Yeni Mezun Hem�irelerin T�bbi Hata ve Risklere Y�nelik Fark�ndal�klar�n�n Artt�r�lmas�nda Bir Y�ntem: Ufak Tefek Hatalar Odas�

¹�stanbul Medipol �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�
²�stanbul Medipol �niversitesi Hastanesi, E�itim Birimi

G�R�� ve AMA�: Yeni mezun hem�irelerin mesleki karar ve uygulamalar�ndaki deneyimsizli�i, sa�l�k bak�m sisteminde ger�ekle�en t�bbi hatalar�n ba�l�ca nedenlerinden biridir. Bu noktadan hareketle �al��ma, yeni mezun hem�irelerin t�bbi hata ve risklere y�nelik fark�ndal�klar�n�n artt�r�lmas�nda ufak-tefek hatalar odas�n�n etkinli�ini belirlemek amac�yla ger�ekle�tirildi.
Y�NTEM ve GERE�LER: Yar� deneysel nitelikteki �al��ma, �zel bir �niversite hastanesinde �al��maya ba�layan ve 2018 y�l� lisans mezunu olan 71 hem�ire ile ger�ekle�tirildi. Yeni mezunlardan sim�lasyon ortam�nda yer alan 25 t�bbi hata ve riski belirlemeleri ve kendilerine verilen forma kaydetmeleri istendi. Sim�lasyona dayal� deneyim �ncesi ve sonras�nda Bireysel �zellikler Formu, Hem�irelikte T�bbi Hataya E�ilim �l�e�i (HTHE�) ve T�bbi Hatalarda Tutum �l�e�i�nden (THT�) olu�an anket formu dolduruldu. Tan�mlay�c� testler, ��aret testi ve Kruskal Wallis analizi kullan�larak veriler de�erlendirildi.
BULGULAR: Yeni mezunlar�n %23,9�u t�bbi hata deneyiminin bulundu�unu ve %45,1�i t�bbi hataya tan�kl�k etti�ini belirtti. Sim�lasyon ortam�nda yaln�zca 20 yeni mezunun, 13 ve �zerinde t�bbi hata ve risk belirledi�i saptand� (28,2%). Yeni mezunlar�n sim�lasyona dayal� deneyim �ncesi ve sonras�nda HTHE� ve THT֒nden ald�klar� puan ortalamalar� aras�nda istatistiksel olarak anlaml� farkl�l�k bulunmad� (p>0,05). 13 ve �zerinde t�bbi hata ve risk belirleyen yeni mezunlar�n, uygulama sonras�nda THT֒nden ald�klar� puan ortalamas� istatistiksel olarak anlaml� derecede y�ksek bulundu (p<0,05).
TARTI�MA ve SONU�: Ufak tefek hatalar odas�, yeni mezun hem�irelerin t�bbi hata ve risklere y�nelik fark�ndal�klar�n�n artt�r�lmas�nda yenilik�i bir ara�t�r. Klinik alanda g�zlemsel �al��malarla sim�lasyona dayal� deneyim etkisinin de�erlendirilmesi ve hizmet i�i ve kurum i�i uyum e�itim programlar�na entegre edilerek s�reklili�inin sa�lanmas� �nerilmektedir.

Anahtar Kelimeler:

A Method for Increasing The Awareness of New Graduate Nurses for Medical Errors and Risks: The Pint Size Errors of Room

¹Istanbul Medipol University, Health Sciences Faculty, Nursing Department
²Istanbul Medipol University Hospital, Education Department

INTRODUCTION: The inexperience of the newly graduated nurses in their professional decisions and practices is one of the main reasons for the medical errors in the health care system. From this point of view, the study was carried out to determine the effectiveness of the errors room method in increasing the awareness of new graduate nurses about medical errors and risks.
METHODS: The quasi-experimental study was carried out with 71 nurses, who began to work in a private university hospital and were graduated in 2018. New graduates were asked to determine the 25 medical errors and risks in the simulation environment and to record the form given to them. The Individual Characteristics Form, The Medical Error Tendency Scale (METS) and the Attitude Scale in Medical Errors (ASME) before and after the simulation based experience were completed by new graduates. Data were evaluated using descriptive tests, sign test and Kruskal Wallis analysis.
RESULTS: Of the new graduates, 23.9% reported experiencing medical errors, while 45.1% reported having witnessed medical errors. Only 20 new graduates were found to have medical errors on 13 and above (28,2%). There was no statistically significant difference between the average scores of the new graduates from the METS and ASME before and after the simulation based experience (p> 0.05). The mean score of the new graduates who determined 13 and above the medical errors and risks in the Error Room was found to be statistically significantly higher (p <0.05).
DISCUSSION AND CONCLUSION: The pint-size errors of room was an effective and innovative tool to raise the new graduate nurses' awareness of medical errors and risks. It is recommended that the effectiveness of the simulation based experience should be evaluated by observational studies and the method should be integrated into the in-service training program to provide continuity

Keywords:

Merve Tarhan, P�nar Do�an, Rabia Yaman, R�meysa Di�ci. A Method for Increasing The Awareness of New Graduate Nurses for Medical Errors and Risks: The Pint Size Errors of Room. Journal of Health and Nursing Management. 2019; 6(3): 196-206

Sorumlu Yazar: Merve Tarhan, T�rkiye