Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Hemşire ve Ebelerin Kadına Yönelik Şiddete İlişkin Tutumları ile Şiddeti Tanılama Arasındaki İlişkinin ve Etkileyen Faktörlerin İncelenmesi: Tanımlayıcı ve Kesitsel Çalışma
Investigation of the Relationship Between Nurses and Midwives' Attitudes Towards Violence Against Women and Diagnosing Violence and Affecting Factors: Descriptive and Cross-Sectional Study
İlknur KIRDARa,b, Sibel PEKSOY KAYAc
aAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü, Doğum ve Kadın Hastalıkları Hemşireliği Doktora Programı, Ankara, Türkiye
bPursaklar Devlet Hastanesi, İkinci Basamak Genel Yoğun Bakım Ünitesi, Ankara, Türkiye
cAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Doğum ve Kadın Hastalıkları Hemşireliği AD Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(4):781-91
doi: 10.5336/healthsci.2024-103745
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, hemşire ve ebelerin kadına yönelik şiddet (KYŞ) tutumları ile şiddeti tanılama arasındaki ilişkinin ve bu ilişkiyi etkileyen faktörlerin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipte olan bu çalışma, 167 hemşire ve ebe ile yürütülmüştür. Araştırma verileri; ''bireysel bilgi formu'', ve ''İSKEBE Tutum Ölçeği'' ve ''Hemşire ve Ebelerin Kadına Yönelik Şiddetin Belirtilerini Tanımalarına İlişkin Ölçek (KYŞBTÖ)'' ile toplanmıştır. Bulgular: Katılımcıların İSKEBE Tutum Ölçeği skorları 133,86±13,14, KYŞBTÖ skorları 19,77±3,36'dır. Kadın katılımcıların İSKEBE Tutum Ölçeği skorları, erkeklere göre daha yüksektir [eta kare (ƞ2 )=0,183, p<0,001]. Bekâr katılımcıların İSKEBE Tutum Ölçeği ve KYŞBTÖ skorları, evlilere göre daha yüksektir (sırasıyla, ƞ2 =0,039, ƞ2 = 0,045, p<0,05). Katılımcılardan 20-29 yaş aralığında olanların İSKEBE Tutum Ölçeği skoru 40 yaş ve üzerindekilere göre daha yüksektir (ƞ2 =0,047, p<0,05). KYŞ'yi değerlendirmede ''kararsızım'' kategorisindeki katılımcıların İSKEBE Tutum Ölçeği skoru ''yeterliyim'' kategorisindekilere göre yüksektir (ƞ2 =0,037, p=0,05). Katılımcıların çalışma yılı ile İSKEBE Tutum Ölçeği toplam puanı, İSKEBE tutum ölçeğinin ''bedene yönelik tutumlar alt boyutu'' ve KYŞBTÖ'nün ''duygusal alt boyutu'' arasında negatif yönde zayıf bir ilişki vardır (sırasıyla, r=-0,175, r=- 0,201, r=-0,172, p<0,05). Sonuç: Hemşire ve ebelerin KYŞ tutumları yüksek, KYŞ tanılama düzeyleri kısmen yeterliydi. Hemşire ve ebelerin KYŞ tanılama düzeylerinin yeterli olmaması KYŞ olgularının etkin yönetimini etkileyebilir. Bu nedenle hemşire ve ebelerin KYŞ ile ilgili bilgi düzeyleri ve farkındalıklarının arttırılması önemlidir.

Anahtar Kelimeler: Cinsiyete dayalı şiddet; ebelik; hemşirelik; tutum
ABSTRACT
 Objective: This study aimed to investigate the relationship between nurses and midwives' attitudes towards violence against women (VAW) and their ability to diagnosis violence as well as the factors influencing this relationship. Material and Methods: This descriptive and cross-sectional study was conducted with 167 nurses and midwives. The research data were collected using the ''Individual Information Form'', and ''ISKEBE Attitude Scale'' and ''Scale for Recognizing the Signs of Violence Against Woman by Nurses and Midwifes (RSVAWNM)''. Results: The participants' scores on the ISKEBE Attitude Scale were 133.86±13.14, and their scores on the RSVAWNM were 19.77±3.36. Female participants scored higher on the ISKEBE Attitude Scale compared to male participants [eta squared (ƞ2 )=0.183, p<0.001]. Single participants scored higher on both the ISKEBE Attitude Scale and the RSVAWNM compared to married participants (ƞ2 =0.039, ƞ2=0.045, p<0.05, respectively). Participants aged 20-29 scored higher on the ISKEBE Attitude Scale than those aged 40 and above (ƞ2 =0,047, p<0,05). Participants who selected the ''undecided'' category in evaluating VAW scored higher on the ISKEBE Attitude Scale than those who selected the ''sufficient'' category (ƞ2 =0,037, p=0,05). There was a weak negative relationship between the participants' years of experience and their total score on the ISKEBE Attitude Scale, as well as the ''Attitudes towards Body'' subscale of the ISKEBE Attitude Scale and the ''Emotional'' subscale of the RSVAWNM (r=-0.175, r=-0.201, r=-0.172, p<0.05, respectively). Conclusion: Nurses and midwives' attitudes towards VAW were high, and their levels of diagnosing VAW were partially adequate. Insufficient diagnosis of VAW by nurses and midwives may impact the effective management of VAW cases. Therefore, it is important to increase the knowledge and awareness of nurses and midwives regarding VAW.

Keywords: Gender-based violence; midwifery; nursing; attitude
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