Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026Factors affecting hospital personnel’s disaster management performance
Kaya, Burak; Mızrak, Sefa
Background: Hospital personnel with strong disaster management skills will work effectively and efficiently during disasters, ensuring better health services for staff, patients, and injured individuals. Purpose: This study aimed to investigate the factors affecting the hospital personnel disaster management performance (HPDMP) of Giresun Training and Research Hospital (Türkiye) according to the opinions of all hospital personnel. Method: In this study, survey data were collected from 797 hospital personnel between July and August 2023. HPDMP was employed as a dependent variable. Demographic characteristics, working conditions of personnel, disaster education, awareness of hospital disaster plans, and hospital disaster plan duty were used as independent variables. In addition, the arrangement of the hospital in relation to disaster risks, personnel self-efficacy, personnel coordination, coordination with other institutions, and disaster preparedness were also employed as independent variables. Results: The hospital’s disaster management performance was good. Personnel who received sufficient disaster education and had more knowledge about hospital disaster plans believed that HPDMP was greater. According to hospital personnel, disaster preparedness and coordination with other institutions were the factors that most strongly increased HPDMP. Conclusion: This study will provide insight for scientists, decision makers, and practitioners working in the field of hospital disaster planning and management.
- MakaleAçık Erişim2026Preferences for mechanical ventilation modes among intensivists in Türkiye: a nationwide point-prevalence study
Yildirim, Suleyman; Kilinçözgün, Nurhayat; Alpdogan, Ozcan; Uçar, Huseyin; Taskiran, Imren; Ata, Adnan; Özcan, Ozhan; Öncü, Kivanc; Acarbay, Saba Mukaddes; Güner, Temel
Background/aim: Invasive mechanical ventilation (IMV) is a fundamental intervention for patients with respiratory failure in intensive care units (ICUs). This nationwide, multicenter point-prevalence study aimed to describe current mechanical ventilation mode preferences (conventional, adaptive, and biphasic) in Turkish ICUs and to report associated clinical outcomes descriptively, without assessing causal relationships. Materials and methods: A nationwide, multicenter point-prevalence study was conducted on 17 April 2024 and included adult patients (>= 18 years) who had been receiving IMV for more than 24 h. Data on patient demographics, ventilation mode distribution, ventilatory parameters, and descriptive clinical outcomes on day 28 (weaning status, tracheostomy, and mortality) were recorded without comparative outcome analysis. Results: A total of 426 patients were included. Conventional modes were used in 84.5% of patients, adaptive modes in 10.6%, and biphasic modes in 4.9%. Synchronized intermittent mandatory ventilation (SIMV) was the most commonly used conventional mode. The primary indication for IMV was acute respiratory failure (61%), with pneumonia being the leading cause. Among the 350 orotracheally intubated patients, 25.6% were in the weaning phase on the study day. A total of 59 (16.9%) patients were extubated, 150 (42.9%) underwent tracheostomy, and 64 (18.2%) remained intubated on day 28. Overall, 185 (43.4%) patients died during their ICU stay, 152 (35.7%) remained in the ICU, and 89 (20.9%) were successfully discharged from the ICU. Conclusion: Conventional ventilation modes, particularly SIMV, were more commonly used in Turkish intensive care units (ICUs), whereas adaptive modes were less frequently applied. These patterns may reflect factors such as clinician familiarity, institutional practices, and equipment availability rather than definitive preferences. Although the impact of ventilation modes on clinical outcomes was not comparatively evaluated in this study, the choice of ventilation mode may still influence patient outcomes. Therefore, further prospective and comparative studies are warranted to better elucidate this relationship.