Kamu hastanelerinde çalışan hemşireler için klinik yerleştirme yönteminin geliştirilmesi ve hemşire sonuçlarına etkisi
Development of a clinical placement method for nurses working inpublic hospitals and its effects on nurse outcomes
Yazar: NURAN REYHANOĞLU
Danışman: DOÇ. DR. BETÜL SÖNMEZ
İstanbul Üniversitesi-Cerrahpaşa / Lisansüstü Eğitim Enstitüsü / Hemşirelikte Yönetim Ana Bilim Dalı / Hemşirelikte Yönetim Bilim Dalı
Derece: Doktora, 2024
Konu: Hemşirelik = Nursing

Özet:
The aim of the first stage of this two-stage research is to develop a clinical placement method
for nurses working in public hospitals, and the aim of the second stage is to determine the effect
of the clinical placement method on nurses outcomes. The sample of the first phase of the study,
which was carried out in a descriptive design, consisted of 32 nurse managers and 1331 nurses
working in public hospitals in İstanbul. The data were collected between 01.06.2022 and
31.01.2023 using a questionnaire form developed in line with the literature. In line with the
findings obtained from the first stage and the relevant literature, the Clinical Placement Method
was developed for nurses working in public hospitals. Five experts were consulted for the
content validity of the developed method and the content validity index was determined as 97.2.
In the second stage of the study, all nurses who were assigned to four public hospitals (state,
education research and city hospitals) in İstanbul were placed in the clinic by applying the
Clinical Placement Method. The sample of the second phase of the study consisted of 63 nurses
who were placed in the clinic by applying the Clinical Placement Method and 111 nurses who
were placed in the same hospitals in the previous period. The data of the second phase were
collected between 01.04.2023-30.07.2023. Nurse Information Form and Assessment Tests
(Occupational Adaptation Scale in Nursing, Ten-Article Personality Scale, Compassion Scale)
were applied to the nurses. Nurses were placed in clinics as a result of the Structured Clinical
Placement Interview. Three months later, Personal Information Form, Job Satisfaction Scale
for Clinical Nurses and Person-Work Adjustment Scale were applied to the nurses. In addition,
the performance of the nurses was evaluated by the clinical charge nurses using the Task
Performance Scale. In the third month after placement in the clinic, the same measurement tools
were applied to the nurses who were placed with the clinical placement method and
simultaneously to the nurses who were placed without the clinical placement method in the
previous period, and the results between the two groups were compared. Significant differences
were determined between the mean scores of the scale according to some characteristics of the
nurses. The person-job fit and task performance of the nurses who were placed in the clinic by
applying the Clinical Placement Method were determined to be above average, and job
satisfaction was determined to be high. No significant difference was found between the mean
scores of person-job adjustment and job satisfaction of the nurses who were placed in the clinic
with the Clinical Placement Method and those who were placed without the method in the
previous period. However, a significant difference was found between the mean scores of task
performance. According to the results of the research, it can be said that there is a need for a
structured clinical placement method for nurses to be applied in public hospitals, and the
preliminary application results of the developed method reveal the positive results of the
method. It is recommended that the developed method be used by nurse managers in public
hospitals and developed according to the results of the application.
September 2024,.198 pages.
Keywords: Clinical placement, work placement, nurse, public hospitals

Abstract:
The aim of the first stage of this two-stage research is to develop a clinical placement method
for nurses working in public hospitals, and the aim of the second stage is to determine the effect
of the clinical placement method on nurses outcomes. The sample of the first phase of the study,
which was carried out in a descriptive design, consisted of 32 nurse managers and 1331 nurses
working in public hospitals in İstanbul. The data were collected between 01.06.2022 and
31.01.2023 using a questionnaire form developed in line with the literature. In line with the
findings obtained from the first stage and the relevant literature, the Clinical Placement Method
was developed for nurses working in public hospitals. Five experts were consulted for the
content validity of the developed method and the content validity index was determined as 97.2.
In the second stage of the study, all nurses who were assigned to four public hospitals (state,
education research and city hospitals) in İstanbul were placed in the clinic by applying the
Clinical Placement Method. The sample of the second phase of the study consisted of 63 nurses
who were placed in the clinic by applying the Clinical Placement Method and 111 nurses who
were placed in the same hospitals in the previous period. The data of the second phase were
collected between 01.04.2023-30.07.2023. Nurse Information Form and Assessment Tests
(Occupational Adaptation Scale in Nursing, Ten-Article Personality Scale, Compassion Scale)
were applied to the nurses. Nurses were placed in clinics as a result of the Structured Clinical
Placement Interview. Three months later, Personal Information Form, Job Satisfaction Scale
for Clinical Nurses and Person-Work Adjustment Scale were applied to the nurses. In addition,
the performance of the nurses was evaluated by the clinical charge nurses using the Task
Performance Scale. In the third month after placement in the clinic, the same measurement tools
were applied to the nurses who were placed with the clinical placement method and
simultaneously to the nurses who were placed without the clinical placement method in the
previous period, and the results between the two groups were compared. Significant differences
were determined between the mean scores of the scale according to some characteristics of the
nurses. The person-job fit and task performance of the nurses who were placed in the clinic by
applying the Clinical Placement Method were determined to be above average, and job
satisfaction was determined to be high. No significant difference was found between the mean
scores of person-job adjustment and job satisfaction of the nurses who were placed in the clinic
with the Clinical Placement Method and those who were placed without the method in the
previous period. However, a significant difference was found between the mean scores of task
performance. According to the results of the research, it can be said that there is a need for a
structured clinical placement method for nurses to be applied in public hospitals, and the
preliminary application results of the developed method reveal the positive results of the
method. It is recommended that the developed method be used by nurse managers in public
hospitals and developed according to the results of the application.
September 2024,.198 pages.
Keywords: Clinical placement, work placement, nurse, public hospitals