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The Relationship Between Critical Thinking and Job Performance Among Nurses: a Descriptive Survey Study
No full textAtes, Nimet/0000-0003-0417-3059AimThis study investigated the relationship between nurses' critical thinking skills and job performance and whether critical thinking and its subdomains predict job performance. BackgroundIt is expected that nurses may use critical thinking skills to provide evidence-based quality patient care in health care settings. However, there is limited evidence about whether critical thinking is related to job performance among nurses. DesignThis was a descriptive, cross-sectional survey study. MethodsThe study included 368 nurses working in the inpatient wards of a university hospital in Turkey. The survey included a demographic information questionnaire, the Critical Thinking Scale in Clinical Practice for Nurses and the Nurses' Job Performance Scale. The collected data were analysed using descriptive statistics, comparisons, reliability and normality tests, correlation and regression analysis. ResultsParticipating nurses got average scores from the critical thinking and job performance scale and sub-scales, and there was a positive, mid-level and statistically significant correlation between the scale scores. According to the multiple linear regression analysis results, personal critical thinking, interpersonal and self-management critical thinking and the total critical thinking scores positively affected the job performance scores of nurses. ConclusionAs critical thinking predicts nurses' job performance, managers of hospitals and nursing services should consider training programs or activities to increase nurses' essential thinking competencies, thus improving clinical nurses' performances.Science Citation Index Expanded - Social Science Citation Inde
Şanlıurfa’da Yaşayan Suriyeli Mültecilerde Kronik Hastalık Prevalansı ve Sağlık Hizmetinden Yararlanma Durumu
No full textAmaç: Ani ve hızlı bir çevre değişimi yaratan, böylece sosyal, kültürel ve fiziksel olarak toplumu ve bireyleri etkileyen göç, sağlık ve sağlık değişkenleri üzerinde de çok önemli etkilere sahiptir. Çalışmamızın amacı, Suriyeli sığınmacılarda kronik hastalık prevalansı ve kronik hastalığı olanların mevcut sağlık hizmetlerinden faydalanabilme durumlarını tespit etmektir. Yöntem: Çalışmamız kesitsel bir çalışmadır. Urfa ilinde Suriyeli misafirler koordinasyon merkezinde bulunan kayıtlardan saptanan verilere göre, göçmenlerin en yoğun yaşadığı mahalle olarak belirlenen Kurtuluş mahallesi seçilmiştir. Bu mahalleden randomize olarak 30 sokak seçilmiş ve seçilen her bir sokaktan rasgele belirlenen 7 hanede yaşayan 18 yaş üstü bireyler çalışmanın örneklemini oluşturmuştur. Seçilen her bir haneye ziyaret yapılarak, Arapça ve Kürtçe bilen tercüman eşliğinde tüm hane halkı hakkında kronik hastalıklara yönelik bilgi toplanmıştır. Bulgular: Toplamda 210 hanede yaşayan, 18 yaş üzeri 617 kişiye ulaşılmıştır. 40 yaş üzeri katılımcıların %27,8’inde, 65 yaş üzerinde ise %65,2’sinde en az bir kronik hastalığın var olduğu, saptanmıştır. Bu rakam tüm katılımcılar arasında %15,2’dir. Görüşülen kişilerin %40’ı sağlık hizmeti alabildiğini, %13,8’i gereksinim duyduğunda aile hekimine ulaşabildiğini belirtmiştir. Kronik hastalığı nedeniyle sağlık hizmetine başvuranların %76,5’i devlet hastanesine, %15,3’ü özel sağlık merkezine başvurmuştur. Sonuç: Çalışmamızda kronik hastalık görülme prevalansı literatürde bildirilen oranlardan nispeten düşük saptanmıştır. Suriyeli sığınmacıların kronik hastalıkları nedeniyle neredeyse hiçbir zaman birinci basamak sağlık hizmetlerinden yararlanmadıkları, hizmet ihtiyaçlarını ağırlıklı hastanelerden karşıladıkları görülmektedir. Suriyeli sığınmacıların kronik hastalıklarının yönetiminde birinci basamağının rolünü artıracak ve birinci basamak sağlık hizmetine ulaşımlarını kolaylaştıracak planlamalara ihtiyaç vardır
A Comprehensive and Integrated Hospital Decision Support System for Efficient and Effective Healthcare Services Delivery Using Discrete Event Simulation
No full textThe difficulty that hospital management has been experiencing over the past decade in balancing demand and capacity needs is unprecedented in the United Kingdom. Due to a shortage of capacity, hospitals cannot treat all patients. We developed a whole hospital-level decision support system to assess and respond to the needs of local populations. We integrated a comparative forecasting approach and discrete event simulation modelling using Hospital Episode Statistics and local datasets. It is clear from the literature that this level of whole hospital simulation model has never been developed before (an innovative decision support system). First, the demands of all hospital specialties were forecasted, and the forecasts were embedded into the simulation model as input. Secondly, a simulation model was developed to capture the patient pathway of all specialties. The model integrates every component of a hospital to aid with efficient and effective use of scarce resources (e.g., staff and beds). As a result, the hospital can meet the increasing demand with its current resources. According to the scenario analysis, the hospital bed occupancy rate will reach the national target (i.e., 85%), and the total hospital revenue will increase by approximately 13%, with a 10% increase in A&E and outpatient and a 20% increase in inpatient demand. In conclusion, the hospital-level simulation model can become a crucial instrument for decision-makers to provide an efficient service for hospitals in England and other parts of the world. © 2023 The Author
Alevilerin Yüzyıllık İktisadi Tarihi
No full textİktisat tarihi insanlığın hayatta kalma çabalarının bir hikayesi ise bu hikâye ülkeden ülkeye hatta aynı ülke içindeki topluluklara göre değişiklik gösterecektir. Türkiye’nin en kalabalık azınlık grubunu oluşturan Alevilerin Cumhuriyet’in kuruluşundan günümüze kadar olan hayatta kalma hikayesine odaklanan bu çalışmada Alevi topluluklarının bu yüzyıllık süreçte geçirdiği sosyoekonomik dönüşümler ele alınmaktadır. Bu dönüşümleri tespit etmek ve arkasında yatan faktörleri anlamak için günümüzde artık farklı disiplinlerden gelen araştırmacıların katkılarıyla oluşmuş geniş bir Alevilik literatürü bulunmakla birlikte konuya iktisadi açıdan yaklaşan çalışmaların eksikliği göze çarpmaktadır. Oysa Alevilik ve Aleviler iktisadi bakış açısından ele alınması gereken pek çok veriyle doludur. Literatürdeki bu boşluğu doldurmak adına ilk adımlardan biri olmayı amaçlayan bu çalışmada, literatürdeki mevcut bulguların iktisadi olarak yorumlanmasının yanında sözlü tarih yöntemine de başvurulmuştur. Geleneksel kurumları ve toplumsal örgütlenmesi en az beş yüz yıl öncesine kadar götürülebilecek olan Alevilik Cumhuriyet reformları ile belli bir dönüşüme uğramış olsa da Aleviler açısından esas kırılma 1960’larda başlayan kente göçle birlikte başlar. İktisadi birikimleri ve becerileri bakımından diğer göç edenlerden negatif yönde ayrışan Aleviler, dil ve dini inanç açısından da dezavantajlı konuma sahiptirler. Bu eşitsizliklerini kamusal eğitim ve sağlık hizmetleriyle telafi ederek yükselmeye çalışan Aleviler 1980’lerden sonra bu olanakları da kaybetmişler ve siyasi iktidarlar nazarında marjinal konumlarını korumaya devam etmişlerdir. Özellikle kamuda belli mevkilere gelmeleri halen imkânsız olan Aleviler açısından Cumhuriyet’in hedeflediği eşit yurttaşlık idealine ilk yüzyılın sonunda ulaşılabilmiş değildir
Vegetable and Fruit Consumption and Its Relationship With Body Mass Index in Adults: a Cross-Sectional and Seasonal Research From Turkiye
No full textSezer Karatas, Fatma Elif/0000-0002-3399-0229; Yoldas Ilktac, Havvanur/0000-0002-7433-6370; Ersoy, Gulgun/0000-0001-8345-5489This study examines the relationship between fruit and vegetable consumption and the BMI in Turkiye. In this cross-sectional study, which 6332 adults were included, fruit and vegetable consumption, and preferences were collected. The quantities of vegetables and fruits were classified based on the WHO and the national recommendations. Of the adults (33.39 +/- 12.59 years), 52.9% of men and 39.7% of women had an above-normal BMI. Based on WHO recommendations, overweight and obese people consumed less vegetables and fruits compared to their counterparts (ORs for women, overweight: 1.2, obese: 1.3; ORs for men, overweight: 1.3, obese: 1.5; 95% CI). The regression analysis revealed that the quantities of vegetable and fruit intake were higher in young individuals, men, and married people. Although the majority consume more than 400 g/day of vegetables and fruits, the intake is inadequate in people with obesity.Science Citation Index Expande
Ethanolic Extract of Cotinus Coggygria Leaves Attenuates Crystalluria and Kidney Damage in Ethylene Glycol-Induced Urolithiasis in Rats
No full textOBJECTIVE: Nephrolithiasis is a common cause of kidney insufficiency. Nephrolithiasis is proven to be the result of various biochemical and inflammatory processes that result in crystal formation and subsequent aggregation. Cotinus coggygria L. (CCog) is a plant extract which has been used as a Turkish remedy for kidney stones. With this study, we planned to evaluate the effects of CCog extract in ethylene glycol (EG)-induced nephrolithiasis model in rats. METHODS: The study group comprised 32 Wistar albino rats which were divided into Control (C), EG, CCog Prophylaxis (CC+EG+CC), and CCog Treatment (EG+CC) groups. Stone formation was induced by adding EG (0.75%) into rat’s drinking water. Normal drinking water was given to Control group for 8 weeks. Throughout the study period of 8 weeks, EG group was given only EG (0.75%) and CC+EG+CC group was given both EG and CCog. In EG+CC group, EG (0.75%) was given for 8 weeks whereas CCog was given for the past 4 weeks. After the 8th week, 24-h urine samples were collected. Rats were then sacrificed and kidney tissue samples were harvested. RESULTS: Metabolites (calcium, citrate) and creatinine in 24 h urine samples were decreased in CC+EG+CC and EG+CC groups. While hyperoxaluria was observed in the EG group, oxalate levels were similar to control levels in the P-CCog and C-CCog groups. The N-acetyl-β-glucosaminidase and myeloperoxidase activities were both increased in EG group and these parameters were significantly decreased on CCog treatment. CONCLUSION: We can conclude that C. coggygria extract can have beneficial effect on lowering concentration of stone-forming metabolites in urine and consequently protect renal tissues from damage due to nephrolithiasis. C. coggygria extract can be considered as a potential prophylactic and therapeutic option in high-risk stone formers. Furthermore, our data confirm ethnobotanical use of CC against nephrolithiasis. © 2023 by Istanbul Provincial Directorate of Health.Emerging Sources Citation Inde
A Cross-Sectional Survey Study on Homophobia Among Medical, Nursing, Pharmacy, and Other Health Sciences Students
No full textYilmaz, Sevil/0000-0002-4967-8264; Sukut, Ozge/0000-0001-6394-3346; Eskin Bacaksiz, Feride/0000-0002-1627-7683Since the lesbian, gay, bisexual, transgender, and intersex (LGBTI) community may be exposed to violence, discrimination, stigma, exclusion, and maltreatment due to their sexual orientation while accessing healthcare services, understanding, and improving the attitudes of future's health care professionals toward LGBTI individuals seem essential. This descriptive and cross-sectional study aimed to investigate the homophobia among medical, nursing, pharmacy, and healthcare sciences students and examine the related factors. The study included 2,531 students from medicine, nursing, pharmacy, and other health sciences (midwifery, nutrition and dietetics, physiotherapy, management of healthcare facilities) disciplines. Homophobia was measured with the Hudson and Ricketts Homophobia Scale. After getting ethical and institutional approvals, data were collected and analyzed using descriptive and inferential statistical tests. Medical students had the lowest homophobia score, and their mean score was significantly lower than other students. There was a significant difference between students' scores according to years of study, age, sex, acquaintance with LGBTI individuals, providing healthcare services to an LGBTI person, and opinions on providing care. Although homophobia scores of nursing, pharmacy, and other health sciences students were lower than the medical students', policies and expansive content regarding LGBTI should be in place in all health science educational institutes, including medical schools, to prevent students from holding homophobic and prejudicial attitudes against LGBTI individuals.Social Science Citation Inde
The Impact of Interaction Between Verteporfin and Yes-Associated Protein 1/Transcriptional Coactivator With Pdz-Binding Motif-Tea Domain Pathway on the Progression of Isocitrate Dehydrogenase Wild-Type Glioblastoma
No full textIbrahim, Ismail/0000-0002-0805-8181; Osama, Mahmoud/0000-0003-4919-5358; Essibayi, Muhammed Amir/0000-0001-8325-2382Verteporfin and 5-ALA are used for visualizing malignant tissue components in different body tumors and as photodynamic therapy in treating isocitrate dehydrogenase (IDH) wild-type glioblastoma (GBM). Additionally, verteporfin interferes with Yes-associated protein 1 (YAP)/Transcriptional coactivator with PDZ-binding motif - TEA domain (TAZ-TEAD) pathway, thus inhibiting the downstream effect of these oncogenes and reducing the malignant properties of GBM. Animal studies have shown verteporfin to be successful in increasing survival rates, which have led to the conduction of phase 1 and 2 clinical trials to further investigate its efficacy in treating GBM. In this article, we aimed to review the novel mechanism of verteporfin's action, the impact of its interaction with YAP/TAZ-TEAD, its effect on glioblastoma stem cells, and its role in inducing ferroptosis.Emerging Sources Citation Inde
Safe Drug Administration in Pediatric Nursing Education: A Quasi-Experimental Design Study
No full textObjective: This study was carried out to determine the correlation between the performance of students who received simulation-based pediatric nursing education and their self-confidence regarding safe drug administrations during simulation. Methods: The study was conducted in pretest and posttest quasi-experimental design and carried out on a sample group (n = 39) based on criteria established at the Nursing Department of a foundation university. Students were subjected to a simulation of "Drug Management in Children" within the scope of the pediatric nursing course. The researchers collected data through a checklist, a self-confidence scale, and tests (pretest and posttest) used in the simulation application on "Drug Management in Children." Results: The students obtained a mean score of 129.00 +/- 14.36 on the self-confidence scale. The posttest scores of the students were statistically significantly higher than the pretest scores (P = .011). The performance mean score of the students from the simulation checklist for safe drug administrations was 36.28 +/- 6.65. There was no statistically significant correlation between the scores from the self-confidence scale, the pretest, the posttest, and the checklist scores (P > .05). Conclusion: This study underlines the importance of having a suitable level of self-confidence for students' educational gains and also indicated that there was no correlation between self-confidence and performance
İş Yükü ile Örgütsel Çatışma Arasındaki İlişkide İş Yeri Nezaketsizliğinin Aracı Rolü
Get PDFÖrgütlerde çalışma ortamının kalitesi şüphesiz çalışanlar, yöneticiler ve işverenler için çok önemli- dir. Bu bağlamda örgüt içinde kişiler arasındaki çatışmaların mümkün olduğunca ortaya çıkmadan önlenmesi veya olumlu sonuçlar doğuracak şekilde yönetilmesi arzu edilir. Bunun için çatışmalara yol açan faktörleri bilmek ve anlamak önemlidir. Çalışanların iş yükü düzeylerinin gereken düzeyde belirlenmemesinin örgüt ortamında çatışma dahil pek çok istenmeyen tutum ve davranışa neden olacağı tahmin edilebilir. Ayrıca, işyerinde nezaketsizliğin çalışma ortamını olumsuz etkileyebile- cek ve insanlar arasında çatışmayı tetikleyebilecek bazı sonuçları olabilir. Bu çalışmada işyerindeki kişiler arası çatışma üzerindeki etkisini belirlemek amacıyla algılanan iş yükü ele alınmış ve bu etkide nezaketsizliğin işyerindeki aracı rolü incelenmiştir. Bir işletmede çalışan beyaz yakalı işgücü üzerinde yapılan araştırma kapsamında SmartPLS 3 programı ile yapılan analiz sonucunda, algıla- nan iş yükü ile kişilerarası çatışma arasındaki ilişkide nezaketsizliğin tam aracı rolü olduğu tespit edilmiştir (t: 5.67⟶t: 1.43)