The Relationship Between Neonatal Nurses� Attitudes, Evidence-Based Practice Leadership Evidence Based Practice Work Environment, and the Involvement of Parents on in Family Centered Care Practices: A Cross-Sectional Study

¹�stinye University, Faculty of Health Sciences, Department of Nursing, istanbul, T�rkiye
²Ac�badem University, Faculty of Health Sciences, Department of Nursing, �stanbul, T�rkiye
³Ordu University, Faculty of Health Sciences, Department of Nursing, Ordu, T�rkiye
⁴Medipol Mega University Hospital, Nursing Services Department, �stanbul, T�rkiye

Aim: �This study aimed to: a) examine the effects of neonatal intensive care nurses� attitudes towards evidence-based practices and perceptions of evidence-based practices leadership and work environment on attitudes towards parental participation, and (b) determine the effects of such attitudes and perceptions of nurses on parental involvement in neonatal intensive care unit family center care activities.
Method: � This cross-sectional study was conducted with 218 neonatal intensive care nurses in Turkey using an online questionnaire. The data were collected using the demographic questionnaire, the Evidence-based Practices Work Environment Scale, the Evidence-based Practices Leadership Scale, the Attitude Towards Evidence-Based Nursing Questionnaire, the Parental Participation Attitude Scale, and the number of parental involvement direct care activities. Data were analyzed with descriptive statistics, Pearson correlation, and multiple regression analysis (backward).
Results: �Nurses� attitudes towards parental participation were affected by evidence-based nursing attitudes (R2=0.35, Durbin-Watson=2.078, p<0.001). The number of parent-delivered interventions related to family center care activities in the neonatal intensive care unit was affected by the evidence-based practices environment and completion of neonatal intensive care unit certification (R2=0.11, Durbin-Watson=1.972, p<0.001).
Conclusions: �Nurses' attitudes towards parental involvement affects by their own evidence-based practices knowledge and awareness. The establishment of an evidence-based practices work environment at the organizational level and the provision of special training for nurses increased parent-delivered interventions.

Keywords:

Yenido�an Hem�irelerinin Kan�ta Dayal� Uygulama Liderli�i, Kan�ta Dayal� Uygulama �al��ma Ortam� ve Tutumlar� ile Ebeveynlerin Aile Merkezli Bak�m Uygulamalar�na Kat�l�m� Aras�ndaki �li�ki: Kesitsel Bir �al��ma

¹�stinye �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, �stanbul, T�rkiye
²Ac�badem �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, �stanbul, T�rkiye
³Ordu �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, Ordu, T�rkiye
⁴Medipol Mega �niversite Hastanesi, Hem�irelik Hizmetleri B�l�m�, �stanbul, T�rkiye

Ama�: Bu �al��man�n amac�: a) yenido�an yo�un bak�m hem�irelerinin kan�ta dayal� uygulamalara y�nelik tutumlar� ile kan�ta dayal� uygulama �nderli�i ve �al��ma ortam� alg�lar�n�n ebeveyn kat�l�m�na y�nelik tutumlar� �zerindeki etkilerini incelemek ve (b) hem�irelerin bu tutum ve alg�lar�n�n ebeveynlerin yenido�an yo�un bak�mda �nitesindeki aile merkezli bak�m uygulamalar�na kat�l�m� �zerindeki etkilerini incelemektir.
Y�ntem: Bu kesitsel �al��ma, T�rkiye'de 218 yenido�an yo�un bak�m hem�iresi ile �evrimi�i bir anket kullan�larak ger�ekle�tirilmi�tir. Veriler; tan�t�c� bilgi formu, �Kan�ta Dayal� Uygulama �al��ma Ortam� �l�e�i, Kan�ta Dayal� Uygulama Liderlik �l�e�i, Kan�ta Dayal� Hem�ireli�e Y�nelik Tutum Anketi, Ebeveyn Kat�l�m� Tutum �l�e�i� ve ebeveyn kat�l�m� do�rudan bak�m giri�imlerinin say�s� kullan�larak toplanm��t�r. Veriler tan�mlay�c� istatistikler, Pearson korelasyonu ve �oklu regresyon analizi (backward) ile analiz edilmi�tir.
Bulgular: Hem�irelerin ebeveyn kat�l�m�na y�nelik tutumlar� kan�ta dayal� hem�irelik tutumlar�ndan etkilenmi�tir (R2=0,35, Durbin-Watson=2,078, p<0,001). Yenido�an Yo�un Bak�m �nitesi'nde aile merkezli bak�m aktiviteleri ile ilgili ebeveyn taraf�ndan uygulanan giri�imlerin say�s� EBP ortam�ndan ve yenido�an yo�un bak�m hem�ireli�i sertifikasyonuna sahip olmaktan etkilenmi�tir (R2=0,11, Durbin-Watson=1,972, p<0,001).
Sonu�: Hem�irelerin ebeveyn kat�l�m�na y�nelik tutumlar� kendi kan�ta dayal� uygulama bilgi ve fark�ndal�klar�ndan etkilenmektedir. �rg�tsel d�zeyde kan�ta dayal� uygulama �al��ma ortam�n�n olu�turulmas� ve hem�irelere �zel e�itim verilmesi ebeveyn kat�l�ml� giri�imleri art�rm��t�r.

Anahtar Kelimeler:

Selvinaz Albayrak, Zehra Kan �nt�rk, Emine T�rkmen, Nilg�n G�ktepe, Sabiha �a�layan. The Relationship Between Neonatal Nurses� Attitudes, Evidence-Based Practice Leadership Evidence Based Practice Work Environment, and the Involvement of Parents on in Family Centered Care Practices: A Cross-Sectional Study. Journal of Health and Nursing Management. 2023; 10(3): 392-404

Corresponding Author: Selvinaz Albayrak, T�rkiye