Kronik Karaciğer Hastalarında Uluslararası Hemşirelik Terminolojisine Dayalı Standart Hemşirelik Bakım Planının Geliştirilmesi ve Kullanışlılığının Değerlendirilmesi

Abstract

Gülkaya,G. Development and Usefulness of the Standard Nursing Care Plan Developed Based on the International Nursing Terminology in Individuals Hospitalized with Chronic Liver Disease, Hacettepe University Graduate School of Health Sciences Fundamentals of Nursing Program PhD Thesis, Ankara 2024. The study was conducted in three phases with participatory action research design to develop a standard nursing care plan based on international nursing terminology in individuals hospitalized with chronic liver disease and to evaluate its usefulness. In the first phase of the study, eight patients with chronic liver disease and a semi-structured questionnaire were completed qualitatively between December 1-31, 2017. In the second phase, the opinions of 18 nurses working in gastroenterology services regarding the nursing care plan structured with the nursing process approach were determined. In this phase, a standard nursing care plan based on international common nursing terminology was developed to be used in individuals hospitalized with chronic liver disease and the scope validity was completed between October 2022 and September 2023. In the third phase of the study, the usefulness (effectiveness, quality and satisfaction) of the standard nursing care plan developed based on international nursing terminology in individuals hospitalized with chronic liver disease was completed between October 2023 and December 2023 with 18 nurses working in Gastroenterology services and 10 inpatients. In this phase, satisfaction assessment was made with seven nurses using the standardized care plan and completing patient care. In the first phase of the study, disease-related experiences of chronic liver patients were collected under two themes as disease-related symptoms and disease-related life problems. In the second phase, it was determined that the majority of the nurses were undergraduate graduates, they worked with the nursing process approach, and they mostly knew the NANDA nursing diagnosis terminology. The standard care plan developed in this phase included 22 NANDA nursing diagnoses, NOC outcomes and NIC interventions related to the diagnoses and was found to be 95%-100% valid. In the third phase, the difference between the nurses' total score from the pretest care plan (5.44±2.81) and the total score from the posttest care plan (16.50±4.98) was statistically significant (p<0.001). The difference between the mean quality score of the patient files in which the developed standard care plan was used and the patient files in which the care plan currently used was found to be statistically significant (p<0.05). The nurses stated that they were satisfied with the standard care plan because it provided quick information about the patient, enabled patients with chronic liver disease to be followed up easily and supported evidence-based practices, enabled patients to receive better care, and did not take them away from individuality. As a result of the study, the standard nursing care plan developed based on international common nursing terminology was evaluated as valid, effective, high quality and satisfactory in terms of scope. It was recommended that the use of the standard nursing care plan developed in this direction should be expanded in the care of chronic liver patients.