Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
İntörn Hemşirelerin Hasta Merkezli Bakım Yetkinliği ve Bütüncül Hemşirelik Yeterliliğinin Belirlenmesi: Tanımlayıcı Araştırma
Determination of Intern Nurses' Patient-Centered Care Competency and Holistic Nursing Competence: Descriptive Study
Betül BAYRAKa , Meryem SEVİNÇb
aOrdu Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ordu, Türkiye
bOrdu Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik AD, Yüksek Lisans Programı, Ordu, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(2):503-11
doi: 10.5336/nurses.2024-104794
Article Language: TR
Full Text
ÖZET
 Amaç: İntörn hemşirelik öğrencilerinin hasta merkezli bakım yetkinliği ve bütüncül hemşirelik yeterliliklerinin belirlenmesidir. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı tipteki araştırma, 5 Mayıs-5 Haziran 2023 tarih aralığında, bir üniversitenin hemşirelik bölümünde son sınıfta öğrenim gören intörn öğrencilerden (n=117), örneklem seçilmeksizin araştırmaya katılmayı kabul eden 95 intörn hemşirelik öğrencisi ile yürütülmüştür. Veri toplanmasında ''Kişisel Bilgi Formu'', ''Hasta Merkezli Bakım Yetkinlik Ölçeği (HMBYÖ)'' ve ''Bütüncül Hemşirelik Yeterlilik Ölçeği (BHYÖ)'' kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t-testi ve tek yönlü varyans analizi, Kruskal-Wallis ve Mann-Whitney U, Spearman kolerasyon testleri kullanılmıştır. Bulgular: İntörn hemşirelik öğrencilerinin yaş ortalaması 22,1±0,89 (yıl), %77,9'unun kadın, %73,7'sinin aile gelirinin giderine denk olduğu ve %84,2'sinin yurtta kaldığı saptanmıştır. Öğrencilerin %63,2'sinin hemşireliği isteyerek seçtiği, %73,7'sinin mesleği sevdiği ve memnun olduğu bulunmuştur. Öğrencilerin %82,1'i hasta merkezli bakım konusunda, %86,3'ü bütüncül hemşirelik konusunda eğitim aldığı saptanmıştır. Öğrencilerin HMBYÖ puan ortalaması 68,54±6,5 ve BHYÖ puan ortalaması 176,32±34,8 olarak bulunmuştur. HMBYÖ ve BHYÖ puanları arasında istatistiksel açıdan pozitif yönde orta düzeyde bir ilişki saptanmıştır (r=0,618; **p<0,001). Sonuç: Çalışmada intörn hemşirelik öğrencilerinin hasta merkezli bakım yetkinliği ve bütüncül hemşirelik yeterliliğinin iyi düzeyde olduğu ve birbirleriyle ilişkili olduğu sonucuna varılmıştır. Geleceğin hemşire adayı olan intörn hemşirelik öğrencilerinde bütüncül ve hasta merkezli bakım kültürünün yerleştirilebilmesine yönelik eğitim stratejilerinin belirlenmesi ve hemşirelik eğitimi programlarında hasta merkezli bakım yetkinliği ve bütüncül hemşirelik yeterliği düzeyini geliştirmeye yönelik ders ve içeriklerin eklenmesi önerilir.

Anahtar Kelimeler: İntörn; hemşirelik öğrencileri; hasta; bakım; bütüncül hemşirelik
ABSTRACT
 Objective: The aim is to determine the patient-centered care competency and holistic nursing competencies of intern nursing students. Material and Methods: The descriptive and relationship-seeking type of research was conducted between May 5 and June 5 2023, with 95 intern nursing students (n=117) who were senior students in the nursing department of a university and agreed to participate in the research without selecting a sample. ''Personal Information Form'', ''Patient Centered Care Competency Scale (PCCS)'' and ''Holistic Nursing Competency Scale (HNCS)'' were used in data collection. Descriptive statistics, independent groups t-test and one-way analysis of variance, Kruskal Wallis and Mann Whitney U, Spearman correlation tests were used to analyze the data. Results: It was determined that the average age of intern nursing students was 22.1±0.89, 77.9% were female, 73.7% were equal to family income and 84.2% were living in dormitories. It was found that 63.2% of the students chose nursing willingly, and 73.7% liked the profession and were satisfied. It was observed that 82.1% of the students received training in patient-centered care and 86.3% in holistic nursing. The students' mean PCCS score was 68.54±6.5 and their HNCS mean score was 176.32±34.8. A moderate, statistically positive relationship was detected between PCCS and HNCS scores (r=0.618; **p<0.001). Conclusion: It was concluded in the study that the patient-centered care competence and holistic nursing competence of intern nursing students were at a good level and were related to each other. It is recommended to determine educational strategies to establish a holistic and patient-centered care culture in intern nursing students, who are future nurse candidates, and to add courses and contents to improve the level of patient-centered care competence and holistic nursing competence in nursing education programs.

Keywords: Intern; nursing students; patient; care; holistic nursing
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