97 research outputs found
Therapist\u27s experience of psychotherapy relationship through the lens of attachment theory
Full text linkV pričujočem delu se avtorica loteva raziskovanja terapevtovega doživljanja terapevtskega odnosa in sicer skozi prizmo navezanosti. Teoretični uvod tako predstavlja podrobno predstavitev teorije navezanosti od Bowlbyja naprej. Avtorica pregleda zgodovino koncepta kot tudi njegov razvoj in etiologijo. Drugi del teoretičnega uvoda je sestavljen iz predstavitve koncepta terapevtskega delovnega odnosa in njegove implikacije za terapevtsko delo. Avtorica se znova poglobi v razumevanje koncepta in skuša slediti njegovemu razvoju. Delo nato preide na raziskovalni del.
Avtorico je zanimalo, kako terapevti doživljajo terapevtski odnos skozi lečo navezanosti. Za ta namen je terapevtski odnos razdelila na tri faze – fazo prednavezanosti, ki jo zaznamuje vzpostavljanje kontakta in učenje pravil terapevtskega dela, sledi ji faza oblikovanja navezanosti, kjer je dinamika že utečena, klienti pa opažajo prve spremembe v svojem življenju, in zadnja faza, torej faza navezanosti, ki jo oblikuje visoka stopnja zaupanja, jasna komunikacija med klientom in terapevtom in dobra delovna aliansa. Avtorica je za namen naloge intervjuvala osem terapevtov in podatke, pridobljene v teh intervjujih analizirala s pomočjo kvalitativne metode fenomenološke raziskave. Ugotovitve so pokazale, da se doživljanje terapevtov v veliki meri sklada z do sedaj aktualno teorijo. V fazi prednavezanosti so terapevti poročali o tem, da se odnos šele oblikuje, zaupanje vzpostavlja, komunikacija še usklajuje. V fazi oblikovanja navezanosti terapevti poročajo o naraščajočem zaupanju in opažanju sprememb in v zadnji fazi poročajo o močni navezanosti in z rastjo odnosa vedno bolj enakovreden odnos med terapevtom in klientom. To je tudi obdobje, ko klient in terapevt načrtujeta zaključek.
Raziskovalno delo je avtorici ponudilo vpogled v globoko doživljanje terapevtskih odnosov s strani terapevta, spoznala je izzive, s katerimi se terapevti srečujejo pri svojem delu, pa tudi dobrobiti terapevtskega dela. V svojem delu je avtorica izpostavila tudi pomanjkanje informacij s področja raziskovanja terapevtske perspektive.In the current master thesis, the author is exploring a therapists’ perception of psychotherapy process through the lens of attachment. The theoretical part consists of precise description of ontogeny of the attachment theory from his beginner, John Bowlby. The author follows the history and etiology of the mentioned concept. The other part of the master thesis consists of presentation of the working alliance concept and its indication for therapeutic work. Author tries to get an overall understanding about the concept, its origins and current implications.
In the current master thesis, the author was interested in therapists’ perception of psychotherapy relationship through the attachment perspective. To enquire about it she divided the attachment process on three main stages – the preattachment stage, characterized by first contact and establishment of communication, second stage, namely attachment in the making stage, where the trust and therapy framework is already established and clients can see first changes, and last, third phase that is the attachment phase, where therapist and clients have high level of trust, good communication and good working alliance. Author interviewed eight therapists and analyzed the information from the interviews via phenomenological research.
Results have shown that the way therapists from the research see their relationships folds well with the current theory from the field. In the preattachment stage the therapist spoke about the way the relationship has yet to be built, the trust has yet to be gained and communication is still on shaky grounds. In the second, attachment in the making phase, therapists observe deeper trust, clients start seeing changes in their lives and in the last, attachment phase they describe the relationship as of one of strong attachment. With continuation of the relationship the relationship itself become more of an equal one and is, as such, slowly transcending into the conclusion phase.
The research work enabled the author to see the depth of the therapists’ experiencing of the relationships they make with their clients, she get to know the challenges of the therapeutic relationships and also the benefits of it. As a conclusion, the author exposes the lack of information available on research done of exploring the therapists’ perspective
A secure and efficient inventory management system for disasters
No full textOver the last three decades, disasters worldwide claimed more than 3 million lives and adversely affected the lives of at least 1 billion people (Noji, 1997). Regarding the threats posed by these disasters, emergency disaster management has emerged as a vital tool to reduce the harm and alleviate the suffering these disasters can cause to their victims. A significant task of planners involved in emergency disaster management is planning for and satisfying the vital needs of the people located in emergency shelters such as the Superdome in New Orleans. This thesis proposes a novel and comprehensive framework for the development of a humanitarian emergency inventory management system based on the real-time tracking of emergency supplies and demands through the integration of emerging technologies such as Radio Frequency Identification Devices (RFID) for commodity tracking and logistics. The novelty of this thesis is that, for the first time in the emergency inventory management field, the proposed approach combines an offline planning strategy with online control techniques in a unified framework. Within this framework, the offline planning problem is solved by the stochastic humanitarian inventory management approach, whereas the online modeling strategies include the application of neural network-based functional approximation, simultaneous perturbation stochastic approximation (SPSA), and continuous time model predictive control (CMPC) techniques. Unlike previous studies, the flexibility of the proposed inventory management and control model allows the application of the developed mathematical model to extreme events making online real-time tracking possible. Realistic case studies built using information available from past disasters are used to examine the differences in inventory strategies for different types of disasters based on the impact area and duration of the extreme event. The proposed methodology is also capable of representing and understanding real-life cases where uncertainty and limitations on the inventory levels and flow of supplies can be modeled by introducing different levels of stochasticity and real-life constraints. The overall findings of this thesis have pointed out that the proposed integrated framework can be efficiently used for emergency inventory planning and inventory control during disaster relief operations without ignoring the real-world uncertainties, fluctuations, and constraints of disaster conditions.Ph. D.Includes bibliographical referencesIncludes vitaby Eren Erman Ozguve
Corrigendum for: Patorani local knowledge system in fisheries resources conservation education in Galesong District South Sulawesi
No full textWe sincerely express our apology for the changes in the author list in the article entitled Patorani local knowledge system in fisheries resources conservation education in Galesong District South Sulawesi. This article was published on DOI: 10.17977/um017v28i12023p52-63, with the authors list consisting of Hasriyanti, Rusdi, Alonge Titus Adeyemi, Michel E. D. Chaves, and Erman Syarif. However, Michel E. D. Chaves issue a complaint regarding his involvement during the research and paper completion. He did not agree to the inclusion of his name in the author list. We have contacted the corresponding author for confirmation. Besides, the co-author has also confirmed the mistake in the writing of one of the author’s names, Alonge Titus Adeyemi, which should be Titus Adeyemi Alonge. The corresponding author has submitted a letter of author contribution signed by Hasriyanti, Rusdi, Titus Adeyemi Alonge, and Erman Syarif. The original article has been revised, and reasonable effort should be made to remove all references to this article
An evaluation of the wastes and obstacles within the context of lean management in emergency services
Full text linkThe objective of this study is to evaluate the types of waste within the context of lean management practices in emergency departments and to provide recommendations for addressing the challenges associated with their implementation. The aim is to enhance the effectiveness of performance improvement processes and to improve patient satisfaction. The opinions of 8 experts in the field were collected and analyzed using fuzzy AHP. The analysis revealed that defects (29%) are the most common type of waste in emergency departments, with a significant impact on efficiency and patient safety. This is followed by extra handling (15%) and waiting time (13%). Addressing these issues, along with other types of waste such as wasted talent, movement, transportation, inventory, and overproduction, is critical to improving overall operational performance. The overcoming of integration challenges necessitates the implementation of a multifaceted strategy, which should encompass the commitment of leadership, the engagement of staff, and the establishment of a culture of continuous improvement. The success of lean management is contingent upon several factors, including leadership support, multidisciplinary collaboration, process streamlining, and the ability to navigate resistance to change
Bridging borders in healthcare: A bibliometric insight into migration, health, and cultural awareness
Full text linkThis study aims to analyse studies conducted on the migration, health, and cultural awareness triangle and published in the Web of Science (WoS) database using bibliometric methods. 405 open-access research articles published between 2014 and 2024, using the specified keywords, were identified and examined. Analyses were conducted using the Bibliometrix (4.3.0) package and the Biblioshiny tool in R Studio. There is a continuous increase in the number of studies on the subject. Indeed, an average increase of 17.63% has been observed since 2014. The affiliations producing the most articles were the University of Copenhagen, Denmark (34), the University of Amsterdam, Netherlands (22), and McGill University, Canada (21). The findings indicate that migrant and refugee health is increasingly prominent on the global health agenda, with cultural awareness, health literacy, and service delivery becoming central themes. The most central and relevant concept in the studies included in the analysis is "cultural competence." Strong matches were found around this theme with the themes "qualitative research," "migrants," and "health communication." The second most concentrated focus is "migration," with matches found with the themes "refugee," "mental health," and "primary care." Consequently, the relatively small number of studies conducted in immigrant-receiving countries like Turkey is striking. This suggests that directly affected countries need to contribute more strongly to the global academic literature. Increasing interdisciplinary research at the national level will contribute to the transformation of healthcare services into a more inclusive and culturally sensitive framework for immigrants.This study aims to analyse studies conducted on the migration, health, and cultural awareness triangle and published in the Web of Science (WoS) database using bibliometric methods. 405 open-access research articles published between 2014 and 2024, using the specified keywords, were identified and examined. Analyses were conducted using the Bibliometrix (4.3.0) package and the Biblioshiny tool in R Studio. There is a continuous increase in the number of studies on the subject. Indeed, an average increase of 17.63% has been observed since 2014. The affiliations producing the most articles were the University of Copenhagen, Denmark (34), the University of Amsterdam, Netherlands (22), and McGill University, Canada (21). The findings indicate that migrant and refugee health is increasingly prominent on the global health agenda, with cultural awareness, health literacy, and service delivery becoming central themes. The most central and relevant concept in the studies included in the analysis is "cultural competence." Strong matches were found around this theme with the themes "qualitative research," "migrants," and "health communication." The second most concentrated focus is "migration," with matches found with the themes "refugee," "mental health," and "primary care." Consequently, the relatively small number of studies conducted in immigrant-receiving countries like Turkey is striking. This suggests that directly affected countries need to contribute more strongly to the global academic literature. Increasing interdisciplinary research at the national level will contribute to the transformation of healthcare services into a more inclusive and culturally sensitive framework for immigrants
Priorities for Effective Management of Health Expenditures in OECD Countries: Fuzzy AHP Application
Full text linkThis study aims to identify the determinants of health expenditures through a comprehensive literature review, contributing to the design of effective health policies. The Fuzzy AHP method was used to evaluate the determinants of health expenditures, categorising OECD member countries into developed and developing groups. In both country groups, health services emerged as the most significant determinant. Education, income, and economic changes were prominent in developed countries, while governance and education were key in developing countries. The study highlights the need to establish different strategic pathways based on the priorities of each country group, offering unique insights
Strategic pathway determination for a state hospital in terms of an integrated facility management system
Full text linkThe purpose of this study is to develop strategies to provide effective, efficient, and patient safety facility management in a public hospital. Exploratory sequential mixed method research design was employed. Quantitative approaches were used in the second stage of the investigation after qualitative methods in the first stage. The universe of the research consists of all the staff. The criterion sampling technique was applied during the qualitative phase. In the first phase 39 managers were interviewed individually as part of data collection process. To assess the priority of the need group, the AHP questionnaire was used to seven managers in ultimate decision-making positions during the second phase of data collecting. Finally, decision-makers should prioritize taking action to address the needs identified under the respective topics of emergency preparedness and business continuity, humanfactors, and communication, respectively. The environmental management and sustainability was determined as the last priority group
Evaluation of logistics management risk factors in hospitals with dematel method
Full text linkBu çalışmada, hastanelerde lojistik yönetimini etkileyen risk faktörlerinin nitel bir analiz ile ortaya çıkarılması ve faktör etkilerinin ve ağırlıklarının DEMATEL yöntemi ile belirlenmesi amaçlanmıştır. Çalışma grubu, farklı görev ve sorumluktaki 8 sağlık yöneticisinden oluşmaktadır. Nitel verilerin analizinde tematik analiz yöntemi kullanılmıştır. Analize göre; rekabet ortamı, hasta güvenliği, iletişim kaynaklı riskler, finansal riskler, operasyonel riskler, çevresel etmenler, satın alma ve depolama olmak üzere 8 risk faktörü tespit edilmiştir. DEMATEL sonuçlarına göre; sağlık tesisleri için lojistik yönetimi en önemli risk faktörleri sırasıyla %14,65 ağırlık ile “Operasyonel riskler”; %13,40 ağırlık ile “Finansal riskler”; %12,69 ağırlık ile “Satın alma riskleri” bulunmuştur. En önemsiz risk faktörü ise %10,69 ağırlık ile “Depolama” olarak tespit edilmiştir. Sonuç olarak sağlık lojistiği risk faktörlerinin yıkıcı etkisinin önlenmesi için dışa bağımlılığın azaltılması ve ar-ge çalışmalarına gereken önemin verilmesi gereği önerilebilir. Ayrıca hastaneler mevcut risklerini; iç ve dış kaynaklı risk değerlendirme analizi yaparak, risk yönetim stratejisi geliştirmesiyle önleyebilir.The purpose of this study is to reveal the risk factors affecting logistics management in hospitals with a qualitative analysis and to determine the factor effects and weights with DEMATEL method. The working group consists of 8 health managers with different duties and responsibilities. A thematic analysis method was used in the analysis of qualitative data. 8 risk factors have been identified, including: competitive environment, patient safety, communication-related risks, financial risks, operational risks, environmental factors, purchasing risks, and storage risks. According to DEMATEL results; the most important risk factors are "Operational risks" with 14.65% weight, respectively; "Financial risks" with (13.40%); "Purchasing risks" (12,69%). The least important risk factor was determined as "Storage risks” (10.69%). As a result, it can be suggested that foreign dependency should be reduced and R&D studies should be given the necessary importance in order to prevent the destructive effects of health logistics risk factors. In addition, hospitals present their risks; It can be prevented by making internal and external risk assessment analysis and developing a risk management strategy
A study on the healthy lifestyle behaviours of health management undergraduate students
Full text linkÇağımız sağlık öngörüsü; bireyin iyilik halini sürdürecek, koruyacak ve geliştirecek davranışlar elde etmesini ve kendi sağlığı ile alakalı yerinde ve doğru kararlar alabilmesini sağlamak adına dayandırılmış ve bu kararlar bireylerin mutlulukları ile ilişkilidir. Araştırmada bir vakıf üniversitesinin sağlık yönetimi bölümünde eğitim gören öğrencilerin Sağlıklı Yaşam Biçimi Davranışlarının (SYBD) mutluluk düzeyleri ile ilişkisini ve etkilerini tespit etmek amaçlanmıştır. Evrenin tamamına ulaşılmak hedeflendiği için örneklem seçimi yapılmamıştır. Araştırmada bağımlı değişken mutluluk düzeyi iken bağımsız değişken SYBD’dir. Değişkenler arasındaki ilişkinin analiz edilmesi için Pearson Korelasyon Analizi, etkilerin ölçülmesi için ise Çoklu Regresyon Analizi kullanılmıştır. Araştırmaya katılan öğrencilerin mutluluk düzeyleri ile SYBD alt boyutları arasında anlamlı ve pozitif yönlü ilişkilerin olduğu tespit edilmiştir. Analiz sonucunda anlamlı bir regresyon modeli, F(6, 296) = 52,356, p<0,001 ve bağımlı değişken varyansın %50’sinin (R2 adjusted = ,505) bağımsız değişkenler tarafından açıklandığı bulunmuştur. Regresyon katsayılarının anlamlılığı ttesti sonuçlarına göre ise; modelde stres yönetimi (ß=,484, t (296)= 7,89, p<.001), manevi gelişim (ß=,405, t (296)= 7,87, p<.001) ve sağlık sorumluluğu (ß= -,152, t (296)= -2,49, p<.05) değişkenleri öğrencilerin mutluluk düzeyi üzerinde anlamlı yordayıcılar olduğunu; fiziksel aktivite (ß= ,026, t (296)= ,367, p=.714), beslenme (ß= -,014, t (296)= - .244, p=.807) ve kişiler arası ilişkilerin (ß=-.012, t (296)= -.195, p=.846) ise anlamlı yordayıcılar olmadığını göstermektedir. Sonuç olarak; katılımcıların stres yönetimi ve manevi gelişimi arttıkça ve sağlık sorumlulukları düştükçe mutluluk seviyelelerinin de arttığı tespit edilmiştir.Health foresight of our age is based on ensuring that individuals acquire behaviours that will sustain, protect and develop their well-being and make the right decisions about their own health, and these decisions are related to the happiness of individuals. The purpose of study is determining the relationship and effects of Healthy Lifestyle Behaviours (HLB) with happiness levels. For this, the health management department students of a foundation university were included in the study. Sampling selection was not made, as it was aimed to reach the entire universe. The dependent variable of the research is happiness level and the independent variable is HLB. For analyzing relationship between variables used to Pearson Correlation Analysis, for measuring the predictor used to Multiple Regression Analysis. It has been determined that there are positive and significant relationships between the happiness levels of the students participating in the study and the HLBD subdimensions. It was found that a significant regression model, F (6, 296) = 52.356, p <0.001, and 50% of the dependent variable variance (R2 adjusted= .505) were explained by independent variables. According to the t-test results, the significance of the regression coefficients is; stress management in the model (ß = .484, t(296) = 7.89, p <.001), spiritual development (ß =.405, t(296)=7.87, p <.001) and health responsibility (ß= -.152, t(296)=-2.49, p<.05) are significant predictors of students' happiness level; physical activity (ß= .026, t(296) = .367, p = .714), nutrition (ß =-.014, t (296)=-.244, p=.807) and interpersonal relationships (ß= -.012, t(296) = -.195, p=.846) show that they are not significant predictors. As a result; It was determined that as the stress management and spiritual development of the participants increased and their health responsibility decreased, their happiness level also increased
Wind power in Turkey’s potential renewable energy and the Danish model
Full text linkTürkiye, Avrupa’nın yenilenebilir enerji potansiyeli yüksek devletleri arasında yer almasına ve enerji rezervleri açısından zengin olmasına rağmen, bu rezervleri tam kapasite ile kullanmayı sağlayacak bir teknoloji seviyesine ulaşamamıştır. Bu durum, sadece Türkiye açısından değil, dünya devletleri açısından da önem arz etmektedir. Dünyada özellikle de gelişmiş devletlerde temel bir enerji kaynağı olarak yenilenebilir enerji türleri üzerinde önemli çalışmalar yürütülmektedir. Bu gelişmiş devletlerden biri, rüzgâr enerjisi konusunda bilgi birikimine ve ileri teknolojiye sahip ülke olarak bilinen Danimarka’dır. Bu ülke, elektrik enerjisinin %48’ini 2020 yılı itibariyle rüzgâr enerjisinden elde etmektedir. 2050 yılında ise enerjisinin tamamını yenilenebilir enerjiden elde etmeyi amaçlamaktadır. Türkiye’nin de rüzgâr enerjisi potansiyelinin yüksek olması nedeniyle, Danimarka ile iş birliği çerçevesinde kurulacak rüzgâr enerjisi santralleriyle elektrik tüketiminin önemli bir kısmını rüzgâr kaynağından karşılayan bir ülke olacağı öngörülebilir. Bu çalışmada, Türkiye’nin mevcut yenilenebilir enerji potansiyelinin önemine vurgu yapılarak, Danimarka’da rüzgâr enerjisi ile ilgili düzenlemelerin Türkiye’de de uygulanabilirliği incelenmiştir. Bu kapsamda, yenilenebilir enerji sektöründe rüzgâr enerjisine ilişkin kuramsal bilgi birikiminin somutlaştırılması ve Danimarka örneğinin incelenmesi sonucu elde edilen verilerle Türkiye’de mevcut ve potansiyel durumlar için öngörüler oluşturulması hedeflenmiştir.Turkey is a rich country in terms of energy reserves and it is one of the high potential countries for renewable energy in Europe, but it has not reached the full-capacity usage level of these sources technologically yet. These issues have great importance not only for Turkey but also for the rest of the world. Many comprehensive studies on the usage of renewable energy sources as the basic resource are in progress all over the world, especially in developed countries. One of these is Denmark known for having advanced technology and knowledge on the wind power issue. Denmark which obtains 48% (2020) of its electric energy from wind power, aims to obtain all of its energy needs from renewable energy sources by 2050. We can say that Turkey’s potential for wind power will reach the condition of an electric energy-producing country through wind power plants established in cooperation with Denmark. In this article it will be examined the applicability of Denmark’s wind power system in Turkey considering the importance of Turkey’s potential for wind power. Within this scope, it is aimed that embodying the knowledge regarding the wind power system and performing better studies in line with the experiences gained from Denmark. In this context, we targeted to find inferences and potential situations, in Turkey, pointing out theoretical knowledge on wind energy in renewable energies in the direction of detailed analysis of the Danish case in technical terms
- …
