Amaç: Bu araştırma, hemşirelerin periferik venöz kateter (PVK) uygulama becerilerinin incelenmesi amacıyla tanımlayıcı olarak yapıldı. Gereç ve Yöntem: Çalışmanın evrenini bir üniversite hastanesinin periferik venöz kateter uygulamasının sıklıkla yapıldığı yataklı tedavi birimlerinde çalışan toplam 74 hemşire oluşturmuş, örneklemi ise basit rastgele örnekleme yöntemi ile seçilen ve çalışmaya katılmaya gönüllü olan 33 hemşire oluşturmuştur. Araştırmaya başlamadan önce araştırmanın yapılacağı kurumdan kurum izni ve etik kurul izni alınmıştır. Veriler literatür doğrultusunda araştırmacılar tarafından hazırlanan ‘Bilgi Formu’ ve ‘Periferik Venöz Kateter Uygulama Form’’u kullanılarak toplanmıştır. Her bir hemşire üç ayrı PVK uygulaması sırasında gözlenmiştir. 33 hemşirenin katıldığı çalışmada toplam 99 gözlem yapılmıştır. Hemşirelerin doğru yaptığı her uygulamaya “1 puan”, yanlış yapılan ya da yapılmayan her uygulamaya “0 puan” verilerek her bir gözlem ve toplam gözlem puanı belirlenmiştir. Verilerin değerlendirilmesi SPSS 25.0 paket programında tanımlayıcı istatistiksel analizler kullanılarak yapılmıştır. Bulgular: Hemşirelerin yaş ortalaması 30,18±6,45, mesleki yıl deneyim ortalaması 7,8±2,4, %69,7’sinin lisans mezunu olduğu belirlenmiştir. PVK uygulama sırasında yapılan gözlemlerin %82,8’inde hemşirelerin el yıkamadığı, %95,9’unda bölgenin asepsinin %70lik etil alkolle yapıldığı, buna rağmen %65,6’sında bölgenin asepsisinden sonra yeniden venin palpe edildiği ve %71,7’sinde aseptik solüsyonun kurumasının beklemediği gözlenmiştir. Hemşirelerin gözlem sırasında elde edilen toplam puan ortalaması ise 39,1±4,4 (27-49) olarak bulunmuştur. Sonuç: Çalışma sonucunda, hemşirelerin PVK uygulama sırasında bazı basamakları eksik ya da yanlış uyguladıkları görülülmüştür. Kateterle ilişkili olası komplikasyonların önlenebilmesi için hemşirelerin PVK uygulama basamaklarını eksiksiz yapmaları ve hatalı uygulama basamaklarını iyileştirmeye yönelik çaba göstermeleri önemlidir.
Purpose: This study was conducted as a identification for the purpose of examining nurses’ applying skills of peripheral venous catheter (PVK). Tools and Methods: The universe of the study consisted of a total of 74 nurses working in bed-based treatment units where a university hospital’s peripheral venous catheter application is frequently performed, and the sampling consisted of 33 nurses who were selected and volunteered to participate in the study using a simple random sampling method. Before the investigation begins, the institution has been granted authorisation and ethical board permission. The data was collected using the 'Information Form' and 'Periferic Venus Cateter Application Form' prepared by researchers according to literature. Each nurse was observed during three separate PVK applications. In the study, 33 nurses participated in a total of 99 observations. The Nurses are given "1 point" to each application done correctly, "0 point" to each application done incorrectly or not done, each observation and total observation points are determined. The data is evaluated using identificative statistical analysis in the SPSS 25.0 package program. Results: The average age of nurses is 30.18±6.45, the average professional year experience is 7.8±2.4, 69.7 percent are graduates. In 82.8% of observations during PVK application, nurses were unable to wash their hands, in 95.9% the area’s asepsy was made with 70% ethyl alcohol, but in 65.6% the venus was re-palped after the area’s asepsy and in 71.7% the asepsy solution was not expected to dry. The average score obtained during the observation of nurses was 39,1±4,4 (27-49). Result: The study found that nurses missed or misused some stages during the application of PVK. In order to prevent possible complications associated with catheter, it is important that nurses complete the PVK application stages and make efforts to improve the erroneous application stages.
Objective: This study was carried out as a descriptive study in order to examine the peripheral venous catheterization skills of nurses. Methods: The target population of the study consisted of 74 nurses working in inpatient care units of a university hospital where peripheral venous catheter application is performed frequently. The sample was composed of 33 nurses who were selected by simple random sampling method and volunteered to participate in the study. Prior to the study, institution permission and ethics committee permission were obtained from the institution where the research would be conducted. The data were collected by using ‘Information Form’ and ‘Peripheral Venous Catheter Application Form’ prepared by the researchers in line with the literature. Each nurse was observed during three separate peripheral venous catheter applications. A total of 99 observations were performed in the study which 33 nurses participated in. A separate observation and total observation score were determined by giving “1 point” for each correct application and “0 point” for each wrong or no application. Data were analyzed using descriptive statistical analysis in SPSS 25.0 package program. Results: The mean age of the nurses was 30.18 ± 6.45 years, the mean professional experience was 7.8 ± 2.4 years, and 69.7% of them were undergraduate. In 82.8% of the observations made during the peripheral venous catheter application, the nurses did not wash their hands; in 95.9%, the asepsis of the area was ensured using 70% ethyl alcohol, however, in 65,6% the vein was palpated again after ensuring the asepsis of the area, and in 71.7% it was observed that the aseptic solution was not expected to dry. The mean total score acquired during the observation of the nurses was found to be 39.1 ± 4.4 (27-49). Conclusion: As a result of the study, it was observed that the nurses did not apply some of the steps missing or applied them wrongly during the application of peripheral venous catheter. In order to be able to prevent possible catheter-related complications, it is important for nurses to make complete steps in the application of the peripheral venous catheter and to make an effort to improve the steps of misuse.2
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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