Hem�irelerin Hasta G�venli�i K�lt�r� Alg�lar�n�n ve Etkileyen Fakt�rlerin �ncelenmesi

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Hem�irelerin Hasta G�venli�i K�lt�r� Alg�lar�n�n ve Etkileyen Fakt�rlerin �ncelenmesi [Journal of Health and Nursing Management]

Journal of Health and Nursing Management. 2019; 6(3): 171-185 | DOI: 10.5222/SHYD.2019.79553

Hem�irelerin Hasta G�venli�i K�lt�r� Alg�lar�n�n ve Etkileyen Fakt�rlerin �ncelenmesi

Ay�eg�l Y�lmaz¹, Sergul Duygulu²
¹Hacettepe �niversitesi Hem�irelik Esaslar� Anabilim Dal�, Ankara
²Hacettepe �niversitesi Hem�irelikte Y�netim Anabilim Dal�, Ankara

G�R�� ve AMA�: Kaliteli, g�venli ve maliyet etkin bir sa�l�k hizmeti sunabilmek i�in sa�l�k bak�m kurulu�lar�nda hasta g�venli�i k�lt�r�n�n geli�tirilmesi gerekmektedir. Hasta g�venli�i k�lt�r�n�n geli�tirilmesinde hasta g�venli�i k�lt�r�n� etkileyen etmelerin belirlenmesi �nemlidir. Ara�t�rma, hem�irelerin hasta g�venli�i k�lt�r� alg�lar�n�n ve hasta g�venli�i k�lt�r� alg�lar�n� etkileyen fakt�rlerin belirlenmesi amac�yla tan�mlay�c� ve kesitsel olarak yap�lm��t�r.

Y�NTEM ve GERE�LER: Ara�t�rma, Konya ili kent merkezinde yer alan d�rt hastanede, 20 Mart-01 Haziran 2014 tarihleri aras�nda yap�lm��t�r. �al��maya Dahili birim, Cerrahi birim, Yo�un bak�m, Acilde �al��an toplam 427 hem�ire kat�lm��t�r. Verilerin toplanmas�nda Demografik Veri ve Hasta G�venli�i K�lt�r� Hastane Anket formu kullan�lm��t�r.
BULGULAR: Hem�irelerin ya� ortalamalar�n�n 33,12 ya� oldu�u ve %75,6�s�n�n hasta g�venli�i ile ilgili e�itim ald�� belirlenmi�tir. �al��mada toplam hasta g�venli�i k�lt�r� pozitif cevap puan� %49,39 olarak bulunmu�tur. Hem�irelerin �al��ma pozisyonu, meslekte �al��ma y�l�, hasta g�venli�i ile ilgili e�itim alama durumu, hem�irelerin �al��t�klar� hastanenin hasta ve �al��anlar i�in g�venli bir ortam oldu�unu d��nme durumu, �al��ma �ekli, haftal�k �al��ma s�resi ve hastane hasta g�venli�ine ili�kin uygulamalar�n varl��n�n, hem�irelerin hasta g�venli�i k�lt�r� alg�lar� �zerinde etkisi oldu�u ancak bu etkinin d��k d�zeyde oldu�u saptanm��t�r.
TARTI�MA ve SONU�: Bu ara�t�rman�n sonu�lar�na g�re, hastanelerde hem�irelerin hata bildirimlerinde cezaland�r�c� olmayan bir yakla��m�n ortaya konulmas� gerekmektedir. Ayr�ca �al��ma sistemleri ile �al��ma ortamlar�n�n hasta g�venli�ini sa�lay�c� �ekilde d�zenlenmesi ve hem�irelerin hasta g�venli�ine y�nelik mesleki geli�imlerinin desteklenmesi �nemlidir. Ayr�ca �al��man�n yap�ld�� sa�l�k kurulu�lar�nda hasta g�venli�i k�lt�r�ne etki eden di�er fakt�rlerin de belirlenmesi �nerilebilir.

Anahtar Kelimeler: Hasta g�venli�i k�lt�r�, etkileyen etmenler, hem�irelik, hem�ireler

Research of Nurses' Pat�ent Safety Culture Percept�ons and Affect�on Factors

Ay�eg�l Y�lmaz¹, Sergul Duygulu²
¹Hacettepe University Fundamentals Of Nursing, Ankara, Turkey
²Hacettepe University Nursing Services Administration, Ankara, Turkey

INTRODUCTION: The culture of patient safety is an important element for the quality of health care delivery and is a global concern. In the development of patient safety culture, it is important to determine the factors affecting the patient safety culture.This study was performed in descriptive and cross-sectional design in order to determine nurses' perception of patient safety culture and the factors affecting it.
METHODS: This study was conducted in four public hospitals across Turkey, in 2014. The study consisted of 427 staff nurses. Data were collected through the Demographic Data Form and Patient Safety Culture Hospital Questionnaire.
RESULTS: The mean age of the nurses was 33.12 and 75.6% of them were training about patient safety culture. The overall level of patient safety culture was 49.3%. Nurses' working position, working year in the occupation, training on patient safety, nurses' thinking that the hospital they work in is a safe environment for patients and employees, working style, weekly working time and presence of practices related to hospital patient safety all had affected nurses' perceptions of patient safety culture, but this effect was found to be low.
DISCUSSION AND CONCLUSION: According to the results of this study, a non-punitive approach to error reporting of nurses in hospitals should be put forward. In addition, it is important to regulate working systems and work environments in a way to ensure patient safety and to support the professional development of nurses for patient safety. It may also be suggested to identify other factors that affect patient safety culture in the health institutions where the study is conducted.

Keywords: Patient safety culture, Affect�on factors, Nursing, Nurses

Ay�eg�l Y�lmaz, Sergul Duygulu. Research of Nurses' Pat�ent Safety Culture Percept�ons and Affect�on Factors. Journal of Health and Nursing Management. 2019; 6(3): 171-185

Sorumlu Yazar: Ay�eg�l Y�lmaz, T�rkiye

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