Hemşirelerin Bütüncül Hemşirelik Yeterliklerinin ve Bütüncül Hemşireliğe İlişkin Bakış Açılarının İncelenmesi
Özet
The study was conducted as a descriptive study to investigate clinical nurses' holistic nursing competences and perspectives towards holistic nursing.The study was conducted in three stages. The first stage of the study that was conducted with 288 clinical nurses working in internal medicine, surgery units and intensive care was Turkish adaptation, validity and reliability study of “Holistic Nursing Competence Scale”. In the second phase of the study, distribution of the scores of “Holistic Nursing Competence Scale”, validity and relliability of which was proven, according to the nurses’ clinical and professional characteristics and appraisals towards holistic nursing was determined. In the third stage of the study focus groups with 25 nurses was conducted to determine the nurses’ perceptions towards holistic nursing and holistic nursing competence. Data were collected using descriptive data form, Holistic Nursing Competence Scale and semi-structured question form. Percentages, mean, confirmatory factor analysis, content validity ratio and content validity index, pearson correlation analysis, intraclass correlation coefficient, significance test for the difference between two means and one-way variance analysis were used for data analysis in the first and second stages of the study, content analysis was used in the third stage of the study. According to the study findings, the Turkish form of the Holistic Nursing Competence Scale was determined as equivalent to its original form and compatible with the Turkish culture and a valid and reliable tool for view of holistic nursing competence. Total holistic nursing competence score and sub-dimension scores increased with the shift of the nurses’ appraisals for holism towards positive. As a result of focus group interviews the nurses defined team collaboration, individualized approach and communication in the context of requirements for holism and holistic nursing. The most important consequence of holistic nursing was healing and decrease in treatment period. Obstacles to holistic nursing are insuffiency of nurse staff and time and thought of inadequacy. In direction of these results, use of Holistic Nursing Competence Scale in studies conducted in our country, recognization of the relations between increase of holistic nursing competence with increase of holistic appraisal of nursing, unit and organization by nurse mangers and organization managers and support for continuous development of staff, units and organization are suggested.
