Oryantasyon eğitimi mobil destek uygulamasının geliştirilmesi ve öğrenci hemşirelerin kaygı düzeyi ve hasta güvenliği tutumu üzerine etkisi: Ön test son test randomize kontrollü çalışma
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Tarih
2024
Yazarlar
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Cilt Başlığı
Yayıncı
Necmettin Erbakan Üniversitesi, Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırmada, öğrenci hemşirelere klinik uygulama sürecinde yol gösterecek bir mobil uygulama geliştirmek ve bu mobil uygulama (Hastam Güvende) kullanımının, öğrenci hemşirelerin hasta güvenliği tutumu ve anksiyete düzeyleri üzerine etkisinin incelenmesi amaçlandı. Paralel grup öntest-son test randomize kontrollü deneysel tasarımda gerçekleştirilen bu çalışmanın verileri, 16 Ekim 2023-16 Şubat 2024 tarihleri arasında toplandı. Çalışmanın evrenini hemşirelik fakültesi dördüncü sınıf öğrencileri oluşturdu. Örnek büyüklüğü G*Power programı kullanılarak%80 güç ile hesaplandı. Çalışmanın örneklemini 42 deney ve 42 kontrol grubunda bulunun84 öğrenci hemşire oluşturdu. Çalışmada deney ve kontrol grubu homojendir. Araştırmanın ilk aşamasında, "Hastam Güvende" mobil destek uygulaması geliştirildi. Ulusal Hasta Güvenliği Hedefleri doğrultusunda oluşturulan mobil uygulamanın dokuz ana modülü; hasta kimlik bilgilerinin tanımlanması ve doğrulanması, etkili iletişimin artırılması/iletişim güvenliğinin sağlanması, ilaç güvenliğinin sağlanması, cerrahi girişim/ameliyat güvenliğinin sağlanması, doğru kan/kan ürünü transfüzyonu güvenliğinin sağlanması, renkli kodların kullanımı, sağlık bakımı ilintili enfeksiyonların azaltılması, düşmelerden kaynaklanan hastaların zarar görme riskinin azaltılması, bilgi gizliliği-mahremiyettir. Yönetici panelinden mobil uygulama kullanımı takip edilmiş, mobil uygulama ve telefonla hatırlatıcı mesajlar, geri bildirim sağlanmıştır. Çalışmaya katılmayı kabul eden tüm katılımcılardan başlangıçta, 1. ve 3. ayın sonunda Kişisel Bilgi Formu, Hasta Güvenliği Tutumu Envanteri (HGTE) ve Durumluk ve Sürekli Anksiyete Envanteri (DSAE) ile veriler toplandı. Verilerin tamamı çalışmada yer almayan, bağımsız, sağlık bilgisi olan bir anketör tarafından elde edildi. Veri toplayıcı, istatistik uzmanı ve raporlama yönünden körleme uyguladı. Verilerin analizinde Mann Whitney U testi, Fisher'sExact Test, Yates düzeltmesi, Fisher-Freeman-Halton testi, RobustAnova testleri kullanıldı. İstatistiksel anlamlılık p<0.05 kabul edildi. Araştırma öncesi etik kurul, kurum izni ve katılımcıların onamı alındı. Bu çalışma, ClinicalTrials protokol kayıt sistemine NCT06396559 numarası ile kaydedildi. Katılımcıların öntest ölçümleri DSAE puanları deney (43-48) ve kontrol (40.5-46.5) gruplarında benzerken; HGTE puanları da deney (156) ve kontrol (158) gruplarında benzerdi. Katılımcıların DSAE durumluk anksiyete 3. ay puanı (45), öntest (42), ve 1. Ay puanından (41) daha yüksek bulundu. Deney gurubundaki katılımcıların DSAE durumluk anksiyete toplam puanı(44) kontrol grubundan (40.5) daha yüksek bulundu. Deney gurubundaki katılımcıların DSAE sürekli anksiyete toplam puanı (48) kontrol grubundan (46) daha yüksek bulundu. Deney grubundaki katılımcıların HGTE 1. Ay (160) ve 3. ay puanları (161), öntest (156) puanından daha yüksek bulundu. Deney grubunun mobil uygulama ile ilgili geri bildirimleri genel olarak olumluydu. Bu çalışma sonucunda mobil uygulama kullanan katılımcıların, HGTE ve DSAE puanlarında istatistiksel olarak anlamlılık saptanmazken, hasta güvenliği tutumu toplam puanında artış olduğu görüldü. Mobil uygulama kullanımı öğrencilere hızlı ve güvenilir bilgi kaynağı olmanın yanında, psikomotor beceri adımlarını gözden geçirmelerine olanak sağlar. Klinik hemşirelik becerilerinin kalitesini artırmaya yardımcı olacak, çeşitli modüllerden oluşan kapsamlı bir mobil uygulama geliştirilerek uzun süreli takiplere sahip multidisipliner çalışmalar planlanması önerilebilir.
The aim of the study was to develop a mobile application that will guide student nurses in the clinical practice process in line with the national patient safety goals and to examine the effect of the use of this mobile application (Hastam Güvende) on the patient safety attitudes and anxiety levels of student nurses. The data of this study, which was conducted in a parallel group pretest-posttest randomized controlled experimental design, were collected between 16 October 2023 and 16 February 2024. The universe of the study consisted of fourth-year students of the faculty of nursing. The sample size was calculated with 80% power using the G*Power program. The sample of the study consisted of 84 student nurses, 42 in the experimental group and 42 in the control group. The experimental and control groups in the study are homogeneous. In addition, no participants dropped out during the data collection process. In the first stage of the research, the "Hastam Güvende" mobile support application was developed. The nine main modules of the mobile application created in line with the National Patient Safety Goals; identification and verification of patient identity information, increasing effective communication/ensuring, communication security, ensuring medication safety, ensuring surgical intervention/surgery safety, ensuring correct blood/blood product transfusion safety, use of color codes, reducing healthcare-associated infections, reducing the risk of patient harm from falls, and information confidentiality-privacy. The experimental group was given training on the use of the mobile application within 1 week after their consent was obtained. The use of the mobile application was monitored from the administrator panel, and reminder messages and feedback were provided via mobile application and phone. No intervention was applied to the control group. Data were collected from all participants who agreed to participate in the study at the beginning, at the end of the 1st and 3rd months with the Personal Information Form, Patient Safety Attitude Inventory (HGTE) and State-Trait Anxiety Inventory (STAI). All data were obtained by an independent interviewer with health knowledge who was not involved in the study. Blinding was applied in terms of data collector, statistician and reporting. Since the researcher was actively involved in the installation, introduction and subsequent meeting process of the mobile application, blinding of the researcher could not be done during the application phase. Mann Whitney U test, Fisher's Exact Test, Yates correction, Fisher-Freeman-Halton test, RobustAnova tests were used in the analysis of the data. Statistical significance was accepted as p<0.05. Ethics committee, institutional permission and participants' consent were obtained before the research. This study was registered in the Clinical Trials protocol registration system under the number NCT06396559. Pretest measurement STAI scores of the participants were similar in the experimental (43-48) and control (40.5-46.5) groups; HGTE scores were also similar in the experimental (156) and control (158) groups. The participants' DSAE state anxiety 3rd month score (45) was found higher than the pretest (42) and 1st month score (41). The STAI state anxiety total score (44) of the participants in the experimental group was found higher than the control group (40.5). The STAI trait anxiety total score (48) of the participants in the experimental group was found higher than the control group (46). The HGTE 1st month (160) and 3rd month scores (161) of the participants in the experimental group were found higher than the pretest (156) score. The feedback from the experimental group regarding the mobile application was generally positive. As a result of this study, while no statistical significance was found in the HGTE and STAI scores of the participants using the mobile application, it was observed that there was an increase in the total patient safety attitude score. The use of the mobile application provides students with a fast and reliable source of information, as well as allowing them to review psychomotor skill steps. It may be recommended to develop a comprehensive mobile application consisting of various modules that will help improve the quality of clinical nursing skills and plan multidisciplinary studies with long-term follow-ups.
The aim of the study was to develop a mobile application that will guide student nurses in the clinical practice process in line with the national patient safety goals and to examine the effect of the use of this mobile application (Hastam Güvende) on the patient safety attitudes and anxiety levels of student nurses. The data of this study, which was conducted in a parallel group pretest-posttest randomized controlled experimental design, were collected between 16 October 2023 and 16 February 2024. The universe of the study consisted of fourth-year students of the faculty of nursing. The sample size was calculated with 80% power using the G*Power program. The sample of the study consisted of 84 student nurses, 42 in the experimental group and 42 in the control group. The experimental and control groups in the study are homogeneous. In addition, no participants dropped out during the data collection process. In the first stage of the research, the "Hastam Güvende" mobile support application was developed. The nine main modules of the mobile application created in line with the National Patient Safety Goals; identification and verification of patient identity information, increasing effective communication/ensuring, communication security, ensuring medication safety, ensuring surgical intervention/surgery safety, ensuring correct blood/blood product transfusion safety, use of color codes, reducing healthcare-associated infections, reducing the risk of patient harm from falls, and information confidentiality-privacy. The experimental group was given training on the use of the mobile application within 1 week after their consent was obtained. The use of the mobile application was monitored from the administrator panel, and reminder messages and feedback were provided via mobile application and phone. No intervention was applied to the control group. Data were collected from all participants who agreed to participate in the study at the beginning, at the end of the 1st and 3rd months with the Personal Information Form, Patient Safety Attitude Inventory (HGTE) and State-Trait Anxiety Inventory (STAI). All data were obtained by an independent interviewer with health knowledge who was not involved in the study. Blinding was applied in terms of data collector, statistician and reporting. Since the researcher was actively involved in the installation, introduction and subsequent meeting process of the mobile application, blinding of the researcher could not be done during the application phase. Mann Whitney U test, Fisher's Exact Test, Yates correction, Fisher-Freeman-Halton test, RobustAnova tests were used in the analysis of the data. Statistical significance was accepted as p<0.05. Ethics committee, institutional permission and participants' consent were obtained before the research. This study was registered in the Clinical Trials protocol registration system under the number NCT06396559. Pretest measurement STAI scores of the participants were similar in the experimental (43-48) and control (40.5-46.5) groups; HGTE scores were also similar in the experimental (156) and control (158) groups. The participants' DSAE state anxiety 3rd month score (45) was found higher than the pretest (42) and 1st month score (41). The STAI state anxiety total score (44) of the participants in the experimental group was found higher than the control group (40.5). The STAI trait anxiety total score (48) of the participants in the experimental group was found higher than the control group (46). The HGTE 1st month (160) and 3rd month scores (161) of the participants in the experimental group were found higher than the pretest (156) score. The feedback from the experimental group regarding the mobile application was generally positive. As a result of this study, while no statistical significance was found in the HGTE and STAI scores of the participants using the mobile application, it was observed that there was an increase in the total patient safety attitude score. The use of the mobile application provides students with a fast and reliable source of information, as well as allowing them to review psychomotor skill steps. It may be recommended to develop a comprehensive mobile application consisting of various modules that will help improve the quality of clinical nursing skills and plan multidisciplinary studies with long-term follow-ups.
Açıklama
Doktora Tezi
Anahtar Kelimeler
Anksiyete, Hasta Güvenliği, Mobil Uygulama, Öğrenci Hemşire, Randomize Kontrollü Çalışma, Anxiety, Patient Safety, Mobile Application, Student Nurse, Randomized Controlled Trial
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Yorgancılar, F. E. (2024). Oryantasyon eğitimi mobil destek uygulamasının geliştirilmesi ve öğrenci hemşirelerin kaygı düzeyi ve hasta güvenliği tutumu üzerine etkisi: Ön test son test randomize kontrollü çalışma. (Yayımlanmamış doktora tezi). Necmettin Erbakan Üniversitesi, Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Konya.
