Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Klinik Uygulamanın Hemşirelik Öğrencilerinin Problem Çözme ve Karar Verme Becerilerine Etkisi: Yarı Deneysel Çalışma
The Effect of Clinical Practice on Nursing Students' Problem Solving and Decision-Making Skills: A Quasi-Experimental Study
Sevda ARSLAN ŞEKERa, Gülhan ERKUŞ KÜÇÜKKELEPÇEb
aMunzur Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Tunceli, Türkiye
bAdıyaman Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Adıyaman, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1064-78
doi: 10.5336/nurses.2022-88790
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmada, klinik uygulamanın hemşirelik son sınıf öğrencilerinin problem çözme ve karar verme becerilerine etkisinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Kontrol grupsuz öntest ve son-test yarı deneysel türde yapılan bu araştırmanın örneklemini 77 öğrenci oluşturmuştur. Veriler, Tanıtıcı Özellikler Formu, Problem Çözme Envanteri (PÇE) ve Hemşirelikte Klinik Karar Verme Ölçeği (HKKVÖ) kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız örneklem t-testi, bağımlı örneklem t-testi kullanılmıştır. Bulgular: Öğrencilerin ön-test PÇE puan ortalaması 85,97±18,29 iken son-test puan ortalaması 93,01±18,40'tır. HKKVÖ ön-test puan ortalaması 97,82±16,64 iken son-test puan ortalaması 138,14±15,13'tür. Öğrencilerin, ön-test ve son-test PÇE toplam, Düşünen yaklaşım, Kendine güvenli yaklaşım, Planlı yaklaşım alt boyut puan ortalamaları ile HKKVÖ ve alt boyutları arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p0,05). Sonuç: Hemşirelik öğrencilerinin problem çözme ve karar verme becerileri orta düzeydedir. Öğrencilerin problem çözme ve karar verme ile ilgili ders/kurs alma durumlarının son-testte problem çözme beceri algılarını azalttığı, erkek öğrencilerin ön-test Sonuçları değerlendirmek alt boyutu puan ortalamalarının kadın öğrencilerden anlamlı derecede daha fazla olduğu bulunmuştur. Problem çözme ve karar verme becerilerinin geliştirilmesinde klinik öğretim sürecine farklı öğretim yöntemlerinin eklenmesi önerilmektedir.

Anahtar Kelimeler: Eğitim; hemşirelik; karar verme; problem çözme; hemşirelik yönetimi araştırması
ABSTRACT
 Objective: To determine the effect of clinical practice on senior nursing students' problem-solving and decision-making skills. Material and Methods: The sample of this study, which was conducted in the pretest-posttest quasi-experimental type without a control group, consisted of 77 students. Data were collected using Descriptive Characteristics Form, Problem Solving Inventory (PSI), and Clinical Decision Making in Nursing Scale (CDMNSTr). Descriptive statistics, independent sample t-test, dependent sample t-test were used in the analysis of the data. Results: It was determined that the PSI mean score of the students in the pre-test was 85.97±18.29, the post-test mean score was 93.01±18.40. While the pre-test mean score of CDMNSTr was 97.82±16.64, post-test score was 138.14±15.13. A statistically significant difference was found between the pre-test and post-test PSI total, the Thinking approach, the Self-confident approach, the Planned approach sub-dimension mean scores, and the CDMNSTr and its subdimensions (p0.05). Conclusion: Nursing students' problem-solving and decision-making skills were moderate. It was found that the students' taking a course related to problem solving and decision making decreased their perception of problem-solving skills in the post-test, and male students' pre-test Evaluating results subdimension mean score was significantly higher than that of female students. It is recommended to add different teaching methods to the clinical teaching process in order to develop problem-solving and decision-making skills.

Keywords: Education; nursing; decision making; problem solving; nursing administration research
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