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Yanık Hastasına Bakım Veren Hemşirelerin Yaşadıkları Güçlükler

Year 2024, Volume: 11 Issue: 1, 123 - 137, 30.04.2024

Zahide Tunçbilek

Abstract

Amaç: Bu çalışmanın amacı yanık travması geçiren hastalara bakım veren hemşirelerin bakım süresince yaşadıkları fiziksel ve psikososyal güçlükleri belirlemektir.
Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma bir üniversite hastanesinin yanık ünitesinde ve bir kamu hastanesinin yanık merkezlerinde çalışan 47 hemşire ile 07.08.2020-24.03.2021 tarihleri arasında yürütülmüştür. Veri toplama aracı olarak “Sosyodemografik Veri Toplama Formu” ve “Hemşirelerin Yaşadığı Güçlükleri Belirleme Formu” kullanılmıştır. Verilerin toplanmasında aşamasında formlar kapalı zarflar içinde hemşirelere ulaştırılmış ve sonra doldurulan formlar yine kapalı zarflar içinde geri alınmıştır. Veriler sayı, yüzde, ortalama, standart sapma, minimum ve maksimum değerler şeklinde verilmiştir.
Bulgular: Çalışmaya katılan hemşirelerin %76,1’i kadın, %84,8’i lisans mezunu olup birimlerinde ortalama 3,47±4,06 yıldır görevlerini sürdürmektedirler. Hemşireler fiziksel olarak sorgulanan güçlüklerden en çok enfeksiyonu önlemede, mekanik debritmanı sağlamada, basınç giysisi giydirmede ve mobilize etmede güçlük yaşadıklarını belirtmişlerdir. Hemşirelerin %50’den fazlası hastalarına bakım verirken psikososyal yönden sorgulanan güçlüklerin tamamında kısmen ya da tamamen güçlük yaşadığını belirtmiştir.
Sonuç: Yanık travması geçiren hastaya bakım veren hemşirelerin psikososyal yönden daha çok güçlük yaşadığı tespit edilmiştir. Hemşirelere mezuniyet öncesi eğitimlerinde ya da hizmet içi eğitimlerinde yaşadıkları güçlüklerle nasıl baş edebilecekleri konusunda bilgilendirmeler yapılması, multidisipliner/interdisipliner ekip yaklaşımıyla bakımın planlanması ve sürdürülmesi, bu bağlamda interdisipliner yaklaşımlı tedavi ve bakım protokolünün oluşturulması önerilmektedir.

Keywords

fiziksel güçlükler hemşirelik bakımı psikososyal güçlükler yanıklar

References

  • Albayrak, Y., Temiz, A., Albayrak, A., Peksöz, R., Albayrak, F. ve Tanrıkulu, Y. (2018). A retrospective analysis of 2713 hospitalized burn patients in a burns center in Turkey. Ulus Travma ve Acil Cerrahi Dergisi, 24(1), 25-30. http://doi.org/10.5505/tjtes.2017.82342
  • Aydın Sayılan, A., Seyhan Ak, E. ve Kanan, N. (2018). Yanıklarda akut dönem ve hemşirelik bakımı [Acute period in burns and nursing care]. Sağlık Bilimleri ve Meslekleri Dergisi, 5(3), 485-494. https://doi.org/10.17681/hsp.377452
  • Bayuo, J., Bediako, F.A., Allotey, G. ve Baffour, P. K. (2019). Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study. International Journal of Nursing Practice., 25, e12685. https://doi.org/10.1111/ijn.12685
  • Cleary, M., Kornhaber, R., Visentin, D., West, S., Neil, A. L., Kezelman, C. ve McLean, L. (2020). Before, during and after: Trauma-informed care in burns settings. Burns, 46(5), 1170-1178. https://doi.org/10.1016/j.burns.2019.12.003
  • Depetris, N., Raineri, S., Pantet, O. ve Lavrentieva, A. (2018). Management of pain, anxiety, agitation and delirium in burn patients: a survey of clinical practice and a review of the current literature. Annals of Burns and Fire Disasters, 31(2), 97-108. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199011/pdf/Ann-Burns-and-Fire-Disasters-31-97.pdf
  • Faydalı, S. ve Bayraktar, N. (2011). Yanıklı hastaların ve yakınlarının taburculuk sonrası bilgi düzeylerinin belirlenmesi [Determination of post-discharge knowledge levels of burn patients and their relatives]. Hemşirelikte Araştırma Geliştirme Dergisi, 13(1), 47-60. https://dergipark.org.tr/tr/download/article-file/984407
  • Feng, P., Hao, J., Wang, Y., Zhang, Y., Yu, T. ve Gu, L. (2023). A cross-sectional survey on nurses in burn departments: Core competencies and influencing factors. Burns, 49(5), 1218-1224. https://doi.org/10.1016/j.burns.2022.09.003
  • Griffiths, C., Guest, E., White, P., Gaskin, E., Rumsey, N., Pleat, J. ve Harcourt, D. (2017). A systematic review of Patient-Reported Outcome Measures used in adult burn research. Journal of Burn Care&Research, 38(2), e521–e545. https://doi.org/10.1097/BCR.0000000000000474
  • Gupta, K., Monaliza, M., Das, K. ve Sharma, R.K. (2021). Occupational stress- addressing woes of the nurses in a burn unit. Hospital Topics, https://doi.org/10.1080/00185868.2021.20022200
  • Gümüş, K. ve Karaman Özlü, Z. (2017). İhmal edilen bir hemşirelik bakım alanı: Yanık bakımı [Neglected an area of nursing care: Burn care]. Bozok Tıp Dergisi, 7(4), 72-79. https://dergipark.org.tr/en/pub/bozoktip/issue/32879/366480
  • Hall, B. (2012). Care for the patient with burns in the trauma rehabilitation setting. Critical Care Nursing Quarterly, 35(3), 272–280. https://doi.org/10.1097/CNQ.0b013e3182542cdb
  • Karahan, S., Erbaş, A. ve Tunçbilek, Z. (2022). Experiences, difficulties, and coping methods of burn nurses: An exploratory-descriptive qualitative study. Journal of Burn Care & Research, 43(6), 1277-1285. https://doi.org/10.1093/jbcr/irac019
  • Meydan, B.T. (2020). Türkiye’de multi-disipliner hasta bakım uygulamalarında karşılaşılan güçlükler üzerine bir analiz [An analysis of multidisciplinary patient care pitfalls in Turkey]. Sağlıkta Kalite ve Akreditasyon Dergisi, 3(1), 7-15. https://dergipark.org.tr/tr/pub/jhqa/issue/55443/749217
  • Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M. ve Samami, E. (2015). Communication barriers perceived by nurses and patients. Global Journal of Health Science, 8(6), 65-74. https://doi.org/10.5539/gjhs.v8n6p65
  • Öztürk, D. ve Akyolcu, N. (2016). Ciddi yanıklı hastanın acil dönemdeki bakımı [The Care of Patient with Major Burn in the Emergency Period]. Florence Nightingale Hemşirelik Dergisi, 24(1), 49-58. https://dergipark.org.tr/en/download/article-file/332677
  • Peck, M. D. (2020). Epidemiology of burn injuries globally. https://www.uptodate.com/contents/epidemiology-of-burn-injuries-globally/print Erişim tarihi: 12.08.2023
  • Shivanpour, M., Firouzkouhi, M., Abdollahimohammad, A., Naderifar, M. ve Mohammadi, M. (2020). Nurses experiences in the burn unit: A qualitative research. Iranian Journal of Nursing and Midwifery Research, 25(3), 232-236. https://doi.org/10.4103/ijnmr.IJNMR_162_19
  • Smolle, C., Cambiaso-Daniel, J., Forbes, A. A., Wurzer, P., Hundeshagen, G., Branski, L. K., Huss, F. ve Kamolz, L. P. (2017). Recent trends in burn epidemiology worldwide: A systematic review. Burns, 43(2), 249-257. https://doi.org/10.1016/j.burns.2016.08.013
  • Subrata, S. A. (2021). A concept analysis of burn care in nursing. Scandinavian Journal of Caring Sciences, 35(1), 75–85. https://doi.org/10.1111/scs.12847
  • Sundara, D. C. (2011). A review of ıssues and concerns of family members of adult burn survivors. Journal of Burn Care&Research, 32(3), 349–357. https://doi.org/10.1097/BCR.0b013e318217f6cb
  • Tetteh, L., Aziato, L., Mensah, G. P., Vehviläinen-Julkunen, K. ve Kwegyir-Afful, E. (2021). Burns pain management: The role of nurse–patient communication, Burns, 47(6), 1416-1423. https://doi.org/10.1016/j.burns.2020.11.011
  • Wang, Y., Wong, F. K. Y., Bayuo, J., Chung, L. Y. F., Zhang, L. ve Wang, T. (2023). Challenges of nurses and family members of burn patients: Integrative review. Nursing Open, 10, 3547–3560. https://doi.org/10.1002/nop2.1651
  • World Health Organization (WHO). (2018). Burns. https://www.who.int/news-room/fact-sheets/detail/burns Erişim tarihi: 12.08.2023
  • Yılmaz Şahin, S., Dal, Ü. ve Vural, G. (2014). Yanıklı hastaların hemşirelerden beklentileri [Burn patient expectations from nurses]. TAF Preventive Medicine Bulletin, 13(1), 37-46. https://search.trdizin.gov.tr/tr/yayin/detay/221402/

Difficulties Faced by Burn Care Nurses

Year 2024, Volume: 11 Issue: 1, 123 - 137, 30.04.2024

Zahide Tunçbilek

Abstract

Objectives: The aim of this study is to determine the physical and psychosocial difficulties experienced by nurses who care for patients with burn trauma during their care.
Materials and Methods: This descriptive study was conducted with 47 nurses working in the burn unit of a university hospital and burn centers of a public hospital between 07.08.2020 and 24.03.2021. "Sociodemographic Data Collection Form" and "Identification Form of Difficulties Experienced by Nurses" were used as data collection tools. At the stage of data collection, the forms were delivered to the nurses in closed envelopes, and then the filled forms were taken back in closed envelopes. Data are given as numbers, percentages, mean, standard deviation, minimum and maximum values.
Results: 76.1% of the nurses participating in the study were women, 84.8% were bachelor degree, and they have been working in their units for an average of 3.47±4.06 years. The nurses stated that they had the most difficulty in preventing infection, providing mechanical debridement, putting on pressure garments and mobilizing among the difficulties that were questioned physically. More than 50% of the nurses stated that they had difficulties partially or completely in all of the questioned psychosocial difficulties while giving care to their patients.
Conclusion: Nurses who care for patients with burn trauma experience more psychosocial difficulties. It is recommended to inform nurses about how they can cope with the difficulties they experience during their pre-graduate education or in-service training, to plan and continue care with a multidisciplinary/interdisciplinary team approach, and to create a treatment and care protocol with an interdisciplinary approach in this context.

Keywords

burns nursing care physical difficulties psychosocial difficulties

References

  • Albayrak, Y., Temiz, A., Albayrak, A., Peksöz, R., Albayrak, F. ve Tanrıkulu, Y. (2018). A retrospective analysis of 2713 hospitalized burn patients in a burns center in Turkey. Ulus Travma ve Acil Cerrahi Dergisi, 24(1), 25-30. http://doi.org/10.5505/tjtes.2017.82342
  • Aydın Sayılan, A., Seyhan Ak, E. ve Kanan, N. (2018). Yanıklarda akut dönem ve hemşirelik bakımı [Acute period in burns and nursing care]. Sağlık Bilimleri ve Meslekleri Dergisi, 5(3), 485-494. https://doi.org/10.17681/hsp.377452
  • Bayuo, J., Bediako, F.A., Allotey, G. ve Baffour, P. K. (2019). Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study. International Journal of Nursing Practice., 25, e12685. https://doi.org/10.1111/ijn.12685
  • Cleary, M., Kornhaber, R., Visentin, D., West, S., Neil, A. L., Kezelman, C. ve McLean, L. (2020). Before, during and after: Trauma-informed care in burns settings. Burns, 46(5), 1170-1178. https://doi.org/10.1016/j.burns.2019.12.003
  • Depetris, N., Raineri, S., Pantet, O. ve Lavrentieva, A. (2018). Management of pain, anxiety, agitation and delirium in burn patients: a survey of clinical practice and a review of the current literature. Annals of Burns and Fire Disasters, 31(2), 97-108. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199011/pdf/Ann-Burns-and-Fire-Disasters-31-97.pdf
  • Faydalı, S. ve Bayraktar, N. (2011). Yanıklı hastaların ve yakınlarının taburculuk sonrası bilgi düzeylerinin belirlenmesi [Determination of post-discharge knowledge levels of burn patients and their relatives]. Hemşirelikte Araştırma Geliştirme Dergisi, 13(1), 47-60. https://dergipark.org.tr/tr/download/article-file/984407
  • Feng, P., Hao, J., Wang, Y., Zhang, Y., Yu, T. ve Gu, L. (2023). A cross-sectional survey on nurses in burn departments: Core competencies and influencing factors. Burns, 49(5), 1218-1224. https://doi.org/10.1016/j.burns.2022.09.003
  • Griffiths, C., Guest, E., White, P., Gaskin, E., Rumsey, N., Pleat, J. ve Harcourt, D. (2017). A systematic review of Patient-Reported Outcome Measures used in adult burn research. Journal of Burn Care&Research, 38(2), e521–e545. https://doi.org/10.1097/BCR.0000000000000474
  • Gupta, K., Monaliza, M., Das, K. ve Sharma, R.K. (2021). Occupational stress- addressing woes of the nurses in a burn unit. Hospital Topics, https://doi.org/10.1080/00185868.2021.20022200
  • Gümüş, K. ve Karaman Özlü, Z. (2017). İhmal edilen bir hemşirelik bakım alanı: Yanık bakımı [Neglected an area of nursing care: Burn care]. Bozok Tıp Dergisi, 7(4), 72-79. https://dergipark.org.tr/en/pub/bozoktip/issue/32879/366480
  • Hall, B. (2012). Care for the patient with burns in the trauma rehabilitation setting. Critical Care Nursing Quarterly, 35(3), 272–280. https://doi.org/10.1097/CNQ.0b013e3182542cdb
  • Karahan, S., Erbaş, A. ve Tunçbilek, Z. (2022). Experiences, difficulties, and coping methods of burn nurses: An exploratory-descriptive qualitative study. Journal of Burn Care & Research, 43(6), 1277-1285. https://doi.org/10.1093/jbcr/irac019
  • Meydan, B.T. (2020). Türkiye’de multi-disipliner hasta bakım uygulamalarında karşılaşılan güçlükler üzerine bir analiz [An analysis of multidisciplinary patient care pitfalls in Turkey]. Sağlıkta Kalite ve Akreditasyon Dergisi, 3(1), 7-15. https://dergipark.org.tr/tr/pub/jhqa/issue/55443/749217
  • Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M. ve Samami, E. (2015). Communication barriers perceived by nurses and patients. Global Journal of Health Science, 8(6), 65-74. https://doi.org/10.5539/gjhs.v8n6p65
  • Öztürk, D. ve Akyolcu, N. (2016). Ciddi yanıklı hastanın acil dönemdeki bakımı [The Care of Patient with Major Burn in the Emergency Period]. Florence Nightingale Hemşirelik Dergisi, 24(1), 49-58. https://dergipark.org.tr/en/download/article-file/332677
  • Peck, M. D. (2020). Epidemiology of burn injuries globally. https://www.uptodate.com/contents/epidemiology-of-burn-injuries-globally/print Erişim tarihi: 12.08.2023
  • Shivanpour, M., Firouzkouhi, M., Abdollahimohammad, A., Naderifar, M. ve Mohammadi, M. (2020). Nurses experiences in the burn unit: A qualitative research. Iranian Journal of Nursing and Midwifery Research, 25(3), 232-236. https://doi.org/10.4103/ijnmr.IJNMR_162_19
  • Smolle, C., Cambiaso-Daniel, J., Forbes, A. A., Wurzer, P., Hundeshagen, G., Branski, L. K., Huss, F. ve Kamolz, L. P. (2017). Recent trends in burn epidemiology worldwide: A systematic review. Burns, 43(2), 249-257. https://doi.org/10.1016/j.burns.2016.08.013
  • Subrata, S. A. (2021). A concept analysis of burn care in nursing. Scandinavian Journal of Caring Sciences, 35(1), 75–85. https://doi.org/10.1111/scs.12847
  • Sundara, D. C. (2011). A review of ıssues and concerns of family members of adult burn survivors. Journal of Burn Care&Research, 32(3), 349–357. https://doi.org/10.1097/BCR.0b013e318217f6cb
  • Tetteh, L., Aziato, L., Mensah, G. P., Vehviläinen-Julkunen, K. ve Kwegyir-Afful, E. (2021). Burns pain management: The role of nurse–patient communication, Burns, 47(6), 1416-1423. https://doi.org/10.1016/j.burns.2020.11.011
  • Wang, Y., Wong, F. K. Y., Bayuo, J., Chung, L. Y. F., Zhang, L. ve Wang, T. (2023). Challenges of nurses and family members of burn patients: Integrative review. Nursing Open, 10, 3547–3560. https://doi.org/10.1002/nop2.1651
  • World Health Organization (WHO). (2018). Burns. https://www.who.int/news-room/fact-sheets/detail/burns Erişim tarihi: 12.08.2023
  • Yılmaz Şahin, S., Dal, Ü. ve Vural, G. (2014). Yanıklı hastaların hemşirelerden beklentileri [Burn patient expectations from nurses]. TAF Preventive Medicine Bulletin, 13(1), 37-46. https://search.trdizin.gov.tr/tr/yayin/detay/221402/
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Surgical Diseases Nursing​​
Journal Section Articles
Authors

Zahide Tunçbilek 0000-0001-9248-9007

Early Pub Date February 27, 2024
Publication Date April 30, 2024
Submission Date August 13, 2023
Published in Issue Year 2024 Volume: 11 Issue: 1

Cite

APA Tunçbilek, Z. (2024). Yanık Hastasına Bakım Veren Hemşirelerin Yaşadıkları Güçlükler. Hacettepe University Faculty of Health Sciences Journal, 11(1), 123-137. https://doi.org/10.21020/husbfd.1341811
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