Sex Discrimination in Clinics: Do Female Undergraduate Gender Feel in Health Services Less Secure?

Amaç: Çalışmamızın amacı, Sağlık Bilimlerindeki lisans öğrencilerinin hasta güvenliği açısından bilgi ve özgüven düzeylerini belirlemekti. Gereç ve Yöntemler: Bu çalışma Aralık 2018 ve Haziran 2019 tarihleri arasında Trakya Üniversitesi'nden 583 sağlık bilimi öğrencisiyle yapıldı. 245 hemşirelik öğrencisi, 134 hemşire beslenme ve diyetetik öğrencisi, 141 fizik tedavi ve rehabilitasyon öğrencisi, 14 odyoloji öğrencisi, 49 sağlık yönetimi öğrencisi idi. Sağlık Mesleki Eğitiminde Hasta Güvenliği ölçeğinden aldıkları puanlar değerlendirildi. Öğrencilerin, hasta güvenliği konusundaki bilgi ve deneyimi 3 tema üzerinden değerlendirildi. Kliniklerde hasta güvenliği alanlarını öğrenmede kendilerine duydukları güven, hasta güvenliğinin daha geniş yönleri hakkında bilgileri ve etkileyen parametreler incelendi. Bulgular: Erkek üniversite öğrencilerin ekip çalışmasına, güvenlik risklerini yönetmeye ve beklenmedik durumları tanımadaki güven kızlara göre daha yüksekti. Kız öğrenciler, çalışma ortamındaki güvenlik ekipmanlarını anlama konusunda kendilerine güvenleri daha yüksekti. Erkekler, öğrenci olsalar da olumsuz olayları şikayet edebildiklerini belirttiler. Katılımcıların klinik ortamlarda güvensiz bakım uygulamasında yer aldığını gördüğü birine yaklaşma konusundaki güvenleri düşüktü. Sonuç: Kız öğrenciler etkili iletişim yoluyla hasta güvenliğini artırabileceklerini düşünüyorlardı ve çevresel faktörlerin kliniklerde kendilerini etkilediğini belirtti. Kızlar duygular, beceriler ve bellekte daha iyiydi. Algılama düzeyleri değerlendirildiğinde erkekler daha yüksek puan aldı. Bu çalışma öğrencilerin olumsuz olayları bildirmekte rahat olmadıklarını göstermektedir. Sağlık bilimi profesyonellerinin hasta güvenliği sağlama ve risklere çözüm bulma yeteneklerini artırmak için lisans eğitimlerine hasta güvenliği bilinci kazandırıcak eğitimleri arttırmak gereklidir.

Anahtar Kelimeler:

cinsiyet ayrımcılığı, üniversite öğrencileri, perinatoloji, hasta bakımı

Aim: To determine the knowledge and self-confidence levels of undergraduate health science students in terms of patient safety. Material and Methods: This study was performed with 583 health science students of Trakya University between December 2018 and June 2019. Two hundred forty-five were student nurses, 134 were nutrition and dietetics students, 141 were physical therapy and rehabilitation students, 14 (2.40%) were audiology students, and 49 (8.40%) were healthcare management students. They answered the Health Professional Education in Patient Safety Survey (H-PEPSS). The H-PEPPS evaluated knowledge and experience on patient safety through 3 themes; confidence in learning certain patient safety areas, information about the broader aspects of patient safety, and comfort in speaking up about safety. Results: The confidence of males in studying in teams, managing safety risks, and recognizing unexpected situations was higher than in females. Females were more confident in understanding the safety equipment in the working environment. Males also stated that they could report adverse events even if they were students. The students’ confidence to approach someone they saw engaging in unsafe care practice in clinical settings was low. Conclusion: The females thought that through effective communication, they could improve patient safety. The females had a better understanding of the role of environmental factors. Females were better in emotions, skills, and memory. When the perception levels were evaluated, males scored higher. This study has shown that students are not comfortable in reporting adverse events. The quality of continuous undergraduate education should be increased in order to increase the ability of health science professionals to provide patient safety and to find solutions to risks.

Keywords:

gender discrimination, perinatology clinics, patient care, heath science,

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