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Amaç: Çalışmamızda hemşirelerin ventilatör ilişkili pnömoninin (VİP) önlenmesine yönelik kanıta dayalı uygulamalar konusunda bilgilerini belirlemek amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı ve kesitsel olan bu çalışma Mart-Haziran 2014 tarihleri arasında İzmir'deki iki üniversite ve beş eğitim araştırma hastanesinde yapılmıştır. Araştırmanın evrenini yoğun bakım ünitelerinde çalışan 500 hemşire; örneklemi ise veri toplama tarihleri arasında araştırmaya katılmayı kabul edenler oluşturmuştur. Verilerin toplanmasında “Sosyo-demografik ve çalışma özellikleri formu” ve “Ventilatör ilişkili pnömoninin önlenmesinde kanıta dayalı uygulamalara ilişkin bilgileri” formları kullanılmıştır. İstatistiksel analizde Kolmogrov-Smirnov testi yapılmış, normal dağılım göstermeyen veriler için nonparametrik testler kullanılmıştır.Veriler sayı ve yüzde dağılımları, madde ortalaması, Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak analiz edilmiştir. Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak yapılan analizler için istatistiksel önemlilik düzeyi p<0.05, Bonferroni düzeltmeli Mann-Whitney U testinde üçlü karşılaştırma için anlamlılık düzeyi p<0.02, altılı karşılştırma için anlamlılık düzeyi p<0.01 olarak kabul edilmiştir. Bulgular: Çalışmaya 332 hemşire katıldı ve %73,8'inin yoğun bakım hemşireliği sertifikasının olmadığı belirlenmiştir. Çalışmamızda hemşirelerin VİP önlenmesine ilişkin kanıta dayalı uygulamalar hakkındaki bilgileri oldukça düşük bulunmuştur (2.02±0.47). Hemşirelerin bilgi düzeylerinin yoğun bakımda çalışma yılından, meslekte çalışma yılından ve yoğun bakım sertifikasına sahip olma durumundan etkilenmediği bulunmuştur (p>0.05). Sonuç: Hemşirelerin VİP’in önlenmesinde KDU konusunda bilgilerinin oldukça düşük olduğu bulunmuştur. Hemşirelerin kanıt temelli çalışmalara yönlendirilmesi, sertifika ve hizmet içi eğitimlerinin güncel kanıtlar kullanılarak düzenli olarak yürütülmesi önemlidir.
Objective: The aim of the present study was to determine nurses' knowledge of evidence-based practices regarding the prevention of VAP. Materials and Methods: This descriptive cross-sectional study was conducted between March - June 2014 from two university hospitals and five training and research hospitals in Istanbul. The universe of this study was made up 500 nurses working in intensive care units; and the sampling involved of those who agreed to participate in the study between data collection dates. Collection of research data was performed by means of a "Socio-demographic and work characteristics questionnaire" and a form of "Questionnaire of evidence-based knowledge about the prevention of VAP". Analysis of data using the Kolmogrov-Smirnov test indicated a non-normal distribution, and therefore non-parametric tests were used. The statistical significance level was set at p < 0.05 for the analysis conducted using the Mann-Whitney U test and the Kruskal-Wallis test and at p < 0.02 for the three pairwise comparisons and p < 0.01 for the six pairwise comparisons performed with the Bonferroni-corrected Mann-Whitney U test. Results: The study included 332 nurses. Of these, 73.8% did not have a certificate in intensive care nursing. In the present study, the nurses' knowledge of evidence-based practices regarding the prevention of VAP was found to be very low (2.02±0.47). It was determined that variables such as years in the profession, years of experience in the intensive care unit (ICU) and having a certificate in intensive care nursing did not affect knowledge levels. Conclusions: Results of the study found the nurses' knowledge of EBPs regarding the prevention of VAP was very low. It is important to direct nurses to evidence-based studies, and to conduct certificate and in-service training regularly using current evidence.
Objective: The aim of the present study was to determine nurses’ knowledge of evidence-based practices regarding the prevention of VAP. Materials and Methods: This descriptive cross-sectional study was conducted between March - June 2014 from two university hospitals and five training and research hospitals in İzmir. The universe of this study was made up 500 nurses working in intensive care units; and the sampling involved of those who agreed to participate in the study between data collection dates. Collection of research data was performed by means of a “Socio-demographic and work characteristics questionnaire” and a form of “Questionnaire of evidence-based knowledge about the prevention of VAP”. Analysis of data using the Kolmogrov-Smirnov test indicated a non-normal distribution, and therefore non-parametric tests were used. The statistical significance level was set at p < 0.05 for the analysis conducted using the Mann-Whitney U test and the Kruskal-Wallis test and at p < 0.02 for the three pairwise comparisons and p < 0.01 for the six pairwise comparisons performed with the Bonferroni-corrected Mann-Whitney U test. Results: The study included 332 nurses. Of these, 73.8% did not have a certificate in intensive care nursing. In the present study, the nurses’ knowledge of evidence-based practices regarding the prevention of VAP was found to be very low (2.02±0.47). It was determined that variables such as years in the profession, years of experience in the intensive care unit (ICU) and having a certificate in intensive care nursing did not affect knowledge levels. Conclusions: Results of the study found the nurses’ knowledge of EBPs regarding the prevention of VAP was very low. It is important to direct nurses to evidence-based studies, and to conduct certificate and in-service trainings regularly using current evidence.
Field : Sağlık Bilimleri
Journal Type : Ulusal
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