Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelik Yönetmeliğindeki Hemşirelik Girişimleri Listesi'nin Uygulamadaki Yansımalarının Belirlenmesi
Determination of Reflections to Nursing Practices of the List of Nursing Regulation
Mehmet GÜLŞENa, Nurcan BİLGİNa, Adalet KUTLUa, Ümran BİNGÖLb, Ferya KARADAĞ YALÇINc
aManisa Celal Bayar Üniversitesi Sağlık Bilimleri Fakültesi, Manisa, TÜRKİYE
bİzmir İl Sağlık Müdürlüğü, Çiğli Bölge Eğitim Hastanesi, İzmir, TÜRKİYE
cManisa Celal Bayar Üniversitesi Hafsa Sultan Hastanesi, Manisa, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(1):93-113
doi: 10.5336/nurses.2019-65792
Article Language: TR
Full Text
ÖZET
 Amaç: Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik Ek 3'te yer alan Hemşirelik Girişimleri Listesi'nin uygulamadaki yansımalarının belirlenmesidir. Gereç ve Yöntemler: Bu araştırma, tanımlayıcı kesitsel tipte bir araştırmadır. Araştırmanın evrenini İzmir ve Manisa illerinde bulunan bir üniversite hastanesi, bir eğitim ve araştırma hastanesi, üç devlet hastanesi ve bir özel hastanede çalışan sorumlu hemşireler oluşturdu (n=130). Örnekleme yöntemine gidilmeden tüm evrene ulaşılması hedeflendi. Araştırmaya katılmaya gönüllü olan 118 (%90,7) sorumlu hemşireye ulaşıldı. Veri toplama aracı olarak 'Bilgi Formu' ve Hemşirelik Yönetmeliğindeki 'Hemşirelik Girişimleri Listesi' kullanıldı. Veriler araştırmacılar tarafından Eylül 2017-Mayıs 2018 tarihleri arasında toplandı. Etik kurul onayı ve kurum izinleri alındı. Veriler bir istatistik paket programında analiz edildi. Verilerin analizinde sayı ve yüzde değerleri kullanıldı. Bulgular: Araştırmaya katılan sorumlu hemşirelerin yaş ortalaması 39,11±6,33 yıl idi ve %89,8'i kadındı. Sorumlu hemşirelerin %47,5'i Hemşirelik Yönetmeliğindeki Hemşirelik Girişimleri Listesi'nden haberdar olduklarını ve %34,7'si bu listeyi daha önce incelediklerini belirtti. Hemşirelik girişimlerinin uygulanış şeklinin yönetmelikte belirtildiği hâli ve hastanelerdeki uygulama arasındaki benzerliği değerlendirildiğinde; 'Hemşirelik kararı ile uygulanır' şeklinde belirtilen girişimlerin en yüksek uyuma (%70,40) sahip olduğu görüldü. Hemşirelik girişimlerinin tümü göz önüne alındığında, genel uyum ise %42,81 olarak hesaplandı. Sonuç: Sorumlu hemşirelerin yarısından fazlasının Hemşirelik Yönetmeliğindeki Hemşirelik Girişimleri Listesi'nden haberdar olmadığı ve incelemediği bulundu. Hemşirelik girişimlerinin uygulamadaki yansımaları değerlendirildiğinde; yönetmelikte belirtilen uygulanış şekli ile hastanelerdeki uygulanış şekli arasındaki farklılıkların (özellikle hemşire ve hekim kararıyla uygulanan girişimlerde) fazla olduğu görüldü.

Anahtar Kelimeler: Hemşirelik; hemşirelik yönetmeliği; hemşirenin rolü
ABSTRACT
 Objective: The purpose of this study is to determine the reflections to application fields of the list of nursing interventions in the nursing regulation. Material and Methods: This is a descriptive cross-sectional study. The universe consisted of responsible nurses working in one university hospital, one education and research hospital, three hospitals affiliated to the Ministry of Health and one private hospital located in Izmir and Manisa provinces (n=130). It was aimed to reach the whole universe. A total of 118 (90.7%) responsible nurses volunteered to participate in the study. Information Form and the Nursing Practices List (NPL) in the Nursing Regulation were used as data collection tools. The data were collected by the researchers between September 2017-May 2018. Ethics approval and institution permits were taken. Data were analysed in a statistical package program. The numbers and percentages were used in analyses. Results: It was found that the mean age of responsible nurses was 39.11±6.33 and 89.8% were woman. 47.5% of nurses stated that they were aware of NPL and 34.7% stated that they had already examined this list. With 70.40% of the average, the interventions 'implemented with nursing decision' were very complying with NPL. The overall compliance with the regulation was calculated as 42.81%. Conclusion: More than half of the nurses reported that they had not previously been informed of and reviewed the NPL. When the reflections of NPL to nursing practices are evaluated; it was seen that the differences between the way of application stated in the NPL and the way of application in hospitals (especially in the interventions implemented by the decision of nurse and physician) were high.

Keywords: Nursing; nursing regulation; nurse's role
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