.: DERLEME
Türkiye'de Hemşirelik Tezlerindeki Tele-Hemşirelik Uygulamalarının Etkisinin İncelenmesi: Sistematik Derleme
Investigation of the Effect of Tele-Nursing Practice in Nursing Thesis in Turkey: A Systematic Review
Turkiye Klinikleri J Nurs Sci. 2020;12(4):607-15
doi: 10.5336/nurses.2020-73609
Makale Dili: TR
Tam Metin
ÖZET
Tele-hemşirelik, hemşirelik alanında telekomünikasyon teknolojisini kullanarak bakım ve hizmetlerin sunumuna, yönetimine ve koordinasyonuna odaklanan tele-sağlığının bir alt kümesi olarak kabul edilir. Bu çalışma, Türkiye'de hemşirelik tezlerindeki tele-hemşirelik uygulamalarının etkilerinin incelenmesi amacıyla yapılmıştır. Çalışmaya 2010-2018 yılları arasında yazılan tezler alınmıştır. Tezler Ulusal Tez Merkezi veri tabanı ve "Tele-Hemşirelik","Hemşire ve telefon","Tele-sağlık", "Hemşire ve telefon tabanlı eğitim", "Hemşire ve web tabanlı eğitim"ve "Hemşire ve web tabanlı danışmanlık" anahtar kelimeleri kullanılarak tarandı. Toplam 44 teze ulaşıldı. Bunlardan dâhil etme ölçütlerine uyan toplam on makale değerlendirmeye alındı. İncelemeye alınan tezlerin örnekleminin 8'ini hastalar, 1'ini bakım vericiler ve 1'ini de ergen ve ebeveynler oluşturmaktadır. Derlemeye alınan tezlerin dördünün randomize kontrollü deneysel, üçünün deneysel, birinin yarı deneysel ve birinin de tek gruplu ön son test tasarımlı yarı deneysel araştırma deseninde olduğu belirtilmiştir. Derlemeye alınan tezlerin 7'sinde telefon, 2'sinde web tabanlı, 1'inde ise telefon ve video konferans iletişim yöntemi kullanılmıştır. Sistematik derleme kapsamında değerlendirmeye alınan çalışma bulgularına göre tele-hemşirelik girişimlerinin hastalıklara uyum, geçirilen operasyona uyum, yaşam kalitesinin artması, stresin azaltılması, komplikasyonların en aza indirilmesinde, hastaneye tekrar yatışların azalmasında etkili olduğu görülmüştür. Bu sistematik derleme, hemşirelik alanında yazılan tezlerdeki tele-hemşirelik uygulamalarının etkisini inceleyen çalışmaların niceliksel olarak ve müdahalelerin çoğunlukla telefon uygulaması ile sınırlı kaldığını, ancak etkilerin olumlu olduğunu ortaya koymuştur. Araştırmadan elde edilen sonuçların tele-hemşirelik konusundaki çalışmalara ışık tutacağı düşünülmektedir.
Anahtar Kelimeler: Telefonla hemşirelik; telefon; web tabanlı müdahale
Tele-hemşirelik, hemşirelik alanında telekomünikasyon teknolojisini kullanarak bakım ve hizmetlerin sunumuna, yönetimine ve koordinasyonuna odaklanan tele-sağlığının bir alt kümesi olarak kabul edilir. Bu çalışma, Türkiye'de hemşirelik tezlerindeki tele-hemşirelik uygulamalarının etkilerinin incelenmesi amacıyla yapılmıştır. Çalışmaya 2010-2018 yılları arasında yazılan tezler alınmıştır. Tezler Ulusal Tez Merkezi veri tabanı ve "Tele-Hemşirelik","Hemşire ve telefon","Tele-sağlık", "Hemşire ve telefon tabanlı eğitim", "Hemşire ve web tabanlı eğitim"ve "Hemşire ve web tabanlı danışmanlık" anahtar kelimeleri kullanılarak tarandı. Toplam 44 teze ulaşıldı. Bunlardan dâhil etme ölçütlerine uyan toplam on makale değerlendirmeye alındı. İncelemeye alınan tezlerin örnekleminin 8'ini hastalar, 1'ini bakım vericiler ve 1'ini de ergen ve ebeveynler oluşturmaktadır. Derlemeye alınan tezlerin dördünün randomize kontrollü deneysel, üçünün deneysel, birinin yarı deneysel ve birinin de tek gruplu ön son test tasarımlı yarı deneysel araştırma deseninde olduğu belirtilmiştir. Derlemeye alınan tezlerin 7'sinde telefon, 2'sinde web tabanlı, 1'inde ise telefon ve video konferans iletişim yöntemi kullanılmıştır. Sistematik derleme kapsamında değerlendirmeye alınan çalışma bulgularına göre tele-hemşirelik girişimlerinin hastalıklara uyum, geçirilen operasyona uyum, yaşam kalitesinin artması, stresin azaltılması, komplikasyonların en aza indirilmesinde, hastaneye tekrar yatışların azalmasında etkili olduğu görülmüştür. Bu sistematik derleme, hemşirelik alanında yazılan tezlerdeki tele-hemşirelik uygulamalarının etkisini inceleyen çalışmaların niceliksel olarak ve müdahalelerin çoğunlukla telefon uygulaması ile sınırlı kaldığını, ancak etkilerin olumlu olduğunu ortaya koymuştur. Araştırmadan elde edilen sonuçların tele-hemşirelik konusundaki çalışmalara ışık tutacağı düşünülmektedir.
Anahtar Kelimeler: Telefonla hemşirelik; telefon; web tabanlı müdahale
ABSTRACT
Telenursing is considered a subset of telehealth, which focuses on the delivery, management and coordination of care and services using telecommunications technology in the field of nursing. In this study, the effects of telenursing practice in nursing in Turkey thesis is made to investigate. Theses conducted between 2010 and 2018 were included in the study. Theses using the National Thesis Center database and keywords such as "Telenursing", "Nurse and phone", "Telehealth", "Nurse and phone-based education", "Nurse and webbased education" and "Nurse and web-based counseling" It was screened. A total of 44 theses were reached. Ten articles that meet the inclusion criteria were evaluated. 8 of the theses included in the examination are patients, 1 is caregivers and 1 is adolescents and parents. It was stated that four of the theses included in the review were randomized controlled experimental, three were experimental, one was semiexperimental, and one was a semi-experimental research design with single group pretest-posttest design. 7 of the theses included in the review were used telephone, 2 were web-based, and 1 were telephone and video conferencing. According to the findings of the study evaluated within the scope of systematic review, telenursing interventions were found to be effective in adapting to diseases, adapting to the operation, increasing the quality of life, reducing stress, minimizing complications, and reducing hospitalizations. This systematic review has revealed that studies examining the effect of telenursing applications in theses in the field of nursing are quantitatively and interventions are mostly limited to telephone application, but the effects are positive. It is thought that the results obtained from the research will shed light on studies on telenursing.
Keywords: Telenursing; telephone; web-based intervention
Telenursing is considered a subset of telehealth, which focuses on the delivery, management and coordination of care and services using telecommunications technology in the field of nursing. In this study, the effects of telenursing practice in nursing in Turkey thesis is made to investigate. Theses conducted between 2010 and 2018 were included in the study. Theses using the National Thesis Center database and keywords such as "Telenursing", "Nurse and phone", "Telehealth", "Nurse and phone-based education", "Nurse and webbased education" and "Nurse and web-based counseling" It was screened. A total of 44 theses were reached. Ten articles that meet the inclusion criteria were evaluated. 8 of the theses included in the examination are patients, 1 is caregivers and 1 is adolescents and parents. It was stated that four of the theses included in the review were randomized controlled experimental, three were experimental, one was semiexperimental, and one was a semi-experimental research design with single group pretest-posttest design. 7 of the theses included in the review were used telephone, 2 were web-based, and 1 were telephone and video conferencing. According to the findings of the study evaluated within the scope of systematic review, telenursing interventions were found to be effective in adapting to diseases, adapting to the operation, increasing the quality of life, reducing stress, minimizing complications, and reducing hospitalizations. This systematic review has revealed that studies examining the effect of telenursing applications in theses in the field of nursing are quantitatively and interventions are mostly limited to telephone application, but the effects are positive. It is thought that the results obtained from the research will shed light on studies on telenursing.
Keywords: Telenursing; telephone; web-based intervention
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