Turkiye Klinikleri Journal of Medical Ethics-Law and History

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Hemşirelerin Ölmekte Olan Hastaya Bakım Vermeye İlişkin Tutumlarının Etik Duyarlılıkları ile İlişkisi: Tanımlayıcı Çalışma
The Relationship of Nurses' Attitudes Towards Caring for the Dying Patient with Their Ethical Sensitivity: Descriptive Study
Berna KÖKTÜRK DALCALIa, Mine ÇOLAKb
aBandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları ABD, Balıkesir, TÜRKİYE
bYalova Devlet Hastanesi, Koroner Yoğun Bakım Servisi, Yalova, TÜRKİYE
Turkiye Klinikleri J Med Ethics. 2021;29(3):375-81
doi: 10.5336/mdethic.2021-82569
Article Language: TR
Full Text
ÖZET
 Bu çalışmanın amacı, hemşirelerin ölmekte olan hastaya bakım vermeye ilişkin tutumlarının etik duyarlılıkları ile ilişkisini belirlemektir. Araştırmanın evrenini Yalova Devlet Hastanesi'nde çalışmakta olan 184 hemşire oluşturmuştur. Çalışma, araştırmaya katılmayı kabul eden 146 hemşire ile tamamlanmıştır. Örneklemin evreni temsiliyet gücü %79,34'tür. Verilerin toplanmasında, 'Kişisel Bilgi Formu' 'Frommelt Ölmekte Olan Hastanın Bakımına İlişkin Tutum Ölçeği [Frommelt Attitudes Toward Care of the Dying (FATCOD)]' ve 'Ahlaki Duyarlılık Anketi (ADA)' kullanılmıştır. Veri analizinde tanımlayıcı testlerden yüzde, frekans, ortalama, standart sapma hesaplamaları kullanılmıştır. Parametrik testlerden 2 bağımsız değişken arasındaki farklılığın Student t-testi ile çoklu bağımsız değişkenler arasındaki farklılığın belirlenmesinde ANOVA testi, ölçekler arasındaki ilişkinin belirlenmesinde Pearson korelasyon analizi kullanılmıştır. Hemşirelerin FATCOD ölçeğinden 101,22±9,55 puan; ADA ölçeği toplamından 86,38±20,33 puan aldıkları görülmüştür. FATCOD toplam puanı ile ADA yarar sağlama alt boyutu (r=-0,151; p=0,028) ve bütüncü yaklaşım (r=-0,192; p=0,020) arasında pozitif yönde anlamlı bir ilişki olduğu görülmüştür. Hemşirelerin ölmekte olan hastaya bakım vermeye yönelik tutumlarının ADA'nın yarar sağlama ve bütüncül bakım alt boyutu ile ilişkili olduğu belirlenmiştir.

Anahtar Kelimeler: Etik; ölüm; ölüme karşı tutum; hemşire
ABSTRACT
 The aim of the study was to determine the correlation between ethical sensitivities with attitudes about caring for dying patients among nurses. The research was performed with descriptive and relational search patterns. The population for the research comprised 184 nurses employed in Yalova State hospital. The research was completed with 146 nurses who accepted participation in the research. The representative power of the sample for the population was 79.34%. 'Personal Information Form', 'Frommelt Attitudes Toward Care of the Dying (FATCOD) Scale' and 'Moral Sensitivity Questionnaire (MSQ)' were used to collect the data. Data analysis used the descriptive tests of percentage, frequency, mean and standard deviation calculations. Among parametric tests, the Student t-test was used to determine the difference between two independent variables, the ANOVA test was used to determine the difference between multiple independent variables and the Pearson correlation analysis was used to determine correlations between scales. Nurses were observed to receive mean 101.22±9.55 points from the FATCOD scale and 86.38±20.33 from the MSQ scale. There were positive significant correlations observed between the FATCOD total points with MSQ providing benefit subdimension (r=-0.151; p=0.028) and holistic approach (r=-0.192; p=0.020). Attitudes about caring for dying patients were observed to be correlated with the MSQ providing benefit and holistic care subdimensions.

Keywords: Ethics; death; attitude to death; nurse
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