Hemşirelikte dünün mirası, bugünün devrimi

medikritik Cu, 01/05/2020 - 10:04

Uzman Hemşire Orhan Çakır, Medikritik için yazdı...

Covid-19 pandemisiyle beraber sağlık bakım süreci, yeniden kamuoyu önünde değerlendirmeye çıktı. Bu sürecin en temel ana ögesi olan, hastalarla en çok zamanı geçiren, bakım sürecinin yükünü tamamen omuzlarında bulunduran hemşirelerimizin bugün itibariyle birçok sorunları vardır ve bu sorunlar çeşitli araştırmalara konu olacak derecede ciddi sorunlardır. Bu sorunları kısaca belirtirsek;  mesleki doyum eksikliği, olumsuz çalışma koşulları, iş yükü, yetersiz ücret, mezuniyet sonrası eğitim yetersizliği, meslekte ilerleme olasılığının düşük olması ve yönetim politikaları gibi birçok sorun hemşirelerimizi olumsuz etkilemektedir.

Bu sorunları incelediğimiz zaman ortaya şu çıkmaktadır. Bu sorunlar bugün yeni oluşan sorunlar değildir, çok öncelerden beri süre gelen tabiri caizse mesleksel olarak bize kalan mirastır. Bu miras bugün çözüm beklemektedir ve günümüz hemşire jenerasyonu düne göre kendini ifade etme ve mesleğe sahip çıkma konusunda daha hevesli ve daha ciddi durumdadır. Evrensel olarak modern hemşirelik sürecinde, ulusal olarak ta ülkemizde ki hemşirelik ile ilgili uygulanan eğitim ve yönetim politikalarında birçok eksik veya yanlış söz konusudur. Modern hemşirelik sürecinden bugüne gelirken başlarda hemşirelerin eğitim kitaplarının hekimler ya da rahipler tarafından hazırlanıyor olmasından tutalım da ülkemizde ki hemşirelik duruşunda, hemşirenin bir hekim yardımcısı olarak kabullenilmesi sürecinin etkileri hala tam olarak kırılabilmiş değildir. Halbuki her zaman dile getirdiğimiz bir slogan vardır; ‘Sağlık bir ekip işidir.’ Sağlık hizmeti verirken hizmet veren meslek üyelerini ekip anlayışından çıkarıp yerine otoriter hiyerarşik bir sistem kurmak, hem ekibin tüm üyelerine hem de hastalarımıza olumsuz yansımaktadır.

Özellikle ‘’Sağlıkta Dönüşüm’’ sürecinde geçtiğimiz yıllarda belirlenen fakat uygulamaya sokulamayan bir sorun vardır. Sağlık bakım hizmetleri müdürlüğünün(hemşirelik hizmetleri müdürlüğü) yönetsel süreçte bağımsızlığını sağlamak açısından, hastanelerimizde ki sağlık bakım hizmetlerinin başhekimliğe bağlılıktan ayrılıp hastane yöneticiliğine bağlanması maalesef uygulanamamıştır. Bu durumla ilgili düzenlemelerin ivedi şekilde yapılması gerekmektedir.

Eğitim sürecinde ki tablo her ne kadar günden güne daha iyiye gidiyor olsa da bu konuyla ilgili en temel sorun; hemşirelik eğiticilerinin hastane sürecinde yeteri kadar etkin olmayışıdır. Hemşireliğin de bu bağlamda, hekimlik eğitimi sürecinde ki gibi eğiticilerinin aynı zaman da hastalara sağlık hizmeti de sunuyor olması örnek alınarak kendine özgü yeni bir model inşa etmesi gerekmektedir.  

Burada ki çözüm önerileri bana ait olan önerilerdir, bunlar pek tabi ki olarak tartışılabilir, çoğaltılabilir ve değiştirilebilir. Kanaatim gereği yönetsel ve eğitsel konuları öne çıkarmamın sebebini ise şöyle ilişkilendirebiliriz. Bütün bu bahsettiğim mesleksel devrim süreci; bağımsızlık ve güç ile entegre bir haldedir. Biz bu süreçleri başardığımızda, sağlık politikası belirleme ve karar alma sürecinde artan etkinliğimiz, hemşirelik mesleğinin iş yükünün azaltılması, olumsuz çalışma koşulları vs. gibi sorunları doğrudan çözer hale gelecektir. Bu sorunları kendi kendimize çözebilecek hale geleceğimizin çok yakın olduğu düşüncesindeyim. Çünkü düne göre bugün çok daha fazla güçlü konumdayız, dün bir elin parmağını geçmeyen dernek sayılarımız bugün onlarla ifade edilmekte, örgütlü gücümüz git gide çoğalmakta, kendini geliştirmek isteyen hemşire sayımız ve buna bağlı olarak üniversitelerimizin lisansüstü eğitimleri de günden güne artmaktadır. Sonuç olarak dünden bize kalan miras bugün mesleğimizde bir devrimin eşiğine gelmiştir.  

UZMAN HEMŞİRE ORHAN ÇAKIR

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