Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Nursing Workload: Direct and Indirect Care Practices: Descriptive, Cross-Sectional Research
Hemşirelik İş Yükü: Direkt Bakım ve Dolaylı Bakım Uygulamaları: Tanımlayıcı, Kesitsel Araştırma
Asibe ÖZKANa,b, Füsun AFŞARb
aSağlık Bilimleri Üniversitesi Hamidiye Hemşirelik Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
bİstanbul Başakşehir Çam ve Sakura Şehir Hastanesi, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):136-44
doi: 10.5336/nurses.2022-92073
Article Language: EN
Full Text
ABSTRACT
 Objective: Workload is a multidimensional and complex concept that determines the nurse's performance and quality of care. In this study; it was aimed to determine how the workload of nurses working in internal and surgical clinics of A1 training and research hospitals is distributed between direct care and indirect care practices, how much time is allocated to which practices and to form a basis for the relevant clinical nurse employment according to the obtained data. Material and Methods: The data form devised for the collection of the study data, prepared within the framework of the job descriptions in Annex 3 of the Nursing Regulation was a result of brainstormings from the daily patient experiences of health care services unit supervisors, special branch nurses, and responsible nurses of the relevant clinics in line with the literature as ten sub-titles with a total of 51 questions. Evaluation was made on 54 forms, and the forms werw filled by the nurses who performed the application. Results: The time spent on one-to-one patient care practices such as interventional applications, external practices, diagnosis & treatment, educational activities, emergencies and drug administration was 3,853 minutes. The time spent on consultation, registration, pharmacy transactions, and non-clinical transactions was 1,239 minutes. Conclusion: Of the recorded 33,480 minutes of applications, 17,338 (51.7%) minutes were spent on patient care practices, and 5,575 (16.6%) minutes were spent on indirect care practices.

Keywords: Workload; nursing care
ÖZET
 Amaç: İş yükü, hemşirenin performansını ve bakımın kalitesini etkileyen çok boyutlu ve kompleks bir kavramdır. Bu çalışma; A1 eğitim ve araştırma hastanesi dahili ve cerrahi kliniklerinde çalışan hemşirelerin iş yükünün, direkt bakım ve dolaylı bakım uygulamaları arasında nasıl dağılım gösterdiğinin, hangi uygulamalara ne kadar vakit ayrıldığının saptanması ve elde edilen sonuçlara göre ilgili klinik hemşire istihdamına baz oluşturması amacı ile planlandı. Gereç ve Yöntemler: Şubat 2019 yılında tanımlayıcı, kesitsel ve gözlemsel olarak gerçekleştirilen çalışma toplam 91 servis yatağına hizmet veren 24 hemşire ile yapıldı. Çalışma verilerinin toplanması için geliştirilen veri formu; Hemşirelik Yönetmeliği Ek 3'te yer alan görev tanımları ve sağlık bakım hizmetleri birim sorumluları, özel dal hemşireleri ve adı geçen kliniklerin sorumlu hemşireleri ile birlikte 24 saat boyunca yaptıkları uygulamaların beyin fırtınası yapılarak listelenmiş ve beyin fırtınasında söylenen tüm uygulamalar özelliklerine göre literatür doğrultusunda 16 başlık ve toplam 51 soru olarak düzenlenmiştir. Değerlendirme 54 form üzerinden yapılmış, formlar uygulamayı yapan hemşireler tarafından doldurulmuştur. Bulgular: Girişimsel uygulamalar, eksternal uygulamalar, tanı-tedavi, eğitim faaliyetleri acil durum ve ilaç uygulamaları gibi birebir hasta bakımına ilişkin uygulamalara harcanan süre 3.853 dk, bakımın sağlanabilmesi için gerekli dolaylı bakım uygulamaları olan; konsültasyon, kayıt işlemleri, eczane işlemleri ve klinik dışı işlemler başlıklarına harcanan sürenini ise 1.239 dk olduğu saptandı. Sonuç: Uygulamaların kayıt altına alındığı toplam 33.480 dk sürenin 17.338 (%51,7'si) dk'sı hasta bakım uygulamalarına, 5.575 (%16,6'sı) dk'sının ise dolaylı bakım uygulamalarına harcandığı görüldü.

Anahtar Kelimeler: İş yükü; hemşirelik bakımı
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