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The Effect of Interaction Level between Patient and Nurse on Recovery Process in Surgical Patients

Year 2024, Volume: 17 Issue: 2, 216 - 231, 30.04.2024
https://doi.org/10.46483/jnef.1468522

Abstract

Backround: Communication, is a part of interaction and greatly affects patient satisfaction and quality of care of care in the nursing profession.

Objectives: To determine the effect of nurse-patient interaction on the healing process in surgical patients.

Methods: The study consisted of patients hospitalized in the surgical clinics of a university hospital between December 2021 and April 2022, 160 patient in the sample. The data were collected using the Patient Information Form, Care-Oriented Nurse-Patient Interaction Scale Short Form and Recovery Quality Questionnaire. Descriptive statistics, Mann Whitney U test, Kruskal Wallis H and Mann Whitney U analysis were used to evaluate the data (p< .05).

Results: The patients’ average scores on the nurse-patient interaction scale significance dimension (102.52± 11.71), frequency (88.71± 10.10) and satisfaction (89.46±10.37) scores were found to be higher. A significant difference was found between the importance, frequency and satisfaction dimensions of the Nurse-Patient Interaction Scale and age, surgical department and grief status (p= .05). Through the recovery quality questionnaire score, by age groups (p= .001), inpatient clinic (p= .001), chronic disease (p= .001), type of anesthesia (p= .008) and pain status (p= .001) anwere found to be statistically significant. A significant relationship was found between the recovery quality questionnaire score and the nurse-patient interaction scale (r= .518, p= .001), frequency (r= .505, p= .001) and satisfaction (r= .520, p= .001) dimensions.

Conclusion: The nurse-patient interaction scale is affected by the age of the patients, the inpatient clinic, the type of anesthesia, the choronic disease and pain type and it greatly affects the quality recovery quality of the patients.

References

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  • Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018). Patient satisfaction with hospital care and nurses in England: an observational study. BMJ open, 8(1), e019189, https://doi.org/10.1136/bmjopen-2017-019189
  • Alan H. (2018). Bir üniversite hastanesinde yatan hastaların hemsirelik hizmetlerinden memnu niyet düzeyleri. Hemşirelikte Eğitim ve Araştırma Dergisi, 15(2), 81-87.
  • Al-Kalaldeh, M., Amro, N., Qtait, M., & Alwawi, A. (2020). Barriers to effective nurse-patient communication in the emergency department. Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association, 28(3), 29–35, https://doi.org/10.7748/en.2020.e1969.
  • Baksi A, Genç H. (2020). Cerrahi girişim geçiren hastaların bakım bağımlılığı durumlarının bakım algısı, sosyodemografik ve klinik özellikler açısından incelenmesi. Turkiye Klinikleri Journal of Nursing Sciences, 12(4).
  • Burma, E., & Kavlak, O. (2021). Histerektomi Ameliyatı Geçiren Kadınlarda Kaygı, Ağrı ve Sosyal Desteğin Derlenme Kalitesine Etkisi. Balıkesir Sağlık Bilimleri Dergisi, 10(3), 325-333, https://doi.org/10.53424/balikesirsbd.940627.
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  • Chung, H. C., Chen, Y. C., Chang, S. C., Hsu, W. L., & Hsieh, T. C. (2021). Development and Validation of Nurses' Well-Being and Caring Nurse-Patient Interaction Model: A Psychometric Study. International journal of environmental research and public health, 18(15), 7750. https://doi.org/10.3390/ijerph18157750.
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  • Forsgren, E., & Björkman, I. (2021). Interactional practices in person-centred care: Conversation analysis of nurse-patient disagreement during self-management support. Health expectations : an international journal of public participation in health care and health policy, 24(3), 940–950. https://doi.org/10.1111/hex.13236
  • Gao, Y., Li, H., Hu, H., Xu, Y., Zhou, J., & Liu, Y. (2022). Effects of Continuous Fascia Iliaca Compartment Block on Early Quality of Recovery After Total Hip Arthroplasty in Elderly Patients: A Randomized Controlled Trial. Journal of pain research, 15, 1837–1844. https://doi.org/10.2147/JPR.S368285.
  • Gül, A. (2021). Ameliyat Sonrası Dönemde Hemşirelik Bakımı. İçinde: Çelik, S, editör. Cerrahi Hemşireliğinde Güncel Uygulamalar. Çukurova.Nobel Tıp Kitabevi, 141-151.
  • Joolaee, S., Joolaei, A., Tschudin, V., Bahrani, N., & Nikbakht Nasrabadi, A. (2010). Caring relationship: the core component of patients' rights practice as experienced by patients and their companions. Journal of medical ethics and history of medicine, 3, 4..
  • Karaman, S., Arici, S., Dogru, S., Karaman, T., Tapar, H., Kaya, Z., Suren, M., & Gurler Balta, M. (2014). Validation of the Turkish version of the Quality of Recovery-40 questionnaire. Health and quality of life outcomes, 12, 8. https://doi.org/10.1186/1477-7525-12-8
  • Kim, D., Kim, J. K., & Yeo, J. (2020). Translation and Validation of the Korean Version of the Postoperative Quality of Recovery Score QoR-15. BioMed research international, 2020, 3456234. https://doi.org/10.1155/2020/3456234
  • Köseoğlu Ş, Seki Z. (2020). Genel cerrahi servisinde yatan hastaların batın ameliyatı sonrası hemşirelik bakımına ilişkin memnuniyet düzeylerinin belirlenmesi. Yoğun Bakım Hemşireliği Dergisi, 24(2): 121-133.
  • Kumcağız, H., Yılmaz, M., Çelik, S. B., Avcı, İ. A. (2011). Hemşirelerin iletişim becerileri: Samsun ili örneği. Dicle Tıp Dergisi, 38(1). https://doi.org/10.5798/diclemedj.0921.2012.04.0184
  • Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2
  • Laporta, M. L., Sprung, J., & Weingarten, T. N. (2021). Respiratory depression in the post-anesthesia care unit: Mayo Clinic experience. Bosnian journal of basic medical sciences, 21(2), 221–228. https://doi.org/10.17305/bjbms.2020.4816
  • Lee, J. H., Ki, M., Choi, S., Woo, C. J., Kim, D., Lim, H., & Kim, D. C. (2021). Validity and reliability of the Korean version of the Quality of Recovery-15 questionnaire. Korean journal of anesthesiology, 74(2), 142–149. https://doi.org/10.4097/kja.20435
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Cerrahi Hastalarında Bakım Odaklı Hemşire Hasta Etkileşim Düzeyinin Derlenme Sürecine Etkisi

Year 2024, Volume: 17 Issue: 2, 216 - 231, 30.04.2024
https://doi.org/10.46483/jnef.1468522

Abstract

Giriş: Etkileşimin bir parçası olan iletişim, hemşirelik mesleğinde önemli bir rol oynamakta, hastanın bağımsızlığını, memnuniyetini ve bakım kalitesini artırmaktadır.

Amaç: Cerrahi hastalarında hemşire hasta etkileşiminin derlenme sürecine etkisini belirlemektir.

Yöntem: Tanımlayıcı ve kesitsel tipteki araştırma Aralık 2021-Nisan 2022 tarihleri arasında bir üniversite hastanesinin cerrahi kliniklerinde yatan 160 hasta ile yapıldı. Veriler Hasta Bilgi Formu, Bakım Odaklı Hemşire-Hasta Etkileşim Ölçeği – Kısa Formu ve Derlenme Kalitesi Anketi kullanılarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Mann Whitney U test, Kruskal Wallis H ve Mann Whitney U analizi kullanılmıştır (p< .05).

Bulgular: Hastaların hemşire-hasta etkileşimi ölçeği önemlilik boyutu puan ortalaması (102.52± 11.71), sıklık (88.71±10.10) ve memnuniyet (89.46±10.37) puan ortalamalarından yüksek bulundu. Hemşire-hasta etkileşim ölçeğinin önemlilik, sıklık ve memnuniyet boyutları ile hastaların yaş grupları, yatmakta olduğu klinik ve ağrı şiddeti arasında anlamlı farklılık tespit edildi (p= .05). Derlenme kalitesi anketi puan ortalaması ile yaş grupları (p= .001), yatmakta olduğu klinik (p= .001), kronik hastalık (p= .001), anestezi türü (p= .008) ve ağrı şiddeti (p= .001) arasında istatistiksel anlamlılık olduğu görüldü. Derlenme kalitesi anket puanı ile hemşire-hasta etkileşim ölçeğinin önemlilik (r= .518, p= .001), sıklık (r= .505, p= .001) ve memnuniyet (r= .520, p= .001) boyutları arasında anlamlı ilişki tespit edildi.

Sonuç: Hemşire-hasta etkileşiminin hastaların derlenme sürecini etkilediği saptandı. Ayrıca hemşire-hasta etkileşimi ve derlenme sürecinin, hastaların yaş grubu, yatmakta olduğu klinik, kronik hastalık, anestezi türü ve ağrı şiddetinden etkilendiği belirlendi.

References

  • Abu Sharour L. (2021). Loai phd translation and validation of the arabic version of the caring nurse-patient interaction scale–patient version (cnpi-23p). Cancer Nursing. 2021, 44(2), E62-E67.
  • Adrion, C., Weiss, B., Paul, N., Berger, E., Busse, R., Marschall, U., Caumanns, J., Rosseau, S., Mansmann, U., Spies, C., & ERIC study group (2020). Enhanced Recovery after Intensive Care (ERIC): study protocol for a German stepped wedge cluster randomised controlled trial to evaluate the effectiveness of a critical care telehealth program on process quality and functional outcomes. BMJ open, 10(9), e036096, https://doi.org/10.1136/bmjopen-2019-036096.
  • Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018). Patient satisfaction with hospital care and nurses in England: an observational study. BMJ open, 8(1), e019189, https://doi.org/10.1136/bmjopen-2017-019189
  • Alan H. (2018). Bir üniversite hastanesinde yatan hastaların hemsirelik hizmetlerinden memnu niyet düzeyleri. Hemşirelikte Eğitim ve Araştırma Dergisi, 15(2), 81-87.
  • Al-Kalaldeh, M., Amro, N., Qtait, M., & Alwawi, A. (2020). Barriers to effective nurse-patient communication in the emergency department. Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association, 28(3), 29–35, https://doi.org/10.7748/en.2020.e1969.
  • Baksi A, Genç H. (2020). Cerrahi girişim geçiren hastaların bakım bağımlılığı durumlarının bakım algısı, sosyodemografik ve klinik özellikler açısından incelenmesi. Turkiye Klinikleri Journal of Nursing Sciences, 12(4).
  • Burma, E., & Kavlak, O. (2021). Histerektomi Ameliyatı Geçiren Kadınlarda Kaygı, Ağrı ve Sosyal Desteğin Derlenme Kalitesine Etkisi. Balıkesir Sağlık Bilimleri Dergisi, 10(3), 325-333, https://doi.org/10.53424/balikesirsbd.940627.
  • Campbell, M., Ng, D., Albatat, B., Lowen, D., Bird, D., & Hodgson, R. (2021). Quality of recovery assessment of day case and multiday stay patients undergoing elective laparoscopic cholecystectomy. Turkish journal of surgery, 37(4), 355–362, https://doi.org/10.47717/turkjsurg.2021.5451
  • Cossette, S., Cara, C., Ricard, N., & Pepin, J. (2005). Assessing nurse-patient interactions from a caring perspective: report of the development and preliminary psychometric testing of the Caring Nurse--Patient Interactions Scale. International journal of nursing studies, 42(6), 673–686. https://doi.org/10.1016/j.ijnurstu.2004.10.004
  • Chung, H. C., Chen, Y. C., Chang, S. C., Hsu, W. L., & Hsieh, T. C. (2021). Development and Validation of Nurses' Well-Being and Caring Nurse-Patient Interaction Model: A Psychometric Study. International journal of environmental research and public health, 18(15), 7750. https://doi.org/10.3390/ijerph18157750.
  • Demumieux, F., Ludes, P. O., Diemunsch, P., Bennett-Guerrero, E., Lujic, M., Lefebvre, F., & Noll, E. (2020). Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population. British journal of anaesthesia, 124(6), 761–767. https://doi.org/10.1016/j.bja.2020.03.011.
  • Dunn, L. K., Durieux, M. E., Fernández, L. G., Tsang, S., Smith-Straesser, E. E., Jhaveri, H. F., Spanos, S. P., Thames, M. R., Spencer, C. D., Lloyd, A., Stuart, R., Ye, F., Bray, J. P., Nemergut, E. C., & Naik, B. I. (2018). Influence of catastrophizing, anxiety, and depression on in-hospital opioid consumption, pain, and quality of recovery after adult spine surgery. Journal of neurosurgery. Spine, 28(1), 119–126. https://doi.org/10.3171/2017.5.SPINE1734
  • Eyi, S., Kanan, N., Akyolcu N, Akın M.L., Acaroğlu R.(2016). Ameliyat sırasında uygulanan hemşirelik bakımının hastalar tarafından değerlendirilmesi, TAF Preventive Medicine Bulletin, 15(2), 159-170
  • Forsgren, E., & Björkman, I. (2021). Interactional practices in person-centred care: Conversation analysis of nurse-patient disagreement during self-management support. Health expectations : an international journal of public participation in health care and health policy, 24(3), 940–950. https://doi.org/10.1111/hex.13236
  • Gao, Y., Li, H., Hu, H., Xu, Y., Zhou, J., & Liu, Y. (2022). Effects of Continuous Fascia Iliaca Compartment Block on Early Quality of Recovery After Total Hip Arthroplasty in Elderly Patients: A Randomized Controlled Trial. Journal of pain research, 15, 1837–1844. https://doi.org/10.2147/JPR.S368285.
  • Gül, A. (2021). Ameliyat Sonrası Dönemde Hemşirelik Bakımı. İçinde: Çelik, S, editör. Cerrahi Hemşireliğinde Güncel Uygulamalar. Çukurova.Nobel Tıp Kitabevi, 141-151.
  • Joolaee, S., Joolaei, A., Tschudin, V., Bahrani, N., & Nikbakht Nasrabadi, A. (2010). Caring relationship: the core component of patients' rights practice as experienced by patients and their companions. Journal of medical ethics and history of medicine, 3, 4..
  • Karaman, S., Arici, S., Dogru, S., Karaman, T., Tapar, H., Kaya, Z., Suren, M., & Gurler Balta, M. (2014). Validation of the Turkish version of the Quality of Recovery-40 questionnaire. Health and quality of life outcomes, 12, 8. https://doi.org/10.1186/1477-7525-12-8
  • Kim, D., Kim, J. K., & Yeo, J. (2020). Translation and Validation of the Korean Version of the Postoperative Quality of Recovery Score QoR-15. BioMed research international, 2020, 3456234. https://doi.org/10.1155/2020/3456234
  • Köseoğlu Ş, Seki Z. (2020). Genel cerrahi servisinde yatan hastaların batın ameliyatı sonrası hemşirelik bakımına ilişkin memnuniyet düzeylerinin belirlenmesi. Yoğun Bakım Hemşireliği Dergisi, 24(2): 121-133.
  • Kumcağız, H., Yılmaz, M., Çelik, S. B., Avcı, İ. A. (2011). Hemşirelerin iletişim becerileri: Samsun ili örneği. Dicle Tıp Dergisi, 38(1). https://doi.org/10.5798/diclemedj.0921.2012.04.0184
  • Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2
  • Laporta, M. L., Sprung, J., & Weingarten, T. N. (2021). Respiratory depression in the post-anesthesia care unit: Mayo Clinic experience. Bosnian journal of basic medical sciences, 21(2), 221–228. https://doi.org/10.17305/bjbms.2020.4816
  • Lee, J. H., Ki, M., Choi, S., Woo, C. J., Kim, D., Lim, H., & Kim, D. C. (2021). Validity and reliability of the Korean version of the Quality of Recovery-15 questionnaire. Korean journal of anesthesiology, 74(2), 142–149. https://doi.org/10.4097/kja.20435
  • Lubasch, J. S., Lee, S., Kowalski, C., Beckmann, M., Pfaff, H., & Ansmann, L. (2021). Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study. International journal of environmental research and public health, 18(15), 8224. https://doi.org/10.3390/ijerph18158224.
  • Luker, K. A., Austin, L., Caress, A., & Hallett, C. E. (2000). The importance of 'knowing the patient': community nurses' constructions of quality in providing palliative care. Journal of advanced nursing, 31(4), 775–782. https://doi.org/10.1046/j.1365-2648.2000.01364.x
  • Myles, P. S., Weitkamp, B., Jones, K., Melick, J., & Hensen, S. (2000). Validity and reliability of a postoperative quality of recovery score: the QoR-40. British journal of anaesthesia, 84(1), 11–15. https://doi.org/10.1093/oxfordjournals.bja.a013366
  • Miklić Bublić, M., Miklić, P., Barl, P., Matas, M., & Sekulić, A. (2021). Croatıan Versıon Of The Qualıty Of Recovery Questıonnaıre (Qor-40): Transcultural Adaptatıon And Valıdatıon. Acta clinica Croatica, 60(2), 237–245. https://doi.org/10.20471/acc.2021.60.02.09
  • Morgan EG. (2006). Postanesthesia Care In: Clinical Anesthesiology. 4th ed. New York, The McGrawHiII Companies, 1257-1276.
  • Nilsen, M. L., Sereika, S. M., Hoffman, L. A., Barnato, A., Donovan, H., & Happ, M. B. (2014). Nurse and patient interaction behaviors' effects on nursing care quality for mechanically ventilated older adults in the ICU. Research in gerontological nursing, 7(3), 113–125. https://doi.org/10.3928/19404921-20140127-02.
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There are 41 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Banu Gürel Eriş 0000-0003-1518-7018

Sema Koçaşlı 0000-0002-5718-0669

Early Pub Date April 15, 2024
Publication Date April 30, 2024
Published in Issue Year 2024 Volume: 17 Issue: 2

Cite

APA Gürel Eriş, B., & Koçaşlı, S. (2024). Cerrahi Hastalarında Bakım Odaklı Hemşire Hasta Etkileşim Düzeyinin Derlenme Sürecine Etkisi. Etkili Hemşirelik Dergisi, 17(2), 216-231. https://doi.org/10.46483/jnef.1468522

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