Kadın Doğum Hastanesi Hemşire Çağrı Zili Kullanımı ile Hasta Memnuniyeti ve Düşen Hasta Sayısı Arasındaki İlişki

ÖZET Giriş ve amaç: Çağrı zili, hastanede yatan her hasta için hayati bir iletişim bağlantısıdır. Hemşireler; çağrı zili uyarısı ve çağrı ziline, hasta ihtiyaçlarına yanıt verebilmek için sürekli dikkatli olmalıdır. Bu çalışma; kadın doğum hastanesinde bilgi yönetim sistemi (BYS)’ ye entegre hemşire çağrı zillerinin kullanım amaç, sıklık ve cevap verilme süreleri ile hasta memnuniyeti ve düşme sıklığı arasındaki ilişkiyi saptamak amacı ile tanımlayıcı, analitik ve ilişki arayıcı tipte planlandı. Gereç ve yöntem: Çalışma 2021 yılı İstanbul Başakşehir Çam ve Sakura Şehir Hastanesi 359 yataklı Kadın Doğum Hastanesinde yapıldı. Çalışma verileri hastanenin BYS’ den elde edilmiştir. Kadın doğum hastanesi 311 yatağı ve 40 anne otelinden oluşturulan toplam 36501 çağrı örneklemini oluşturdu. Bulgular ve Sonuç: Çağrıların tür dağılımlarına incelendiğinde; % 43,9’unun hemşire çağrı (% 4,6’sı hasta odası WC çağrısı) , % 32,5’inin asist çağrı %23.4’ünün teknik ekip tarafından oluşturulan rutin kontrol çağrıları, % 0,2’sinin ise mavi kod çağrısı olduğu saptandı. Sağlıkta kalite standartları gereği her ay yapılan hasta memnuniyeti anketlerinden alınan puan ile çağrı sıklığı ve çağrılara cevap verilme süresi kıyaslandığında çağrı sayısı ile memnuniyet oranları arasında negatif yönlü korelasyon (r:-940 p<0.001), cevap verilme süresi ile memnuniyet oranı arasında negatif yönlü korelasyon (r:-584, p<0.05) olduğu saptandı. Cevap verme süresi ile çağrı zili kullanım sayısı arasında pozitif korelasyon (r:-611 p<0,05) vardır. Çağrı sayısı artıkça memnuniyet oranının düştüğü; çağrıya cevap verilme süresi kısaldığında hasta memnuniyet anketinden alınan puanın yükseldiği saptandı. Düşen hasta sayısı ile çağrı zili kullanımı arasında herhangi bir ilişkiye rastlanmadı.

Anahtar Kelimeler:

Kadın Doğum, hemşirelik, çağrı zili, düşme riski, hasta memnuniyeti

The Relationship Between The Use of The Nurses Call Bell and The Patıent Satisfaction and The Number Of Falling Patients

SUMMARY Introduction and purpose: The call bell is a vital communication link for every hospitalized patient.Nurses should be constantly attentive to the call bell alert and the call bell in order to respond to patient needs.This study Maternity Hospital Information Management System (BMS) integrated nurse call bells to the purpose of the use, frequency, and patient satisfaction and the incidence of Falls Times reply with the aim to determine the relationship between descriptive, analytical and relationship type of the seeker planned. Materials and methods: The study was conducted in Istanbul Başakşehir Çam and Sakura City Hospital Maternity Hospital with 359 beds in 2021.The study data were obtained from the Information management system of the hospital. A total of 36501 call samples were generated from the maternity hospital, 311 beds and 40 maternity hotels. Results and Conclusion: When the type distributions of the calls were examined, it was found that 43.9% of the calls were nurse calls (4.6% were patient room toileting calls), 32.5% were assistant calls, 23.4% were routine control calls created by the technical team, and 0.2% were code blue calls. As required by quality standards in health care patient satisfaction surveys conducted each month from the time of the call answers the call and with the frequency points, compared to the number of calls between the rate of satisfaction with directional negative correlation (r:-940 p<0.001), satisfaction with directional negative correlation between the rate of the time the answer is given (r:-584, p<0.05) was found. There is a positive correlation (r:-611 p<0.05) between the response time and the number of call bell uses. Dec. It was found that the satisfaction rate decreased as the number of calls increased; the score obtained from the patient satisfaction questionnaire increased when the response time to the call was shortened. There was no association between.

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