Turkiye Klinikleri Journal of Nursing Sciences

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Bir Üniversite Hastanesinde Çalışan Hemşirelerin Kimyasal, Biyolojik, Radyolojik, Nükleer Tehlikeler Hakkındaki Bilgi, Tutum ve Öz Yeterliliklerinin Belirlenmesi: Tanımlayıcı Araştırma
Determination of Knowledge, Attitude and Self-Efficacy of Nurses Working in a University Hospital About Chemical, Biological, Radiological, Nuclear Hazards: A Descriptive Study
Tolgahan ERENa , Ayşe DOSTb
aEge Üniversitesi Tıp Fakültesi, Kalp Damar Cerrahisi AD, İzmir, Türkiye
bBezmiâlem Vakıf Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1039-47
doi: 10.5336/nurses.2024-103611
Article Language: TR
Full Text
ÖZET
 Amaç: Kimyasal, biyolojik, radyolojik ve nükleer (KBRN) tehlikeler erken fark edilerek müdahale edilmesi gereken durumlardır. Sağlık çalışanlarının bu tehlikelere yönelik mevcut bilgi, tutum ve öz yeterlilik düzeylerinin tanımlanması ve eksikliklerin tamamlanması önem arz etmektedir. Bu araştırmanın amacı bir üniversite hastanesinde çalışan hemşirelerin KBRN tehlikeler hakkındaki bilgi düzeylerini, tutumlarını ve öz yeterliliklerini değerlendirmektir. Gereç ve Yöntemler: Tanımlayıcı tipte olan bu araştırma Kasım-Aralık 2021 tarihleri arasında yürütülmüştür. Araştırmanın örneklemini bir üniversite hastanesinde çalışan 356 hemşire oluşturmuştur. Araştırma verileri; Birey Bilgi Formu, KBRN Hemşirelik Bilgi Testi, KBRN Tutum Ölçeği ve KBRN Öz Yeterlilik Ölçeği olmak üzere 4 adet form kullanılarak toplanmıştır. Araştırmanın veri analizinde, ki-kare testi, MannWhitney U testi, Kruskal-Wallis H testi, tek yönlü varyans analizi, Bonferroni ''post hoc'' testi kullanılmıştır. Bulgular: Hemşirelerin KBRN Bilgi Testi'nden aldıkları puanların ortalaması 20,14±2,71, KBRN Tutum Ölçeği'nin toplamından aldıkları puanların ortalaması 4,13±0,24 olarak bulunmuştur. Hemşirelerin KBRN Öz Yeterlilik Ölçeği'nden aldıkları puanların ortalaması 33,53±3,74 olarak bulunmuştur. Sonuç: Hemşirelerin KBRN bilgi düzeyleri ve öz yeterliliklerinin orta, KBRN tutumlarının iyi düzeyde olduğu saptanmıştır. Hemşirelerin KBRN tehditleri hakkındaki bilgi eksiklikleri ve ihtiyaç düzeylerinin belirli aralıklarla tespit edilmesi, kurumlarda KBRN ile ilgili sadece hemşireler için değil tüm çalışanların farkındalığının artırılması amacıyla programların planlanması önerilmektedir.

Anahtar Kelimeler: Kimyasal tehlike salınımı; biyolojik savaş; radyoaktif tehlike salınımı; nükleer; hemşirelik
ABSTRACT
 Objective: Chemical, biological, radiological and nuclear (CBRN) hazards are situations that require early recognition and intervention. It is important to identify the current knowledge, attitudes and self-efficacy levels of health workers towards these hazards and to complete the deficiencies. The aim of this study was to evaluate the level of knowledge, attitudes and self-efficacy of nurses working in a university hospital about CBRN hazards. Material and Methods: This descriptive study was conducted between November and December 2021. The sample of the study consisted of 356 nurses working in a university hospital. Data were collected using four forms: Individual Information Form, CBRN Nursing Knowledge Test, CBRN Attitude Scale and CBRN Self-Efficacy Scale. Chisquare test, Mann-Whitney U test, Kruskal-Wallis H test, one-way analysis of variance, Bonferroni post hoc test were used for data analysis. Results: The mean scores of the nurses from the CBRN Knowledge Test were 20.14±2.71, and the mean scores from the total CBRN Attitude Scale were 4.13±0.24. The mean score of the nurses on the CBRN Self-Efficacy Scale was found to be 33.53±3.74. Conclusion: It was found that the CBRN knowledge and self-efficacy of the nurses were at a moderate level and their CBRN attitudes were at a good level. It is recommended that the knowledge deficiencies and need levels of nurses about CBRN threats should be determined at certain intervals and programs should be planned to increase the awareness of all employees, not only nurses, about CBRN in institutions.

Keywords: Chemical hazard release; biological warfare; radioactive hazard release; nuclear; nursing
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