Dilek YILDIRIM TANK, Sevim ÇELİK, Elif KARAHAN, Nurten TAŞDEMİR

Ameliyathane Kaynaklı Cerrahi Alan Enfeksiyonlarını Önlemeye İlişkin Ameliyathane Hemşirelerinin Bilgi Düzeyleri

DOI:10.17681/hsp.458122Amaç: Bu araştırma, ameliyathane hemşirelerinin cerrahi alan enfeksiyonlarını önlemeye ilişkin kanıta dayalı uygulamalar hakkında bilgi düzeylerinin belirlenmesi amacıyla tanımlayıcı olarak planlanmıştır.Gereç ve Yöntem: Çalışma 01.04.2018- 15.05.2018 tarihleri arasında Zonguldak’ta bir devlet hastanesi ve bir sağlık uygulama ve araştırma merkezinin ameliyathane ünitesinde çalışan hemşireler ile yapılmıştır. Araştırmacılar tarafından oluşturulan anket formu, sosyodemografik verileri içeren 11 soru ve kanıta dayalı uygulama rehberleri doğrultusunda cerrahi alan enfeksiyonlarını önlemeye yönelik kanıta dayalı uygulamaları sorgulayan 33 soru, alınabilecek en yüksek puan 33, en düşük puan 0 olmak üzere toplam 44 sorudan oluşturulmuştur. Madde güvenilirlik analizi Cronbach Alpha skalasına göre 0,70 olarak hesaplanmıştır. Verilerin değerlendirilmesinde, sayı, yüzde, ortalama, standart sapma, minimum ve maksimum değerler ve Man Whitney U testi ve Kruskal-Wallis varyans analizi kullanılmıştır.Bulgular: Araştırmadan elde edilen verilere göre hemşirelerin cerrahi alan enfeksiyonlarını önlemeye ilişkin yönelik kanıta dayalı uygulamalar hakkında bilgi puan ortalaması 22,05±3,53 (min: 10, max: 32) olarak bulunmuştur. Çalışmaya katılan hemşirelerin ortalama yaşlarının 38,29 ± 9,00 olduğu ve çoğunluğunun %63,2 ile lisans mezunu oldukları belirlenmiştir. Hemşirelerin %75,4’ünün 6 yıldan daha uzun süredir ameliyathanede çalıştığı ve %77,2 sinin scrub ve sirküle hemşire olarak çalıştığı görülmüştür. Hemşirelerin tümünün cerrahi alan enfeksiyonları ile ilgili eğitim aldıkları ve bunun %66,72’sini hizmet içi eğitimin oluşturduğu bildirilmiştir. Hemşirelerin %64,9’u kurumlarında kanıta dayalı uygulamaların uygulandığını düşünmektedir. Hemşirelerin demografik özellikleri ile puan ortalamaları arasında istatistiksel olarak anlamlı farklılık bulunmamıştır.Sonuç: Araştırmadan sonuçlarına göre hemşirelerin cerrahi alan enfeksiyonlarını önlemeye ilişkin yönelik kanıta dayalı uygulamalar hakkında bilgi puan ortalaması 22,05±3,53 puan ile orta seviyenin üstünde bulunmuştur.

Anahtar Kelimeler:

Ameliyathane Hemşiresi, Cerrahi Alan Enfeksiyonu

Knowledge Levels Of The Operating Room Nurses Related To Prevention Of Surgical Site Infections

DOI:10.17681/hsp.458122Purpose: This study was conducted to determine the knowledge levels of operating room nurses on evidence based practices to prevent surgical site infections.Materials and Methods: This descriptive study was carried out between 01.04.2018 and 15.05.2018 with nurses working in the operating theater unit of state and university hospitals in Zonguldak province. The questionnaire created by the researcher in the light of the literature was consisted of 44 questions, 11 questions including sociodemographic data and 33 questions, which can get minimum 0 point and maximum 33 points, questioning about evidence-based practices to prevent surgical site infections. The item reliability analysis of the questionnaire was calculated to be 0,70 with Cronbach alpha. Data were analyzed by descriptive statistics as well as Mann Whitney U test and Kruskal-Wallis test.Results: According to the data obtained from the study, the information score means of the nurses’ knowledge about the evidence –based practices to prevent surgical site infections was found to be 22,05±3,53 (min:10, max:32). It was determined that the average age of the nurses participating in the study was 38,29±9,00 and the majority of the nurses had a bachelor's degree with 63,2%. It was reported that 75,4% of the nurses worked in the operating room unit for 6 or more years and 77,2% of nurses worked as scrub and circulating nurses. It was reported that all nurses were trained on surgical site infections and that in-service training constituted 66,7% of the education. 64,9% of the nurses think that they are working with evidence-based practices in the hospital. No statistically significant difference was found between the demographical characteristics and the nurses' information score means. Conclusion: The study showed that operating room nurses had moderate level knowledge about the evidence-based practices for prevention of surgical site infections.

Keywords:

Evidence-based practices Operating room nurse, surgical site infection,

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