Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Yoğun Bakım Hemşirelerinin Deliryum Bilgi Düzeylerinin Değerlendirilmesi: Tanımlayıcı Çalışma
Assesment of Intensive Care Nurses' Delirium Knowledge Levels: Descriptive Study
Zeynep TEMİZa, Aylin AYDIN SAYILANb
aArtvin Çoruh Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Artvin, TÜRKİYE
bKırklareli Üniversitesi Sağlık Yüksekokulu, Hemşirelik Bölümü, Kırklareli, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(4):751-8
doi: 10.5336/nurses.2021-81030
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, yoğun bakım hemşirelerinin deliryum bilgi düzeylerini belirlemektir. Gereç ve Yöntemler: Çalışma, yoğun bakım ünitelerinde görev yapan 174 hemşire ile 01.11.2020- 31.12.2020 tarihleri arasında yapıldı. Verilerin toplanmasında, hemşire tanılama formu ve Yoğun Bakım Hemşiresi İçin Deliryum Bilgi Testi (DBT-YBH) kullanıldı. Veriler kartopu örnekleme yöntemi ile çevrim içi olarak toplandı. Verilerin analizinde, tanımlayıcı istatistikler, Mann- Whitney U, Kruskall-Wallis ve Spearman korelasyon testleri kullanıldı. Bulgular: Çalışmaya katılan hemşirelerin yaş ortalaması 27,11±4,76 ve %60,9'u 1 yıl ve daha az süredir yoğun bakımda çalışmaktadırlar. Hemşirelerin %50'si deliryum eğitimi almış ve %56,3'ü deliryum tanılama aracı kullanmaktadırlar. Hemşirelerin, DBT-YBH puan ortancası 16'dır (0-21). Hemşirelerin en çok 'Deliryumun önlenmesinde ilaç dışı (nonfarmakolojik) yaklaşımlar etkili değildir' ifadesine yanlış yanıt verdikleri (%94,3) görüldü. Deliryum hakkında eğitim alan hemşirelerin bilgi testi puan ortalaması anlamlı olarak daha yüksek bulundu (p<0,05). Sonuç: Deliryum ile ilgili eğitim alma durumunun deliryumu bilgi düzeyine etkili olduğu tespit edilmiş olup, mesleki ve meslek içi eğitimlerin artırılması, kanıta dayalı bilginin mesleksel gelişim açısından önemine daha çok dikkat çekilmesi önerilmektedir.

Anahtar Kelimeler: Yoğun bakım hemşireliği; nörobilişsel bozukluklar; deliryum; deliryum bilgi test
ABSTRACT
 Objective: The aim of this study was to determine the delirium knowledge level of intensive care nurses. Material and Methods: The study was conducted with 174 nurses working in intensive care units between 01.11.2020 and 31.12.2020. Data were collected using a nurse description form and the Delirium Knowledge Test for Intensive Care Nurses. The data were collected online using the snowball sampling method. In analysis of the data, descriptive statistics, Mann-Whitney U, Kruskal-Wallis, and Spearman's correlation tests were used. Results: The mean age of the nurses in the study was 27.11±4.76 years, and 60.9% had been working in intensive care for less than one year. Fifty percent of nurses had received delirium training,and 56.3% used a diagnostic tool for delirium. Nurses' median score on the Delirium Knowledge for Intensive Care Nurses Test was 16 (0-21). Nurses most frequently (94.3%) incorrectly responded to the statement that 'non-pharmacological approaches are ineffective in preventing delirium.' Nurses who had received education concerning delirium achieved a significantly mean test score (p<0.05). Conclusion: Receipt of education concerning delirium was found to affect delirium knowledge levels. We recommend that professional and in-service training be enhanced, and that greater attention be paid to Professional development in term of evidence-based knowledge.

Keywords: Critical care nursing; neurocognitive disorders; delirium; delirium knowledge test
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