Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Öğrencilerin Fiziksel Muayene Beceri Uygulama Yeterlilikleri, Öğrenme Memnuniyetleri ve Öz Güven Düzeyleri: Gözlemsel Metodolojik Bir Araştırma
Competencies in Physical Examination Skills, Learning Satisfaction and Self-Confidence Levels Among Students: An Observational Methodological Study
Nuray ENÇa, Hilal UYSALa, Zeliha TÜLEKa, Gülbeyaz CANa, Cansu POLAT DÜNYAb, Meryem YILDIZ AYVAZc, Emel Emine KAYIKÇId , Kübra YENİe, Derya BIÇAK AYIKf, Derya AKÇA DOĞANg, Ferda AKYÜZ ÖZDEMİRh
aİstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
bİstanbul Üniversitesi Hemşirelik Fakültesi, İstanbul, Türkiye
cİstanbul Kent Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
dMedeniyet Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
eOndokuz Mayıs Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Samsun, Turkey
gSiirt Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik ABD, Siirt, Türkiye
fBursa Uludağ Üniversitesi Sağlık Bilimleri Fakültesi, İç Hastalıkları Hemşireliği ABD, Bursa, Türkiye
hMuğla Sıtkı Koçman Üniversitesi Fethiye Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Muğla, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):835-47
doi: 10.5336/nurses.2021-87133
Article Language: TR
Full Text
ÖZET
 Amaç: Gözlemsel metodolojik nitelikte olan bu araştırmanın amacı, laboratuvarda simülasyonlu maket ve modeller kullanılarak verilen fiziksel muayene beceri eğitiminin, öğrencilerin beceri uygulama yeterlilikleri, öğrenme memnuniyetleri ve öz güven düzeyleri üzerine etkisinin belirlenmesi ve araştırma için geliştirilen fiziksel muayene beceri kontrol listelerinin geçerlik ve güvenirliğinin yapılmasıdır. Gereç ve Yöntemler: Bir devlet üniversitesinin hemşirelik fakültesinde 2017-2018 bahar ve 2018-2019 güz dönemlerinde, 'iç hastalıkları hemşireliği' dersine kayıt yaptıran ve laboratuvar dersine giren 270 öğrenci araştırmaya dâhil edildi. Veri toplamada İç Hastalıkları Hemşireliği Fiziksel Muayene Beceri Kontrol Listeleri ve Öğrenmede Öğrenci Memnuniyeti ve Özgüven Ölçeği kullanıldı. Verilerin analizinde tanımlayıcı istatistiksel yöntemler olarak sayı, yüzde, ortalama, standart sapma kullanıldı. Laboratuvar eğitimi öncesi ve sonrası beceri puanlarının değerlendirilmesinde paired samples test kullanıldı. Kontrol listelerinin geçerlik ve güvenirlik analizlerinde; varyans analizi, kapsam geçerlik indeksi, Cronbach alfa, test-tekrar test, Kuder-Richardson 20 (KR-20) ve gözlemciler arası tutarlılık analizleri uygulandı. Bulgular: Yapılandırılmış laboratuvar beceri eğitimi öncesi ve sonrası değerlendirmelerinde 163 öğrencinin beceri yeterlilik düzeylerinin başlangıç değerlendirmelerine göre arttığı belirlendi (p=0,000). Genel olarak öğrencilerin memnuniyet ve öz güven düzeylerinin tüm ölçek için yüksek olduğu (3,84±0,63) saptandı. Sonuç: Çalışma sonunda elde edilen veriler, fiziksel muayene beceri uygulamalarının öğrencilerin beceri yeterlilik düzeylerini artırdığını, öğrencilerin laboratuvar eğitiminden memnuniyet ve öz güven düzeylerinin yüksek olduğunu ve fiziksel muayene beceri kontrol listelerinin öğrencilerin değerlendirilmesinde geçerli ve güvenilir bir araç olduğunu göstermektedir.

Anahtar Kelimeler: Kontrol listesi; klinik yeterlilik; hemşirelik eğitimi; bireysel memnuniyet
ABSTRACT
 Objective: The purpose of this observational methodological study is to determine the effect of physical examination skill training given in the laboratory using simulated models on students' skill competency, learning satisfaction and self-confidence levels, and to establish the validity and reliability of the physical examination skill checklists developed for the research. Material and Methods: 270 students registered in the 'internal medicine nursing' course and took the laboratory course in the 2017-2018 spring and 2018-2019 fall semesters at in the nursing faculty of a state university were included in the study. To collect data Internal Medicine Nursing Physical Examination Skill Checklists and Student Satisfaction and Self-Confidence Scale in Learning were used. Number, percentage, mean and standard deviation were used as descriptive statistical methods for the data analysis. Paired samples test was used to evaluate skill scores before and after laboratory training. In the validity and reliability analyzes of the checklists; analysis of variance, content validity index, Cronbach's alpha, test-retest, Kuder-Richardson 20 (KR-20) and interobserver consistency analyzes were applied. Results: In the structured assessments before and after laboratory skills training, it was determined that the skill proficiency levels of 163 students increased compared to the initial assessments (p=0.000). In general, students' satisfaction and self-confidence levels were found to be high for the whole scale (3.84±0.63). Conclusion: The data obtained from the study show that physical examination skill practices increase students' skill proficiency levels, students' satisfaction and self-confidence levels are high, and physical examination skill checklists are a valid and reliable tool in the evaluation of students.

Keywords: Checklist; clinical skill; nursing education; personal satisfaction
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