Indıvıdual-Centred Perıoperatıve Care Attıtudes and Behavıours of Nursıng Students: A Cross-Sectıonal Study

Yıl 2024, Cilt: 5 Sayı: 1, 26 - 38, 30.04.2024

Hilal Kahraman , Gülseren Maraş , Hatice Yüceler Kaçmaz

https://doi.org/10.59244/ktokusbd.1424188

Öz

Aim: The study was conducted to determine the individual-centered perioperative care attitudes and behaviors of nursing students practiced in the surgical clinic.
Materials and Methods: The sample of the cross-sectional study consisted of 2nd, 3rd, and 4th grade students studying in the nursing department of a state university. Personal Information Form and Person Centreted Perioperative Nursing Scale (PCPNS) were used to collect research data. The data were collected in the classroom by face-to-face interview method. Ethics committee approval was obtained to conduct the study.
Results: 309 students who did internship in the surgical clinic participated in the study. 80.3% of the students are female, 60.5% are 3rd year students, and mean age is 20.93±1.21. Students' PCPNS sub-dimension mean scores were 24.60±3.27 for compassionate interaction, 22.21±2.32 for respect, 12.10±2.04 for comfort, 11.75±2.42 for sharing information, and expertise. It was determined as 10.45±2.99. It was determined that there was a statistically significant difference between gender and respect sub-dimension, graduated high school and specialization sub-dimension, class grades and compassionate interaction and sharing information sub-dimensions. A statistically significant difference was found between the out-of-school surgical nursing training and the sub-dimension of expertise, training in out-of-school care and sharing information sub-dimension. There was a statistically significant difference between reading articles on the subject and compassionate interaction sub-dimension, comfort and sharing information.
Conclusion: It can be said that the scores of the person-centered perioperative care style and behavior scale of the students are above the average. It is thought that directing students to read articles about individualized perioperative care and placing them in the subjects in the curriculum will contribute to their individual-centered care.

Anahtar Kelimeler

Person-Centered Care, İndividualized Nursing Care, Surgical Care, Student Nurse, Perioperative Care.

Hemşirelik Öğrencilerinin Birey Merkezli Perioperatif Bakım Tutum ve Davranışları: Kesitsel Bir Çalışma

Öz

Amaç: Çalışma cerrahi klinikte uygulamaya çıkan hemşirelik öğrencilerinin birey merkezli perioperatif bakım tutum ve davranışını belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Kesitsel tipte yürütülen araştırmanın örneklemini bir devlet üniversitesinin hemşirelik bölümünde okuyan 2.,3., ve 4. sınıf öğrencileri oluşturmuştur. Araştırma verilerinin toplanmasında kişisel bilgi formu ve Birey Merkezli Perioperatif Hemşirelik Ölçeği (BMPHÖ) kullanılmıştır. Veriler yüz yüze görüşme yöntemi ile sınıf ortamında toplanmıştır. Araştırmanın yapılabilmesi için etik kurul izni alınmıştır.
Bulgular: Araştırmaya cerrahi klinikte uygulama yapan 309 öğrenci katılmıştır. Öğrencilerin %80,3’ü kadın, %60,5’i 3. sınıf öğrencisi olup yaş ortalamaları 20,93±1,21’dir. Öğrencilerin BMPHÖ alt boyut puan ortalamaları duygusal etkileşim için 24,60±3,27, saygı için 22,21±2,32, rahatlık için 12,10±2,04, bilgi paylaşımı için 11,75±2,42, uzmanlık için 10,45±2,99 olarak tespit edilmiştir. Cinsiyet ile saygı alt boyutu, mezun olunan lise ile uzmanlık alt boyutu, sınıf ile duygusal etkileşim ve bilgi paylaşımı alt boyutları arasında istatistiksel olarak anlamlı farklılık olduğu belirlenmiştir. Okul dersleri dışında cerrahi hemşireliğine ilişkin eğitim alma ile uzmanlık alt boyutu, okul dışında birey merkezli bakıma ilişkin eğitim alma ile duygusal etkileşim alt boyutu, konu ile ilgili makale okuma ile duygusal etkileşim, rahatlık, bilgi paylaşımı alt boyutları arasında istatistiksel olarak anlamlı fark olduğu saptanmıştır.
Sonuç: Öğrencilerin birey merkezli perioperatif bakım tutum ve davranışları ölçeği puanlarının ortalamanın üzerinde olduğu söylenebilir. Öğrencilerin bireyselleştirilmiş bakıma ilişkin makale okumaya yönlendirilmesi, müfredatta yer alan konular içine yerleştirilmesinin birey merkezli bakım vermelerine katkı sağlayacağı düşünülmektedir.
Anahtar Kelimeler: Birey Merkezli Bakım, Bireyselleştirilmiş Hemşirelik Bakımı, Cerrahi Bakım, Öğrenci Hemşire, Perioperatif Bakım.

Anahtar Kelimeler

Birey Merkezli Bakım, Bireyselleştirilmiş Hemşirelik Bakımı, Cerrahi Bakım, Öğrenci Hemşire, Perioperatif Bakım.

Kaynakça

• Arakelian, E., Swenne, C. L., Lindberg, S., Rudolfsson, G., & von Vogelsang, A. C. (2017).The meaning of person-centred care in the perioperative nursing context from the patient’s perspective – an integrative review. Journal of Clinical Nursing, 26(17–18), 2527–2544. https://doi.org/10.1111/jocn.13639
• Bergström, A., Håkansson, Å., Warrén Stomberg, M., & Bjerså, K. (2018). Comfort theory in practice nurse anesthetists’ comfort measures and ınterventions in a preoperative context. Journal of Perianesthesia Nursing, 33(2), 162–171. https://doi.org/10.1016/j.jopan.2016.07.004
• Blomberg, A. C., Bisholt, B., & Lindwall, L. (2018). Responsibility for patient care in perioperative practice. Nursing Open, 5(3), 414–421. https://doi.org/10.1002/nop2.153
• Boz, İ., & Akgün, M. (2019). Person centered care approach in ınfertility. Journal of Education and Research in Nursing, 16(2), 170–175. https://doi.org/10.5222/head.2019.170
• Çopur, E., & Emiroğlu, O. N. (2017). Birey odaklı bakım ve halk sağlığı hemşireliği uygulamalarındaki önemi. Turkiye Klinikleri J Public Health Nurs-Special Topics, 3(June2), 61–65. https://www.researchgate.net/profile/Ebru
• Copur/publication/341902879_Birey_Odakli_Bakim_ve_Halk_Sagligi_Hemsireligi_Uygulamalarindaki_Onemi/links/5ed8d8a492851c9c5e7bb12c/Birey-Odakli-Bakim-ve-Halk-Sagligi-Hemsireligi-Uygulamalarindaki-Oenemi.pdf
• DiGioia, A. M., & Greenhouse, P. K. (2012). Care experience-based methodologies: Performance improvement roadmap to value-driven health care. Clinical Orthopaedics and Related Research, 470(4), 1038–1045. https://doi.org/10.1007/s11999-011-2051-3
• Fisher, K. A., Smith, K. M., Gallagher, T. H., Huang, J. C., Borton, J. C., & Mazor, K. M. (2019). We want to know: Patient comfort speaking up about breakdowns in care and patient experience. BMJ Quality and Safety, 28(3), 190–197. https://doi.org/10.1136/bmjqs-2018-008159
• Forsmo, H. M., Pfeffer, F., Rasdal, A., Sintonen, H., Körner, H., & Erichsen, C. (2016). Pre- and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery. International Journal of Surgery, 36, 121–126. https://doi.org/10.1016/j.ijsu.2016.10.031
• Goktas, S., Gezginci, E., & Oymaagaclio, K. (2022). Adaptation of the person-centered perioperative nursing scale to turkish: A validity and reliability analysis. Journal of Perianesthesia Nursing, 37(5), 712–716. https://doi.org/10.1016/j.jopan.2021.12.009
• Heggland, L. H., & Hausken, K. (2013). A qualitative ıdentification of categories of patient participation in decision-making by health care professionals and patients during surgical treatment. Clinical Nursing Research, 22(2), 206–227. https://doi.org/10.1177/1054773812464043
• Jo Delaney, L. (2018). Patient-centred care as an approach to improving health care in Australia. Collegian, 25(1), 119–123. https://doi.org/10.1016/j.colegn.2017.02.005
• Lippa, R. A. (2010). Sex differences in personality traits and gender-related occupational preferences across 53 nations: Testing evolutionary and social-environmental theories. Archives of Sexual Behavior, 39(3), 619–636. https://doi.org/10.1007/s10508-008-9380-7
• Manias, E., Bucknall, T., Hutchinson, A., Botti, M., & Allen, J. (2017). Improving documentation at transitions of care for complex patients (Sayı May). https://www.safetyandquality.gov.au/wp-content/uploads/2017/06/Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.pdf
• Meterko, M., Wright, S., Lin, H., Lowy, E., & Cleary, P. D. (2010). Mortality among patients with acute myocardial infarction: The influences of patient-centered care and evidence-based medicine. Health Services Research, 45(5 PART 1), 1188–1204. https://doi.org/10.1111/j.1475-6773.2010.01138.x
• Morgan, S., & Yoder, L. H. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), 6–15. https://doi.org/10.1177/0898010111412189
• Myles, P. S., Boney, O., Botti, M., Cyna, A. M., Gan, T. J., Jensen, M. P., Kehlet, H., Kurz, A., De Oliveira, G. S., Peyton, P., Sessler, D. I., Tramèr, M. R., Wu, C. L., Grocott, M., Biccard, B., Blazeby, J., Chan, M., Diouf, E., Fleisher, L., … Wijeysundera, D. (2018). Systematic review and consensus definitions for the standardised endpoints in perioperative medicine (step) initiative: patient comfort. British Journal of Anaesthesia, 120(4), 705–711. https://doi.org/10.1016/j.bja.2017.12.037
• Nilsson, U. (2019). What is most ımportant for you now? person-centered postoperative care in the PACU. Journal of Perianesthesia Nursing, 34(4), 877–878. https://doi.org/10.1016/j.jopan.2019.04.008 Nonogaki, A., Nishida, T., Kobayashi, K., Nozaki, K., Tamura, H., & Sakakibara, H. (2019). Factors associated with patient information sharing among home-visiting nurses in Japan: A cross-sectional study. BMC Health Services Research, 19(1), 1–10. https://doi.org/10.1186/s12913-019-3924-5
• Olsson, L. E., Jakobsson Ung, E., Swedberg, K., & Ekman, I. (2013). Efficacy of person-centred care as an intervention in controlled trials - a systematic review. Journal of Clinical Nursing, 22(3–4), 456–465. https://doi.org/10.1111/jocn.12039
• Papastavrou, E., Acaroglu, R., Sendir, M., Berg, A., Efstathiou, G., Idvall, E., Kalafati, M., Katajisto, J., Leino-Kilpi, H., Lemonidou, C., da Luz, M. D. A., & Suhonen, R. (2015). The relationship between individualized care and the practice environment: An international study. International Journal of Nursing Studies, 52(1), 121–133. https://doi.org/10.1016/j.ijnurstu.2014.05.008
• Parker, G., & Brotchie, H. (2010). Gender differences in depression. International Review of Psychiatry, 22(5), 429–436. https://doi.org/10.3109/09540261.2010.492391
• Roche, D., & Jones, A. (2021). A qualitative study of nurse-patient communication and information provision during surgical pre-admission clinics. Health Expectations, 24(4), 1357–1366. https://doi.org/10.1111/hex.13270 Rothrock, J. C., & Smith, D. A. (2000). Selecting the perioperative patient focused model. AORN Journal, 71(5). https://doi.org/10.1016/s0001-2092(06)61552-4
• Schmitt, D. P., Long, A. E., McPhearson, A., O’Brien, K., Remmert, B., & Shah, S. H. (2017). Personality and gender differences in global perspective. International Journal of Psychology, 52, 45–56. https://doi.org/10.1002/ijop.12265
• Schwind, J. K., Beanlands, H., Lapum, J., Romaniuk, D., Fredericks, S., LeGrow, K., Edwards, S., McCay, E., & Crosby, J. (2014). Fostering person-centered care among nursing students: Creative pedagogical approaches to developing personal knowing. Journal of Nursing Education, 53(6), 343–347. https://doi.org/10.3928/01484834-20140520-01
• Shin, S., & Kang, J. (2019). Development and validation of a person-centered perioperative nursing scale. Asian Nursing Research, 13(3), 221–227. https://doi.org/10.1016/j.anr.2019.07.002 Spruce, L. (2015). Back to basics: patient and family engagement. AORN Journal, 102(1), 33–39. https://doi.org/10.1016/j.aorn.2015.04.020 Su, R., Rounds, J., & Armstrong, P. I. (2009). Men and things, women and people: a meta-analysis of sex differences in ınterests. Psychological Bulletin, 135(6), 859–884. https://doi.org/10.1037/a0017364 Kahraman, Maraş ve Yüceler Kaçmaz Birey Merkezli Perioperatif Bakım KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 2024, Cilt 5, Sayı 1, 26-38 38 Toru, F. (2020). Hemşirelik uygulamalarının kilit noktası : bireyselleştirilmiş bakım. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(1), 46–59. https://dergipark.org.tr/en/download/article-file/951684