Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Hastalara Özgü Taburculuk Eğitimi Memnuniyet Ölçeği'nin Geliştirilmesi
Development of Discharge Training Satisfaction Scale for Surgical Patients
Sevinç MEŞEa, Nedime KÖŞGEROĞLUb
aYozgat Bozok Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Yozgat, TÜRKİYE
bİstanbul Rumeli Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(4):759-68
doi: 10.5336/nurses.2021-81078
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, cerrahi kliniklerden taburcu olan hastaların, taburculuk eğitimi memnuniyetlerinin belirlenebilmesi için geçerli ve güvenilir bir ölçme aracının geliştirilmesini amaçlamaktadır. Gereç ve Yöntemler: Çalışmada, metodolojik yöntem temel alınmıştır. Çalışma, 15 Haziran 2017 ve 15 Ekim 2017 tarihleri arasında Türkiye'de Eskişehir Yunus Emre Devlet Hastanesinin cerrahi kliniklerinde ameliyat olan ve taburculuk eğitimi alan, çalışmaya katılmaya gönüllü 340 hasta ile yürütülmüştür. Çalışmanın verileri, 'Hasta Sosyodemografik Anket Formu' ve 'Taburculuk Eğitimi Memnuniyet Ölçeği' ile toplanmıştır. Ölçeğin geliştirme sürecinde öncelikle literatür taranarak, örneklem grubunu temsil eden hasta ve cerrahi hemşirelerle görüşme yapılarak madde havuzu oluşturulmuştur. Oluşturulan 49 maddelik madde havuzu, 6 uzmanın görüşüne sunulmuştur. Uzmanlardan gelen dönütler doğrultusunda ölçeğin kapsam geçerliği hesaplanmıştır. Ölçeğin yapı geçerliğini belirlemek amacıyla açımlayıcı faktör analizi yapılmıştır. Ölçeğin güvenirliğinin belirlenmesi için Cronbach α iç tutarlılık katsayısı ve madde toplam korelasyon puanı hesaplanmıştır. Bulgular: Taburculuk Eğitimi Memnuniyet Ölçeği'nin Kaiser-Meyer-Olkin değeri 0,91 olarak bulunmuştur. Açımlayıcı faktör analizi sonucunda ölçeğin; 5 faktörlü bir yapı gösterdiği, faktör yükü 0,40'ın altında kalan ve birden fazla faktöre yüklenen maddeler ölçekten çıkartılarak, 21 maddeden oluştuğu belirlenmiştir. Ölçek maddelerinin faktör yük değerleri 0,50'nin üzerindedir. Madde toplam madde korelasyon puanları 0,42- 0,65 arasında değer almaktadır. Ölçek genelinin Cronbach α güvenirlik katsayısı 0,91 olarak bulunmuştur. Sonuç: Beşli Likert yapıda 21 madden oluşan cerrahi hastalara özgü Taburculuk Eğitimi Memnuniyet Ölçeği'nin, geçerlilik ve güvenirlilik açısından uygun bir ölçme aracı olduğu ve ölçeğin sağlık bakım hizmeti sunan kurum ve kuruluşlarda, taburculuk eğitimine yönelik hasta memnuniyetinin ölçülmesinde kullanılabileceği söylenebilir.

Anahtar Kelimeler: Taburculuk eğitimi; hasta memnuniyeti; hemşirelik; ölçek
ABSTRACT
 Objective: This study aims to develop a valid and reliable measurement tool in order to determine the discharge education satisfaction of patients discharged from surgical clinics. Material and Methods: The study conducted based on the methodological method. The study, June 15, 2017-October 15, 2017 between having surgery in the surgical ward of Eskişehir Yunus Emre State Hospital in Turkey and discharge training was conducted with 340 patients volunteered to participate in the field work. The data of the study were collected using the 'Patient Socio-Demographic Questionnaire' and 'Discharge Education Satisfaction Scale'. During the development process of the scale, an item pool was created by first reviewing the literature, interviewing patients and surgical nurses representing the sample group. The item pool consisting of 49 items was presented to the opinion of 6 experts. Content validity of the scale was calculated in line with the feedback from experts. Exploratory factor analysis was conducted to determine the construct validity of the scale. In order to determine the reliability of the scale, Cronbach α internal consistency coefficient and item total correlation score were calculated. Results: The Kaiser-Meyer-Olkin value of the Discharge Education Satisfaction Scale was found as 0.91. As a result of the exploratory factor analysis, it was determined that the scale showed a 5-factor structure, and the items with a factor load below 0.40 and loaded on more than one factor were removed from the scale and consisted of 21 items. The factor load values of the scale items are above 0.50. Item total item correlation scores range from 0.42 to 0.65. The Cronbach α reliability coefficient of the overall scale was found to be 0.91. Conclusion: It can be said that the Discharge Education Satisfaction Scale, which consists of 21 items in a 5-Likert structure, is a suitable measurement tool in terms of validity and reliability, and that the scale can be used to measure patient satisfaction for discharge education in institutions and organizations that provide health care services.

Keywords: Discharge education; patient satisfaction; nursing; scale
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