Gülseren KOCAMAN
(Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, Türkiye)
Havva Arslan YÜRÜMEZOĞLU
(Hemşirelik Eğitimi Derneği, İzmir, Türkiye)
Sevil UNCU
(Izmir KHB Güney Genel Sekreterligi, Izmir, Türkiye)
Emine TÜRKMEN
(Koç Üniversitesi, Hemsirelik Fakültesi, Istanbul, Türkiye)
NİLGÜN GÖKTEPE
(Koç Üniversitesi, Hemsirelik Fakültesi, Istanbul, Türkiye)
ŞEYDA SEREN İNTEPELER
(Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi, İzmir, Türkiye)
Yıl: 2018Cilt: 15Sayı: 1ISSN: 1305-0397 / 2618-5741Sayfa Aralığı: 30 - 38Türkçe

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Türkiye’de Hemsireler Için Saglıklı Çalısma Ortamı Standartlarının Gelistirmesi
Amaç: Hemsirelere saglıklı çalısma ortamının saglanmasında yapılacakdüzenlemelere yön verecek, ülkemize özgü "hemsireler için saglıklı çalısmaortamı standartlarının" gelistirilmesidir.Yöntem: Bu çalısmada E-Delphi teknigi kullanılmıstır. Birinci Delturunda panelistlere açık uçlu sorular sorulmustur. Soruya verilen yanıtlariçerik analizi ile degerlendirilmistir. 2. Delphi turunda elde edilenverilerin analizinde ise medyan, birinci çeyrek, üçüncü çeyrek vegenislik ölçüleri kullanılmıstır.Bulgular: 1. Delphi turuna 93 panelist katılmıs ve 298 standart önerisibelirlenmistir. Içerik analizi sonucunda hemsireler için saglıklı çalısmaortamı özellikleri 13 ana standart altında 92 alt standart olarak gruplandırılmıstır.Bu standartlar ile ikinci Delphi anketi hazırlanmıs vepanelistlere yeniden gönderilmistir. 2. Delphi turuna 87 panelist katılmıstır.Standartlar listesi, özel-üniversite-kamu kurumlarında uygulanabilirlikve kullanılabilirlik açısından gözden geçirilmistir. Bu sürecinsonucunda, "6 ana ve 35 alt standarttan olusan saglıklı çalısma ortamıstandartlar" listesi belirlenmistir.Sonuç: Bu proje sonucunda, ülkemize özgü ve tüm kurumlarda uygulanabilecekhemsireler için saglıklı çalısma ortamı standartları gelistirilmistir.
Sosyal > Eğitim, Eğitim Araştırmaları
DergiAraştırma MakalesiErişime Açık
  • 1 . Laschinger HKS, Leiter MP. The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. JONA. 2006;36(5):259-67. doi: 10.1097/00005110-200605000-00019 2 . Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of Hospital care environment on patient mortality and nurse outcomes. JONA. 2008;38(5):223-9. doi: 10.1097/NNA.0b013e3181aeb4cf
  • 3 . Zhang LF, You LM, Liu K, Zheng J, Fang JB, Lu MM, et al. The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave. Nurs Outlook. 2014;62(2):128- 37. doi: 10.1016/j.outlook.2013.10.010
  • 4 . Heinen MM, van Achterberg T, Schwendimann R, Zander B, Matthews A, Kozka M, et al. Nurses' intention to leave their profession: a cross sectional observational study in 10 European countries. Int J Nurs Stud. 2013;50(2):174-84. doi: 10.1016/j.ijnurstu.2012.09.019
  • 5 . Rosseter R. Nursing Shortage Fact Sheet. American Association of Colleges of Nursing. USA. Available from: http://www.aacn.nche.edu/ media-relations/NrsgShortageFS.pdf.
  • 6 . Samoya A, Crutcher TD, Pilon BA. Maintaining healthy work environments. Critical Care. 2015;10(6):1-7. doi: 10.1097/01. CCN.0000472846.39937.e8
  • 7 . Saglık Bakanlıgı. Saglıkta Dönüsüm Programı. Available from: https:// www.saglik.gov.tr/TR,11415/saglikta-donusum-programi.html
  • 8 . International Council of Nurses (ICN). Positive Practice Environments: Quality Workplaces = Quality Patient Care: Information and Action Tool Kit. Available from: http://www.icn.ch/images/stories/documents/ publications/ind/indkit2007.pdf
  • 9 . Registered Nurses’ Association of Ontaria (RNAO). Pilot Evaluation of Implementation and Update of Healthy Work Environment Best Practice Guidelines: Final Report; 2010. Available from: http://rnao.ca/ sites/rnaoca/files/HWE_Evaluation_Final_Report.pdf.
  • 10 . AONE Board of Directors. Policy Statement on Mandated Staf ng Ratios. Washington, DC: The American Organization of Nurse Executives (AONE); 2003. Available from: http://www.aone.org/ resources/mandated-stafling-ratios.pdf
  • 11 . American Association of Critical-Care Nurses (AACN). AACN standards for establishing and sustaining healthy work environments: a journey to excellence. AJCC. 2005;14(3):187-97. Available from: http://ajcc. aacnjournals.org/content/14/3/187.full.pdf+html
  • 12 . Samur M, Intepeler Seren S. Factors influuencing nurses' perceptions of occupational safety. Arch Environ Occup Health. 2017;72(1):45-52. doi: 10.1080/19338244.2016.1156045
  • 13 . Arslan Yurumezoglu H, Kocaman G. Predictors of nurses’ intentions to leave the organisation and the profession in Turkey. J Nurs Manag. 2016;24(2):235-43. doi: 10.1111/jonm.12305
  • 14 . Bilazer FN, Konca GE, Ugur S, Uçak H, Erdemir F, Çıtak E. 7 Gün-24 Saat/ Hasta Basında: Türkiye’de Hemsirelerin Çalısma Kosulları. Ankara: Türk Hemsireler Dernegi; 2008. Available from: http://www. turkhemsirelerdernegi.org.tr/menu/hemsirelik-yayinlari/yayinlar/ turkiyede-hemsirelerin-calisma-kosullari.aspx.
  • 15 . Saglık Hizmetleri Genel Müdürlügü. Saglıkta Kalite Standartları, Hastane. Versiyon-5, Revizyon-00. 1. Baskı. Ankara: Pozitif Matbaa; 2015.
  • 16 . Registered Nurses’ Association of Ontario (RNAO). Developing and Sustaining Safe, Effective Stafling and Workload Practices (2nd ed.). Toronto, ON: Registered Nurses’ Association of Ontario; 2017.
  • 17 . Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. The effects of nurse stafling and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49 (12):1047-53. doi: 10.1097/01.NNA.0000420390.87789.67
  • 18 . Cho E, Chin DL, Kim S, Hong O. The Relationships of nurse stafling level and work environment with patient adverse events. J Nurs Scholarsh. 2016;48(1):74-82. doi: 10.1111/jnu.12183
  • 19 . Stalpers D, de Brouwer BJ, Kaljouw MJ, Schuurmans MJ. Associations between characteristics of the nurse work environment andfive ve nursesensitive patient outcomes in hospitals: a systematic review of literature. Int J Nurs Stud. 2015;52(4):817-35. doi: 10.1016/j. ijnurstu.2015.01.005.
  • 20 . Workman LL. Staff recruitment and retention. In: Huber DL, editor. Leadership and Nursing Care Management. 4. Edition. Missouri: Saunders Elsevier; 2010:597-621.
  • 21 . Clark CM, Springer PJ. Nurse residents' first-hand accounts on transition to practice. Nurs Outlook. 2012;60(4):e2-e8. doi: 10.1016/j. outlook.2011.08.003
  • 22 . Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Stud. 2015;52(7):1254- 68. doi: 10.1016/j.ijnurstu.2015.03.007
  • 23 . Coleman EA, Coon SK, Lockhart K, Kennedy RL, Montgomery R, Copeland N, et al. Effect of certification in oncology nursing on nursingsensitive outcomes. JONA. 2010; 40(10):S35-S42. doi: 10.1188/09. CJON.165-172
  • 24 . Griffiths N, Houghton K. The development and implementation of a hospital based paediatric orthopaedic nursing transition program. J Pediatr Nurs. 2013;28(6):e50-e56. doi: 10.1016/j.pedn.2012.12.009
  • 25 . World Health Organization (WHO). Occupational Health A Manual for Primary Health Care Workers; 2001. Available from: http://www.who. int/occupational_health/regions/en/oehemhealthcareworkers.pdf?ua
  • 26 . Williams PM, Fletcher S. Health effects of prenatal radiation exposure. Am Fam Physician. 2010;82(5):488-93. Available from: https://www. aafp.org/afp/2010/0901/p488.pdf
  • 27 . McCaughey D, McGhan G, Walsh EM, Rathert C, Belue R. The relationship of positive work environments and workplace injury: evidence from the national nursing assistant survey. Health Care Manage Rev. 2014;39 (1):75-88. doi: 10.1097/HMR.0b013e3182860919
  • 28 . Lundstrom T, Pugliese G, Bartley J, Cox J. Organizational and environmental factors that affect worker health and safety and patient outcomes. AJIC. 2002;30 (2):93-106. doi: 10.1067/mic.2002.119820
  • 29 . Güler Ç. Ergonomiye Giris. T.C. Saglık Bakanlıgı Temel Saglık Hizmetleri Genel Müdürlügü Çevre Saglıgı Temel Kaynak Dizisi No:45, Ankara; 1997. Available from: http://ekutuphane.sagem.gov.tr/kitaplar/ ergonomiye_giris.pdf
  • 30 . Janakiraman R, Parish JT, Berry LL. The effect of the work and physical environment on hospital nurses' perceptions attitudes services quality and commitment. The Quality Management Journal. 2011;18(4):36. doi: 10.1080/10686967.2011.11918334
  • 31 . Karakum FS. Hastane ortamındaki gürültü etkenleri ve personelin bu konudaki görüsleri. Saglık Çalısanlarının Saglıgı 1. Ulusal Kongresi. Ankara: 1999:190-2. Available from: http://www.ttb.org.tr/kutuphane/ scs_kongre.pdf.
  • 32 . Aydemir I, Yasar YG. Ergonomik tasarımın saglık çalısanları ve hasta güvenligine etkisi. Saglık ve Hemsirelik Yönetim Dergisi. 2016;3:176- 81. doi: 10.5222/SHYD.2016.174
  • 33 . Djukic M, Brewer CS, Fatehi F, Greene HW. Exploring direct and indirect influuences of physical work environment on job satisfaction for early-career registered. Res Nurs Health. 2014;37(4):312-25. doi: 10.1002/nur.21606
  • 34 . Graham JG, Barter K. Collaboration: A social work practice method. Families in Society: The Journal of Contemporary Social Services. 1999;80(1):6-13. doi: 10.1606/1044-3894.634
  • 35 . Hartung SQ, Miller M. Communication and the healthy work environment: Nurse managers perceptions. JONA. 2013;43 (5):266-73. doi: 10.1097/NNA.0b013e31828eeb3c
  • 36 . O’Daniel M, Rosenstein AH. Professional communication and team collaboration. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville: Agency for Healthcare Research and Quality (US); 2008. Available from: https://www.ncbi. nlm.nih.gov/books/NBK2637/
  • 37 . Zimmerman JE, Shortell SM, Rousseau DM, Duffy J, Gillies RR, Knaus WA, et al. Improving intensive care: observations based on organization case studies in nine intensive care units: a prospective multicenter study. Crit Care Med. 1993;21(10):1443-51. Available from: https://www. ncbi.nlm.nih.gov/pubmed/8403951
  • 38 . Lefton C. Strengthening the workforce through meaningful recognition. Nurs Econ. 2012; 30(6):331-8,355. Available from: https://www.ncbi. nlm.nih.gov/pubmed/23346731
  • 39 . Lefton C. Beyond thank you: the powerful reach of meaningful recognition. Am Nurs Today. 2014;9(6):1-4. Available from: https:// www.americannursetoday.com/beyond-thank-you-the-powerful-reachof- meaningful-recognition/
  • 40 . Brown J, Lewis L, Ellis K, Stewart M, Freeman TR, Kasperski MJ. Con ict on interprofessional primary health care teams – can it be resolved? J Interprof Care. 2011;25(1):4-10. doi: 10.3109/13561820.2010.497750
  • 41 . Almost J, Doran DM, McGillis-Hall L, Laschinger HKS. Antecedents and consequences of intragroup conflict among nurses. J Nurs Manag. 2010;18(8):981-92. doi: 10.1111/j.1365-2834.2010.01154.x
  • 42 . Gerardi D. Using mediation techniques to manage conflict and create health work environments. AACN Adv Crit Care. 2004;15(2:182-95. doi: 10.1097/00044067-200404000-00003
  • 43 . Watson CA. Evidence-based management practices the challenge for nursing. JONA. 2004;34(5): 207-9. doi: 10.1097/00005110- 200405000-00001
  • 44 . Cummings GG, MacGregor T, Davey M, Lee H, Wong CA, Lo E, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. Int J Nurs Stud. 2010;47(3):363- 85. doi: 10.1016/j.ijnurstu.2009.08.006
  • 45 . Kramer M, Maguire P, Brewer BB. Clinical nurses in Magnet hospitals con rm productive, healthy unit work environments. J Nurs Manag. 2011;19(1):5-17. doi: 10.1111/j.1365-2834.2010.01211.x
  • 46 . Wong CA, Spence Laschinger HK, Cummings GG. Authentic leadership and nurses' voice behaviour and perceptions of care quality. J Nurs Manag. 2010;18(8):889-900. doi: 10.1111/j.1365-2834.2010.01113.x.
  • 47 . Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: a systematic review update. J Nurs Manag. 2013;21(5):709-24. doi: 10.1111/jonm.12116
  • 48 . Capuano T, Bokovoy J, Hitchings K, Houser J. Use of a validated model to evaluate the impact of the work environment on outcomes at a magnet hospital. Health Care Manag Rev. 2005;30(3):229-36. doi: 10.1097/00004010-200507000-00007
  • 49 . Vogus TJ, Sutcliffe KM. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Med Care. 2007;45(10):997-1002. doi: 10.1097/ MLR.0b013e318053674f
  • 50 . Hasson F, Keeney S. Enhancing rigour in the Delphi technique research. Technol Forecast Soc Change. 2011;78(9):1695-704. doi: 10.1016/j. techfore.2011.04.005
  • 51 . Sahin AE. Egitim arastırmalarında delphi teknigi ve kullanımı. Hacettepe Üniversitesi Egitim Fakültesi Dergisi. 2001;20:215-20. Available from: dergipark.ulakbim.gov.tr/hunefd/article/ download/5000048901/5000046221
  • 52 . Cox T, Karanika-Murray M, Griffiths A, Wong YYV, Hardy C. Developing the management standards approach within the context of common health problems in the workplace: A Delphi Study. Research Report: RR687, Nottingham; 2009. Available from: http://irep.ntu. ac.uk/id/eprint/9828/1/201079_6097%20Karanika-Murray%20 Publisher.pdf
  • 53 . Rhéaume A, Clément L. Lebel N. Understanding intention to leave amongst new graduate Canadian nurses: a repeated cross sectional survey. Int J Nurs Stud. 2011;48(4):490-500. doi: 10.1016/j. ijnurstu.2010.08.005
  • 54 . Schalk DM, Bijl ML, Halfens RJ, Hollands L, Cummings GG. Interventions aimed at improving the nursing work environment: a systematic review. Implement Sci. 2010;5(1):34. doi: 10.1186/1748- 5908-5-34
  • 55 . Türkmen E, Badır A, Balcı S, Topçu-Akkus S. Hemsirelik Is Indeksi- Hemsirelik Çalısma Ortamını Degerlendirme Ölçeginin Türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalısması. HEMARGE Dergisi. 2011;13(2):5-20. Available from: http://hemarge.org.tr/ckfinder/ userfiles/files/2011/2011-vol13-sayi2-137.pdf

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