Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
The Difficulties Experienced by Surgical Nurses in Elderly Patient Care on Ageism: Descriptive Research
Cerrahi Hemşirelerinin Yaşlı Hastaya Bakım Verirken Yaşadıkları Güçlüklerin Yaşlı Ayrımcılığına Etkisi: Tanımlayıcı Araştırma
Meryem Türkan IŞIKa , Seda DUMANb
aDepartment of Fundamental Nursing, Mersin University Faculty of Nursing, Mersin, Türkiye
bMersin University Health Research and Application Center, Mersin, Türkiye
Turkiye Klinikleri J Med Ethics. 2023;31(3):199-207
doi: 10.5336/mdethic.2023-97299
Article Language: EN
Full Text
ABSTRACT
The aim of this descriptive study was to determine the difficulties experienced by surgical nurses in elderly patient care and the effect of these difficulties on ageism. The study sample consisted of 148 nurses who were working in the surgical departments of a university hospital between April and May 2019, who provided care to patients over 65 years of age and who agreed to participate in the study. Data were collected using a data collection form prepared based on the literature and the Ageism Attitude Scale (AAS). The results showed that the vast majority of the surgical nurses were worried about having health problems such as back and low-back pain and dropping the patient and more than half of them experienced work fatigue/burnout, which they considered as difficulties caused by nurses themselves. Also, almost all of them stated that not having sufficient number of nurses and support staff during care was a difficulty caused by the institution while not having sufficient care equipment was another for more than half of the nurses. It was determined that the surgical nurses' mean total score in the AAS was 66.74±6, with the highest score being 84 and the lowest score being 46. The findings revealed that, during the elderly care process, almost all of the surgical nurses in the study experienced difficulties that were caused by elderly patients, the institution, nurses themselves and surgical process, but they still had positive attitudes towards ageism despite these difficulties.

Keywords: Ageism; care; difficulty; surgery; nurse
ÖZET
Araştırma, cerrahi hemşirelerinin yaşlı hasta bakımında yaşadığı güçlükler ve bu güçlüklerin yaşlı ayrımcılığına etkisini belirlemek amacıyla tanımlayıcı olarak yapıldı. Araştırmanın örneklemini, Mayıs-Haziran 2019 tarihleri arasında; bir üniversite hastanesinin cerrahi kliniklerinde çalışan 65 yaş üstü hastalara bakım veren ve çalışmaya katılmayı kabul eden 148 hemşire oluşturdu. Araştırmada, verilerin toplanmasında literatür ışığında oluşturulan veri toplama formu ve Yaşlı Ayrımcılığı Tutum Ölçeği kullanıldı. Araştırmada cerrahi hemşirelerinin, yaşlı bakım sürecinde tamamına yakını sırt, bel ağrısı gibi sağlık sorunları yaşama korkusunu, hastayı düşürme korkusunu, yarısından fazlasının iş yorgunluğu/tükenmişlik hissetmesini kendisinden, tamamına yakının bakım sırasında yeterli sayıda hemşire ve yardımcı personelin olmamasını, yarısından fazlasının bakım için yeterli araç gerecin olmamasını kurumdan kaynaklanan güçlükler olarak gördüğü belirlendi. Cerrahi hemşirelerinin Yaşlı Ayrımcılığı Tutum Ölçeği toplam puan ortalamasının 66,74±6, maksimum puanın 84 ve minimum puanın 46 olduğu belirlendi. Araştırma, cerrahi hemşirelerinin tamamına yakınının yaşlı bakım sürecinde yaşlı hastadan, kurumdan, kendisinden ve cerrahi süreçten kaynaklı çeşitli güçlükler yaşadığını, yaşanan bu güçlüklere rağmen yaşlı ayrımcılığına yönelik olumlu tutum sergilediklerini ortaya koydu.

Anahtar Kelimeler: Yaşlı ayrımcılığı; bakım; güçlük; cerrahi; hemşire
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