Selda KARAVELİ ÇAKIR, Fatma Mutlu KUKUL GÜVEN

Acil Serviste Kritik Hasta Yakınlarının Gereksinimlerinin Belirlenmesi

Bu araştırma, acil servise başvuran kritik hasta yakınlarının ihtiyaçlarını belirlemek amacı ile yapılmıştır. Tanımlayıcı ve kesitsel türde olan araştırma bir eğitim araştırma hastanesinin acil servisinde 1 Ocak- 30 Mayıs 2022 tarihleri arasında 290 kritik hasta yakını ile gerçekleştirildi. Araştırmanın verileri araştırmacılar tarafından hazırlanan kişisel bilgi formu ve acil serviste kritik hasta yakınlarının gereksinimlerini saptama ölçeği ile yüz yüze görüşme tekniği kullanılarak toplanmıştır. Kritik hasta yakınlarının ihtiyaç sıralamasında aile üyeleri ile iletişimin (3,75±0,39) ön planda olduğu, bunu aile üyelerinin acil servisteki bakıma katılması (3,57±0,45), aile üyelerinin desteklenme süreci (3,48±0,51) ve konfor beklentisi (3,38±0,63) izlemiştir. Ölçek toplam puanı 3,56±0,42 olarak belirlenmiştir. Acil servisteki kritik hasta yakınlarının ihtiyaçlarının insanların temel ihtiyaçları ile uyumlu olduğu görülmektedir. Acil serviste kritik hasta yakını olan bireylerin gereksinimlerinin belirlenmesi, hasta yakınlarının bakımın bir parçası olarak ele alınması, hasta bakımına dahil olmalarının sağlanması ve hasta yakınlarına destek sağlanması ile sağlık bakım hizmetlerinin kalitesi ve hasta yakınlarının memnuniyeti artırılabilir

Anahtar Kelimeler:

Acil servis, Gereksinim, Hasta yakını, Kritik hasta, Emergency department, Needs, Patient relative, Critical patient

Determining the Needs of Critical Patient Relatives in the Emergency Department

This study was conducted to determine the needs of critically ill relatives who addmited to the emergency service. This descriptive cross-sectional study was conducted in the emergency department of a training and research hospital with 290 relatives of critically ill patients between January 1 and May 30, 2022. The data were collected by the personal information form that was prepared by the researchers and the Critical Care Family Needs Inventory for Emergency Departments with face-to-face interview technique. It was determined that communication with family members (3.75±0.39) was prior in the order of the needs of critically ill patients' relatives and it was followed by family members' participation in emergency care (3.57±0.45), support of family members (3.48±0.51) and comfort (3.38±0.63). The total score of the scale was determined as 3.56±0.42. It was observed that the needs of critically ill patients' relatives in emergency department were compatible with the basic needs of humans. The quality of health care services and the satisfaction of patients' relatives can be increased by determining the needs of individuals with critically ill relatives in the emergency department, treating patients' relatives as a part of care, ensuring their inclusion in patient care, providing support to patients' relatives.

Keywords:

Emergency department, Needs, Patient relative, Critical patient,

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Akkus Y, Cigsar G, Gunal E. 2018. Acil servise başvuran kritik hasta yakinlarinin gereksinimlerinin belirlenmesi. TÜBAV Bil Derg, 11(1): 39-51.
Al‐Hassan MA, Hweidi IM. 2004. The perceived needs of Jordanian families of hospitalized, critically ill patients. Int J Nurs Pract, 10(2): 64-71.
Altindis S, Unal O. 2017. Situation of Turkey about emergency service quality standards. J Biotec Strat Heal Res, 2: 51-59.
Bahar A, Sahin S, Akkaya Z, Alkayis M. 2015. Investigation of effects of exposure to violence and affecting factors on job satisfaction of emergency nurses. J Psy Nurs, 6(2): 57-64.
Botes ML, Langley G. 2016. The needs of families accompanying injured patients into the emergency department in a tertiary hospital in Gauteng. Curationis, 39(1): 1-7.
Carlson EB, Spain DA, Muhtadie L, McDade-Montez L, Macia KS. 2015. Care and caring in the ICU: family members’ distress and perceptions about staff skills, communication and emotional support. J Crit Care, 30(3): 557-561.
Demirtaş A, Güvenç G, Aslan Ö, Öksüz E, Uçar AK. 2020. Determination of the anxiety and the needs of family members of critical care patients in emergency departments. Gulhane Med J, 62(4): 231-238.
Erdur B, Türkçüer İ, Ergin A, Sucu G, Serinken M, Yüksel A. 2007. Pamukkale üniversitesi tıp fakültesi acil servisine başvuran hastaların yakınlarının beklenti ve gereksinimlerinin değerlendirilmesi. VI. Ulusal Travma ve Acil Cerrahi Kongresi Bildiri Özetleri Kitapçığı, 4-8 Eylül 2007, Antalya, Türkiye, pp: 4-8.
Fortunatti CFP. 2014. Most important needs of family members of critical patients in light of the critical care family needs ınventory. Inv Educ Enferm, 32(2): 306-16.
Fry M, Chenoweth L, MacGregor C, Arendts G. 2015. Emergency nurses perceptions of the role of family/carers in caring for cognitively impaired older persons in pain: A descriptive qualitative study. Int J Nurs Stud, 52: 1323-1331.
Hsiao PR, Redley B, Hsiao YC, Lin CC, Han CY, Lin HR. 2017. Family needs of critically ill patients in the emergency department. Int Emerg Nurs, 30: 3-8.
Janice S. 2005. Assessing the needs of family members who accompany the adult patient to the emergency department. J Emerg Nurs, 31: 425.
Karahan E, Celik S, İncirci Y, İlhan Ö, Gezer G, Uğur İN. 2019. Determination of the needs of critically ill patients' relatives in the emergency department. Int J Caring Sci, 12(1): 224-230.
Kazan H, Degermen HA, Yurtman GG. 2017. The effect of total qualıty management on performance evaluatıon of ınternal and external customers. J Manag Econ Res, 15(1): 43-65.
Korkmaz T, Balaban B, Onder H, Sarıcil F. 2016. The effect of patient qualifications and number of patient accompanist on patient's satisfaction. Turk J Emerg Med, 16: 93-97.
Lukmanulhakim L, Suryani S, Anastasia A. 2016. The relationship between communication of nurses and level of anxiety of patient’s family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. Int J Healthc Med Sci, 4(12): 5456-5462.
Ocak U, Avsarogullari L. 2019. Expectations and needs of relatives of critically ill patients in the emergency department. Hong Kong J Emerg Medic, 26(6): 328-335.
Önder H. 2018. Nonparametric statistical methods used in biological experiments. BSJ Eng Sci, 1(1): 1-6.
Padilla Fortunatti CF. 2014. Most important needs of family members of critical patients in light of the critical care family needs inventory. Invest Educ Enferm, 32: 306 16.
Redley B, LeVasseur SA, Peters G, Bethune E. 2003. Families’ needs in emergency departments: instrument development. J Adv Nurs, 43: 606-15.
Sucu Dag G, Dicle A, Firat MZ. 2017. Psychometric properties of the critical care family needs inventory-emergency department. Appl Nurs Res, 33: 113-120.
Sucu G, Cebeci F, Karazeybek E. 2009. Acil servisteki kritik hasta yakinlarinin gereksinimleri ve karşilanma durumu. Ulus Travma Acil Cer Derg, 15(5): 473-481.
Yildirim T, Karaman Ozlu Z. 2018. Needs of critically ıll patients’ relatives in emergency departments. Nurs Midwif Stud, 7: 33-38.