Yoğun bakım hemşirelerinin ventilatörle ilişkili pnömoninin önlenmesi konusundaki bilgi durumları
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Trakya Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma iki ilde bulunan üniversite hastanelerindeki yoğun bakım ünitelerinde çalışan hemşirelerin ventilatörle ilişkili pnömoninin önlenmesi konusundaki bilgi durumlarını ortaya çıkarmak amacıyla 07.07.2020- 07.11.2020 tarihleri arasında yapılan tanımlayıcı bir çalışmadır. Araştırma iki üniversite hastanesinde yoğun bakım ünitelerinde çalışan 224 hemşireyle gerçekleşmiştir. Verilerin toplanmasında, araştırmacı tarafından tasarlanan hemşirelerin tanıtıcı özelliklerine ilişkin bilgi formu, Korhan ve arkadaşları tarafından Türkçe dil ve kültür uyarlaması yapılan "Ventilatörle İlişkili Pnömoninin Önlenmesinde Kanıta Dayalı Uygulamalara İlişkin Bilgi Formu" ve literatür taramasıyla oluşturulan "Ventilatörle İlişkili Pnömoninin Önlenmesine İlişkin Ek Bilgi Formu" kullanılmıştır. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, t testi, Mann Whitney U testi, One way Anova testi kullanılmıştır. Değerlendirme p<0,05 anlamlılık düzeyinde gerçekleştirilmiştir. Çalışmada hemşirelerin ventilatörle ilişkili pnömoninin önlenmesine yönelik kanıta dayalı uygulama anketi toplam puan ortalaması 3,77±1,56, VİP'in önlenmesine yönelik ek bilgi soru formu toplam puan ortalaması 2,83±1,32 olarak bulunmuştur. Araştırmaya katılan hemşirelerin VİP'in önlenmesine yönelik kanıta dayalı uygulamalara ait ankette en fazla doğru cevap verdikleri 'Standart yataklara karşı hareketli (kinetik) yatak kullanımı' sorusudur (%54,5), en yanlış cevap verdikleri soru ise 'Ventilatör havayolu nemlendirici tipleri' (%26,3) sorusudur. VİP'in önlenmesine yönelik ek bilgi soru formunda en fazla doğru cevap verdikleri 'Ağız bakım uygulaması' sorusudur (%69,2), en yanlış cevap verdikleri soru ise 'endotrakeal tüpün sabitleme şekli' (%5,4) sorusudur. Araştırmaya katılan hemşirelerin VİP'i önlemeye yönelik bilgi durumlarının, çalıştıkları kuruma, yaşa, eğitim durumuna, hemşirelikte çalışma yılına, haftalık çalışma saatlerine, çalıştığı yoğun bakım ünitesine, hemşirelerin yoğun bakım sertifikası olma, VİP eğitimi alma durumuna göre istatistiksel olarak anlamlı bir farklılık gösterdiği belirlenmiştir (p<0,01). Sonuç olarak; iki üniversite hastanesinde yoğun bakım ünitelerinde çalışan hemşirelerin ventilatörle ilişkili pnömoni konusundaki bilgilerinin düşük olduğu, kurumlarda ventilatörle ilişkili pnömoniye yönelik risk düzeyi hakkında bilgilendirme yapılmadığı ve hemşirelerin yeterince hizmet içi eğitim almadığı belirlenmiştir. Ventilatörle ilişkili pnömoni riskini önleyen kanıta dayalı uygulamalara ilişkin çalışmaların yapılması önerilmektedir. Anahtar Kelimeler; Mekanik ventilasyon, ventilatörle ilişkili pnömoni, hemşire, kalite, hastane, hasta.
The research is a descriptive study was conducted between 07.07.2020 and 07.11.2020 to reveal the knowledge of nurses working in intensive care units in university hospitals in two provinces on the prevention of ventilator-related pneumonia. The research was conducted with 224 nurses working in intensive care units in two university hospitals. In the data collection, the information form on the introductory characteristics of the nurses designed by the researcher, the "Information Form on Evidence-Based Practices in the Prevention of Ventilator-Associated Pneumonia" adapted Turkish language and culture by Korhan et al., and the "Prevention of Ventilator-Related Pneumonia" created by literature review. Number, percentage, mean, standard deviation, t-test, Mann Whitney U test, One Way ANOVA test were used to analyze the data. The evaluation was carried out at a significance level of p <0.05. In the study, the total score average of the evidence-based practice questionnaire for the prevention of ventilator-related pneumonia was found to be 3.77 ± 1.56, and the additional information questionnaire for the evidence-based practices for the prevention of VAP was found to be 2.83 ± 1.32. The question that the nurses participating in the study gave the most correct answers in the questionnaire of evidence-based practices for the prevention of VAP was 'Use of moving (kinetic) beds versus standard beds' (54.5%), the most incorrect answer was 'Ventilator airway humidifier types' (26.3%) is the question. Additional information on evidence-based practices for the prevention of VAP is the 'Oral care practice' question they gave the most correct answers in the questionnaire (69.2%), the most incorrectly answered question was 'the fixation of the endotracheal tube' (5.4%). It was determined that the knowledge status of the nurses participating in the study to prevent VAP showed a statistically significant difference according to the institution they work, age, education status, working year in nursing, weekly working hours, intensive care unit they work, being an intensive care certificate and receiving VAP training (p <0.01). As a result; It has been determined that nurses working in intensive care units in two university hospitals have low knowledge of ventilator-associated pneumonia, institutions are not informed about the risk level of ventilator-associated pneumonia, and nurses do not receive enough in-service training. Studies on evidence-based practices that prevent ventilator-associated pneumonia risk are recommended. Key Words; Mechanical ventilation, ventilator-associated pneumonia, nurse, quality, hospital, patient.
The research is a descriptive study was conducted between 07.07.2020 and 07.11.2020 to reveal the knowledge of nurses working in intensive care units in university hospitals in two provinces on the prevention of ventilator-related pneumonia. The research was conducted with 224 nurses working in intensive care units in two university hospitals. In the data collection, the information form on the introductory characteristics of the nurses designed by the researcher, the "Information Form on Evidence-Based Practices in the Prevention of Ventilator-Associated Pneumonia" adapted Turkish language and culture by Korhan et al., and the "Prevention of Ventilator-Related Pneumonia" created by literature review. Number, percentage, mean, standard deviation, t-test, Mann Whitney U test, One Way ANOVA test were used to analyze the data. The evaluation was carried out at a significance level of p <0.05. In the study, the total score average of the evidence-based practice questionnaire for the prevention of ventilator-related pneumonia was found to be 3.77 ± 1.56, and the additional information questionnaire for the evidence-based practices for the prevention of VAP was found to be 2.83 ± 1.32. The question that the nurses participating in the study gave the most correct answers in the questionnaire of evidence-based practices for the prevention of VAP was 'Use of moving (kinetic) beds versus standard beds' (54.5%), the most incorrect answer was 'Ventilator airway humidifier types' (26.3%) is the question. Additional information on evidence-based practices for the prevention of VAP is the 'Oral care practice' question they gave the most correct answers in the questionnaire (69.2%), the most incorrectly answered question was 'the fixation of the endotracheal tube' (5.4%). It was determined that the knowledge status of the nurses participating in the study to prevent VAP showed a statistically significant difference according to the institution they work, age, education status, working year in nursing, weekly working hours, intensive care unit they work, being an intensive care certificate and receiving VAP training (p <0.01). As a result; It has been determined that nurses working in intensive care units in two university hospitals have low knowledge of ventilator-associated pneumonia, institutions are not informed about the risk level of ventilator-associated pneumonia, and nurses do not receive enough in-service training. Studies on evidence-based practices that prevent ventilator-associated pneumonia risk are recommended. Key Words; Mechanical ventilation, ventilator-associated pneumonia, nurse, quality, hospital, patient.
Açıklama
Yüksek Lisans
Anahtar Kelimeler
Hemşirelik, Nursing
