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HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ

Yıl 2020, , 377 - 385, 31.12.2020
https://doi.org/10.24938/kutfd.751826

Öz

Objective: This study was conducted to determine of nurses’ attitudes and practices regarding vital signs.
Material and Methods: The study was a descriptive and cross-sectional. The sample of this study consisted of 128 nurses working in a university hospital who volunteered for the study. The data of the study were collected by using the " descriptive features form " and "Vital Sings Scale". Data were evaluated using Kruskal Wallis Test and Mann-Whitney U Test, percentage calculations and mean measures.
Results: The average age of nurses was 31.57±7.18. It was determined that 72.7% of the nurses were women and 55.5% had bachelor's degree. The mean total score of the nurses' vital signs scale was 58.52±8.13. The vital signs scale scores of the nurses who stated that they chose the nursing profession voluntarily were found to be statistically significantly higher than those who stated that they chose the profession involuntarily (p<0.05).
Conclusion: As a result of this study, it was determined that the nurses' vital signs attitude score was above moderate. It was determined that the nurses who stated that they chose the nursing profession voluntarily and stated that the frequency of vital signs should be measured according to condition of the patient positively affected their attitudes towards vital signs. As a result of this study, it is recommended to plan in-service trainings in developing nurses' attitudes regarding vital signs.

Kaynakça

  • 1. Çakırcalı E. Yaşamsal Bulgular. In: Atabek Aştı, T., Karadağ, A. eds. Klinik uygulama becerileri ve yöntemleri. Adana. Nobel Kitabevi, 2014:580-619.
  • 2. Stevenson EJ, Israelsson J, Nisson GC, Petersson IG, Bath PA. Recording signs of deterioration in acute patients: the documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest. Health Informatics J. 2016;22(1):21-33.
  • 3. James J, Butler-Williams C, Hunt J, Cox H. Vital signs for vital people: an exploratory study into the role of the healthcare assistant in recognising, recording and responding to the acutely ill patient in the general ward setting. J Nurs Manag. 2010;18(5):548-55.
  • 4. Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. Frequency of vital sign measurement among intubated patients in the general ward and nurses’ attitudes toward vital sign measurement. Journal of Multidisciplinary Healthcare. 2018;11:575-81. Doi:10.2147/JMDH.S179033.
  • 5. Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2015;25(1-2):278-81.
  • 6. Işık R, Yaşam Bulguları. In: Ay F, ed. Sağlık Uygulamalarinda Temel Kavramlar ve Beceriler. İstanbul. Nobel Matbaacılık, 2010:356-58.
  • 7. Potter PA, Perry AG, Stockert P, Hall A. Medication administration. In: Fundamental of Nursing. 9th ed. St. Louis. Elsevier, 2017:670-4.
  • 8. Orak E, Klinik beceriler sağlığın değerlendirilmesi, hasta bakım ve takibi. In: Sabuncu N; Ay F, eds. Sistemlerin ve sağlığın değerlendirilmesi. Istanbul. Nobel Matbaacılık, 2010:7-10.
  • 9. Storm-Versloot MN, Verweij L, Lucas C, Ludikhuize J, Gosling JC, Legemate DA et al. Clinical relevance of routinely measured vital signs in hospitalized patients: a systematic review. J Nurs Scholarsh. 2014;46(1):39-49.
  • 10. Mok W, Wang W, Cooper S, Ang ENK, Liaw SY. Attitudes towards vital signs monitoring in the detection of clinical deterioration: Scale development and survey of ward nurses. International Journal for Quality in Health Care. 2015;27(3):207-13.
  • 11. Berman A, Snyder SJ, Frandsen G. Kozier & Erb’s Fundamentals of Nursing Concepts, Process, and Practice.10th ed. Harlow. Essex Pearson Education Limited, 2016.
  • 12. Hemsirelik yönetmeliginde degisiklik yapılmasına dair yönetmelik. Resmi Gazete, 19 Nisan 2011, Sayı: 27910. Erişim Tarihi: 26 Mayıs 2020: https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeliginde-degisiklik-yapilmasina-dair-yonetmelik.html.
  • 13. Hodgetts TJ, Kenward G, Vlachonikolis IG, Payne S, Castle N. The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team. Resuscitation. 2002;54(2):125-31.
  • 14. Goldhill DR, McNarry AF, Mandersloot G, McGinley A. A physiologically-based early warning score for ward patients: the association between score and outcome. Anaesthesia. 2005;60(6):547-53.
  • 15. Ansell H, Meyer A, Thompson S. Why don’t nurses consistently take patient respiratory rates? Br J Nurs. 2014;3(8):414-8.
  • 16. Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S, Cretikos M. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2009;80(1):35-43.
  • 17. VanLeuvan CH, Mitchell I. Missed opportunities? An observational study of vital sign measurements. Critical Care and Resuscitation. 2008;10(2):111-5.
  • 18. Moore C, Sanko L. Vital signs get no respect. Kansas Nurse. 2010;85(5):3-8.
  • 19. Türk Dil Kurumu Sözlükleri. Bilim ve Sanat Terimleri Dözlüğü. Erişim tarihi: 25 Mayıs 2020: https://sozluk.gov.tr/
  • 20. Ertuğ N. Evaluating the validity and reliability of the V-scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring. International Journal of Nursing Practice. 2018;24(3):e12637.
  • 21. Sarı HY, Yöntem SÇ, Demir D, Karaoğlan N, Başkurt SŞ, Çimen S. Pediatri hemşirelerinin yaşam bulgularina yönelik bilgi ve tutumlari. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013;10(1):38-44.
  • 22. Schulman CS, Staul L. Standards for frequency of measurement and documentation of vital signs and physical assessments. Critical Care Nurse. 2010; 30(3):74-6.
  • 23. Zeitz K, McCutcheon H. Observations and vital signs: ritual or vital for the monitoring of postoperative patients. Applied Nursing Research. 2006;19(4):204-11.
  • 24. Rose L, Clarke SP. Vital signs. AJN The American Journal of Nursing. 2010;110(5):11.
  • 25. Burchill CN, Polomano R. Certification in emergency nursing associated with vital signs attitudes and practices. Int Emerg Nurs. 2016;27:17-23. Doi:10.1016/j.ienj.2015.12.003.
  • 26. Birol L. Hemşirelik Süreci. 9.baskı. İzmir. Etki Yayınları, 2009.
  • 27. Flenady T, Dwyer T, Applegarth J. Accurate respiratory rates count: so should you! Australas Emerg Nurs J. 2017;20(1):45-7.
  • 28. Mochizuki K, Shintani R, Mori K, Sato T, Sakaguchi O, Takeshige K et al. Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: a single-center, casecontrol study. Acute Med Surg. 2017;4(2):172-8.
  • 29. Ludikhuize J, Smorenburg SM, de Rooij SE, de Jonge E. Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the Modified Early Warning Score. Journal of Critical Care. 2012;27(4):424.e7-424.e13.

Determination of Nurses’ Attitudes and Applications on Vital Signs

Yıl 2020, , 377 - 385, 31.12.2020
https://doi.org/10.24938/kutfd.751826

Öz

Objective: This study was conducted to determine of nurses’ attitudes and practices regarding vital signs.
Material and Methods: The study was a descriptive and cross-sectional. The sample of this study consisted of 128 nurses working in a university hospital who volunteered for the study. The data of the study were collected by using the " descriptive features form " and "Vital Sings Scale". Data were evaluated using Kruskal Wallis Test and Mann-Whitney U Test, percentage calculations and mean measures.
Results: The average age of nurses was 31.57±7.18. It was determined that 72.7% of the nurses were women and 55.5% had bachelor's degree. The mean total score of the nurses' vital signs scale was 58.52±8.13. The vital signs scale scores of the nurses who stated that they chose the nursing profession voluntarily were found to be statistically significantly higher than those who stated that they chose the profession involuntarily (p<0.05).
Conclusion: As a result of this study, it was determined that the nurses' vital signs attitude score was above moderate. It was determined that the nurses who stated that they chose the nursing profession voluntarily and stated that the frequency of vital signs should be measured according to condition of the patient positively affected their attitudes towards vital signs. As a result of this study, it is recommended to plan in-service trainings in developing nurses' attitudes regarding vital signs.

Kaynakça

  • 1. Çakırcalı E. Yaşamsal Bulgular. In: Atabek Aştı, T., Karadağ, A. eds. Klinik uygulama becerileri ve yöntemleri. Adana. Nobel Kitabevi, 2014:580-619.
  • 2. Stevenson EJ, Israelsson J, Nisson GC, Petersson IG, Bath PA. Recording signs of deterioration in acute patients: the documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest. Health Informatics J. 2016;22(1):21-33.
  • 3. James J, Butler-Williams C, Hunt J, Cox H. Vital signs for vital people: an exploratory study into the role of the healthcare assistant in recognising, recording and responding to the acutely ill patient in the general ward setting. J Nurs Manag. 2010;18(5):548-55.
  • 4. Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. Frequency of vital sign measurement among intubated patients in the general ward and nurses’ attitudes toward vital sign measurement. Journal of Multidisciplinary Healthcare. 2018;11:575-81. Doi:10.2147/JMDH.S179033.
  • 5. Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2015;25(1-2):278-81.
  • 6. Işık R, Yaşam Bulguları. In: Ay F, ed. Sağlık Uygulamalarinda Temel Kavramlar ve Beceriler. İstanbul. Nobel Matbaacılık, 2010:356-58.
  • 7. Potter PA, Perry AG, Stockert P, Hall A. Medication administration. In: Fundamental of Nursing. 9th ed. St. Louis. Elsevier, 2017:670-4.
  • 8. Orak E, Klinik beceriler sağlığın değerlendirilmesi, hasta bakım ve takibi. In: Sabuncu N; Ay F, eds. Sistemlerin ve sağlığın değerlendirilmesi. Istanbul. Nobel Matbaacılık, 2010:7-10.
  • 9. Storm-Versloot MN, Verweij L, Lucas C, Ludikhuize J, Gosling JC, Legemate DA et al. Clinical relevance of routinely measured vital signs in hospitalized patients: a systematic review. J Nurs Scholarsh. 2014;46(1):39-49.
  • 10. Mok W, Wang W, Cooper S, Ang ENK, Liaw SY. Attitudes towards vital signs monitoring in the detection of clinical deterioration: Scale development and survey of ward nurses. International Journal for Quality in Health Care. 2015;27(3):207-13.
  • 11. Berman A, Snyder SJ, Frandsen G. Kozier & Erb’s Fundamentals of Nursing Concepts, Process, and Practice.10th ed. Harlow. Essex Pearson Education Limited, 2016.
  • 12. Hemsirelik yönetmeliginde degisiklik yapılmasına dair yönetmelik. Resmi Gazete, 19 Nisan 2011, Sayı: 27910. Erişim Tarihi: 26 Mayıs 2020: https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeliginde-degisiklik-yapilmasina-dair-yonetmelik.html.
  • 13. Hodgetts TJ, Kenward G, Vlachonikolis IG, Payne S, Castle N. The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team. Resuscitation. 2002;54(2):125-31.
  • 14. Goldhill DR, McNarry AF, Mandersloot G, McGinley A. A physiologically-based early warning score for ward patients: the association between score and outcome. Anaesthesia. 2005;60(6):547-53.
  • 15. Ansell H, Meyer A, Thompson S. Why don’t nurses consistently take patient respiratory rates? Br J Nurs. 2014;3(8):414-8.
  • 16. Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S, Cretikos M. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2009;80(1):35-43.
  • 17. VanLeuvan CH, Mitchell I. Missed opportunities? An observational study of vital sign measurements. Critical Care and Resuscitation. 2008;10(2):111-5.
  • 18. Moore C, Sanko L. Vital signs get no respect. Kansas Nurse. 2010;85(5):3-8.
  • 19. Türk Dil Kurumu Sözlükleri. Bilim ve Sanat Terimleri Dözlüğü. Erişim tarihi: 25 Mayıs 2020: https://sozluk.gov.tr/
  • 20. Ertuğ N. Evaluating the validity and reliability of the V-scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring. International Journal of Nursing Practice. 2018;24(3):e12637.
  • 21. Sarı HY, Yöntem SÇ, Demir D, Karaoğlan N, Başkurt SŞ, Çimen S. Pediatri hemşirelerinin yaşam bulgularina yönelik bilgi ve tutumlari. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013;10(1):38-44.
  • 22. Schulman CS, Staul L. Standards for frequency of measurement and documentation of vital signs and physical assessments. Critical Care Nurse. 2010; 30(3):74-6.
  • 23. Zeitz K, McCutcheon H. Observations and vital signs: ritual or vital for the monitoring of postoperative patients. Applied Nursing Research. 2006;19(4):204-11.
  • 24. Rose L, Clarke SP. Vital signs. AJN The American Journal of Nursing. 2010;110(5):11.
  • 25. Burchill CN, Polomano R. Certification in emergency nursing associated with vital signs attitudes and practices. Int Emerg Nurs. 2016;27:17-23. Doi:10.1016/j.ienj.2015.12.003.
  • 26. Birol L. Hemşirelik Süreci. 9.baskı. İzmir. Etki Yayınları, 2009.
  • 27. Flenady T, Dwyer T, Applegarth J. Accurate respiratory rates count: so should you! Australas Emerg Nurs J. 2017;20(1):45-7.
  • 28. Mochizuki K, Shintani R, Mori K, Sato T, Sakaguchi O, Takeshige K et al. Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: a single-center, casecontrol study. Acute Med Surg. 2017;4(2):172-8.
  • 29. Ludikhuize J, Smorenburg SM, de Rooij SE, de Jonge E. Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the Modified Early Warning Score. Journal of Critical Care. 2012;27(4):424.e7-424.e13.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Emel Gülnar 0000-0002-4766-8927

Esra Doğan Yılmaz Bu kişi benim 0000-0002-6684-3305

Hüsna Özveren 0000-0002-2724-5580

Yayımlanma Tarihi 31 Aralık 2020
Gönderilme Tarihi 12 Haziran 2020
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

APA Gülnar, E., Doğan Yılmaz, E., & Özveren, H. (2020). HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ. The Journal of Kırıkkale University Faculty of Medicine, 22(3), 377-385. https://doi.org/10.24938/kutfd.751826
AMA Gülnar E, Doğan Yılmaz E, Özveren H. HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ. Kırıkkale Üni Tıp Derg. Aralık 2020;22(3):377-385. doi:10.24938/kutfd.751826
Chicago Gülnar, Emel, Esra Doğan Yılmaz, ve Hüsna Özveren. “HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ”. The Journal of Kırıkkale University Faculty of Medicine 22, sy. 3 (Aralık 2020): 377-85. https://doi.org/10.24938/kutfd.751826.
EndNote Gülnar E, Doğan Yılmaz E, Özveren H (01 Aralık 2020) HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ. The Journal of Kırıkkale University Faculty of Medicine 22 3 377–385.
IEEE E. Gülnar, E. Doğan Yılmaz, ve H. Özveren, “HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ”, Kırıkkale Üni Tıp Derg, c. 22, sy. 3, ss. 377–385, 2020, doi: 10.24938/kutfd.751826.
ISNAD Gülnar, Emel vd. “HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ”. The Journal of Kırıkkale University Faculty of Medicine 22/3 (Aralık 2020), 377-385. https://doi.org/10.24938/kutfd.751826.
JAMA Gülnar E, Doğan Yılmaz E, Özveren H. HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ. Kırıkkale Üni Tıp Derg. 2020;22:377–385.
MLA Gülnar, Emel vd. “HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ”. The Journal of Kırıkkale University Faculty of Medicine, c. 22, sy. 3, 2020, ss. 377-85, doi:10.24938/kutfd.751826.
Vancouver Gülnar E, Doğan Yılmaz E, Özveren H. HEMŞİRELERİN YAŞAM BULGULARINA İLİŞKİN TUTUM VE UYGULAMALARININ BELİRLENMESİ. Kırıkkale Üni Tıp Derg. 2020;22(3):377-85.

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