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Compassion fatigue, compassion satisfaction and fears of compassion in healthcare employees
Get PDFSağlık hizmet sunucuları sağlık hizmetine ihtiyaç duyan bireylere bakım hizmeti verdikleri süre boyunca, bir takım farklı duygular yaşayabilmektedir. Sağlık hizmet sunucularının yaşadıkları bu duygulardan bir tanesi de merhamet duygusudur. Merhamet, sağlık çalışanların sağlık hizmetine ihtiyaç duyan bireylere sunmuş oldukları bakım için önemli bir olgudur. Sağlık çalışanlarının yaşamış oldukları bu merhamet duygusu zaman içinde merhamet korkusu, merhamet yorgunluğu ya da merhamet memnuniyetine dönüşebilmektedir. Bakım hizmeti sağlayanların yaşamış oldukları bu duyguların hem kendilerine hem de bulundukları çevreye birtakım olumlu ya da olumsuz yansımaları olabilmektedir. Bu derleme çalışmasında sağlık çalışanlarının yaşamış oldukları duygulardan bir tanesi olan merhamet duygusundan yola çıkarak, merhamet yorgunluğu, merhamet memnuniyeti ve merhamet korkusu kavramlarına ilişkin alan yazın taraması yapılmıştır. Bu doğrultuda doktorlar ve diğer sağlık çalışanları üzerinde merhamet yorgunluğu, merhamet memnuniyeti ve merhamet korkularının belirlenmesine yönelik araştırmalar yapılmasına ihtiyaç duyulduğu saptanmıştır. Yapılan bu çalışmanın ileride yapılacak farklı çalışmalara da yön göstereceği düşünülmektedir.Healthcare providers may experience a number of different feelings during their care for individuals in need of healthcare. One of these emotions experienced by their health care providers is a feeling of compassion. Compassion is an important phenomenon for the care that healthcare professionals offer to individuals in need of healthcare. This sense of compassion experienced by healthcare workers can turn into fear of compassion, compassion fatigue or compassion satisfaction over time. These feelings of care providers may have some positive or negative reflections on both themselves and their environment. In this review, based on the feelings of compassion, which is one of the emotions experienced by healthcare professionals, a literature review is made on the concepts of compassion fatigue, compassion satisfaction and fear of compassion. Accordingly, it is determined that there is a need for researches on medical doctors and other health personnel to determine compassion fatigue, compassion satisfaction and fears of compassion. The study is thought to guide the different studies to be carried out in the future
Sinemada kurgusal denemelerin temelleri: Sovyet sineması örneği
No full textSinemanın ilk dönemlerinde, dramatik bir yapı oluşturmak yerine teknik gelişmelere ağırlık
verildiği bilinmektedir. İlk olarak görüntülerin birleştirilmesi olarak nitelenen kurgu kavramı,
sinemanın gelişimiyle birlikte dramatik yapıyı belirleyen temel unsurlardan biri olarak
görülmeye başlanmıştır. George Méliès’in tesadüfi bir şekilde keşfettiği kurguya yeni anlamlar
kazandıran yönetmen David W. Griffith’tir. Griffith sadece kurguyu geliştirmekle kalmamış aynı
zamanda Sovyet yönetmenlerin bakış açılarını da etkilemeyi başarmıştır. Lev Kuleshov, V.
Pudovkin, S. Eisenstein ve D. Vertov gibi yönetmenler, önce Griffith’in filmlerini yeniden
kurgulamışlar sonrasında da farklı yöntemler deneyerek bu alanda özgün bir dil geliştirmişlerdir.
Fenomenoloji (olgubilim) desenine göre yapılandırılan bu çalışmada, Sovyet yönetmenlerin
(Kuleshov, Pudovkin, Eisenstein, Vertov) kurguya ilişkin denemeleri ele alınarak sinemada
kurgunun gelişiminin incelenmesi amaçlanmaktadır. Bu çerçevede, Kuleshov’un denemeleri,
Pudovkin’in bağlantısal kurgu anlayışı, Eisenstein’ın diyalektik kurgu yöntemi ve Vertov’un sinegöz kuramı ayrıntılı olarak analiz edilmiştir. Elde edilen bulgulara göre, Sovyet yönetmenlerin,
filmlerinde tercih ettikleri biçimsel denemelerle kurguya yeni anlamlar yükledikleri ve bu
kavramı bir kurama dönüştürdükleri sonucu çıkarılmıştır
The Concept of remake in actiongenre films: A Comparative analysis of oldbody films
No full textIt is known that the action genre is widely preferred in classical narrative cinema. While there are countless action films from the past to the present in the popular cinema industry, the similarity of dramatic
structures in these productions draws attention. In action cinema; Many factors such as characters, conflicts, scenes, and spaces create associations between films of this genre. Also, it is seen that the remake method is frequently used in the action genre, which is popular in Hollywood cinema. In addition to the original story problem in this genre, the financial success of the original film directs many producers to the remake method. While the remake method has been preferred since the early days of cinema, this
concept is often confused with adaptation. However, a remake is a remake of a previously released film. Interpretations or additions can be made in the remake, which was shot without affecting the meaning of the original film and the basis of the story. In addition, the film is based on the manga series Old Boy, written by Garon Tsuchiya and illustrated by Nobuaki Minegishi
A Comprehensive evaluation of yacht charter service concept: influence of voyager-to-voyager interaction on service satisfaction
No full textThe study attempts to evaluate yacht charter service attributes considering the service quality, customer satisfaction, and loyalty three-leg framework. Besides visited destinations, the service concept is enlarged with social servicescape dimensions of interaction quality and customer similarity for a holistic approach. A self-administered questionnaire was provided to 359 customers, and the relationships in the research model were tested via structural equation modeling. The results showed that satisfaction depends on the interaction quality, which is strongly related to the similarity between other customers, as well as the quality of the service elements and the attractiveness of the visited destination. This study presents a pioneering research attempt focusing on the influence of customer-to-customer interaction and customer similarity on yacht charter services. Findings of the study provide a theoretical contribution, highlighting the importance of customer-to-customer interaction for service appraisals of customers. Theoretical and practical implications for interaction-dominant services are discussed
A View of akhism through vocational education and work ethics
No full textAnadolu ‘nun neredeyse her şehir,kasaba ve köylerinde dahi kurulan ahilik teşkilatı Türk-İslam sentezinin en somut ve en güzel örneklerinden biridir. Ahilik teşkilatı, Türk –İslam kültürünü sentezlemiş ve salt dünyevi hayata önem veren bir esnaf örgütü oluşturmamış, ahiret hayatına da önem veren “insan-ı kamil “ olarak bütüncü bir insan anlayışını oluşturmuştur. İnsana hem dünyada hem ahirette mutlu olmanın yolunu gösteren bu bütüncü anlayış, toplumun istikrarsız olduğu, devletlerin buhranlı dönemlerinde değersizleşmenin ve dağılmanın önüne geçmiş, insanlara ve topluma yön vermiştir. Ahiler, Selçuklu Devleti ‘nde yalnız bir esnaf ve sanatkâr birliği olmamış, devletin istilaya uğradığı kargaşa dönemlerinde kendi kendilerini yönetmişlerdir. Ayrıca Selçuklu Devleti yıkılırken ve Osmanlı İmparatorluğu’nun beylikten imparatorluğa geçiş aşamasında etkin bir rol oynamışlardır. Ahilik, insanı temel alan bir düzendir. Ahi için mutlu olmanın en temel yolu insana hizmet vermektir. Ahilikte halka hizmet etmek, Hakk’a hizmet etmek anlamına gelir. Ahilik, zengin-fakir, emek-sermaye ve halk –devlet arasında iyi ilişkiler kurarak yaşa-yaşat amacındadır. Ahilik; ahlak kaideleriyle insanlığa hizmeti harmanlayarak, mutlu bir sosyal yapı kurma amacında olmuştur. Böylelikle sosyal adalet bir ahlaki düzen çerçevesinde gerçekleştirilir ve Dünya ‘da iken ahiret hayatı kazanılır. Ahilik Teşkilatı ‘nda eğitim sisteminde Türk geleneğinin etkisi vardır. Türk geleneğinde önce vatan savunması ve bunun ardından meslek edinmek gerekirdi. Ahilik teşkilatının temel amacı da ferdin ahlaki ve mesleki bilgisini arttırmak ve onu topluma yararlı bir şekilde eğitmektir. Ahilik teşkilatı, sadece mesleki ilkelere dayanmaz, aynı zamanda ahlaki ilkelere de dayanan bir teşkilattır. Ahilik de üstün bir ahlaka sahip olmak son derece büyük önem taşır. Ahilik teşkilatında, kişi mesleğinde ne denli başarılı olursa olsun, eğer ahlaki değerlerden yoksunsa o kişi mesleğinden ihraç edilirdi. Ahilik teşkilatı, toplumsal yapıya yön veren, sosyo-ekonomik ve sosyo-kültürel etkiler yaratan evrensel bir kurumdur. Ahilik sahip olduğu bütüncül anlayışla istikrarsızlığın ve buhranın olduğu dönemlerden topluma yön vermiştir. Ahilik teşkilatı, dürüstlük, güvenilirlik, iş ve meslek ahlakına, hakka-hukuka uymaya büyük önem vermiştir. Bu çalışmada da ahilik teşkilatının mesleki eğitim ve çalışma ahlakına bakış açısı literatür
taraması yapılarak değerlendirilmiştir.The akhi organization,which was established in almost every city,town and village of Anatolia,is one of the
most concrete and beautiful examples of Turkish-Islamic synthesis. The akhi organization has synthesized the Turkish –Islamic culture and has not crated an artisan organization that cares only about earthly life, but has created a whole human understanding as perfect human being that also cares about afterlife.This holistic view which shows people the way to be happy both in the life and hereafter has prevented the devaluation and disintegration of society during the depression periods of states when society is unstable, has guided people and society.Akhis were not only an union of craftsman and artisan in Seljug Empire, they ruled themselves during periods of turmoil when the state was invaded. In addition, they played an active role in the destruction of the Seljug Empire and the transition of the Ottoman Empire from the principality to the empire. Akhisim is a human-based order. The most basic way to be happy for Akhi is to serve a person. To serve the people in morality means to serve God. Akhisim aims to live and keep alive by establishing good relations between rich-poor, labor–capital and the people-state. Akhism has aimed to establish a happy social structure by blending moral principles with service to humanity. In this way, social justice is carried out within the framework of a moral order and the Hereafter life is gained while in the world. The Turkish tradition has an impact on the education system in the Akhi organization. In the Turkish tradition, it was necessary to defend the homeland first, and then to get a profession. The main purpose of the akhi organization is to increase the moral and professional knowledge of the individual and to educate him in a useful way to society. The organization of akhisim is an organization that is based not only on professional principles, but also on moral principles. It is extremely important to have a superior morality in akhism.In the akhi organization no matter how successful a person in his profession if he lacked moral values,that person would be ostracized from profession. The akhi organization is a universal institution that directs the social structure and crates socio-economic and socio-cultural effects.With its holistic view, akhism has guided the society from the periods of instability and depression.The akhi organisation attaches great importance to honesty,reliability,business and professional ethics and compliance with the law.In this study,the perspective of akhi organization on vocational education and work ethics was evalutaed by literature review
Nefroloji hemşireliğinde tamamlayıcı tıbbi tedavilerin kullanımı
No full textİnsanların, hastalıklarla mücadele etmek için geçmişten bu zamana kadar doğadan ve tecrübelerden faydalanarak çözüm araması geleneksel tedavi yöntemlerinin gelişmesine yol açmıştır.
Fiziksel ve ruhsal hastalıkların önlenmesinde, teşhis ve tedavi edilmesinde, sağlığın korunmasında, iyileştirilmesinde farklı kültürlere özgü teoriler, inançlar ve deneyimlere dayanan bilgi, beceri ve uygulamaların toplamıdır. (DSÖ-2002)
Sürdürülebilir kalkınma ekseninde “Sasalı Biolab Projesi”
No full textThe purpose of the study is to investigate Sasalı Institute of Environment-Sensitive Agriculture Training and Research (Sasalı Biolab), which is under construction and controlled by İzmir Metropolitan Municipality as a local administiration in the context of the sustainable development. Accordingly the target is to reveal the design process and spacial setup of the structure through an interpretation of the observational data and manifest an assesment regarding its relationship with sustainability.alışmanın amacı, yerel bir idare olarak İzmir Büyükşehir Belediyesi kontrolörlüğünde gerçekleştirilen ve inşa süreci devam eden Sasalı İklim Duyarlı Tarım Eğitim ve Araştırma Enstitüsü’nü (Sasalı Biolab) sürdürülebilir kalkınma bağlamında irdelemektir. Bu doğrultuda hedeflenen; yapının tasarım sürecini ve mekânsal kurgusunu gözleme dayalı veriler üzerinden okumak ve sürdürülebilirlikle ilişkisine dair bir durum tespiti ortaya koymaktır
An evaluation of measuring the publicness level of ınteriors in public building design: visual graph analysis (vga) approach
No full textThis study examines the publicness level of the interior spaces of public buildings. As a method, VGA (visual graph analysis) is used for analyzing the early design phases of selected municipal service buildings. In this study, the authors utilized from VGA for quantifying the publicness level of the two selected architectural competitions of municipality buildings. The method allows us analyzing the floor plans of each project in obtaining an eventual assessment of permeability and accessibility which give an idea of the levels of publicness comparatively. Subsequently, representation parameters are compared under two main criteria: connectivity and integration. The aim of the study is to understand the level of publicness and efficiency of spatial settings for the users circulating in the public buildings, which have dissimilar plan schemes. This method would be used by the designers for early design stage and provide useful feedback for understanding the level of accessibility and permeability of the structures and adjust their schemes accordingly
Shear strengthening of rc beams with externally bonded UHPFRC laminates
No full textOne of the most frequent and catastrophic problems encountered in reinforced concrete (RC) structures is failure due to shear deficiency in RC structures, especially in RC beams. Thus, in the scope of this experimental study, the effectiveness of using prefabricated ultra-high performance fiber-reinforced concrete (UHPFRC) laminates in the form of plate or strip for shear strengthening was investigated. The change in the plate thicknesses is the first variable of the test program studied herein. Besides, two different application methods were also tested to ensure which can be preferred for shear strengthening with UHPFRC plates; bonding with epoxy, and the use of anchorages. Moreover, as an innovative method, the application of UHPFRC in the form of strip was also investigated. Test results showed that by using UHPFRC laminate as a shear strengthening material; shear strength can be increased by 26% to 47%. Moreover, it is possible to convert behavior from catastrophic shear failure to flexural behavior with the help of UHPFRC laminates. It has been determined that the use of UHPFRC in the strip form helps to increase the load-bearing capacity the most, while the use of anchorage as the bonding method of plates improves the behavior markedly.Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, 114M257, TÜBİTA
Can elastography visualize kidney changes in bodybuilders with high protein intake?
Get PDFIntroduction: High protein nutrition is postulated to change kidney function and morphology in bodybuilding athletes. The ultrasound elastography technique is an examination method in which tissue stiffness is evaluated in numerical expressions. In our study, we investigated the correlation between kidney stiffness, kidney measurements and renal function tests of bodybuilding athletes who were fed with high protein diets. Materials and Methods: Bodybuilders (n=19) who were on a high-protein diet were compared with control subjects (n=20). Blood urea nitrogen/creatinine ratios and estimated glomerular filtration rates (eGFR) were calculated. Bodybuilders were divided into two subgroups according to eGFR levels (Group A and B for eGFR below or above 90; respectively). Length, width, volume, cortical thickness, and echogenicity of both kidneys were analyzed by ultrasound. Elastographic Shear Wave Velocity (SWV) measurements were performed, and the mean SWV values (m/s) were calculated for each kidney. Comparison of mean SWV values was performed between the groups and subgroups. Results: Mean BUN and serum Cr levels were higher in bodybuilders than control subjects (p<0,05). Cortical thicknesses and echogenicity were both higher in bodybuilders (p<0,05). The SWV values were higher in bodybuilders than the control group, indicating increased stiffness (p<0,05). Among bodybuilders, SWV values were significantly higher in group A than in group B (p<0,001). Conclusions: Elastography can be utilized for detection and follow-up of alterations in kidneys of bodybuilders or patients consuming high protein diets. High SWV can be considered as an indicator of renal damage, while the levels of conventional biomarkers may give confusing results. © Mattioli 188