operating rooms
• structural quality indicators

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