Pediatrik Yanık Yoğun Bakım Ünitesi Klinik Vizitleri Sırasında Çocuk Cerrahisi Asistanlarının Vizit Yönetim Becerileri

Amaç: Klinik vizitler, hastane ortamında bütün sağlık profesyonellerinin günlük gerçekleştirmesi beklenen merkezi bir faaliyetttir. Bu çalışmada, Çocuk Yanık Yoğun Bakım Ünitesi klinik vizitleri sırasında çocuk cerrahisi asistanlarının vizit yönetim becerilerinin değerlendirlmesi amaçlanmıştır.Yöntem: Kesitsel olarak tasarlanan bu araştırmada gözlem yöntemi kullanılmıştır. Araştırmanın çalışma grubunu, araştırmanın yürütüldüğü merkezin çocuk cerrahisi bölümünde görev yapan 8 çocuk cerrahisi asistanı oluşturmuştur. Araştırmaya katılan her çocuk cerrahisi asistanı için iki yatak başı klinik gözlemi yapılmıştır. Çocuk cerrahisi asistanlarının vizit yönetim becerilerini değerlendirmek için 43 klinik vizitte, 114 yatak başı hasta vizitine ilişkin gözlem yapılmıştır. Verilerin değerlendirilmesinde sayı, yüzdelik, ortalama ve Mann Whitney U testi kullanılmıştır.Bulgular: Her iki gözlemde asistanların teknik olmayan vizit yönetim becerileri ortalamaları teknik vizit becerileri ortalamalarından düşük olduğu tespit edilmiştir. Birinci gözlem sonunda asistanların doktor ve çocuk cerrahı deneyim sürelerine göre fark olmamakla birlikte ikinci gözlem sonucunda asistanların teknik olmayan vizit yönetim becerilerinin puan ortalamasında fark (p=0,044) görülmüştür.Sonuç: Çocuk cerrahisi asistanlarının teknik vizit yönetim becerilerilerinin teknik olmayan vizit yönetim becerilerinden yüksek olduğunu görülmüştür. İkinci gözlem sonuçlarına göre çocuk cerrahisi asistanların deneyim ve düzeylerine göre teknik olmayan vizit yönetim becerilerinin farklılık gösterdiği bulunmuştur.

Anahtar Kelimeler:

Klinik Vizit, Klinik Vizit Becerileri, Teknik Olmayan Beceriler, Çocuk Yanık

Ward Round Management Skills of Pediatric Surgery Residents During Pediatric Burn Intensive Care Unit Rounds

Aim: Ward rounds are a central activity that all healthcare professionals are expected to perform daily in the hospital. In this study, it was aimed to evaluate the ward round management skills of pediatric surgery residents during their Pediatric Burn Intensive Care Unit ward rounds.Methods: In this cross-sectional study, the observation method was used. The study group of the research consisted of 8 pediatric surgery residents working in the pediatric surgery department of the center where the research was conducted. Two bedside clinical observations were made for each pediatric surgery resident participating in the study. In order to assess the ward round management skills of pediatric surgery residents, observations of 114 bedside patient rounds were made in 43 rounds. Number, percentage, mean and Mann Whitney U test were used to evaluate the data.Results: In both observations, it was determined that the averages of non-technical ward round management skills of the residents were lower than the averages of technical ward round skills. At the end of the first observation, there was no difference in terms of the experience period of the physicians and pediatric surgeons of the residents, but at the end of the second observation, there was a difference (p=0.044) in the mean score of the non-technical ward round management skills of the residents.Conclusions: It was observed that the technical ward round management skills of pediatric surgery residents were higher than the non-technical ward round management skills. According to the results of the second observation, non-technical ward round management were found to differ according to the experience and level of pediatric surgery residents.

Keywords:

Ward Round, Ward Round Skills, Non-Technical Skills, Pediatric Burn,

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