Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Effect of Training on Nurse Awareness Concerning Malpractice Cases
Eğitimin Hemşirelerin Malpraktis Vakaları Konusundaki Farkındalıklarına Etkisi
Bengü ÇETİNKAYAa, Nevin KUZU KURBANb, Halide SAVAŞc
aDepartment of Pediatric Nursing, Pamukkale University Faculty of Health Sciences, Denizli, TURKEY
bDepartment of Fundamentals of Nursing, Pamukkale University Faculty of Health Sciences, Denizli, TURKEY
cİstanbul Bar Association, İstanbul, TURKEY
Turkiye Klinikleri J Med Ethics. 2021;29(1):94-101
doi: 10.5336/mdethic.2020-75899
Article Language: EN
Full Text
ABSTRACT
 When healthcare professionals carry out direct or indirect technical and scientific procedures on people with the purpose of curing, mitigating or preventing disease, their actions are considered medical interventions. According to Turkish Penal Code, ''healthcare professionals'' generally means physicians, dentists, pharmaceutists, midwives, nurses and other persons providing healthcare services. These professionals are entitled to perform medical interventions to the extent permitted by law. Medical interventions do not always result in positive outcomes. Due to this reason, nurses may face cases filed against them. The present study aimed to determine nurse awareness of malpractice cases. In this descriptive survey method study, nurses were given training about medical malpractice cases. A questionnaire covering the cases concerning the consequences medical malpractices and other items was implemented before and after the provided training. Prior to the study, 36.0% of the participants had no training or courses on prevention of malpractice. Among the other 64%, most had received only in-service training. The percentage of nurses concerned about being judged or penalized due to medical malpractice was 53% before training and 57% after training. The number of correct answers given by the participants regarding malpractice case outcomes increased in a statistically significant way after training (p=0.000). Increasing nurse awareness about the risks and consequences of medical malpractice may be an important factor in reducing malpractice.

Keywords: Education; malpractice; nursing care
ÖZET
 Teknolojinin gelişimiyle birlikte hemşireler, daha fazla invaziv girişim uygulamaktadırlar. Dolayısıyla bu durum, tıbbi uygulama hata riskini artırabilmektedir. Sağlık hizmeti veren kişiler, sağlık hizmetini verirken; kişiler üzerinde hastalıkları iyileştirmek, hafifletmek veya önlemek amacına yönelik olarak doğrudan ya da dolaylı teknik ve bilimsel çalışmalar yapıyorlarsa fiilleri tıbbi müdahale fiilidir. Türk Ceza Kanunu'nunda sağlık mesleği mensubu deyiminden genel olarak tabip, diş tabibi, eczacı, ebe, hemşire ve sağlık hizmeti veren diğer kişiler anlaşılır. Bu kişiler, yasaların izin verdiği ölçüde tıbbi müdahale eyleminde bulunabilen meslek mensuplarıdır. Tıbbi girişim sonrası her zaman olumlu gelişmeler olmayabilir. Bu nedenle hemşireler, davalarla karşı karşıya gelebilirler. Bu çalışmanın amacı, malpraktis vakaları konusunda hemşirelerin farkındalığını belirlemektir. Tanımlayıcı tipteki araştırmada, hemşirelere malpraktis vakaları ile ilgili eğitim verilmiştir. Eğitim öncesi ve sonrasında tıbbi uygulama hatalarının sonuçlarıyla ilgili vakaları ve diğer soruları içeren anket formu uygulanmıştır. Eğitim öncesi katılımcıların %36'sı, malpraktisi önlemeye yönelik eğitim veya kurs almadıklarını belirtmiştir. %64'ü ise hizmet içi eğitim aldığını belirtmiştir. Malpraktis nedeniyle yargılanmak veya cezalandırılma korkusu yaşayan hemşirelerin yüzdesi, eğitimden önce %53 ve eğitimden sonra %57 olarak belirlenmiştir. Katılımcıların malpraktis vakalarının sonuçları ile ilgili verdikleri doğru cevap sayısı, eğitimden sonra istatistiksel olarak anlamlı bir şekilde artmıştır (p=0,000). Malpraktis riskleri ve sonuçları hakkında hemşirelerin farkındalığının artırılması, malpraktis riskinin azaltılmasında önemli bir faktör olabilir.

Anahtar Kelimeler: Eğitim; malpraktis; hemşirelik bakımı
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