Surgical Nurses’ Evaluations on Enhanced Recovery After Surgery Protocol Applications in General Surgery Clinics

Sevgi Gür; Hamdiye Banu Katran; Nurgül Arpag; Deniz Öztekin; Nuray Akyüz

Makale detayları

Surgical Nurses’ Evaluations on Enhanced Recovery After Surgery Protocol Applications in General Surgery Clinics

Yazarlar:

Sevgi Gür | Hamdiye Banu Katran | Nurgül Arpag | Deniz Öztekin | Nuray Akyüz

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.224-239

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001288273

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: The study was carried out to determine the evaluations of nurses working in general surgery clinics regarding the ERAS protocol applications. Method: The descriptive and cross-sectional study was conducted with 258 nurses working in the general surgery clinic between 20 May-20 June 2021. The data collection form consisting of 37 questions, including the socio-demographic and professional characteristics of the nurses working in general surgery clinics, and their evaluations on ERAS protocols and applications, was sent to the nurses online. The data were analyzed with the SPSS 25.0 program. Results: The mean age of the nurses participating in the study was 28,817.63 years, 86 n222 were female and 38 n98 had a bachelors degree. It was determined that 38,8 of the nurses n100 had no knowledge about the ERAS protocols, 58,9 n152 did not receive any training on the ERAS protocol, and 36,4 n94 did not apply ERAS protocols in the clinic where they worked. It was found that nurses with postgraduate education level p0.01 and those who had knowledge about the ERAS protocol p0,001 had statistically significant and high rates of answering the questions correctly about the application of the protocol before, after the surgery, and the total components. It was found that nurses with a patient-nurse ratio between 1-5 p0.05 and who received training on ERAS protocols p0.01 in the hospital they work in were statistically significant and high in answering questions about the application of the postoperative components. Conclusion: It was determined that nurses who have a graduate education level and have knowledge about ERAS protocols have a high rate of giving correct answers to questions about pre- and post-operative practices. It was found that nurses who took care of maximum 5 patients in the hospital they worked and who had received training on ERAS protocols had a high rate of correct answers to the questions regarding post-operative practices. It is recommended that ERAS protocols should be included in nursing education and post-graduate in-service training programs to increase the knowledge level of surgical nurses, that surgical nurses should follow current developments and evidence-based guidelines for the ERAS protocol, and that interdisciplinary ERAS protocol practices in the care of surgical patients should be transferred to patient care.

 Aim: The study was carried out to determine the evaluations of nurses working in general surgery clinics regarding the ERAS protocol applications. Method: The descriptive and cross-sectional study was conducted with 258 nurses working in the general surgery clinic between 20 May-20 June 2021. The data collection form consisting of 37 questions, including the socio-demographic and professional characteristics of the nurses working in general surgery clinics, and their evaluations on ERAS protocols and applications, was sent to the nurses online. The data were analyzed with the SPSS 25.0 program. Results: The mean age of the nurses participating in the study was 28,817.63 years, 86 n222 were female and 38 n98 had a bachelors degree. It was determined that 38,8 of the nurses n100 had no knowledge about the ERAS protocols, 58,9 n152 did not receive any training on the ERAS protocol, and 36,4 n94 did not apply ERAS protocols in the clinic where they worked. It was found that nurses with postgraduate education level p0.01 and those who had knowledge about the ERAS protocol p0,001 had statistically significant and high rates of answering the questions correctly about the application of the protocol before, after the surgery, and the total components. It was found that nurses with a patient-nurse ratio between 1-5 p0.05 and who received training on ERAS protocols p0.01 in the hospital they work in were statistically significant and high in answering questions about the application of the postoperative components. Conclusion: It was determined that nurses who have a graduate education level and have knowledge about ERAS protocols have a high rate of giving correct answers to questions about pre- and post-operative practices. It was found that nurses who took care of maximum 5 patients in the hospital they worked and who had received training on ERAS protocols had a high rate of correct answers to the questions regarding post-operative practices. It is recommended that ERAS protocols should be included in nursing education and post-graduate in-service training programs to increase the knowledge level of surgical nurses, that surgical nurses should follow current developments and evidence-based guidelines for the ERAS protocol, and that interdisciplinary ERAS protocol practices in the care of surgical patients should be transferred to patient care.

 Aim: The study was carried out to determine the evaluations of nurses working in general surgery clinics regarding the ERAS protocol applications. Method: The descriptive and cross-sectional study was conducted with 258 nurses working in the general surgery clinic between 20 May-20 June 2021. The data collection form consisting of 37 questions, including the socio-demographic and professional characteristics of the nurses working in general surgery clinics, and their evaluations on ERAS protocols and applications, was sent to the nurses online. The data were analyzed with the SPSS 25.0 program. Results: The mean age of the nurses participating in the study was 28,817.63 years, 86 n222 were female and 38 n98 had a bachelors degree. It was determined that 38,8 of the nurses n100 had no knowledge about the ERAS protocols, 58,9 n152 did not receive any training on the ERAS protocol, and 36,4 n94 did not apply ERAS protocols in the clinic where they worked. It was found that nurses with postgraduate education level p0.01 and those who had knowledge about the ERAS protocol p0,001 had statistically significant and high rates of answering the questions correctly about the application of the protocol before, after the surgery, and the total components. It was found that nurses with a patient-nurse ratio between 1-5 p0.05 and who received training on ERAS protocols p0.01 in the hospital they work in were statistically significant and high in answering questions about the application of the postoperative components. Conclusion: It was determined that nurses who have a graduate education level and have knowledge about ERAS protocols have a high rate of giving correct answers to questions about pre- and post-operative practices. It was found that nurses who took care of maximum 5 patients in the hospital they worked and who had received training on ERAS protocols had a high rate of correct answers to the questions regarding post-operative practices. It is recommended that ERAS protocols should be included in nursing education and post-graduate in-service training programs to increase the knowledge level of surgical nurses, that surgical nurses should follow current developments and evidence-based guidelines for the ERAS protocol, and that interdisciplinary ERAS protocol practices in the care of surgical patients should be transferred to patient care.

 Amaç: Bu araştırmanın amacı; genel cerrahi kliniklerinde çalışan hemşirelerin Cerrahi Sonrası Hızlandırılmış İyileşme Enhanced Recovery After Surgery-ERAS protokolü uygulamalarına ilişkin değerlendirmelerini belirlemektir. Yöntem: Tanımlayıcı ve kesitsel tipteki bu araştırma, genel cerrahi kliniğinde çalışan 258 hemşire ile 20 Mayıs-20 Haziran 2021 tarihleri arasında gerçekleştirildi. Genel cerrahi kliniklerinde çalışan hemşirelerin sosyo-demografik, mesleki özellikleri ile ERAS protokolleri ve uygulamalarına ilişkin değerlendirmelerini içeren 37 sorudan oluşan veri toplama formu, çevrimiçi olarak hemşirelere iletildi. Veriler, SPSS 25.0 programıyla analiz edildi. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 28,817,63 yıl olup, 86sı n222 kadın ve 38i n98 lisans mezunudur. Hemşirelerin 38,8nin n100 ERAS protokolleri hakkında bilgisi olmadığı, 58,9unun n152 ise ERAS protokolüne yönelik herhangi bir eğitim almadığı ve 36,4ünün n94 çalıştığı klinikte ERAS protokollerinin uygulanmadığı belirlendi. Lisansüstü eğitim düzeyine sahip olan p0,01 ve ERAS protokollerine ilişkin bilgi sahibi olan hemşirelerin p0,001 protokolün ameliyat öncesi, sonrası ve bileşenlerin toplamının uygulanmasına yönelik sorulara doğru yanıt verme oranlarının istatistiksel olarak anlamlı ve yüksek olduğu belirlendi. Çalıştığı hastanedeki hasta-hemşire oranı 1-5 arasında olan p0,05 ve ERAS protokollerine ilişkin eğitim alan p0,01 hemşirelerin ise ameliyat sonrası bileşenlerin uygulanmasına yönelik sorulara doğru yanıt verme oranlarının istatistiksel olarak anlamlı ve yüksek olduğu bulundu. Sonuç: Lisansüstü eğitim düzeyine sahip ve ERAS protokollerine ilişkin bilgisi olan hemşirelerin ameliyat öncesi ve sonrası uygulamalara ilişkin sorulara doğru yanıt verme oranının yüksek olduğu belirlendi. Çalıştığı hastanede en fazla 5 hastaya bakan ve ERAS protokollerine ilişkin eğitim almış olan hemşirelerin ise ameliyat sonrası uygulamalara yönelik sorulara doğru yanıt verme oranının yüksek olduğu bulundu. Cerrahi hemşirelerinin bilgi düzeyini artırmaya yönelik hemşirelik eğitiminde ve mezuniyet sonrası hizmet içi eğitim programlarında ERAS protokollerine yer verilmesi, cerrahi hemşirelerinin ERAS protokolüne yönelik güncel gelişmeler ile kanıta dayalı rehberleri takip etmeleri ve cerrahi hastasının bakımında disiplinler arası ERAS protokolü uygulamalarının temel alınarak hasta bakımına aktarılması önerilmektedir.

Makale detayları

Surgical Nurses’ Evaluations on Enhanced Recovery After Surgery Protocol Applications in General Surgery Clinics

Yazarlar:

Sevgi Gür | Hamdiye Banu Katran | Nurgül Arpag | Deniz Öztekin | Nuray Akyüz

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.224-239

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001288273

pISSN:

2536-4499

Surgical nursing

enhanced recovery after surgery

perioperative nursing

perioperative careCerrahi hemşireliği

cerrahi sonrası hızlandırılmış iyileşme

perioperatif hemşirelik

perioperatif bakım

Sayı

Makale detayları

Yazarlar: Sevgi Gür | Hamdiye Banu Katran | Nurgül Arpag | Deniz Öztekin | Nuray Akyüz

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.224-239

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001288273

pISSN: 2536-4499

Sayı

Yazarlar:

Sevgi Gür | Hamdiye Banu Katran | Nurgül Arpag | Deniz Öztekin | Nuray Akyüz

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.224-239

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001288273

pISSN:

2536-4499