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Ozet Amac. Saglik profesyonellerinin aydinlatilmis onama iliskin gorus ve uygulamalarini degerlendirmek. Yontem. Tanimlayici tipteki arastirmanin orneklemini, Sivas il merkezinde bulunan uc hastanenin cerrahi unitelerinde calisan toplam 143 saglik profesyoneli olusturdu. Veriler aydinlatilmis onama iliskin arastirmacilar tarafindan olusturulan form ile toplandi. Bu formdan alinabilecek toplam puan 45-225 arasinda olup, alinan puanin dusuk olmasi aydinlatilmis onam bilgilerinin dogru ve istendik oldugunu, puanin yuksek olmasi ise bilgilerinin olumsuz ve istendik olmadigini gostermektedir. Veriler Student t Testi, Kruskall Wallis Testi ve Korelasyon Analizi ile degerlendirildi. Bulgular. Arastirmaya katilan bireylerin yas ortalamasi 32,4 ± 6,0 olup, %63,6’si kadindi. Calisanlarin ortalama hizmet suresinin 10,0 ± 6,5 yil oldugu belirlendi. Saglik profesyonellerin %47,6’sinin onamin dogru uygulandigina kismen katildigi, %56,6’sinin onami ispat guvencesi olarak degerlendirdigi, %57,4’unun olumsuz is kosullari ve personel sayisinin azligi nedeniyle calisilan kurumda onamin istendik duzeyde alinamadigi, %77,6’sinin hastane yonetimi ve yasal zorunluluk nedeniyle alindigi, onam alma sorumlulugu %62,2 oraninda tum ekibe ait oldugu saptandi. Katilimcilarin anket formunun her bir maddesinden aldigi en dusuk puan ortalamasi 1,60 ± 0,66; en yuksek puan ortalamasi ise 3,00 ± 1,30 olup anketten aldiklari toplam puan ortalamasi 92,99 ± 21,75’ti. Katilimcilarin verdikleri aydinlatilmis onamdaki bilginin acik anlasilir olmasi gerektigine yonelik altinci maddenin puan ortalamasi en dusuk duzeydeyken hastanin klinige ilk geldiginde verdigi onamin tum islemler icin gecerli olamayacagina iliskin 12. onermenin puan ortalamasi en yuksek duzeydeydi. Hekim, hemsire ve ebenin aldigi toplam puan ortalamalari arasinda anlamli fark bulunamadi (p>0,05). Sonuc. Saglik calisanlarinin aydinlatilmis onamla ilgili gorusleri olumlu yonde olmasina karsin uygulamalari istendik duzeyde degildir. Cogunlukla onamin etik boyutundan cok yasal yonuyle ilgilenmektedirler. Bu baglamda kurumsal ve egitim sureci icerisinde aydinlatilmis onamin uygulanmasina iliskin etkin stratejilerin gelistirilmesine gereksinim vardir. Anahtar sozcukler: Aydinlatilmis onam, saglik calisani, cerrahi klinik Abstract Aim. To evaluate the views and practices of physicians, nurses and midwives working in surgical clinics regarding the informed consent. Methods. The sample of this descriptive study comprises 143 health professionals working in surgical units of three hospitals in the province of Sivas. Data were collected using the questionnaire prepared by the researchers. The possible total score to be obtained from the questionnaire ranges from 45 to 225. Low scores indicate that their knowledge about the informed consent is correct and sufficient and high scores indicate that their knowledge is negative and insufficient. The data were evaluated with the Student's t test, Kruscall Wallis and Correlation Analysis. Results. The mean age of the participants was 32.4 ± 6.0. Of them, 63.6% were female. Their total length of service was determined as 10.0 ± 6.5. 47.6% partly agreed that informed consent was applied correctly, 56.6% considered informed consent as the evidence of proving, 57.4% stated that informed consent could not be obtained satisfactorily due to negative work conditions and the small number of the staff, 77.6% stated that informed consent was obtained upon the hospital management’s demand and due to legal obligation and 62.2% stated that it was the responsibility of the whole team to obtain informed consent. The lowest and the highest mean scores the participants obtained from the each item of the questionnaire were 1.60 ± 0.66 and 3.00 ± 1.30 respectively. Their total mean score was 92.99 ± 21.75. While the mean score given by health professionals to the sixth proposition stating that “information in the informed consent must be clear and understandable” was the lowest, the highest mean score was given to the twelfth proposition stating that “the informed consent given by the patient when he/she is admitted to the clinic is not valid for all the procedures”. No significant differences were determined between the total mean scores of the physicians, nurses and midwives (p> 0.05). Conclusion. Although the health professionals’ views regarding informed consent was positive, they did not applied it as required. They were concerned about the legal aspects of informed consent rather than ethical dimension. In this context, it is necessary to develop effective institutional strategies during the education process regarding the implementation of informed consent. Keywords: Informed consent, health workers, surgical clinics Anahtar sozcukler: Aydinlatilmis onam, saglik calisani, cerrahi klinik

Cerrahi kliniklerdeki sağlık çalışanlarının aydınlatılmış onam hakkındaki görüşleriyle uygulamaları örtüşüyor mu?