Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Causal Attribution Training to Help Nurses Identify Causes of Medical Errors: A Randomized Controlled Trial
Nedensel Yükleme Kuramı Doğrultusunda Verilen Eğitimin Hemşirelerin Tıbbi Hata Nedenlerini Belirlemelerine Etkisi: Randomize Kontrollü Çalışma
Fatma ERa, Behice ERCİb
aDepartment of Nursing Management, İnönü University Faculty of Nursing, Malatya, TURKEY
bDepartment of Public Health Nursing, İnönü University Faculty of Nursing, Malatya, TURKEY
Turkiye Klinikleri J Nurs Sci. 2021;13(4):926-36
doi: 10.5336/nurses.2021-82037
Article Language: EN
Full Text
ABSTRACT
 Objective: This research was conducted to determine the effect of the training given in line with the causal attribution theory on the nurses' determination of the causes of medical errors. Material and Methods: The population of this study, which was performed by using pre-test-post-test controlled randomized real trial method consisted of nurses working in inpatient treatment units of Bingöl State Hospital and Elazığ Training and Research Hospital (n=675). In the power analysis performed to determine the sample size of the study, the minimum sample size was determined as 176 nurses (88 in the experimental group, 88 in the control group). The experimental group was provided training on 'Determination of the Causes of Medical Errors by Nurses' in line with Causal Attribution Theory. The data were collected using a Personal Information Form and the Causal Dimension Scale II. Results: An intergroup comparison of the mean post-test scores of the experimental and control groups revealed that there was a statistically significant difference between the groups. Conclusion: While there was no significant change between the groups in the pre-test evaluation of the experimental and control group mean scores, it was determined that there was a significant difference between the groups in the experimental group compared to the control group in the post-test evaluation. After the training given to the experimental group in line with the Causal Attribution Theory, it was determined that there is consistency in the uploads of the nurses regarding the causes of medical errors.

Keywords: Causal attribution theory; medical errors; nurse
ÖZET
 Amaç: Bu araştırma, nedensel yükleme kuramı doğrultusunda verilen eğitimin, hemşirelerin tıbbi hata nedenlerini belirlemelerine etkisini belirlemek için yapılmıştır. Gereç ve Yöntemler: Ön-test ve son-test kontrol gruplu gerçek deneme modeli olarak yapılan bu araştırmanın evrenini, Bingöl Devlet Hastanesi ve Elazığ Eğitim ve Araştırma Hastanesinin yataklı tedavi birimlerinde görev yapan hemşireler oluşturmuştur (n=675). Araştırmanın örneklem büyüklüğünü belirlemek için yapılan güç analizinde minimum örneklem büyüklüğü 176 hemşire (deney grubunda 88, kontrol grubunda 88) olarak belirlenmiştir. Deney grubuna Nedensel Yükleme Kuramı doğrultusunda 'Tıbbi Hataların Nedenlerinin Hemşireler Tarafından Belirlenmesi' eğitimi verilmiştir. Verilerin elde edilmesinde Kişisel Bilgi Formu ve Nedensel Boyutlar Ölçeği II kullanılmıştır. Bulgular: Deney ve kontrol grubu son test puan ortalamalarının gruplar arası karşılaştırılmasında; gruplar arasındaki farkın istatistiksel olarak önemli olduğu belirlenmiştir. Sonuç: Deney ve kontrol grubu puan ortalamalarının ön-test değerlendirilmesinde gruplar arasında önemli bir değişim görülmezken, son-test değerlendirilmesinde gruplar arasında deney grubunda kontrol grubuna göre önemli bir farkın olduğu belirlenmiştir. Deney grubuna Nedensel Yükleme Kuramı doğrultusunda verilen eğitim sonrasında, hemşirelerin tıbbi hataların nedenlerine yönelik yaptıkları yüklemelerde tutarlılık olduğu belirlenmiştir.

Anahtar Kelimeler: Nedensel yükleme kuramı; tıbbi hatalar; hemşire
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