Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelerin İlaç Hazırlama ve Uygulama Sürecinde Yaşadıkları Bölünme/Kesintilere İlişkin Görüşleri: Tanımlayıcı Araştırma
The Opinions of Nurses on Interruptions Experience During the Process of Medications Preparation and Administration: A Descriptive Study
Sedef MELEKa , Selma ATAYb
aÇanakkale On Sekiz Mart Üniversitesi Lisansüstü Eğitim Enstitüsü, Hemşirelik AD, Çanakkale, Türkiye
bÇanakkale On Sekiz Mart Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları AD, Çanakkale, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(2):521-7
doi: 10.5336/nurses.2024-105887
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemşirelerin ilaç hazırlama ve uygulama sürecinde yaşadıkları bölünme/kesintilere ilişkin görüşlerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma tanımlayıcı olarak yapılmış olup, araştırmanın evrenini Türkiye'nin batısında bir üniversite hastanesinde Aralık 2022-Şubat 2023 tarihleri arasında aktif olarak çalışan hemşireler, örneklemi ise 152 hemşire oluşturmuştur. Çalışmanın verileri, Tanıtıcı Özellikler Soru Formu, İlaç Hazırlama ve Uygulama Sürecinde Yaşanan Bölünme/Kesintilere İlişkin Soru Formu kullanılarak toplanmıştır. Verilerin değerlendirilmesinde, frekans ve yüzdelik hesaplama kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin sadece %7,89'u ilaçları ayrı bir tedavi odasında hazırladığını belirtmiştir. Hemşirelerin %92,11'i ilaç hazırlama ve uygulama sürecinde 1-10 defa bölünme/kesinti yaşadığını, en çok bölünme/kesinti nedenini %30,35'i ile hasta ve hasta yakını olduğunu belirtirken, %42,11'i yaptığı işlemi durdurup bölünme/kesinti nedeniyle ilgilendiğini belirtirken, %84,87'si ise işleme tekrar geri dönme süresinin 1- 10 dk sürdüğünü belirtmiştir. Hemşirelerin çoğunluğu yaşanan bölünme/ kesintilerin acil olmadığını belirtmiştir. Ayrıca hemşirelerin %61,36'sı yaşanan bölünme/kesintilerin ilaç hazırlama ve uygulama hatalarına sebep olabileceğini belirtmiştir. Sonuç: Hemşirelerin ilaç hazırlama ve uygulama sürecinde bölünme/kesinti yaşadığını, çoğunluğun bölünme/kesinti nedeni ile işlemi durdurduğu ve bölünme/kesinti nedeninin çoğunlukla insan kaynaklı olduğunu belirlenmiştir. Hemşireler, ilaç hazırlama ve uygulama sürecinde yaşanan bölünme/kesintilerin ilaç hatalarına sebep olacağını düşünmektedir. Bu sonuçlar doğrultusunda, ilaç hazırlama ve uygulama sürecinde yaşanan bölünme/kesintilerin azaltılmasına ilişkin girişimsel çalışmaların yapılması önerilebilir.

Anahtar Kelimeler: Bölünme/kesinti; ilaç hazırlama; ilaç uygulama; hemşirelik
ABSTRACT
 Objective: This study was conducted to determine the views of nurses regarding the interruptions they experienced during the drug preparation and administration process. Material and Methods: The research was carried out descriptively. The population of the study consisted of nurses actively working in a university hospital in western Türkiye between December 2022-February 2023 and the sample consisted of 152 nurses. The data of the study were collected using the Descriptive Characteristics Information Form and the Questionnaire on Interruptions in the Medication Preparation and Administration Process. Frequency and percentage calculations were used to evaluate the data. Results: Only 7.89% of the nurses participating in the study stated that they prepared the drugs in a separate treatment room. 92.11% of the nurses stated that they experienced 1-10 interruptions during the drug preparation and administration process, the most common reason for interruptions was the patient and the patient's relatives with 30.35%, 42.11% stated that they stopped the procedure and dealt with the interruption/interruption, and 84.87% stated that it took 1-10 minutes to return to the procedure. The majority of the nurses stated that the interruptions were not urgent. In addition, 61.36% of the nurses stated that interruptions may cause drug preparation and administration errors. Conclusion: It was determined that nurses experienced interruptions during the drug preparation and administration process, the majority stopped the process due to interruptions, and the cause of interruptions was mostly human-induced. Nurses think that interruptions in the drug preparation and administration process may cause medication errors. In line with these results, it may be recommended to conduct interventional studies to reduce interruptions in the drug preparation and administration process.

Keywords: Interruption; medication preparation; medication administration; nursing
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