Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelerin Yaşamsal Bulguların İzlenmesine Yönelik Tutumlarının Belirlenmesi: Tanımlayıcı Araştırma
Determination of the Nurses' Attitudes Towards Vital Signs Monitoring: A Descriptive Study
Meliha POZAMa, Leyla KHORSHİDb, Dilek SARIb
aAksaray İl Sağlık Müdürlüğü, Aksaray, Türkiye
bEge Üniversitesi Hemşirelik Fakültesi, Hemşirelik Esasları ABD, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):398-406
doi: 10.5336/nurses.2021-84058
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmanın amacı, hemşirelerin yaşamsal bulguların izlenmesine yönelik tutumlarını belirlemektir. Gereç ve Yöntemler: Tanımlayıcı türdeki bu araştırma, çalışmaya katılmayı kabul eden 143 hemşireyle gerçekleştirilmiştir. 'Birey Tanıtım Formu' ve 'Yaşam Bulguları Ölçeği (YBÖ)' kullanılarak toplanan veriler SPSS 22.0 programında değerlendirilmiştir. Verilerin analizinde sayı ve yüzdelik dağılımlar ile Mann-Whitney U testi, Kruskal-Wallis tek yönlü varyans analizi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 34,16±6,58 yıl olup, katılımcıların %81,1'i kadın ve %63,6'sı lisans mezunudur. Kadın ve erkek hemşirelerin almış oldukları toplam ölçek puanı, iş yükü, bilgi ve temel göstergeler alt boyut puanları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Hemşirelerin eğitim düzeyleri ve meslekte çalışma sürelerine göre YBÖ'den almış oldukları toplam ölçek ve alt boyut puanları arasındaki fark anlamlı bulunmamıştır (p>0,05). Klinikte çalışma sürelerine göre hemşirelerin, YBÖ'den alınan toplam ölçek ve temel göstergeler alt boyut puanları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0,05). Buna karşılık iş yükü, teknoloji, iletişim ve bilgi alt boyut puanları arasındaki fark istatistiksel düzeyde anlamlı değildir. Sonuç: Hemşirelerin, yaşam bulgularının izlenmesine ilişkin olumlu bir tutuma sahip oldukları görülmüştür.

Anahtar Kelimeler: Yaşam bulguları; hemşirelik; tutum
ABSTRACT
 Objective: The aim of this research was to determine the nurses' attitudes towards vital signs monitoring. Material and Methods: This descriptive research was conducted with 143 nurses who were volunteered to attended to the study. The data which were collected by using 'Individual Description Form' and 'V-scale Instrument' used to determine nurses' attitudes towards vital sign monitoring were analyzed in the SPSS 22.0 programme. Numeric and percentage distributions, Mann-Whitney U test, Kruskal-Wallis test were used in analysing of the data. Results: The mean age of the nurses was 34.16±6.58 years, 81.1% of them were female and 63.6% of them were graduated from undergraduate degree. There was a statistically significant difference in the score related to workload subscale, knowledge subscale and key indicators subscale between male and female nurses (p<0.05). There was not any statistically significant difference in the score related in Vital Sign Scale between educational level and working duration of nurses (p>0.05). According to the duration of nurses' work in the clinic a statistically significant difference was determine in the score related to Vital Sign Scale and key indicators dimension of nurses (p<0.05). On the other hand, no statistically significant difference was found between the workload, technology, communication and knowledge sub-dimension score. Conclusion: It is seen that the nurses have had positive attitudes related to the Monitoring the Vital Signs.

Keywords: Vital signs; nursing; attitude
REFERENCES:
  1. Elliott M, Coventry A. Critical care: The eight vital signs of patient monitoring. Br J Nurs. 2012;21(10):621-5. [Crossref]  [PubMed] 
  2. Yıldırım Sarı H, Çevik Yöntem S, Demir D, Karaoğlan N, Şengün Başkurt S, Çimen S. Pediatri hemşirelerinin yaşam bulgularına yönelik bilgi ve tutumları [The knowledge and attitudes of pediatric nurses towards vital signs]. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013;10(1):38-44. [Link] 
  3. Johnson KD, Winkelman C, Burant CJ, Dolansky M, Totten V. The factors that affect the frequency of vital sign monitoring in the emergency department. J Emerg Nurs. 2014;40(1):27-35. [Crossref]  [PubMed] 
  4. Oktay AA, Yel F, Gülpak M, Uzun H, Önal Ö. Hemşirelik bölümü öğrencilerinin yaşam bulgularına ilişkin bilgi düzeyleri [Knowledge levels of the vital signs of nursing students]. KSÜ Tıp Fakültesi Dergisi. 2017;12(2):21-7. [Link] 
  5. Büyükçamsarı N, Eti Aslan F. Cerrahi hemşirelerinin yaşam bulgularını değer lendirme ve klinik karar verme durumlarının incelenmesi [Status rewiew of assessment and clinical decision making of surgical nurses for vital signs]. Türkiye Klinikleri J Nurs Sci. 2018;10(1):38-48. [Crossref] 
  6. Gülnar E, Doğan Yılmaz E, Özveren H. Hemşirelerin yaşam bulgularına ilişkin tutum ve uygulamalarının belirlenmesi [Determination of nurses' attitudes and applications on vital signs]. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020;22(3):377-85. [Crossref] 
  7. Weenk M, van Goor H, Frietman B, Engelen LJ, van Laarhoven CJ, Smit J, et al. Continuous Monitoring of vital signs using wearable devices on the general ward: Pilot study. JMIR Mhealth Uhealth. 2017;5(7):e91. Erratum in: JMIR Mhealth Uhealth. 2021;9(7):e31899. [Crossref]  [PubMed]  [PMC] 
  8. Rose L, Clarke SP. Vital signs. Am J Nurs. 2010;110(5):11. [Crossref]  [PubMed] 
  9. Mok WQ, Wang W, Liaw SY. Vital signs monitoring to detect patient deterioration: An integrative literature review. Int J Nurs Pract. 2015;21 Suppl 2:91-8. [Crossref]  [PubMed] 
  10. Freit CM, Preto EP, Nascimento CA. Nursing interventions for the early detection of ward patients' clinical deterioration: An integrative review. Revista de Enfermagem Referência. 2017;IV(14):121-30. [Crossref] 
  11. Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. [Crossref]  [PubMed]  [PMC] 
  12. Bunkenborg G, Samuelson K, Akeson J, Poulsen I. Impact of professionalism in nursing on in-hospital bedside monitoring practice. J Adv Nurs. 2013;69(7):1466-77. [Crossref]  [PubMed] 
  13. Stevenson JE, Israelsson J, Nilsson GC, Petersson GI, Bath PA. Recording signs of deterioration in acute patients: The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest. Health Informatics J. 2016;22(1):21-33. [Crossref]  [PubMed] 
  14. Mochizuki K, Shintani R, Mori K, Sato T, Sakaguchi O, Takeshige K, et al. Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: A single-center, case-control study. Acute Med Surg. 2016;4(2):172-8. [Crossref]  [PubMed]  [PMC] 
  15. Mok W, Wang W, Cooper S, Ang EN, Liaw SY. Attitudes towards vital signs monitoring in the detection of clinical deterioration: Scale development and survey of ward nurses. Int J Qual Health Care. 2015;27(3):207-13. [Crossref]  [PubMed] 
  16. Ludin SM, Ruslan R, Mat Nor MB. Deteriorating patients and risk assessment among nurses and junior doctors: A review. IIUM Medical Journal Malaysia. 2018;17(1):153-62. [Crossref] 
  17. Kellett J, Sebat F. Make vital signs great again-a call for action. Eur J Intern Med. 2017;45:13-9. [Crossref]  [PubMed] 
  18. Edwards SM, Murdin L. Respiratory rate-an under-documented clinical assessment. Clin Med (Lond). 2001;1(1):85. [Crossref]  [PubMed]  [PMC] 
  19. Cretikos MA, Bellomo R, Hillman K, Chen J, Finfer S, Flabouris A. Respiratory rate: The neglected vital sign. Med J Aust. 2008; 188(11):657-9. [Crossref]  [PubMed] 
  20. Leuvan CH, Mitchell I. Missed opportunities? An observational study of vital sign measurements. Crit Care Resusc. 2008;10(2):111-5. [PubMed] 
  21. Ertuğ N. Evaluating the validity and reliability of the V-scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring. Int J Nurs Pract. 2018;24(3):e12637. [Crossref]  [PubMed] 
  22. Kamio T, Kajiwara A, Iizuka Y, Shiotsuka J, Sanui M. Frequency of vital sign measurement among intubated patients in the general ward and nurses' attitudes toward vital sign measurement. J Multidiscip Healthc. 2018;11:575-81. [Crossref]  [PubMed]  [PMC] 
  23. Teixeira CC, Boaventura RP, Souza ACS, Paranaguá TTB, Bezerra ALQ, Bachion MM, et al. Vital signs measurement: An indicator of safe care delivered to elderly patients. Texto Contexto Enferm, Florianópolis. 2015;24(4):1071-8. [Crossref] 
  24. Prgomet M, Cardona-Morrell M, Nicholson M, Lake R, Long J, Westbrook J, et al. Vital signs monitoring on general wards: Clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology. Int J Qual Health Care. 2016;28(4):515-21. [Crossref]  [PubMed] 
  25. Tay B, Akyürek Tay B. Sosyal bilgiler dersine yönelik tutumun başarıya etkisi [The effects of attitude on success in social sciences courses]. Türk Eğitim Bilimleri Dergisi. 2006; 4(1):73-84. [Link] 
  26. Teközel İM, Leblebici Ç, Meşe G, Sürgevil O, Çoklar I, Solak N, Paker O, Perçin Ü, Uğurlar PN, Bilgim AS. Sosyal Psikoloji. Bilgin N, editör. No. 145. VI I. Baskı. İzmir: Ege Üniver sitesi Edebiyat Fakültesi Yayınları. 2016. p. 120.
  27. Kaya N, Turan N, Öztürk A. Türkiye'de erkek hemşire imgesi [Men nurse image in Turkey]. Uluslararası İnsan Bilimleri Dergisi. 2011; 8(1):16-30. [Link] 
  28. Kavurmacı M, Küçükoğlu S. Erkekler neden hemşire olmak istiyor? [Why men want to be a nurse?]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014;17(1):1-5. [Link] 
  29. Kocaer Ü, Öztop T, Usta N, Gökçek D, Bahçecik N, Öztürk H, et al. Hemşirelik mesleğinde erkek üyelerin yeri [Male members in nursing]. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi. 2004;7(2):23-9 Available from: [Link] 
  30. Turan N, Öztürk A, Kaya H, Aşti TA. Toplumsal cinsiyet ve hemşirelik [Gender and nursing]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2011;4(1):167-73. [Link] 
  31. Dönmez L. Eri̇şki̇n hastada kan basıncı ölçümü konusundaki̇ teori̇k bi̇lgi̇ düzeyi̇ni̇n tıp eği̇ti̇mi̇ni̇n değerlendi̇ri̇lmesi̇nde bi̇r gösterge olarak kullanılabilirliği [Usability of theoretical knowledge level on measurement of blood pressure among adult subjects as an indicator for evaluation of the medical education]. Tıp Eğitimi Dünyası. 2015;(43):75-82. [Link] 
  32. Smith AF, Wood J. Can some in-hospital cardio-respiratory arrests be prevented? A pros pective survey. Resuscitation. 1998;37(3): 133-7. [Crossref]  [PubMed] 
  33. Flenady T, Dwyer T, Applegarth J. Accurate respiratory rates count: So should you! Australas Emerg Nurs J. 2017;20(1):45-7. [Crossref]  [PubMed] 
  34. Elliott M. Why is respiratory rate the neglected vital sign? A narrative review. Int Arch Nurs Health Care. 2016;2(3):2-4. [Crossref] 

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