Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Birimlerde Çalışan Hemşirelerin Araştırma Sonuçları Kullanımındaki Engeller: Tanımlayıcı Araştırma
Barriers to Nurses' Use of Research Results in Surgical Units: A Descriptive Study
Muaz GÜLŞENa , Zehra ÇERÇERb , Nursevim AYDINGÜLÜa , Sevban ARSLANa , Evşen NAZİKa
aÇukurova Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Adana, Türkiye
bGaziantep İslam Bilim ve Teknoloji Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Gaziantep, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):621-30
doi: 10.5336/nurses.2023-100162
Article Language: TR
Full Text
ÖZET
 Amaç: Tanımlayıcı ve kesitsel tipteki bu araştırma, cerrahi birimlerde çalışan hemşirelerin, araştırma sonuçlarını klinikte kullanmalarına engel olan faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel araştırma bir üniversite hastanesinin ameliyathane, cerrahi klinik ve cerrahi yoğun bakım birimlerinde görev yapan 104 hemşire ile yürütülmüştür. Verilerin toplanmasında, kişisel bilgi formu ve Araştırma Kullanım Engelleri Ölçeği kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin, yaş ortalaması 32,15±7,88; Araştırma Kullanım Engelleri Ölçeği puan ortalaması 94,65±18,80 olarak bulunmuştur. Ölçeğin alt boyutlarını oluşturan sunum alt boyutunun 18,3±4,46 puan; hemşire alt boyutunun 25,19±5,24 puan; uygulama alt boyutunun 25,92±5,49 ve araştırma alt boyutunun 18,59±4,19 puan olduğu tespit edilmiştir. Kullanılan ölçeğin sunum ve hemşire alt boyutlarının katılımcı hemşirelere göre en az engel olarak algılandığı tespit edilmiştir. Hemşirelerin çalışma sürelerinin ve çalıştıkları birimlerin algılanan engelleri anlamlı ölçüde etkilediği belirlenmiştir. Hemşirelerin %25'i kliniklerde yaptıkları hasta bakım uygulamalarının, çalıştıkları süre boyunca edindikleri deneyimlere dayandığını belirtmiştir. Sonuç: Cerrahi birimlerde çalışan hemşirelerin, araştırma sonuçlarının kullanılmasına ilişkin engel algısının yüksek olduğu belirlenmiştir. Araştırmaya katılan hemşireler en çok kuruma ait faktörleri engel olarak algılamıştır. Dolayısıyla kanıta dayalı uygulamaların kliniğe entegre edilmesi için öncelikle sağlık kurumlarında inovatif politikalar benimsenmelidir. Değişimi sağlayacak stratejilerin ilk adımı olarak kanıta dayalı uygulama kültürünün, klinik ortamlarda yaygınlaştırılması olmalıdır. Bu bağlamda, sağlık kurumlarında hizmet içi eğitimlerle araştırma sunumlarının yapılması ve bu sürece üniversitedeki akademisyen hemşirelerin de dâhil edilmesi önerilebilir.

Anahtar Kelimeler: Kanıta dayalı uygulamalar; klinik hemşirelik araştırması; araştırma sonuçlarının kullanımı; araştırma kullanım engelleri
ABSTRACT
 Objective: This descriptive and cross-sectional study was conducted to determine the factors that prevent nurses working in surgical units from using research results in the clinic. Material and Methods: A descriptive and cross-sectional study was conducted with 104 nurses working in the operating room, surgical clinic and surgical intensive care units of a university hospital. The Personal Information Form and the Research Use Barriers Scale were used to collect the data. Results: The mean age of the participants was 32.15±7.88; The mean Research Use Barriers Scale score was found to be 94.65±18.80. The presentation sub-dimension, which constitutes the sub-dimensions of the scale, scored 18.3±4.46 points; nurse subscale 25.19±5.24 points; It was determined that the application sub-dimension was 25.92±5.49 points and the research sub-dimension was 18.59±4.19 points. It was determined that the situations related to the presentation of the studies and the characteristics of the nurses were perceived as the least obstacle according to the participants. It has been determined that the working hours of the nurses and the units they work in affect the perceived barriers significantly. 25% of the nurses stated that their patient care practices in the clinics they work are based on experience. Conclusion: It was determined that nurses working in surgical units have a high perception of barriers to using research results. The nurses who participated in the research perceived the factors belonging to the institution as obstacles the most. Therefore, innovative policies should be adopted primarily in health institutions in order to integrate evidence-based practices into the clinic. The first step of strategies to ensure change should be the dissemination of an evidence-based practice culture in clinical settings. In this context, it can be recommended to make research presentations with in-service trainings in health institutions and to include academic nurses at the university in this process.

Keywords: Evidence-based practices; clinical nursing research; use of research results; research utilization barriers
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