Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Nurses' Knowledge and Attitudes in Relation to Wound Infection and Wound Culture: A Quasi-Experimental Study
Yara Enfeksiyonu ve Yara Kültürü Almada Hemşirelerin Bilgi ve Tutum Düzeyleri: Yarı Deneysel Çalışma
Semra EYİa
aDepartment of Surgical Nursing, Eskişehir Osmangazi University Faculty of Health Sciences, Eskişehir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):903-13
doi: 10.5336/nurses.2023-96604
Article Language: EN
Full Text
ABSTRACT
 Objective: This study investigated the effect of training by measuring nurses' knowledge, attitudes in relation to infected wounds, methods and times of taking cultures from infected wounds, and the effect of wound cultures in guiding wound management. Material and Methods: A quasi-experimental study was conducted with 153 nurses working in surgical and intensive care units. Data were collected between July-November 2022, before (pre-test) and after (posttest) training on wound infection and wound culture, using a questionnaire consisting of 3 parts: ''nurses' demographic characteristics'', ''nurses' knowledge'' and ''nurses' attitudes towards wound infection and wound culture.'' Results: Nurses' knowledge of wound infection and wound culture increased after training, but this did not affect their attitudes. While nurses' knowledge scores were found to be low, particularly in issues of timing of wound culture and the process of obtaining wound culture specimens, nurses' attitude scores were found to be low before and after training in relation to the timing of wound culture and the interpretation of what microorganisms can be found as a result of wound culture. Knowledge and attitude scores were found to be unaffected by years in the profession and wound care experience, whereas their gender was significantly affected. While a significant increase in knowledge scores was observed in males and in attitude scores was observed in females. Conclusion: Due to the lack of a practical unity of practice and gaps in knowledge on wound infection and wound culture collection, a comprehensive training programme focusing on evidence-based practice is needed to ensure better clinical practice.

Keywords: Wound infection; culture techniques; education; nursing; nursing care
ÖZET
 Amaç: Bu çalışmada, enfekte yaralar, enfekte yaralarda kültür alma yöntemleri ve zamanı, yara kültürlerinin yara bakımı ve tedaviyi yönlendirmede etkisi konularında hemşirelerin bilgi, tutum ve beceri düzeylerini ve verilen eğitimin etkisini incelemek amaçlandı. Gereç ve Yöntemler: Tek merkezli, ön test-son test tek gruplu yarı deneysel tasarımda olan bu çalışma, bir üniversite hastanesinin cerrahi birimlerinde ve yoğun bakım ünitelerinde çalışan toplam 153 hemşire ile gerçekleştirildi. Veriler, Temmuz-Kasım 2022 tarihleri arasında, yara enfeksiyonu ve yara kültürü eğitiminden önce (ön test) ve sonra (son test) ''hemşirelerin demografik özellikleri'', ''hemşirelerin bilgisi'' ve ''hemşirelerin yara enfeksiyonu ve yara kültürüne yönelik tutumları'' olmak üzere 3 bölümden oluşan bir anket kullanılarak toplandı. Bulgular: Bu çalışma, hemşirelerin yara enfeksiyonu ve yara kültürüne yönelik bilgi düzeylerinin eğitim sonrasında arttığını, ancak bilgi düzeyindeki artışın tutum düzeylerini etkilemediği belirlendi. Hemşirelerin özellikle yara kültürü alma zamanı ve yara kültür numunesi teslim süreci ile ilgili konularda bilgi puanları düşük bulunurken; yara kültürü alma zamanı, yara kültürü sonucunda hangi mikroorganizmaların bulunabileceğini yorumlama konularında eğitim öncesi ve sonrası tutum yönünden düşük puanlara sahip oldukları belirlendi. Hemşirelerin bilgi puanı ve tutum puanını meslekte çalışma yılı ve yara bakım deneyimlerinin etkilemediği, cinsiyetlerini ise anlamlı derecede etkilediği belirlendi. Erkeklerin bilgi puanlarında, kadınların ise tutum puanlarında anlamlı oranda yükselme görüldü. Sonuç: Yara enfeksiyonu ve yara kültürü alma konularında pratik olarak bir uygulama birliği olmayışı ve bilgi düzeyindeki eksiklikler nedeniyle daha iyi klinik uygulamalar sağlamak için kanıta dayalı uygulamaya odaklanan kapsamlı bir eğitim programı gereklidir.

Anahtar Kelimeler: Yara enfeksiyonu; kültür teknikleri; eğitim; hemşire; hemşirelik bakımı
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