Hemşirelik Öğrencilerinin Bireyselleştirilmiş Bakım ve Bakım Kalitesi Algıları Arasındaki İlişki: Tanımlayıcı Kesitsel Bir Çalışma

Yıl 2024, Cilt: 7 Sayı: 3, 1 - 11, 28.10.2024

İpek Köse Tosunöz

https://doi.org/10.46236/umbd.1542778

Öz

Bu çalışma, hemşirelik öğrencilerinin bireyselleştirilmiş bakım ve bakım kalitesi algılarını değerlendirmek ve aralarındaki ilişkiyi incelemek amacı ile gerçekleştirildi. Tanımlayıcı ve ilişki arayıcı tipteki bu çalışmanın evrenini, bir devlet üniversitesinin hemşirelik bölümüne kayıtlı 2., 3. ve 4. sınıf öğrencileri (n=416) oluşturmuştur. Araştırmanın örneklemini 275 hemşirelik öğrencisi oluşturmuştur. Araştırma verileri, Nisan-Mayıs 2022 tarihleri arasında “Öğrenci Bilgi Formu”, “Bireyselleştirilmiş Bakım Skalası-A-Hemşire Versiyonu (BBS-A-Hemşire)” ve “Bakım Verme Davranışları Envanteri-24 (BDÖ-24)” ile online toplanmıştır. Verilerin analizinde bağımsız gruplarda t testi, ANOVA, korelasyon analizi ve regresyon analizi kullanılmıştır. Öğrencilerin BDÖ-24 ve BBS-A puan ortalamaları sırası ile 5,01 ± 0,58 ve 4,12 ± 0,53’tür. Bireyselleştirilmiş bakım sağlamada en sık algılanan engel “iletişim sorunları” idi. Öğrencilerin BDÖ-24 ortalamasındaki varyansın yaklaşık %42.6’sının BBS-A-Hemşire tarafından açıklandığı belirlenmiştir (p<0,001). Hemşirelik öğrencilerin hastaların bireyselliklerini destekleme algıları ile bakım davranışı/bakım kalitesi algılarının ortalamanın üzerinde olduğu ve bakım kalitesi algılarının, bireyselleştirilmiş bakım algıları tarafından yordandığı belirlenmiştir.

Anahtar Kelimeler

Bakım Davranışları, Bakım Kalitesi, Bireyselleştirilmiş Bakım, Hemşirelik, Öğrenciler

The Relationship Between Nursing Students' Perceptions of Individualized Care and Quality of Care: A Descriptive Cross-sectional Study

Öz

This study aims to evaluate nursing students' perceptions of individualized care and quality of care and examine the relationship between them. The population of this descriptive, cross-sectional study consisted of 2nd, 3rd, and 4th-year students (n=416) who were enrolled in the nursing department of a state university. The sample consisted of 275 nursing students. Data were collected online between April and May 2022 using the "Student Information Form", “Individualized Care Scale- Nurse (ICS-A Nurse)” and “Caring Behaviors Inventory-24 (CBI-24)”. Data was analyzed using the Independent samples t-tests, ANOVA, correlation analysis, and regression analysis. The CBI-24 and ICS-A total mean scores were 5.01±0.58 and 4.12±0.53, respectively. The most commonly perceived barrier to providing individualized care was “communication problems”. The ICS-A was found to explain approximately 42.6% of the variance in students' CBI-24 mean score (p<0.001). Nursing students’ perceptions of supporting patients’ individuality and quality of care were above average, and the perception of individualized care predicted the perceived quality of care.

Anahtar Kelimeler

Care Behaviors, Quality of Care, Individualized Care, Nursing, Students.

Kaynakça

• Acaroğlu, R., & Şendir, M. (2012). Bireyselleştirilmiş bakımı değerlendirme skalaları. Florence Nightingale Journal of Nursing, 20(1), 10-16.
• Acaroğlu, R., Suhonen, R., Sendir, M., & Kaya, H. (2011). Reliability and validity of the Turkish version of the Individualised Care Scale. Journal of Clinical Nursing, 20(1-2), 136-145. doi: 10.1111/j.1365-2702.2010.03468.x
• Albayrak, E., & Uzdil, N. (2024). The impact of perceived stress on care behavior in nursing students. Genel Sağlık Bilimleri Dergisi, 6(1), 98-109. doi:10.51123/jgehes.2024.115
• Alquwez, N., Cruz, J.P., Al Thobaity, A, Almazan, J., Alabdulaziz, H., Alshammari, F., & Albougami, A. (2021). Self‐compassion influences the caring behaviour and compassion competence among Saudi nursing students: A multi‐university study. Nursing Open, 8(5), 2732-2742. doi:10.1002/nop2.848
• Allari, R. S., Hamdan, K., Zahran, Z., Alabdullah, A., Salem, S. G., Saifan, A. R., ... & Al Omari, O. (2023). Perception of nursing students from the Middle East about caring: A descriptive, comparative, cross‐sectional study. Nursing Open, 10(2), 1083-1091.
• Aydınlı, A., Uyan, T. K., & Ağralı, H. (2024). The relationship between nurses’ fear of missing out on social media developments and care behaviors. Suleyman Demirel University Journal of Health Sciences, 15(1), 81-91. doi:10.22312/sdusbed.1451123
• Bayraktar, D., Aydın, A. K., Eliş, T., & Öztürk, K. (2023). Inclination of nursing students towards ethical values and the effects of ethical values on their care behaviours. Journal of Bioethical Inquiry, 20(3), 433-445. doi:10.1007/s11673-023-10269-0
• Can, Ş. (2021). The relationship between the individualized care perceptions of nurses and their professional commitment: Results from a descriptive correlational study in Turkey. Nurse Education in Practice, 55, 103181. doi:10.1016/j.nepr.2021.103181
• Castellà‐Creus, M., Delgado‐Hito, P., Casanovas‐Cuellar, C., Tàpia‐Pérez, M., & Juvé‐Udina, M.E. (2019). Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach. J Clin Nurs., 28(23-24), 4606-4620. doi:10.1111/jocn.15059
• Cohen, J. 1988. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. doi:10.4324/9780203771587
• Çiftçi, B., Aras, G. N., & Yıldız, Ö. (2021). Examining the correlation between intercultural sensitivity and individualized care perception of nursing students. Nurse Education Today, 102, 104937.
• Demirel, N., & Turan, N. (2021). Relationship between individualized care perception and innovativeness among final‐year nursing students. Perspectives in Psychiatric Care, 57(2), 891-899. doi:10.1111/ppc.12632
• Dığın, F., & Özkan, Z.K. (2021). Determination of nursing students’ perceptions of care behavior. Gevher Nesibe Journal of Medical & Health Sciences, 6(10),16-21. doi:10.46648/gnj.155
• Doğan, P., Tarhan, M., & Kürklü A. (2019). The relationship between individualized care perceptions and moral sensitivity levels of nursing students. Journal of Education and Research in Nursing, 16(2), 119-124. doi: 10.5222/HEAD.2019.119
• Eklund, J.H., Holmström, I.K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, …., & Meranius, M.S. (2019). “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3-11. doi: 10.1016/j.pec.2018.08.029
• Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. doi:10.3758/bf03193146
• Gemuhay, H.M, Kalolo, A., Mirisho, R., Chipwaza, B., & Nyangena, E. (2019). Factors affecting performance in clinical practice among preservice diploma nursing students in Northern Tanzania. Nursing Research and Practice, 1-9. Doi: 10.1155/2019/3453085
• Göçmen-Baykara, Z. (2014). The concept of nursing care. Turkish Journal of Bioethics, 1(2), 92-99. doi: 10.5505/tjob.2014.54264
• Guven Ozdemir, N., & Sendir M. (2020). The relationship between nurses’ empathic tendencies, empathic skills, and individualized care perceptions. Perspectives in Psychiatric Care, 56(3), 732-737. doi:10.1111/ppc.12489
• Gül, Ş. 2019. Nursing care in the light of care concept and affecting factors. Acıbadem University Health Sciences Journal, 10(2), 129-134. doi: 10.31067/0.2019.134
• Güner, S.G., Ovayolu, Ö., & Ovayolu, N. (2020). Examination of nursing students’ status’ on individualized care. E-Journal of Dokuz Eylul University Nursing Faculty, 13, 74-81.
• Karayurt, Ö., Ursavaş, F.E., & İşeri, Ö. (2018). Examination of the status of nurses to provide individualized care and their opinions. Acıbadem University Health Sciences Journal, 9(2),163-169. doi:10.31067/0.2018.8
• Korucu, A.E., Çekiç, Y., & Şahan, F.U. (2021). Nursing students’ empathic tendencies and individualized care perceptions. E-Journal of Dokuz Eylul University Nursing Faculty, 14(4), 370-378. doi:10.46483/deuhfed.984305
• Kurşun, Ş., & Kanan, N. (2012). Validity and reliability study of the Turkish version of Caring Behaviors Inventory-24. Journal of Anatolian Nursing and Health Sciences, 15(4), 229-35.
• Labrague, L.J., De los Santos, J.A.A., Tsaras, K., Galabay, J.R., Falguera, C.C., Rosales, R.A., & Firmo, C.N. (2020). The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross‐sectional study. Journal of Nursing Management, 28(8), 2257-65. doi:10.1111/jonm.12894
• Li, Y.S., Liu, C.F., Yu, W.P., Mills, M.E.C., & Yang, B.H. (2020). Caring behaviors and stress perception among student nurses in different nursing programmes: A cross-sectional study. Nurse Education in Practice, 48, 102856. doi: 10.1016/j.nepr.2020.102856
• Mårtensson, S., Knutsson, S., Hodges, E. A., Sherwood, G., Broström, A., & Björk, M. (2024). Development of caring behaviour in undergraduate nursing students participating in a caring behaviour course. Scandinavian Journal of Caring Sciences, 38(1), 47-56.
• Nilsson, A., Edvardsson, D., & Rushton, C. (2019). Nurses’ descriptions of person‐centred care for older people in an acute medical ward-On the individual, team and organisational levels. Journal of Clinical Nursing, 28(7-8), 1251-1259. doi:10.1111/jocn.14738
• Orhan, R., & Erkoç, A. (2024). The relationship between ageism, willingness to care for older adults and care behaviors of nursing students: A cross-sectional study. Turkish Journal of Science and Health, 5(1), 1-11. doi:10.51972/tfsd.1244647
• Salimi, S., & Azimpour, A. (2013). Determinants of nurses’ caring behaviors (DNCB): Preliminary validation of a scale. Journal of Caring Sciences, 2(4), 269-278. doi: 10.5681/jcs.2013.032
• Suhonen, R., Gustafsson, M.L., Katajisto, J., Välimäki, M., & Leino‐Kilpi, H. (2010). Individualized care scale–nurse version: A Finnish validation study. Journal of Evaluation in Clinical Practice, 16(1), 145-154. doi:10.1111/j.1365-2753.2009.01168.x Şendir, M., Acaroğlu, R., Kanan, N., Suhonen, R., & Katajisto, J. (2010). Individualized Care Scale-The validity and reliability of the NurseVersion in Turkish. Paper presented at the 1st Basic Nursing Care Congress, İzmir
• Taylan, S., Özkan, İ., & Şahin, G. (2021). Caring behaviors, moral sensitivity, and emotional intelligence in intensive care nurses: A descriptive study. Perspectives in Psychiatric Care, 57(2), 734-746. doi:0.1111/ppc.12608
• Toru, F. (2020). Key point of nursing practices: Individualized care. Journal of Adnan Menderes University Health Sciences Faculty, 4(1), 46-59.
• Wolf, Z. R., Giardino, E. R., Osborne, P.A., & Ambrose, M. S. (1994). Dimensions of nurse caring. Image: The Journal of Nursing Scholarship, 26(2), 107–112. doi:10.1111/j.1547-5069.1994.tb00927.x
• World Health Organization (WHO). Quality of Care. Retrieved from (19.07.2024): https://www.who.int/health-topics/quality-of-care#tab=tab_1
• Wu, Y., Larrabee, J. H., & Putman, H. P. (2006). Caring behaviors inventory: A reduction of the 42-item instrument. Nursing Research, 55(1), 18–25. doi:10.1097/00006199-200601000-00003
• Yiğit, H., Enç, N., & Türen, S. (2024). The examination of relationship between ındividualized care and care quality perception levels of nurses’ working in intensive care. Bilecik Şeyh Edebali University Journal of Faculty of Health Sciences, 2(2), 74-88. doi:10.61535/bseusbfd.1320616