Where Can We Find Postpartum Clinic Midwives And Nurses In The Context Of Evidence Based Practice?

Do�an Mer�h, Yel�z; Co�kuner Potur, D�lek; Y�lmaz Esencan, Tu�ba

Yel�z Do�an Mer�h¹, D�lek Co�kuner Potur², Tu�ba Y�lmaz Esencan¹

¹Zeynep Kamil Women and Children Diseases Education and Research Hospita
²Marmara University Faculty of Health Sciences Nursing Department of Obstetrics and Gynecology Nursing Abd

INTRODUCTION: This descriptive study aimed to determine where postpartum clinic midwives and nurses stand on the subject of evidence-based practice and to identify their opinions on evidence-based practice.
METHODS: The sample included a total of 101 midwives and nurses (53 midwives, 48 nurses) who worked at the postpartum clinics of two Women�s and Children Disease Trainig and Research hospitals located at the Anatolian side of Istanbul. Data was collected using a questionnaire developed by the researchers in order to investigate descriptive features and opinions on evidence-based practice in postpartum care. Data was analyzed using the SPSS, T test and ANOVA.
RESULTS: Mean age of the nurses and midwives was 28,67�5,86 and mean duration in the profession was 8,96�6,47 years. Among the participants, 52,5% were midwives, 66,3% had a Bachelor�s Degree or higher. It was found that 66,3% of the participants defined evidence-based practice as the use of best scientific evidence and 97% stated that evidence-based practices are necessary.
Mean score of finding standard practices of mother and infant care and treatment necessary was 90,74�8,77, mean score of implementing evidence-based practices was 41,77�6,12. In terms of implementing evidence-based practice in postpartum care, participants who had higher levels of education and who followed scientific journals had significantly higher scores (p<0.05).

DISCUSSION AND CONCLUSION: It was determined that midwives and nurses found evidence-based practice necessary in postpartum care and implemented evidence-based practice at medium levels. In order to increase such implementations- nurses-midwives should be motivated for continuing training is required.

Keywords:

Do�um Sonu Kliniklerinde �al��an Ebe Ve Hem�ireler Kan�ta Dayal� Uygulamalar�n Neresinde?

Yel�z Do�an Mer�h¹, D�lek Co�kuner Potur², Tu�ba Y�lmaz Esencan¹

¹Zeynep Kamil Kad�n Ve �ocuk Hastal�klar� E�itim Ve Ara�t�rma Hastanesi
²Marmara �niversitesi Sa�l�k Bilimleri Fak�ltesi Hem�irelik B�l�m� Do�um Ve Kad�n Hastal�klar� Hem�ireli�i Abd

G�R�� ve AMA�: Bu ara�t�rma, "do�um sonu kliniklerinde �al��an ebe ve hem�irelerin kan�ta dayal� uygulamalar�n" neresinde yer ald��n� ve kat�l�mc�lar�n kan�ta dayal� uygulamalara y�nelik g�r��lerini belirlemek amac�yla tan�mlay�c� olarak ger�ekle�tirilmi�tir.
Y�NTEM ve GERE�LER: YAra�t�rman�n �rneklemini, �stanbul Anadolu yakas�nda hizmet veren iki farkl� Kad�n ve �ocuk Hastal�klar� E�itim ve Ara�t�rma Hastanesinin do�um sonu kliniklerinde �al��an 53 ebe, 48 hem�ire olmak �zere toplam 101 ebe ve hem�ire olu�turmu�tur. Ara�t�rman�n verileri tan�t�c� �zellikleri ve kat�l�mc�lar�n do�um sonu kan�ta dayal� uygulamalar�na y�nelik g�r��lerini i�eren anket formu ile elde edilmi�tir Veriler SPSS program� ile T test ve ANOVA testi ile de�erlendirilmi�tir.
BULGULAR: Ara�t�rmaya kat�lan ebe ve hem�irelerin ya� ortalamas� 28,67�5,86 ve meslekte �al��ma y�l� ortalamas� 8,96�6,47 y�ld�r. Kat�l�mc�lar�n %52,5�i ebe olup %66,3�� lisans ve �zeri e�itim d�zeyindedir. oldu�u saptanm��t�r. Kan�ta dayal� uygulamay�, kat�l�mc�lar�n %66,3��n�n eldeki en iyi bilimsel kan�tlar� mesleki uygulamalar�nda kullanma olarak tan�mlad�klar�, %97 oran�nda kan�ta dayal� uygulamalar�n gerekli oldu�unu ifade ettikleri saptanm��t�r.
Kat�l�mc�lar do�um sonu anne ve bebek bak�m ve tedavisine y�nelik standart uygulamalar� gerekli g�rme puan ortalamas� 90,74�8,77, kan�ta dayal� uygulamalar� �al��ma ya�amlar�nda kullanma puan ortalamas� 41,77�6,12 olarak belirlenmi�tir. Do�um sonu kan�ta dayal� uygulamalar� kullanma a��s�ndan e�itim d�zeyi y�ksek olan ve bilimsel yay�nlar� takip eden kat�l�mc�lar�n di�erlerine g�re puanlar�n�n daha y�ksek oldu�u saptanm�� ve aralar�ndaki ili�ki anlaml� bulunmu�tur (p<0.05).

TARTI�MA ve SONU�: Ebe ve hem�irelerin do�um sonu uygulamalarda kan�ta dayal� uygulamalar� gerekli g�r�rken uygulamalar�nda orta d�zeyde kulland�klar�, kullan�mlar�n�n artmas� i�in motive etme ve s�rekli e�itim gereksinimlerinin oldu�u saptanm��t�r.

Anahtar Kelimeler:

Yel�z Do�an Mer�h, D�lek Co�kuner Potur, Tu�ba Y�lmaz Esencan. Where Can We Find Postpartum Clinic Midwives And Nurses In The Context Of Evidence Based Practice?. Journal of Health and Nursing Management. 2017; 4(1): 8-14

Corresponding Author: Yel�z Do�an Mer�h, T�rkiye