Year 2019, Volume 19 , Issue 3, Pages 559 - 570 2019-09-30

Hemşirelerin Araştırma Kullanım Engelleri
Nurses’ Barriers to Research Utilization

Meltem Demirgöz Bal [1] , Nejla Canbulat Sahiner [2]


Amaç: Kanıta dayalı uygulama (KDU), konuyla ilgili mevcut en güncel araştırmalarla birlikte kaliteli kararlar almak ve kişisel klinik uzmanlığa dayalı hemşirelik bakımı sağlamak için bir yaklaşımdır. KDU, mortalite ve morbidite oranlarını önemli ölçüde etkileyebilir ve coğrafi farklılıkların azaltılmasında önemli bir rol oynayabilir. On-on beş yıl önce ülkemizde, sağlık hizmetlerinin kalitesini artırmak amacıyla “Sağlıkta Dönüşüm Programı" başlatılmıştır. Türkiye'deki Sağlıkta Dönüşüm Programı ile organizasyon yapısı ve sağlık bakım sisteminde köklü değişiklikler yapılmıştır. Bu değişim hemşirelerin araştırma kullanımındaki algıladıkları engelleri etkilemiş olabilir. Bu çalışmada, sağlık bakım sistemindeki değişiklikler sonrasında hemşirelerin araştırma kullanımının önündeki engellerin araştırılması amaçlanmıştır.
Materyal ve Metot: Bu araştırma tanımlayıcı tipte bir çalışmadır. Bu çalışma Şubat-Mayıs 2018 tarihleri arasında bir hastanede yapılmıştır. Çalışmaya katılmaya gönüllü olan ve formu eksiksiz tüm katılımcıların verileri değerlendirilmiştir. Örneklem seçiminde basit rastgele örnekleme yöntemi kullanılmıştır. Veriler, araştırmacılar tarafından geliştirilen anket formu ve Araştırma Kullanım Bariyer Ölçeği Türkçe versiyonu ile toplanmıştır. Funk tarafından geliştirilen ölçek toplam 29 madde ve 4 alt gruptan oluşmaktadır. Ölçeğin alt grupları hemşirenin bireysel özellikleri, organizasyonun özellikleri (kurumsal sınırlamalar, engeller) inovasyonun özellikleri (araştırmanın kalitesi) ve iletişim özellikleri (araştırmanın sunumu, erişilebilirliği) 'dir. Ölçekten alınan puan artıkça algılanan engel artmaktadır.
Bulgular: Bu çalışma 350 hemşire ile yapılmıştır. Katılımcıların çoğu lisans mezunudur. Ortalama olarak, hemşirelik mesleğinde 8,6 yıldır (1-30 yıl) çalışmaktadırlar. Hemşirelerin %75,15'inin araştırma hakkında bilgisi yoktu ve %73,42'si pratikte yapılacak değişikliklerin yararlarının sınırlı olduğuna inanıyordu. Organizasyon alt grubunda en yüksek skorlu engel “hekimlerin klinikte iş birliği yapmaması (%76,85) idi. İnovasyon alt grubunda ise belirlenen en yüksek engelin “hemşirelerin araştırma sonuçlarına inanıp inanmama konusunda yaşadıkları belirsizlik (%72,57) olduğu saptandı. İletişim alt boyutundaki bildirilen en büyük engel “araştırmaların tek merkezde toplanmamış (%66,85) olmasıydı.
Sonuç: Hemşirelerin klinikte araştırma sonuçlarını kullanmada ciddi engelleri vardır. Bu engeller, hemşirelerin bireysel özelliklerinden örgütsel faktörlere kadar uzanmaktadır. Bu nedenle, yalnızca hemşirelere odaklanmak, sorunu çözmede doğru yaklaşım değildir. Tek çözüm, erken çocukluk döneminden itibaren tüm bireyler için laik, rasyonel ve bilimsel eğitim sağlamaktır. Ancak bu şekilde hem bireysel hem de yönetimden kaynaklanan örgütsel engellerin üstesinden gelinebilir.

Objectives: Evidence-based practice (EBP) is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current, relevant research available on the topic. EBP can significantly affect mortality and morbidity rates and play an important role in the reduction of geographic differences. Ten/fifteen years ago in our country, “Health Transition Project” was launched to improve the quality of health care. Thus it should be investigated to better understand nurses’ current perceived barriers to research utilization. This study aim to investigate barriers of research utilization among nurses at a public hospital and radical changes of its health care system.
Materials and Methods: This study was planned as a descriptive research. This study was conducted between the dates of February-May 2018 at a Public Hospital in Turkey. All participant who volunteered to participate in the survey and who completed fully form were evaluated. Simple random sampling method was used. Data were collected using a face-to-face interview technique with the questionnaire developed by the researchers and Barriers to Research Utilization Scale Turkish version. The BARRIER scale developed by Funk consists of 29 items and four subgroups. These four factors were labeled nurse, organization, innovation and communication. As obtained the scale score increases obstacle is increasing.
Results: A total of 350 nurses participated in this survey. Most of participants were undergraduate. On average, they had been employed in the nursing profession for 8.6 years (range 1-30 years). A large part of the nurses was not following the publications related to the profession (75.15%) and believed that the practical changes would provide minimal benefit (73.42%). For the organizational factors, the biggest barriers reported were “physicians will not cooperate with implementation” (76.85%). For the innovation factors the biggest barriers determined were “the nurse is uncertain whether to believe the results of the research (72.57%). For the communication factors, the biggest barriers reported were “literature is not compiled in one place” (66.85%).
Conclusion: Nurses have serious barriers to using research results in clinics. These barriers range from individual characteristics of nurses to organizational factors. Therefore, focusing only on nurses is not the right approach in solving the problem. The only solution is to ensure secular, rational and scientific education for all individuals from the early childhood. Only in this way can both individual and from management organizational barriers arising can be overcome.

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Author: Meltem Demirgöz Bal (Primary Author)

Author: Nejla Canbulat Sahiner

Dates

Publication Date : September 30, 2019

Bibtex @research article { amj625324, journal = {Ankara Medical Journal}, issn = {}, eissn = {2148-4570}, address = {}, publisher = {Ankara Yildirim Beyazit University}, year = {2019}, volume = {19}, pages = {559 - 570}, doi = {10.17098/amj.625324}, title = {Nurses’ Barriers to Research Utilization}, key = {cite}, author = {Demirgöz Bal, Meltem and Canbulat Sahiner, Nejla} }
APA Demirgöz Bal, M , Canbulat Sahiner, N . (2019). Nurses’ Barriers to Research Utilization. Ankara Medical Journal , 19 (3) , 559-570 . DOI: 10.17098/amj.625324
MLA Demirgöz Bal, M , Canbulat Sahiner, N . "Nurses’ Barriers to Research Utilization". Ankara Medical Journal 19 (2019 ): 559-570 <http://www.ankaramedicaljournal.com/en/issue/48948/625324>
Chicago Demirgöz Bal, M , Canbulat Sahiner, N . "Nurses’ Barriers to Research Utilization". Ankara Medical Journal 19 (2019 ): 559-570
RIS TY - JOUR T1 - Nurses’ Barriers to Research Utilization AU - Meltem Demirgöz Bal , Nejla Canbulat Sahiner Y1 - 2019 PY - 2019 N1 - doi: 10.17098/amj.625324 DO - 10.17098/amj.625324 T2 - Ankara Medical Journal JF - Journal JO - JOR SP - 559 EP - 570 VL - 19 IS - 3 SN - -2148-4570 M3 - doi: 10.17098/amj.625324 UR - https://doi.org/10.17098/amj.625324 Y2 - 2019 ER -
EndNote %0 Ankara Medical Journal Nurses’ Barriers to Research Utilization %A Meltem Demirgöz Bal , Nejla Canbulat Sahiner %T Nurses’ Barriers to Research Utilization %D 2019 %J Ankara Medical Journal %P -2148-4570 %V 19 %N 3 %R doi: 10.17098/amj.625324 %U 10.17098/amj.625324
ISNAD Demirgöz Bal, Meltem , Canbulat Sahiner, Nejla . "Nurses’ Barriers to Research Utilization". Ankara Medical Journal 19 / 3 (September 2019): 559-570 . https://doi.org/10.17098/amj.625324
AMA Demirgöz Bal M , Canbulat Sahiner N . Nurses’ Barriers to Research Utilization. Ankara Med J. 2019; 19(3): 559-570.
Vancouver Demirgöz Bal M , Canbulat Sahiner N . Nurses’ Barriers to Research Utilization. Ankara Medical Journal. 2019; 19(3): 570-559.