Dahili ve Cerrahi Kliniklerde Çalışan Hemşirelerin Aydınlatılmış Onama Yönelik Görüş ve Uygulamaları
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Tarih
2020
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışma, dahili ve cerrahi kliniklerde çalışan hemşi- relerin aydınlatılmış onama yönelik görüş ve uygulamalarını belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Çalışma, Nisan 2018 tarihinde bir üniversite hastanesinin erişkin dahili ve cer- rahi kliniklerinde çalışan 88 hemşireyle yürütülmüştür. Verilerin top- lanmasında araştırmacılar tarafından literatürden yararlanılarak hazırlanan 41 soruluk veri toplama formu kullanılmış, veriler SPSS 12.0 programı kullanılarak değerlendirilmiştir. Bulgular: Çalışmaya katılan hemşirelerin %89,8’i kadın ve lisans mezunudur. Hemşirelerin çalışma süresi ortalama 12,4 (±6,7) yıldır. Hemşirelerin %52,3’ü, aydınlatılmış onamı doktorun alması gerektiği, %36,4’sinin sağlık personelinin yasal anlamda korunması için alınması gerektiği, %54,5’i onam alma süre- cinde hemşirenin kısmen sorumluluğu olduğu görüşündeler. Hemşire- lerin %89,8’inin hemşirelik girişimleri için hastalarını bilgilendirdikleri, %60,0’ının sözel onam aldıkları belirlenmiştir. Hemşirelerin, hemşire- lik girişimleri ile ilgili hastalarından onam alma süreçlerinde güçlük ya- şadıkları (%67,0), onam alma süreçlerinde yaşanan güçlüklerin; iş yükünün fazla olmasından, hastanın algılamasına ilişkin faktörlerden ve bu konuyla ilgili prosedürün eksikliğinden kaynaklandığı belirlenmiştir. Sonuç: Hemşireler, aydınlatılmış onam sürecinde kısmen sorumlulukla- rının olduğu görüşündeler. Hemşirelerin, aydınlatılmış onamda rolleri çerçevesinde eksik ve/veya yanlış uygulamalar yaptıkları; hemşirelik gi- rişimleri öncesi hastalarını bilgilendirdikleri ve sözel onam aldıkları be- lirlenmiş; eğitimlerin artırılması, politika ve prosedürlerin oluşturul- masının problemlerin çözümlenmesine katkısı olacağı düşünülmüştür
Objective: This descriptive study was conducted to de- termine the opinions and practices of nurses working in medical and surgical clinics regarding informed consent. Material and Methods: The study was conducted with 88 nurses working in adult medical and surgical clinics in a university hospital in April 2018. Data collection form with 41 questions which was prepared by using the literature was used by the researchers in collecting the data and the data were evalu- ated by using SPSS 12.0 program. Results: 89.8% of the nurses at- tending the study were women and bachelors. The average working period of nurses is 12,4 (±6.7) years. 52,3% of the nurses stated that the doctor should take informed consent from patients, 36,4% said that informed consent should be taken for legal protection of health care professionals, 54,5% of them say that the nurse has partial responsibil- ity in the process of obtaining the consent. It was determined that 89,8% of the nurses informed their patients for nursing interventions and 60,0% of them received verbal consent. Nurses experienced difficul- ties in obtaining informed consent from their patients about nursing in- terventions (67,0%); this difficulties are determined that there was a high workload, factors related to the patient's perception and a lack of procedure in this regard. Conclusion: The nurses say they have partial responcibilities in the informed consent process. It has been determined that nurses have incomplete and/or wrong practices within the frame- work of their roles in informed consent, were informed their patients prior to nursing interventions, and received verbal consent, increasing the training, policy and procedures will contribute to the resolution of the problems.
Objective: This descriptive study was conducted to de- termine the opinions and practices of nurses working in medical and surgical clinics regarding informed consent. Material and Methods: The study was conducted with 88 nurses working in adult medical and surgical clinics in a university hospital in April 2018. Data collection form with 41 questions which was prepared by using the literature was used by the researchers in collecting the data and the data were evalu- ated by using SPSS 12.0 program. Results: 89.8% of the nurses at- tending the study were women and bachelors. The average working period of nurses is 12,4 (±6.7) years. 52,3% of the nurses stated that the doctor should take informed consent from patients, 36,4% said that informed consent should be taken for legal protection of health care professionals, 54,5% of them say that the nurse has partial responsibil- ity in the process of obtaining the consent. It was determined that 89,8% of the nurses informed their patients for nursing interventions and 60,0% of them received verbal consent. Nurses experienced difficul- ties in obtaining informed consent from their patients about nursing in- terventions (67,0%); this difficulties are determined that there was a high workload, factors related to the patient's perception and a lack of procedure in this regard. Conclusion: The nurses say they have partial responcibilities in the informed consent process. It has been determined that nurses have incomplete and/or wrong practices within the frame- work of their roles in informed consent, were informed their patients prior to nursing interventions, and received verbal consent, increasing the training, policy and procedures will contribute to the resolution of the problems.
Açıklama
Anahtar Kelimeler
Kaynak
Türkiye Klinikleri Tıp Etiği-Hukuku Tarihi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
28
Sayı
1
Künye
Akyüz E. Ö., Erdem Y. (2020). Dahili ve Cerrahi Kliniklerde Çalışan Hemşirelerin Aydınlatılmış Onama Yönelik Görüş ve Uygulamaları. Türkiye Klinikleri Tıp Etiği-Hukuku Tarihi Dergisi, 28(1), 19 - 28.
