Ameliyat Sonras� Erken D�nemde Cerrahi Birimlerindeki Hem�irelerin Bak�m Giri�imlerini Kaydetme Durumlar�

¹Sivas Cumhuriyet �niversitesi, Su�ehri Sa�l�k Y�ksekokulu, Hem�irelik B�l�m�, Sivas, T�rkiye
²Marmara �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, �stanbul, T�rkiye
³Yozgat Bozok �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, Yozgat, T�rkiye

Ama�: Bu ara�t�rma, ameliyat sonras� erken d�nemde cerrahi birimlerinde �al��an hem�irelerin bak�m giri�imlerini kaydetme durumlar�n� belirlemek amac�yla ger�ekle�tirmi�tir.
Y�ntem: Tan�mlay�c� olarak yap�lan bu ara�t�rma, Ekim�Kas�m 2023 tarihleri aras�nda, �stanbul ilinde bulunan ve ��nc� basamak sa�l�k hizmeti veren �� e�itim ara�t�rma hastanesinin cerrahi birimlerinde �al��an 221 hem�ire ile ger�ekle�tirilmi�tir. Veriler, hem�ireleri tan�t�c� bilgi formu ile ameliyat sonras� hem�irelik giri�imlerini ger�ekle�tirme ve kay�t etme formlar� arac�l��yla toplanm��t�r.
Bulgular: Cerrahi hem�irelerin ameliyat sonras� erken d�nemde uygulad�klar� giri�imler aras�nda en fazla ya�am bulgular� de�erlendirme (%100), en az ise hastan�n cilt s�cakl��, nemi ve renk de�erlendirmesi (%81,9) oldu�u belirlenmi�tir. �al��mada, cerrahi hem�irelerin %100��n�n �ameliyat sonras� ya�am bulgular�n� izleme� ile �solunum de�erlendirme ve gerekli ise oksijen deste�i sa�lama� giri�imini uygulad�� ve her uygulamada kaydettikleri saptanm��t�r. Di�er hem�irelik giri�imlerinin uygulama s�kl�klar� aras�nda standart yakla��m�n olmad��, ancak uygulaman�n yap�ld�� s�kl�k kadar kay�t�n yap�lmad�� belirlenmi�tir.
Sonu�: �al��mada, cerrahi hem�irelerinin, bak�m giri�imlerini uygulama ve kaydetme s�kl�klar� aras�nda eksiklikler bulunurken, hem�ire g�zlem formlar�n�n cerrahi birimlere �zel olmas� ve her giri�im i�in kaydedilme alan�n�n olu�turulmas� gereklidir.

Anahtar Kelimeler:

Status of Surgical Clinic Nurses' Recording of Care Interventions in the Early Postoperative Period

¹Sivas Cumhuriyet University, Su�ehri School of Health, Department of Nursing, Sivas, T�rkiye
²Marmara University, Faculty of Health Sciences, Department of Nursing, Istanbul, T�rkiye
³Yozgat Bozok University, Faculty of Health Sciences, Department of Nursing, Yozgat, T�rkiye

Aim: This study was planned to determine the recording of care interventions by nurses working in surgical clinics in the early postoperative period.
Method: This descriptive study was conducted between October and November 2023 with 221 nurses working in the surgical clinics of three training and research hospitals providing tertiary health care services in Istanbul province. Data were collected through the �sociodemographic data collection form� and �performing and recording postoperative nursing interventions� forms.
Results: Among the interventions performed by surgical nurses in the early postoperative period, the most common was the assessment of vital signs (100%) and the least common was the assessment of the patient's skin temperature, humidity and colour (81.9%). In the study, it was determined that 100% of the surgical nurses applied the interventions of �monitoring postoperative vital signs� and �respiratory assessment and providing oxygen support if necessary� and recorded them in each application. It was determined that there was no standard between the application frequencies of other nursing interventions and that they were not recorded as often as the application was performed.
Conclusion: Deficiencies were found in the frequency of application and recording of care interventions by surgical nurses. Nurse observation forms should be specialised for surgical clinics and a recording area should be created for each intervention.

Keywords:

Kadriye Aldemir Atmaca, Ye�im Dikmen Ayd�n, �zlem �ahin Akbo�a. Status of Surgical Clinic Nurses' Recording of Care Interventions in the Early Postoperative Period. Journal of Health and Nursing Management. 2024; 11(2): 323-332

Sorumlu Yazar: Kadriye Aldemir Atmaca, T�rkiye