Factors Affecting and Defining Skills Ability to Nursing Diagnosis Associated with the Case of I. Class of Nursing Students
OBJECTİVE: The aim of this study is to determine the ability of nursing first year students to identify nursing diagnoses related to the given case and the factors affecting these skills.
METHODS: Research Selçuk University Akşehir School of Health Nursing Department Nursing was carried out with 55 students who read the examination and accepted to participate in the study. The data were collected by the data collection form prepared by the researchers. Percentage distribution, One-Sample t test and pearson correlation analysis were used in the evaluation of the data.
RESULTS: 83.6% of the students who participated in the survey were female, 16.4% were male. The age of the students varies between 18-21 and their average age is 19.05 ± 0.86. It was found that 72.7% of the students voluntarily selected the profession. It has been determined that 80% of the students do not take responsibility for maintenance before. It has been determined that 72.5% of the students have already planned the maintenance. When factors affecting the inability to perform a maintenance plan are assessed; 45.5% of them stated that they could not get enough information from the patient and the patient. 90.9% of the students stated that it is necessary to make a care plan. Reasons for students to make a care plan; 81.8% of them explained the patient as better understanding, treatment and care. 92.7% of the sample answered correctly. It was anticipated that students in the age group would have 21 different nursing diagnoses. These diagnoses and the dependency-independence series were evaluated over 100 score. It was determined that 57.69% of the students correctly wrote the nursing diagnoses according to NANDA-1 Taxonomy II. The most common diagnoses in these diagnoses are: 60.0% pain, 36.36% risk of infection, 34.54% nutritional deficiency, 30.90% deterioration in sleep pattern and 29.09% deterioration in tissue integrity. The mean score of the nursing diagnosis was 20.90 ± 13.40, and the mean score of the addictive-independence score was 35.34 ± 18.88 (p = 0.000, p <0.0001). There was a significant positive correlation (p = 0.049, p <0.05) between occupational choice and care planning.
CONCLUSİON: Nursing Class I students are less likely to correctly identify nursing diagnoses in the given case. Despite that; it was found that the achievement of the care plan of the students who wanted to come to the profession and were satisfied with choosing the profession was high. For this reason, it is suggested that nursing educators should adopt the philosophy of nursing to students.
Keywords - Nursing Diagnoses, Nursing Student, Sample Case.