Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Acil Serviste Hasta Bağımlılığı: Jones Bağımlılık Aracının Türkçe Geçerliği ve Güvenirliği: Metadolojik Çalışma
Patient Dependency in the Emergency Department: The Turkish Reliability and Validity of the Jones Dependency Tool: Methodological Study
Müsteyde ARSLANa , Gülten SUCU DAĞb
aDr. Burhan Nalbantoğlu Devlet Hastanesi, Acil Tıp Kliniği, Lefkoşa, KKTC
bDoğu Akdeniz Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Gazimağusa, KKTC
Turkiye Klinikleri J Nurs Sci. 2023;15(4):931-40
doi: 10.5336/nurses.2023-98733
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, acil servislerde kullanılmak üzere geliştirilen Jones Bağımlılık Aracının (JBA) Türkçe geçerliği ve güvenirliğini test etmektir. Gereç ve Yöntemler: Araştırmanın örneklemine Dr. Burhan Nalbantoğlu Devlet Hastanesi acil servisine başvuran 18 yaş üstü ve araştırmaya katılmayı kabul eden 400 hasta dâhil edildi. Veriler Ekim-Aralık 2020 tarihleri arasında toplandı. JBA'nın güvenirliği hasta ilk acil servise geldiğinde ve acil servisten ayrıldığında bağımsız 2 hemşire tarafından 50 hasta ile değerlendirilip, kappa analizi ile test edildi. Geçerliği ise kriter (ölçüte dayalı) geçerlik analizleri ile değerlendirildi. Araştırmanın yapılabilmesi için kurum ve etik kurul izinleri alındı. Bulgular: JBA'nın dil geçerliğinin sağlanması için çeviri ve geri çeviri yöntemi kullanıldı. Daha sonra 8 uzmandan görüş alınarak, içerik geçerliği sağlandı. Ölçeğin Madde Geçerlik İndeks 0,95 ve Ölçek Geçerlik İndeksi 0,95 saptandı. JBA'nın hasta acil servise ilk geldiğinde ve acil servisten taburcu edildiğinde 2 farklı gözlemci arasındaki uyumun belirlenmesine ait kappa testi sırasıyla 0,780 ve 0,77 bulundu. Hastaların; yaş grubu, acil servise geliş şekli, triyaj kategorisi, acil serviste izlenme alanına göre JBA'nın genelinden aldıkları puanlar arasında istatistiksel olarak anlamlı düzeyde fark olduğu saptandı (p<0,05). Hastaların nabız solunum ve oksijen saturasyon düzeyleri ile JBA puanları arasında istatistiksel olarak anlamlı ve pozitif yönlü korelasyon olduğu tespit edildi (p<0,05). Sonuç: JBA'nın acil servislerde hasta bağımlılık düzeyinin belirlenmesinde ve acil servis hemşire iş yükünün doğru tahmin edilmesinde buna göre acil servis hemşire sayısının belirlenmesinde kullanılabilecek geçerli ve güvenilir bir araç olduğu saptandı.

Anahtar Kelimeler: Acil hemşireliği; hasta bakımı; hasta sınıflandırma; geçerlik; güvenirlik
ABSTRACT
 Objective: The aim of this study is to test the Turkish validity and reliability of the Jones Dependency Tool (JDT) developed for use in emergency departments. Material and Methods: The sample of the study included 400 patients over the age of 18 who applied to the emergency department of Dr. Burhan Nalbantoğlu State Hospital and accepted to participate in the study. Data were collected between October and December 2020. The reliability of the JDT was evaluated with 50 patients by 2 independent nurses when the patient first arrived in the emergency department and left the emergency department and tested by kappa analysis. Its validity was evaluated with criterion-based validity analyses. Institutional and ethics committee permissions were obtained to conduct the research. Results: Translation and back-translation methods were used to ensure the language validity of the scale. Content validity was provided by obtaining opinions from 8 experts. The Item Validity Index of the scale was 0.95 and the Scale Validity Index was 0.95. JDT's kappa test to determine the agreement between 2 different observers when the patient first came to the emergency department and when the patient was discharged from the emergency department was found to be 0.780 and 0.77, respectively. The difference between their scores from the JDT, the age group, the way they came to the emergency department, triage categories, monitoring area, pulse, respiratory and oxygen saturation levels and the scores they received was statistically significant (p<0.05). Conclusion: As a result, it has been determined that the JDT in our country is a valid and reliable tool that can be used in determining the patient dependency level in emergency departments and accurately estimating the emergency department nurse workload.

Keywords: Emergency nursing; patient care; patient classification; validity; reliability
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