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Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors

Yıl 2023, Cilt: 12 Sayı: 4, 1855 - 1862, 26.12.2023

Bahar Candaş Altınbaş Ayşe Serpici Ayla Gürsoy Didem Sarımehmet

https://doi.org/10.37989/gumussagbil.1275511

Öz

The shortening of the discharge time due to technological developments requires the patients to be discharged with sufficient information about the recovery process they will spend at home. Consequently, discharge planning and patient education are becoming more and more important in surgical patient care day by day. The aim of the study is to determine the thoughts and attitudes of surgical nurses related to discharge of patients after surgery and influencing factors. This descriptive study included 192 surgical nurses. Data were obtained with a questionnaire designed by researchers. It was found that 83.3% of the nurses provided discharge education to the patients and 71.9% of them implemented this education in a planned manner. In addition, while most of the nurses planned discharge education at the time of discharge, only 38.3% planned it at the time of hospitalization. Planned discharge education is usually given in the patient's room (93.0%), verbally (98.3%), taking into account the patient's age and education level (79.1%). Wound care (80.0%), self-care activities (79.1%) and drug therapy (73.0%) were the top three training topics. The institution where the nurse works, the clinic and the number of patients cared for in each shift are the top three factors affecting the provision of planned discharge education.

Anahtar Kelimeler

Discharge planning nursing care patient discharge surgical nursing

Teşekkür

We extend our gratitude and thanks to Nurse Pınar Kutlu ŞAHİNOĞLU and Nurse Bihter ÖZTERZİ for their help during data collection

Kaynakça

  • 1. Erdil, F. and Elbaş, N. Ö. (2008). “Cerrahi Hastalıkları Hemşireliği (Surgical Nursing)”. Ankara: Aydoğdu.
  • 2. Şenyuva, E. and Taşocak, G. (2007). “Patient education activities of nurses and patient education process”. Florence Nightingale J Nurs, 15(59), 100–106.
  • 3. Jones, D., Musselman, R., Pearsall, E., McKenzie, M., Huang, H. and McLeod, R. S. (2017). “Ready to go home? patients’ experiences of the discharge process in an enhanced recovery after surgery (ERAS) program for colorectal surgery”. Journal of Gastrointestinal Surgery, 21(11), 1865–1878. https://doi.org/10.1007/s11605-017-3573-0
  • 4. Aylin, G. and Kurşun, Ş. (2017). “Learning needs at discharge of patients hosiptalized in the general surgery clinic”. Journal of Anatolia Nursing and Health Sciences, 20(2), 107–113. https://doi.org/10.17049/ahsbd.86054
  • 5. Dal, Ü., Bulut, H. and Demir, S. G. (2012). “The problems experienced by the patients at home after surgery”. Medical Journal of Bakirkoy, 8(1), 34–40. https://doi.org/10.5350/BTDMJB201208106
  • 6. Başaran Dursun, H. and Yılmaz, E. (2015). “Batın cerrahisi yapılan hastaların öğrenim gereksinimleri (Learning requirements of patients undergoing abdominal surgery)”. Celal Bayar University-Health Sciences Institute Journal, 2(3), 65–70.
  • 7. Fındık, Ü.Y. (2016). Cerrahi Bakım Vaka Analizleri ile Birlikte (Surgical Period: Postoperative Care and Prevention of Complications). In F. E. Aslan (Ed.), Cerrahi Bakım Vaka Analizleri ile Birlikte (Surgical Care with Case Analysis). Ankara: Akademisyen. 425–454.
  • 8. Kang, E., Gillespie, B.M., Tobiano, G. and Chaboyer, W. (2018). “Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review”. International Journal of Nursing Studies, 87 (February), 1–13. https://doi.org/10.1016/j.ijnurstu.2018.07.004
  • 9. Coffey, A. and McCarthy, G. M. (2013). “Older people’s perception of their readiness for discharge and postdischarge use of community support and services”. International Journal of Older People Nursing, 8(2), 104–115, https://doi.org/10.1111/j.1748-3743.2012.00316.x
  • 10. Zengin Çakır, H.K. and Dal Yılmaz, Ü. (2018). “Determination of information needs of pre-discharge patients on laparoscopic cholecystectomy”. Turkiye Klinikleri Journal of Nursing Sciences, 10(2), 115–121. https://doi.org/10.5336/nurses.2017-58970
  • 11. Cebeci, F. and Çelik, S.Ş. (2011). “Effects of discharge teaching and counselling on anxiety and depression level of CABG patients” Turkish Journal of Thoracic and Cardiovascular Surgery, 19(2), 170–176. https://doi.org/10.5606/tgkdc.dergisi.2011.007
  • 12. Bobay, K. L., Jerofke, T. A., Weiss, M. E. and Yakusheva, O. (2010). “Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge”. Geriatric Nursing, 31(3), 178–187. https://doi.org/10.1016/j.gerinurse.2010.03.005
  • 13. Demirkıran, G. and Uzun, Ö. (2012). “Post-Discharge learning needs of patients who had undergone coronary artery bypass grafting surgery”. Journal of Ege University Nursing Faculty, 28(1), 1–12. https://doi.org/10.5222/jaren.2018.04834
  • 14. Abdulrdha, M.F. and Mansour, K.A. (2019). “Effectiveness of an instructional program on nurse’s knowledge and practice concerning patients discharge planning post cardiac surgery at cardiac centers and hospitals in Baghdad city”. Asian Journal of Nursing Education and Research, 9(1), 35. https://doi.org/10.5958/2349-2996.2019.00007.7
  • 15. Coşkun, H. and Akbayrak, N. (2001). “Determining the nursing care on patient admission to the clinic and discharge”. Journal of Cumhuriyet University School of Nursing, 5(2), 63–68. 16. Aygül, S. and Ulupınar, S. (2012). “Patient’s opinions about nurse’s role of patient education survey”. Journal of Anatolia Nursing and Health Sciences, 15(1), 1–9. Retrieved from http://dergipark.gov.tr/download/article-file/29533
  • 17. Nursing Regulation. (2011). Official gazette date: 08.03.2010, official gazette number: 27515. Retrieved from https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=13830&MevzuatTur=7&MevzuatTertip=5
  • 18. Hacıalioğlu N. (2013). Hemşirelikte Öğretim Öğrenme ve Eğitim (Teaching, Learning and Education in Nursing) (1st edn). İstanbul: Nobel Tıp Kitabevi.
  • 19. Akbari, M. and Celik, S.S. (2015). “The effects of discharge training and counseling on post-discharge problems in patients undergoing coronary artery bypass graft surgery”. Iranian Journal of Nursing and Midwifery Research, 20(4), 442–449. https://doi.org/10.4103/1735-9066.161007
  • 20. Brent, L. and Coffey, A. (2013). “Patient’s perception of their readiness for discharge following hip fracture surgery”. International Journal of Orthopaedic and Trauma Nursing, 17(4), 190–198. https://doi.org/10.1016/j.ijotn.2013.01.001
  • 21. Yu, M., Chair, S., Chan, C. and Choi, K. (2015). “A health education booklet and telephone follow-ups can improve medication adherence, health-related quality of life, and psychological status of patients with heart failure”. Heart & Lung, 44(5), 400–407. https://doi.org/ 10.1016/j.hrtlng.2015.05.004
  • 22. Bergman, K. and Louis, S. (2016). “Discharge instructions for concussion: are we meeting the patient needs?” Journal of Trauma Nursing, 23(6), 327–333. https://doi.org/10.1097/JTN.0000000000000242
  • 23. Aktaş, Y., Uğur, H. and Orak, O. (2020). “Discharge education intervention to reduce anxiety and depression in cardiac surgery patients: A randomized controlled study”. Journal of PeriAnesthesia Nursing, 35(2), 185–192. https://doi.org/10.1016/j.jopan.2019.08.012.

Cerrahi Hemşirelerinin Planlı Taburculuk Eğitimine İlişkin Düşünce ve Tutumları ile Etkileyen Faktörler

Yıl 2023, Cilt: 12 Sayı: 4, 1855 - 1862, 26.12.2023

Bahar Candaş Altınbaş Ayşe Serpici Ayla Gürsoy Didem Sarımehmet

https://doi.org/10.37989/gumussagbil.1275511

Öz

Taburculuk sürelerinin teknolojik gelişmelere bağlı olarak kısalması, hastaların evde geçirecekleri iyileşme süreci hakkında yeterli bilgi ile taburcu olmalarını gerektirmektedir. Sonuç olarak cerrahi hasta bakımında taburculuk planlaması ve hasta eğitimi gün geçtikçe daha da önem kazanmaktadır. Bu çalışmanın amacı, cerrahi hemşirelerinin ameliyat sonrası hastaların taburcu edilmesine ilişkin düşünce ve tutumları ile etkileyen faktörleri belirlemektir. Bu tanımlayıcı çalışmaya 192 cerrahi hemşiresi dahil edildi. Veriler, araştırmacılar tarafından hazırlanan soru formu aracılığı ile toplandı. Hemşirelerin %83.3'ünün hastalara taburculuk eğitimi verdiği; %71.9'unun bu eğitimi planlı olarak uyguladığı saptandı. Ayrıca hemşirelerin çoğu taburculuk eğitimini taburculuk sırasında planlarken, sadece %38.3'ü hasta hastaneye yattığı anda planlanlama yapmaktadır. Planlı taburculuk eğitimi genellikle hastanın yaş ve eğitim seviyesi dikkate alınarak (%79.1), hasta odasında (%93.0), sözlü olarak (%98.3) verilmektedir. Yara bakımı (%80.0), öz-bakım aktiviteleri (%79.1) ve ilaç tedavisi (73.0) ilk üç sırada yer alan eğitim konularıdır. Hemşirenin çalıştığı kurum, klinik ve her bir vardiyada bakım verilen hasta sayısı planlı taburculuk eğitimi verme durumunu etkileyen ilk üç faktördür.

Anahtar Kelimeler

Cerrahi hemşireliği hasta taburculuğu taburculuk planlaması hemşirelik bakım

Kaynakça

  • 1. Erdil, F. and Elbaş, N. Ö. (2008). “Cerrahi Hastalıkları Hemşireliği (Surgical Nursing)”. Ankara: Aydoğdu.
  • 2. Şenyuva, E. and Taşocak, G. (2007). “Patient education activities of nurses and patient education process”. Florence Nightingale J Nurs, 15(59), 100–106.
  • 3. Jones, D., Musselman, R., Pearsall, E., McKenzie, M., Huang, H. and McLeod, R. S. (2017). “Ready to go home? patients’ experiences of the discharge process in an enhanced recovery after surgery (ERAS) program for colorectal surgery”. Journal of Gastrointestinal Surgery, 21(11), 1865–1878. https://doi.org/10.1007/s11605-017-3573-0
  • 4. Aylin, G. and Kurşun, Ş. (2017). “Learning needs at discharge of patients hosiptalized in the general surgery clinic”. Journal of Anatolia Nursing and Health Sciences, 20(2), 107–113. https://doi.org/10.17049/ahsbd.86054
  • 5. Dal, Ü., Bulut, H. and Demir, S. G. (2012). “The problems experienced by the patients at home after surgery”. Medical Journal of Bakirkoy, 8(1), 34–40. https://doi.org/10.5350/BTDMJB201208106
  • 6. Başaran Dursun, H. and Yılmaz, E. (2015). “Batın cerrahisi yapılan hastaların öğrenim gereksinimleri (Learning requirements of patients undergoing abdominal surgery)”. Celal Bayar University-Health Sciences Institute Journal, 2(3), 65–70.
  • 7. Fındık, Ü.Y. (2016). Cerrahi Bakım Vaka Analizleri ile Birlikte (Surgical Period: Postoperative Care and Prevention of Complications). In F. E. Aslan (Ed.), Cerrahi Bakım Vaka Analizleri ile Birlikte (Surgical Care with Case Analysis). Ankara: Akademisyen. 425–454.
  • 8. Kang, E., Gillespie, B.M., Tobiano, G. and Chaboyer, W. (2018). “Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review”. International Journal of Nursing Studies, 87 (February), 1–13. https://doi.org/10.1016/j.ijnurstu.2018.07.004
  • 9. Coffey, A. and McCarthy, G. M. (2013). “Older people’s perception of their readiness for discharge and postdischarge use of community support and services”. International Journal of Older People Nursing, 8(2), 104–115, https://doi.org/10.1111/j.1748-3743.2012.00316.x
  • 10. Zengin Çakır, H.K. and Dal Yılmaz, Ü. (2018). “Determination of information needs of pre-discharge patients on laparoscopic cholecystectomy”. Turkiye Klinikleri Journal of Nursing Sciences, 10(2), 115–121. https://doi.org/10.5336/nurses.2017-58970
  • 11. Cebeci, F. and Çelik, S.Ş. (2011). “Effects of discharge teaching and counselling on anxiety and depression level of CABG patients” Turkish Journal of Thoracic and Cardiovascular Surgery, 19(2), 170–176. https://doi.org/10.5606/tgkdc.dergisi.2011.007
  • 12. Bobay, K. L., Jerofke, T. A., Weiss, M. E. and Yakusheva, O. (2010). “Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge”. Geriatric Nursing, 31(3), 178–187. https://doi.org/10.1016/j.gerinurse.2010.03.005
  • 13. Demirkıran, G. and Uzun, Ö. (2012). “Post-Discharge learning needs of patients who had undergone coronary artery bypass grafting surgery”. Journal of Ege University Nursing Faculty, 28(1), 1–12. https://doi.org/10.5222/jaren.2018.04834
  • 14. Abdulrdha, M.F. and Mansour, K.A. (2019). “Effectiveness of an instructional program on nurse’s knowledge and practice concerning patients discharge planning post cardiac surgery at cardiac centers and hospitals in Baghdad city”. Asian Journal of Nursing Education and Research, 9(1), 35. https://doi.org/10.5958/2349-2996.2019.00007.7
  • 15. Coşkun, H. and Akbayrak, N. (2001). “Determining the nursing care on patient admission to the clinic and discharge”. Journal of Cumhuriyet University School of Nursing, 5(2), 63–68. 16. Aygül, S. and Ulupınar, S. (2012). “Patient’s opinions about nurse’s role of patient education survey”. Journal of Anatolia Nursing and Health Sciences, 15(1), 1–9. Retrieved from http://dergipark.gov.tr/download/article-file/29533
  • 17. Nursing Regulation. (2011). Official gazette date: 08.03.2010, official gazette number: 27515. Retrieved from https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=13830&MevzuatTur=7&MevzuatTertip=5
  • 18. Hacıalioğlu N. (2013). Hemşirelikte Öğretim Öğrenme ve Eğitim (Teaching, Learning and Education in Nursing) (1st edn). İstanbul: Nobel Tıp Kitabevi.
  • 19. Akbari, M. and Celik, S.S. (2015). “The effects of discharge training and counseling on post-discharge problems in patients undergoing coronary artery bypass graft surgery”. Iranian Journal of Nursing and Midwifery Research, 20(4), 442–449. https://doi.org/10.4103/1735-9066.161007
  • 20. Brent, L. and Coffey, A. (2013). “Patient’s perception of their readiness for discharge following hip fracture surgery”. International Journal of Orthopaedic and Trauma Nursing, 17(4), 190–198. https://doi.org/10.1016/j.ijotn.2013.01.001
  • 21. Yu, M., Chair, S., Chan, C. and Choi, K. (2015). “A health education booklet and telephone follow-ups can improve medication adherence, health-related quality of life, and psychological status of patients with heart failure”. Heart & Lung, 44(5), 400–407. https://doi.org/ 10.1016/j.hrtlng.2015.05.004
  • 22. Bergman, K. and Louis, S. (2016). “Discharge instructions for concussion: are we meeting the patient needs?” Journal of Trauma Nursing, 23(6), 327–333. https://doi.org/10.1097/JTN.0000000000000242
  • 23. Aktaş, Y., Uğur, H. and Orak, O. (2020). “Discharge education intervention to reduce anxiety and depression in cardiac surgery patients: A randomized controlled study”. Journal of PeriAnesthesia Nursing, 35(2), 185–192. https://doi.org/10.1016/j.jopan.2019.08.012.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Bahar Candaş Altınbaş 0000-0001-7069-9011

Ayşe Serpici 0000-0002-0243-4473

Ayla Gürsoy 0000-0003-3585-4500

Didem Sarımehmet 0000-0002-8490-1943

Yayımlanma Tarihi 26 Aralık 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 12 Sayı: 4

Kaynak Göster

APA Candaş Altınbaş, B., Serpici, A., Gürsoy, A., Sarımehmet, D. (2023). Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(4), 1855-1862. https://doi.org/10.37989/gumussagbil.1275511
AMA Candaş Altınbaş B, Serpici A, Gürsoy A, Sarımehmet D. Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Aralık 2023;12(4):1855-1862. doi:10.37989/gumussagbil.1275511
Chicago Candaş Altınbaş, Bahar, Ayşe Serpici, Ayla Gürsoy, ve Didem Sarımehmet. “Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12, sy. 4 (Aralık 2023): 1855-62. https://doi.org/10.37989/gumussagbil.1275511.
EndNote Candaş Altınbaş B, Serpici A, Gürsoy A, Sarımehmet D (01 Aralık 2023) Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12 4 1855–1862.
IEEE B. Candaş Altınbaş, A. Serpici, A. Gürsoy, ve D. Sarımehmet, “Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 4, ss. 1855–1862, 2023, doi: 10.37989/gumussagbil.1275511.
ISNAD Candaş Altınbaş, Bahar vd. “Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12/4 (Aralık 2023), 1855-1862. https://doi.org/10.37989/gumussagbil.1275511.
JAMA Candaş Altınbaş B, Serpici A, Gürsoy A, Sarımehmet D. Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12:1855–1862.
MLA Candaş Altınbaş, Bahar vd. “Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 4, 2023, ss. 1855-62, doi:10.37989/gumussagbil.1275511.
Vancouver Candaş Altınbaş B, Serpici A, Gürsoy A, Sarımehmet D. Thoughts and Attitudes of Surgical Nurses on Planned Discharge Education and Influencing Factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12(4):1855-62.
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