Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
The Effect of Malpractice Education on the Levels of Trend to Medical Errors and Attitudes Towards Medical Errors of Nurses: A Quasi Experimental Study
Malpraktis Eğitiminin Hemşirelerin Tıbbi Hatalara Eğilim Düzeylerine ve Tıbbi Hatalara Yönelik Tutumlarına Etkisi: Yarı Deneysel Bir Çalışma
İbrahim GÜVENa , Türkan KARACAb
aClinic of Emergency Medicine, Bozüyük Public Hospital, Bilecik, Türkiye
bDepartment of Nursing, Adıyaman University Faculty of Health Sciences, Adıyaman, Türkiye
Turkiye Klinikleri J Med Ethics. 2024;32(1):11-8
doi: 10.5336/mdethic.2023-98112
Article Language: EN
Full Text
ABSTRACT
 This study was carried out to determine the effect of malpractice education on the levels of Trend to medical errors and attitudes towards medical errors of training nurses. The research was carried out by the university's hospital, department of emergency and was conducted on nurses working in the emergency department. The study population included 80 (control=40/experimental=40) emergency nurses who were accepted the invitation to participate and were included in the study sample. Data were collected through the descriptive features form, Medical Malpractice Trend in Nursing Scale, and the Scale of Attitudes towards Medical Errors, which are scaling instruments with fairly adequate validity and reliability indicators. The data in the demographic characteristics form as the independent variable of the research; the scores obtained from the medical Malpractice Trend Scale in Nursing and the scores from the Scale of Attitutes towards Medical Errors are the dependent variables. Statistical analysis of two independent groups was performed using the t-test, which is one of the parametric tests. Analysis also includes means, minimum, maximum and percentages. After the training, a significant increase was found in the total score of the Malpractice Trend Scale in Nursing and Scale of Attitudes towards Medical Errors and all sub-scales. During a working day, nurses make critical decisions while providing care for individuals, perform tasks that require skills, administer medication, and guide the decisions that need to be made. It is foreseen that malpractice rates will decrease significantly by increasing the knowledge level of nurses and providing awareness with the continuous trainings to be given.

Keywords: Emergency service; malpractice; medical errors; nurses
ÖZET
 Bu araştırma, malpraktis eğitiminin tıbbi hatalara eğilim düzeylerine ve malpraktis tutumlarına etkisini belirlemek amacıyla yapılmıştır. Araştırma bir üniversite hastanesinin acil servisinde çalışan hemşireler üzerinde gerçekleştirilmiştir. Araştırma evrenini, daveti kabul eden ve araştırma örneklemine dâhil edilen 80 (kontrol=40/deneysel=40) acil hemşiresi oluşturmuştur. Veriler, geçerlik ve güvenirlik göstergeleri oldukça yeterli olan ölçme araçları olan tanımlayıcı özellikler formu, Hemşirelikte Tıbbi Hata Eğilim Ölçeği ve Tıbbi Hatalara Yönelik Tutum Ölçeği aracılığıyla toplanmıştır. Araştırmanın bağımsız değişkeni demografik özellikler formunda yer alan veriler; Hemşirelikte Tıbbi Hata Eğitim Ölçeği'nden ve Tıbbi Hatalara Yönelik Tutum Ölçeği'nden alınan puanlar bağımlı değişkendir. İki bağımsız grubun istatistiksel analizi, parametrik testlerden biri olan t-testi kullanılarak yapıldı. Analiz aynı zamanda ortalamaları, minimum, maksimum ve yüzdeleri de içermektedir. Eğitim sonrası Hemşirelikte Tıbbi Hata Eğilim Ölçeği ve Tıbbi Hatalara Yönelik Tutum Ölçeği toplam puanında ve tüm alt ölçeklerinde anlamlı artış saptanmıştır. Hemşireler bir iş günü içinde bireylere bakım verirken kritik kararlar verir, beceri gerektiren görevleri yerine getirir, ilaçları uygular ve alınması gereken kararlara rehberlik eder. Verilecek sürekli eğitimler ile hemşirelerin bilgi düzeyi artırılarak ve farkındalık sağlanarak malpraktis oranları önemli ölçüde azalacağı ön görülmektedir.

Anahtar Kelimeler: Acil servis; malpraktis; tıbbi hata; hemşireler
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