Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelerin Tıbbi Hataya Yönelik Tutumları ile Yorgunluk Düzeyleri Arasındaki İlişki: Tanımlayıcı ve İlişki Arayıcı Bir Araştırma
The Relationship Between Nurses' Attitudes Toward Medical Error and Fatigue Levels: A Descriptive and Correlational Study
Şeyda KAZANÇa
aTokat Gaziosmanpaşa Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları AD, Tokat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1048-58
doi: 10.5336/nurses.2024-101631
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, hemşirelerin tıbbi hataya yönelik tutumları ile yorgunluk düzeyleri arasındaki ilişkiyi belirlemek amacı ile yapılmıştır. Gereç ve Yöntemler: Araştırma, Anadolu'da bir Üniversite hastanesinde 15 Aralık 2023-15 Ocak 2024 tarihleri arasında dahili ve cerrahi servislerde yürütülmüştür. Araştırmaya aktif olarak çalışan ve araştırmaya katılmayı kabul eden 271 hemşire ile dâhil edilmiştir. Araştırma tanımlayıcı ve ilişki arayıcı tiptedir. Veriler ''Kişisel Bilgi Formu, Tıbbi Hatalarda Tutum Ölçeği ve Chalder Yorgunluk Ölçeği'' ile toplanmıştır. Bulgular: Araştırmaya katılan hemşirelerin %73,1'i kadın, %60,1' evli, %81,9'u lisans mezunu, %50,6'sı dahili birimlerde, %86,7'si şift şeklinde ve 40 saat ve üstünde, %43,9'u 11-19 yıl çalışma deneyimi var, %73,4'ü orta düzeyde yorgunluk yaşadığını belirtiyor, %11,4'ü tıbbi hata yapmış ve %30,3'ü arkadaşının tıbbi hatasına şahit olmuştur. Hemşireler Tıbbi Hataya Yönelik Tutum Ölçeği'nden 4,12±0,44 puan alarak olumlu tutuma sahip oldukları, Chalder Yorgunluk Ölçeği'nden 19,57±5,69 puan alarak yorgun hissettikleri belirlenmiştir. Hemşirelerin tıbbi hataya yönelik tutumları ile yorgunluk düzeyleri arasında (r=0,4; p=0,001) orta düzeyle pozitif yönde istatistiksel olarak anlamlı ilişki belirlenmiştir. Bu durum, hemşirelerin yorgunluk düzeyleri artıkça, tıbbi hataya yönelik tutumlarının olumlu yönde geliştiği şeklinde yorumlanmaktadır. Sonuç: Araştırmamıza katılan hemşirelerin, yorgunluk hissetmelerine rağmen tıbbi hataya yönelik tutumlarının yüksek olması, içsel motivasyonları, hastaların ihtiyaçlarını karşılama amacıyla duygusal ve etik bir sorumluluğa sahip olmaları ve mesleki değerlere verdikleri öneme dayandırabilirler. Bu doğrultuda, hemşirelerin çalışma saatleri ve koşullarının düzenlenmesi yorgunluk düzeylerinin azaltılmasında etkili olacaktır.

Anahtar Kelimeler: Hemşire; yorgunluk; tıbbi hata
ABSTRACT
 Objective: The study was conducted to determine the relationship between nurses' attitudes towards medical error and their fatigue levels. Material and Methods: The study was conducted in a university hospital in Anatolia between December 15, 2023-January 15, 2024 in internal and surgical wards. The study included 271 actively working nurses who agreed to participate in the study. The study was descriptive and correlational. Data were collected using the ''Personal Information Form, Attitudes Toward Medical Errors Scale and Chalder Fatigue Scale''. Results: Of the nurses who participated in the study, 73.1% were female, 60.1% were married, 81.9% were undergraduate graduates, 50.6% worked in internal units, 86.7% worked in shifts and 40 hours or more, 43.9% had 11-19 years of working experience, 73.4% reported moderate fatigue, 11.4% had made a medical error and 30.3% had witnessed a medical error of a friend. It was determined that the nurses had a positive attitude with a score of 4.12±0.44 on the Attitude Toward Medical Error Scale and felt tired with a score of 19.57±5.69 on the Chalder Fatigue Scale. There was a statistically significant relationship between nurses' attitudes towards medical error and their fatigue levels (r=0.4; p=0.001). This situation is interpreted as that as the fatigue levels of the nurses increased, their attitudes towards medical error improved positively. Conclusion: The fact that the nurses who participated in our study had high attitudes towards medical error despite feeling fatigue may be based on their intrinsic motivation, having an emotional and ethical responsibility to meet the needs of patients, and the importance they attach to professional values. In this direction, regulating the working hours and conditions of nurses will be effective in reducing fatigue levels.

Keywords: Nurses; fatigue; medical errors
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