Ameliyathanede Çalışan Hemşirelerin Cerrahiye Bağlı Basınç Yaralanmalarına İlişkin Bilgi Düzeyleri

Giriş ve Amaç: Bu çalışma ameliyathanede çalışan hemşirelerin intraoperatif dönemde basınç yaralanmaları risk faktörlerine ve önleme yöntemlerine ilişkin bilgi düzeylerini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Çalışma Ankara’da yer alan üç eğitim araştırma hastanesinin ameliyathane bölümünde çalışan hemşireler ile tanımlayıcı olarak yapıldı. Örneklemi bu hastanelerin ameliyathanelerinde çalışan araştırmaya katılmaya gönüllü 85 hemşire oluşturdu. Araştırma verileri araştırmacı tarafından oluşturulan bireylerin tanımlayıcı özelliklerini, kurumlarındaki basınç yaralanması politikalarını ve risk değerlendirmelerini içeren 10 soru ve ameliyathane basınç yaralanması risk faktörlerini ve önleme yöntemlerini içeren likert tipi 23 maddenin yer aldığı veri toplama formu kullanılarak toplandı. Bulgular: Hemşirelerin %71,8’inin intraoperatif sürecin basınç yaralanması gelişiminde rol aldığını düşündüğü, %18.8’inin basınç yaralanmasına ilişkin kurum içi protokolden haberdar olduğu ve % 60,0’ının kurumlarında cerrahi girişim uygulanan hastalarda ameliyat öncesinde veya ameliyathanede basınç yaralanması risk değerlendirmesi yapılmadığını ifade ettiği, ameliyathanede basınç yaralanması risk değerlendirilmesi yapıldığını ifade eden hemşirelerin % 79,4’ünün basınç yaralanması risk değerlendirilmesinde risk değerlendirme skalası kullanmadıklarını belirttiği saptandı. Hemşirelerin basınç yaralanması risk faktörleri ve önleme girişimlerine ilişkin ifadelerde ortalama doğru cevap sayısı 16,97 + 3,34’dür. Kurum politikalarından haberdar olan hemşirelerin doğru cevap sayısı anlamlı oranda yüksektir. Sonuç: Ameliyathane hemşirelerinin basınç yaralanması risk faktörleri ve önleme yöntemlerine ilişkin bilgi düzeyi yetersizdir. Ayrıca hemşirelerin çoğunluğu da çalıştıkları kurumun basınç yaralanması politikasından haberdar değildi. Bu nedenle ameliyathane hemşirelerine basınç yaralanmaları hakkında güncel bilgiler doğrultusunda düzenli eğitimlerin yapılması, kurum içi protokoller hakkında hemşirelerin bilgilendirilmesi ve uygulamaların takip edilmesi önerilmektedir.

Knowledge Levels of Nurses Working in the Operating Room Related to Surgical Pressure Injuries

Objective: The aim of this study was to determine the knowledge level of the nurses working in the operating room about the risk factors and prevention methods of intraoperative pressure injuries Materials and Methods: The study was conducted as a descriptive study with nurses working in the operating room of three educational research hospitals in Ankara. The sample consisted of 85 nurses who volunteered to participate in the study. The research data were collected by using the data collection form which consisted of 10 items including descriptive characteristics of the individuals, pressure injury policies and risk assessments in their institutions, and 23 items of likert type which contain risk factors and prevention methods of operating room pressure injuries. Results: It was found that 71.8% of the nurses thought that intraoperative process played a role in the development of pressure injury, 18.8% of them are aware of the institution protocol about pressure injury. 60.0% of nurses stated that there wasn’t done pressure injury assesment risk in the preoperative or operating room in patients who underwent surgery in their institutions. It was found that 79.4% of the nurses who stated that pressure injury risk assessment was done stated that wasn’t used risk assessment scale in pressure injury risk assessment. The average number of correct answers in the statements about nurses' pressure injury risk factors and prevention methods was 16.97 + 3.34. The number of correct answers of nurses who are aware of institution policies is significantly higher. Conclusion: The knowledge level of operating room nurses about pressure injury risk factors and prevention methods is insufficient. In addition, the majority of nurses were not aware of the pressure injury policy of the institution where they worked. For this reason, it is recommended that the operating room nurses receive regular training in line with current information about pressure injuries, informing the nurses about the institution protocols and monitoring the practices.

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