Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelik Öğrencilerinin Klinik Uygulamalarda Yaşam Bulguları Takibine Yönelik Bilgi ve Tutumları: Tanımlayıcı-Kesitsel Çalışma
Nursing Students' Knowledge and Attitudes Towards Vital Signs Monitoring in Clinical Practices: Descriptive-Cross-Sectional Study
Özlem FİDANa , Arife ŞANLIALP ZEYREKa
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları AD, Denizli, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):135-45
doi: 10.5336/nurses.2024-104534
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemşirelik öğrencilerinin yaşam bulgularını izlemeye yönelik bilgi ve tutumlarını, ayrıca bu tutumları etkileyen faktörleri değerlendirmek amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Bu tanımlayıcı ve kesitsel tipteki araştırma, Türkiye'deki bir üniversitenin sağlık bilimleri fakültesindeki 2, 3 ve 4. sınıf 458 hemşirelik öğrencisi ile yürütülmüştür. Araştırmanın verileri Öğrenci Tanımlama Formu, Yaşam Bulguları Ölçeği ve Yaşam Bulguları Başarı Testi formları kullanılarak toplanmıştır. Veri analizinde bağımsız değişkenlerin karşılaştırılması için t-testi ve tek yönlü varyans analizi, sürekli değişkenler arasındaki ilişkilerin incelenmesi için ise Pearson korelasyon analizi uygulanmıştır. Bulgular: Hemşirelik öğrencilerinin yaşam bulgularını ölçmeyle ilgili bilgi düzeyleri orta düzeyin üzerinde (15,32±2,64), tutumları ise orta düzeyde (56,09±6,93) bulunmuştur. Bilgi testinde en yüksek ortalama puana (15,80±2,67) 4. sınıf öğrencileri sahip olmuştur. Hemşirelik eğitimi almaktan (57,12±6,74) ve klinik uygulama yapmaktan memnun olan (56,96±6,76) öğrencilerin yaşam bulgularını ölçmeye yönelik tutumlarının daha olumlu olduğu belirlenmiştir. Hemşirelik öğrencilerinin 2/3'ü bilgi alt ölçeğinde olumlu tutum sergilerken, %62,2'si ''SpO2, solunum fonksiyon bozukluğunun erken bulgularını yansıtmada solunum sayısından daha güvenilir bir göstergedir'' ifadesine ''katılıyorum'' veya ''kesinlikle katılıyorum'' diyerek hatalı bilgileri onaylamıştır. Ayrıca öğrencilerin ¼'ü yaşam bulgularını ölçmeyi zaman alıcı ve sıkıcı bir iş olarak ifade etmiştir. Hastanın durumunun kötüye gittiğinin belirlenmesinde önemli bir yaşam bulgusu olan solunumun sayılmasıyla ilişkili maddelerde öğrencilerin 1/5'inden fazlasının olumsuz tutumda olduğu tespit edilmiştir. Sonuç: Hemşirelik programındaki eğitim içeriklerinin güçlendirilmesi, hemşirelik öğrencilerinde yaşam bulgularını izlemeye yönelik olumlu tutumların gelişmesini sağlamak için klinik rotasyonları sırasında klinik eğitmenlerinden ve hemşirelerden destek sağlanması ve ileri çalışmaların gözlemsel olarak yapılması önerilir.

Anahtar Kelimeler: Bilgi; hemşirelik öğrencileri; klinik uygulama; tutum; yaşam bulgular
ABSTRACT
 Objective: This study was conducted to evaluate nursing students' knowledge and attitudes towards monitoring vital signs, as well as the factors influencing these attitudes. Material and Methods: This descriptive and cross-sectional study was conducted with 458 2nd, 3rd, and 4th year nursing students at the Faculty of Health Sciences at a university in Türkiye. The data of the study were collected using the Student Identification Form, Vital Signs Scale and Vital Signs Achievement Test. In the data analysis, t-tests and one-way analysis of variance were used to compare independent variables, while Pearson correlation analysis was applied to examine relationships between continuous variables. Results: In this study, nursing students' knowledge levels regarding vital signs measurement were found to be slightly higher than average (15.32±2.64), and their attitudes were found to be moderate (56.09±6.93). The 4th grade students achieved the highest average score (15.80±2.67) on the knowledge test. It was determined that students who were satisfied with receiving nursing education (57.12±6.74) and doing clinical practice (57.12±6.74) had more positive attitudes towards measuring vital signs. While 2/3 of nursing students displayed a positive attitude on the knowledge subscale, 62.2% agreed or strongly agreed with the statement ''SpO2 is a more reliable indicator than respiratory rate for reflecting early signs of respiratory dysfunction'', thereby endorsing incorrect information. In addition, 1/4 of the students stated that vital signs monitoring was a time-consuming and boring task. It was determined that more than 1/5 of the students had negative attitudes towards the items related to respiratory count, which is an important vital sign in determining clinical deterioration. Conclusion: It is recommended that the educational content in the nursing program be strengthened, support be provided from clinical instructors and nurses during clinical rotations to ensure that nursing students develop positive attitudes towards vital signs monitoring, and further observational studies be conducted.

Keywords: Attitude; clinical practice; knowledge; nursing students; vital signs
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