ÖZET
Amaç:
Doğumhaneler problemlerin hızlı geliştiği ve kararların hızlı alındığı yerlerdendir. Bu nedenle hasta güvenliği uygulamaları en önemli konular arasındadır. Bu araştırma, doğumhanede çalışan ebe ve hemşirelerin hasta güvenliği uygulamalarını araştırmak amacıyla yapılmıştır.
Yöntemler:
Tanımlayıcı nitelikteki bu çalışma, Ankara’da sekiz hastanede çalışan 140 ebe/hemşire ile yürütülmüştür. Araştırma verileri, literatür doğrultusunda oluşturulan bir anket aracılığıyla, yüz yüze görüşülerek toplanmıştır. Veriler sayı ve yüzde ile analiz edilmiştir.
Bulgular:
Doğumhanelerin 1/3’ünde “kontrollü kapı” olmadığı, ebe ve hemşirelerin %21,1’inin anneyi servise kabul ederken kimlik bilekliği takmadığı, %34,3’ünün kimlik doğrularken oda/yatak numarası kullandığı, %63’ünün acil-steril uygulamalar sırasında verilen talimatları kayıt altına almadığı belirlenmiştir. Ebe ve hemşirelerin %8,6’sının anne ve bebeği doğumhanede yalnız bıraktığı, %27,9’unun bebeğin doğum tarihini kimlik bilekliği üzerine yazmadığını, %11,4’ünün uterus involüsyonunu takip etmediği bulunmuştur.
Sonuç:
Araştırma sonuçlarına göre doğum salonlarında anne ve bebek güvenliğinin sağlanmasına yönelik hedeflerin çoğunun gerçekleştirildiği belirlenmiştir. Ancak uygulamada kimlik doğrulama, kayıt tutma, ilaç uygulama gibi konularda eksiklerin olduğu belirlenmiştir. Doğum salonlarında görev yapan ebe ve hemşirelere, anne-yenidoğanın güvenliğine yönelik eğitim verilmesi önerilmektedir.
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