Meltem AKBAŞ, Emine İBİCİ AKÇA, Cemile ONAT KÖROĞLU, Şule GÖKYILDIZ SÜRÜCÜ

Türk Toplumu İçin Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu Geçerlilik-Güvenirlik Çalışması ve Hastaların Aldıkları Hemşirelik Bakımının Kalitesinin Belirlenmesi

Amaç: Bu çalışmanın amacı, Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu güvenirliğini ve geçerliğini gerçekleştirerek literatüre katkıda bulunmak ve hastanede yatan hastaların aldıkları hemşirelik bakımının kalitesini belirlemektir.Yöntem: Bu çalışma, metodolojik ve tanımlayıcı tiptedir. Çalışma, Türkiye'nin güney kesiminde yer alan bir şehirde dört farklı hastanede gerçekleştirilmiştir. Veriler, “Hasta Tanıtım Formu” ve “Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu” ile toplanmıştır. İstatistiksel analizler, IBM SPSS Statistics 22 ve AMOS kullanılarak yapılmıştır. İstatistiksel anlamlılık p<0.05 olarak alınmıştır. Bulgular: Analiz sonrasında Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu DFA uyum indeksleri uygun aralıkta bulunmuş. Cronbach’s Alpha 0,971 ile çok iyi derecede saptanmıştır. Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu toplam puan ortalaması 136,63±21,47’dir. Hastaların hemşirelik bakım kalitesine yönelik değerlendirmelerinin, hastane tipi, hastaların tanısı, yaşadıkları yer, aldıkları hemşirelik bakımına yönelik memnuniyet düzeyleri ve hemşirelik bakımını yeterli bulma durumlarından etkilendiği saptanmıştır.Sonuç: Araştırma sonucunda, Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu Türkçe versiyonunun Türk toplumu için geçerli ve güvenilir bir ölçüm aracı olduğu belirlenmiştir. Hastaların aldıkları hemşirelik bakım kalitesini, ortalamanın üzerinde değerlendirdikleri görülmüştür. Çalışma sonuçları, hemşirelik bakım kalitesinin arttırılması için hastane yönetimi, sağlık bakım politika geliştiricileri ve hemşireler tarafından kullanılmalıdır. Hemşireler, hemşirelik bakımının kalitesini artırmak için hastaların hemşirelik bakımı algılarını, deneyimlerini, hemşirelik bakımını etkileyen faktörleri ve hastaların bireysel farklılıklarını dikkate almalıdır.

Anahtar Kelimeler:

Hemşirelik, Bakım, Kalite, Hasta, Geçerlik-güvenirlik

Validity-Reliability Study of the Patient’s Assessment of Quality Scale-Acute Care Version for Turkish Society and Determine of the Quality of Nursing Care Received by Patients

Objective: The aim of this study is to contribute to the literature by realizing the reliability and validity of the Patient Quality Assessment Scale-Acute Care Version and to determine the quality of nursing care received by hospitalized patients.Methods: This study is methodological and descriptive. This study was conducted in four different hospitals in a city located in the southern part of Turkey. Data were collected by the researchers using the “Patient Information Form” and the “Patient Quality Assessment Scale-Acute Care Version”. Statistical analyses were performed using the IBM SPSS Statistics 22 and AMOS. Statistical significance was taken p<0.05.Results: After the analysis, the CFA fit indices of the Patient Quality Assessment Scale-Acute Care Version were found in the appropriate range and the Cronbach alpha coefficient was 0.971. The Patient Quality Assessment Scale-Acute Care Version total mean score was 136.63±21.47. Perceptions of patients regarding Quality Nursing Care were affected by factors such as the type of hospital, patients’ diagnosis, place of living, level of satisfaction with the nursing care received, and finding the nursing care sufficient. Conclusion: The Turkish version of the Patient Quality Assessment Scale-Acute Care Version was found valid and reliable for Turkish society. The patients found the quality of the nursing care received above-average. The results of the study should be used by hospital management, health care policy developers and nurses to increase the quality of nursing care. Nurses should consider patients' perceptions of nursing care, their experiences, factors affecting nursing care, and individual differences of patients in order to improve the quality of nursing care.

Keywords:

Hemşirelik Bakım, Kalite, Hasta, Ölçek, Geçerlik-güvenirlik,

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