The relationship between medical errors which commonly seen in pediatric wards with the mood and job motivation of nurses.

Yıl 2021, Cilt: 14 Sayı: 1, 74 - 85, 30.04.2021

Mehmet Semih Demirtaş

https://doi.org/10.52976/vansaglik.792228

Öz

Background/Aim: In this study, it was aimed to determine the common medical erros in pediatrics clinics and to examine the effects of the causes found on nurses.
Methods: The research design used is a qualitative, investigative, descriptive and contextual design to identify and prevent the occurrence of medical errors that nurses make in the pediatric clinics. Our study is planned to be done a single center, with the participation of nurses working in pediatric intensive care, neonatal intensive care, child service, child emergency, pediatric surgery services of Aksaray Training and Research Hospital on a voluntary basis between October 2019- January 2020. It was planned to be done as a prospective study with 74 participants in total.
Results: As the group with a survey score> 61 is compared to the group with a score of <61, the rate of nurses who who could not perform the current treatment at the specified treatment times was 13.5% (n = 5) in the group with a survey score of> 61, and 39.5% (n = 15) in the group with survey score of <61 (p = 0.013). We found that the performed medical treatments to patients without a written order in the group of <25 years was increased significantly 2,382 times higher than the others groups with logistic regression analysis (Nagelkerke R square: 0.289; p = 0.041).
Conclusion: As a result of our study, most of the medical errors that nurses make in pediatrics clinics are due to starting working early career and less professional experience. In nurses' night-duty and alternatally working styles, their clinical adaptation and motivations decreases and the possibility of making mistakes increases.

Anahtar Kelimeler

medical error, patient safety, pediatric nursing, job motivation

Pediatri kliniklerinde sık görülen medikal hatalar ile hemşirelerin ruh hali ve iş motivasyonu arasındaki ilişki.

Öz

Giriş: Bu çalışmada pediatri kliniklerinde sık karşılaşılan tıbbi hataların belirlenmesi ve saptanan hataların hemşireler üzerindeki etkilerinin incelenmesi amaçlanmıştır.
Materyal ve Metot: Pediatri kliniklerinde hemşirelerin yaptığı tıbbi hataları tespit etmek ve önlemek için nitel, araştırıcı, tanımlayıcı ve bağlamsal bir çalışmadır. Çalışmamız Ekim 2019- Ocak tarihleri arasında gönüllü olarak Aksaray Eğitim ve Araştırma Hastanesi çocuk yoğun bakım, yenidoğan yoğun bakım, çocuk servisi, çocuk acil, çocuk cerrahisi hizmetlerinde çalışan hemşirelerin katılımıyla tek merkez ve 74 katılımcı ile prospektif bir çalışma olarak yapılması planlandı.
Bulgular: Belirlenen tedaviyi tam zamanından uygulayamama hatası katılımcıların aket puanlarına göre kıyas edildiğinde, anket puanı>61 olan grupta % 13,5 (n = 5) olan oran, < anket puanı<61 olan grupta % 39,5 (n = 15) (p = 0,013) olarak saptandı. Lojistik regresyon analizi ile <25 yaş grubunda hastalara yazılı sıra olmadan uygulanan tıbbi tedavilerin diğer gruplara göre anlamlı olarak 2.382 kat arttığını bulduk (Nagelkerke R kare: 0.289; p = 0.041).
Sonuç: Çalışmamızın bir sonucu olarak, hemşirelerin pediatri kliniklerinde yaptıkları tıbbi hataların çoğu, mesleki kariyeri erken başlamak ve daha az mesleki deneyimden kaynaklanmaktadır. Hemşirelerin gece nöbeti ve dönüşümlü olarak çalışma tarzlarında klinik adaptasyonları ve motivasyonları azalır, hata yapma olasılıkları artar.

Anahtar Kelimeler

tıbbi hata, iş motivasyonu, pediatri hemşireliği, hasta güvenliği

Kaynakça

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