Amaç: Çalışma, hemşirelik öğrencilerinin problem çözme becerilerinin kanıta dayalı hemşirelik konusunda bilgi, tutum ve davranışları üzerine etkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel nitelikteki bu çalışmanın örneklemini, bir üniversitenin Sağlık Yüksekokulunda, 2018-2019 eğitim öğretim yılının bahar döneminde eğitim gören hemşirelik öğrencilerinden araştırmaya katılmayı kabul eden 89 öğrenci oluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen anket formu, Problem Çözme Ölçeği (PÇÖ) ve Kanıta Dayalı Hemşirelik Bilgi, Tutum ve Davranış Ölçeği aracılığıyla toplanmıştır. Verilerin analizi için sayı, yüzdelik dağılımlar, ortalama, standart sapma, Kruskal-Wallis, Mann-Whitney U testleri ve korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 21,10+1,40 olup, %71,9'unun kadın, %41,6'sının hemşirelik 2. sınıf, %59,6'sının da anadolu lisesi mezunu olduğu tespit edilmiştir. Öğrencilerinin PÇÖ puan ortalaması 95,13±17,91 ve Kanıta Dayalı Hemşirelik Bilgi, Tutum ve Davranış Ölçeği toplam puan ortalaması ise 98,22±13,67 olarak saptanmıştır. Meslekle ilgili sempozyum/kongreye katılan, araştırma yapmayı isteyen ve araştırma yapan öğrencilerin PÇÖ puan ortalamaları daha düşük, aralarındaki fark ise anlamlı bulunmuştur (p=0,001). Hemşirelik 4. sınıf olan ve meslekleriyle ilgili dergi okuyan öğrencilerin, Kanıta Dayalı Hemşirelik Bilgi, Tutum ve Davranış Ölçeği puan ortalamaları daha yüksek olup, aralarında istatistiksel olarak anlamlı fark saptanmıştır (p=0,036). Öğrencilerin PÇÖ ile Kanıta Dayalı Hemşirelik Bilgi, Tutum ve Davranış Ölçeği puanları arasında ise istatistiksel olarak anlamlı bir ilişki bulunmamıştır (p=0,09). Sonuç: Çalışmamızda, hemşirelik öğrencilerinin problem çözme becerilerinin orta düzeyde ve kanıta dayalı bilgi, tutum ile davranışlarının ise iyi düzeyde olduğu saptanmıştır. Bu sonuçlar doğrultusunda, hemşirelik bakım hizmetinin kalitesini ve memnuniyeti artırmak, bakımı standartlaştırmak için kanıta dayalı uygulamalara ilişkin hemşirelik öğrencilerinin eğitilmesi, hemşirelik derslerinde çeşitli eğitim ve öğretim yöntemleri kullanılarak problem çözme becerilerin geliştirilmesi önerilebilir.
Anahtar Kelimeler: Problem çözme; kanıta dayalı hemşirelik; öğrenci; hemşirelik
Objective: Study was conducted to evaluate the effect of nursing students' problem solving skills on knowledge, attitudes and behaviors about evidence-based nursing. Material and Methods: The sample of this descriptive and cross-sectional study consisted of 89 students who agreed to participate in the research from nursing students studying in the spring term of 2018-2019 academic year at a university Health School. The data were collected through questionnaire developed by the researchers, the 'Problem Solving Scale (PSS)' and the Evidence Based Nursing Knowledge, Attitude and Behavior Scale. For analysis of data, number, percentage distributions, mean, standard deviation, Kruskal-Wallis, Mann-Whitney U tests and correlation analysis were used. Results: The average age of the students participating in the study was 21.10+1.40, 71.9% of the students were woman, 41.6% were nursing 2nd grade, 59.6% were Anatolian High School graduates. The mean score of the students' PSQ was 95.13±17.91 and total score average of 'Evidence Based Nursing Information, Attitude and Behavior Scale' was 98.22±13.67. The PSS score averages of the students who participated in the occupational symposium/congress, wanted to do research and did research were found lower and the difference between them was significant (p=0.001). Students who are 4th grade nursing and read magazines related to their professions have higher mean scores on 'Evidence Based Nursing Knowledge, Attitude and Behavior Scale' and a statistically significant difference was found between them (p=0.036). No statistically significant relation was found between the PSS and 'Evidence Based Nursing Knowledge, Attitude and Behavior Scale' scores of the students (p=0.09). Conclusion: In our study, it was found that nursing students' problem solving skills intermediate level and evidence-based knowledge, attitudes and behaviors were good level. In line with these results, it can be suggested to train nursing students on evidence-based practices in order to increase the quality and satisfaction of nursing care service and to standardize care, and to develop problem solving skills by using various education and training methods in nursing lessons.
Keywords: Problem solving; evidence-based nursing; student; nursing
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