The purpose of this study was to determine the opinions and expectations of patients and nurses about privacy during a hospital admission for surgery. The study explored what enables and maintains privacy from the perspective of Turkish surgical patients and nurses. The study included 102 adult patients having surgery and 47 nurses caring for them. Data were collected via semistructured questionnaire by face-to-face interviews. The results showed that patients were mostly satisfied by the respect shown to their privacy by the nurses but were less confident of the confidentiality of their personal data. It was found that patients have expectations regarding nursing approaches and attitudes about acknowledging and respecting patient autonomy and confidentiality. It is remarkable that while nurses focused on the physical dimension of privacy, patients focused on informational and psychosocial dimensions of privacy, as well as its physical dimension.
Background: Informed consent involves patients being informed, in detail, of information relating to diagnosis, treatment, care and prognosis that relates to him or her. It also involves the patient explicitly demonstrating an understanding of the information and a decision to accept or decline the intervention. Nurses in particular experience problems regarding informed consent. Research question and design: This descriptive study was designed to determine nurse knowledge and practices regarding their roles and responsibilities for informed consent in Turkey. The research was performed using 92 nurses who work at the surgical clinics. Data collection form was prepared by the researchers with assistance from the literature, and the data were evaluated by the SPSS 12.0 data analysis program. Ethical consideration: This study was approved by the Medicine and Health Sciences Research and Ethics Committee of the university. Written consent was received from the nurses. Findings: Among the nurses who participated in this study, 39.1% indicated that they were responsible for obtaining informed consent. It was also found that 90.2% of the nurses informed patients before providing nursing interventions and 32.6% of the nurses obtained consent from patients, and 90.0% of the nurses who indicated that they obtain patient consent only obtain verbal consent. Among all of the nurses, 21.7% agreed that informed consent needs to be obtained in order to protect the medical staff legally. Discussion: It is argued that a lack of official procedures at hospitals regarding informed consent and insufficient information being provided to healthcare providers has caused problems regarding informed consent. Conclusion: The nurses in this study lacked information regarding their role in obtaining informed consent from patients and they often performed incomplete and/or incorrect practices within the framework of their required role. It is believed that an increased level of education along with the creation of official policies and procedures would contribute towards solving these problems.
The aim of this descriptive cross-sectional study was to determine adult surgery patients’ experiences of informed consent and preoperative education. Research was conducted between September 2018 and February 2019. The sample consisted of 201 adult patients of a university hospital in Turkey. Data were collected using a 48-item questionnaire developed by the researchers based on literature. More than half of the participants (54.2%) were fully informed while 36.8% were partially informed about their surgery process and 61.2% were informed by physicians. Overall, 33.3% had unanswered questions about surgery, with questions relating mostly to the type of surgery (26.8%) and its effect on their body (25.4%). Participants were least informed about preoperative deep breathing and cough exercises (47.8%). More than half (58.4%) of participants expected healthcare professionals to avoid using medical terminology when informing them. Physicians and nurses perform invasive interventions on patients and, therefore, should be sensitive about informing patients.
Çalışma hemşirelerin hasta bakımında fiziksel değerlendirme becerileri ve uygulamalarını belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma tanımlayıcı nitelikte tasarlanmış olup özel bir üniversite hastanesinin erişkin servis ve yoğun bakım ünitelerinde çalışan 125 hemşire üzerinde yürütülmüştür. Veriler fiziksel değerlendirme uygulamaları ile farkındalıklarını değerlendiren, 26 soruluk soru formu kullanılarak toplanmıştır. Bulgular: Çalışmamızda hemşirelerin %97,6'sı fiziksel değerlendirme hakkında bilgilerinin olduğunu belirtmişlerdir. Hemşirelerin %79,5'i 'Bireyin tüm sistemlerinin değerlendirilmesi' olarak tanımlamışlardır. Hemşirelerin çok gerekli olduğu düşünülen fiziksel değerlendirme becerileri, vital bulgu (%97,6), ödem (%96,8), deri turgoru takibi (%92,8), pupil cevabı (%92,8), göz hareketleri (%90,4), ağız mukoza (%92,0) değerlendirmesidir. Sonuç: Hemşirelerin çoğunluğunun fizik değerlendirme becerileri konusunda bilgilerinin olduğu ancak mezuniyet sonrası bu bilgilerin temel fiziksel değerlendirme becerileri ile sınırlı kaldığı saptanmıştır. Fiziksel değerlendirme becerilerinin klinik ortamda beceri tekniklerinin kapsayacak şekilde lisans sonrasında hizmet içi eğitim ve klinik ortamda uygulamalı eğitim programlarının düzenlenmelidir.
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