Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleYalnız künye2017
    Stance of High School and University Nursing Students on Profession

    Saka, Yeşim; Gün, Seren; Kasap, Sedanur; Tercan, Bahadır

    This descriptive study aims at determining the stance of nursing students studying at high school and university level on the profession. The study population consisted of the entire students of Gumushane Ibn-i Sina Vocational and Technical High School and the nursing department of Gumushane University, Health Collage. No sampling was attempted and the whole population was included in the sample. A personal information form and the “Career Choice in Nursing” scale were used to collect data. The data were analyzed using Frequencies, ChiSquare and t-tests, and Mann Whitney U, Anova and Kruskal Wallis tests. The mean age of the participants was 19.91±2.12 years, 66.1% of them were female, 62.8% wrote nursing in their first 5 choices and 77.1% wished to stay in the profession after their graduation. It was observed that being at different education levels did not matter in terms of stance on profession, but females, those with higher incomes, and those who wished to stay in the profession after graduation had more positive stances on the profession.

  • Derleme MakaleYalnız künye2017
    E-Sağlık, İyi Uygulama Örneği; Hollanda

    Kılıç, Taşkın

    E-Sağlık; “sağlık hizmetlerinde bilişim ve iletişim teknolojilerinin kullanılarak hastalıkların önlenmesi, teşhis ve tedavi edilmesi, izlenmesi ve sağlığın yönetilmesi” olarak tanımlamıştır. Bu çalışmanın amacı son yıllarda uygulamaya konulan, e-Sağlık sisteminin teorik ve pratik boyutlarını ele almak ve dünyanın en iyi sağlık sistemlerinden birisine sahip olan Hollanda’da uygulanan “e-Sağlık sisteminin” iyi uygulama örneği (best practice) olarak incelemektir. Bu çalışmanın teorik kısmı; e-Sağlık konusunda hazırlanan Dünya Sağlık Örgütü, Hollanda Sağlık Bakanlığı Raporları ve yapılan akademik çalışmalar incelenerek, saha araştırması ise; 5-12 Haziran 2016 tarihleri arasında e-Sağlık konusunda öncü ülkelerden biri olan Hollanda’ya gidilip e-Sağlık konusunda uzman olan Sağlık Bakanlığı yetkilileri ve özel sağlık kurumları ile yapılan mülakatlar baz alınarak hazırlanmıştır. Araştırma sonucunda Hollanda’da e-Sağlık sisteminin “cildiye, göz ve mental hastalıklar kliniği ve evde sağlık bakımında aktif olarak kullanıldığı, sistemi kullanan kliniklerde hastaların büyük bir çoğunluğunun birinci basamakta tutulduğu görülmüştür. Bu sayede sağlık harcamalarında %50’ye varan oranlarda tasarruflar sağlanıp hasta bekleme süreleri azalmış ve hizmete ulaşım kolaylaşmıştır.

  • MakaleAçık Erişim2017
    Public Hospital Union Construction and Changing Patient Rights Board Effects on Board Decisions

    Bostan, Sedat

    The concept of patient rights, 1980s went into the literature, developed in 1990, and began to be implemented in health institutions in the 2000s. Thus, a legal infrastructure has gained, institutionalized in 2010 years. The purpose of this study is to investigate patient rights violations through the decisions of the patient rights board, taking into account the change in board structure and public hospital union structuring. The survey was conducted on board decisions taken in 2012- 2015. The data were processed with cross-table technique and the difference between the years was tried to be monitored by Pearson Chi-square test. Public hospital union structure has reduced written complaints of patients and strengthened on-site solutions. When the causes of patient com- plaints are examined, half is concerned with the right to benefit from the service, and issues of re- spect, medical care and information are at the forefront. Approximately half of the complaints are consisted of physicians and one in ten nurses. Significant reductions have been observed in com- plaints of medical secretaries, cleaners, security personnel and administrative staff when there has been a significant increase in complaints of dentists in the last year. According to findings; the in- tegration of patient rights boards within the health directorates and the change of member struc- ture contributed to making decisions more professionally and objectively. As a result, patient privacy violations that have been acknowledged by the system and the patients, is destroying human val- ues. Lack of patient information reduces treatment effectiveness. Health worker's seizure-prone work are increasing their exhaustion and triggers insecurity in medical care. Health administrators and educators should be very interested in these issues.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 16 · Barış, Adalet ve Güçlü Kurumlar
  • MakaleYalnız künye2017
    Issues experienced in provision of emergency services in pre-hospitalization period in turkey

    Bostan, Sedat; Ünal, Cihan

    Objectives: The present study was conducted to determine issues experienced during provision of emergency health services before hospitalization of patients and to suggest solution for hospital administrations and practitioners for eliminating relevant bottlenecks. Methods: Whereas the study covered 459 health service personnel at the emergency service in Trabzon City, Turkey in 2016, a Likert-type survey method was harnessed as a data collection tool whose reliability and validity were tested. Collected study data were analyzed for their frequency and significance test. Results: Based on the obtained findings, it was determined that emergency health services have been strengthened in terms of infrastructure, preparedness for cases and human resources and organizational structure. However, substantial issues were observed with the accessing and intervention process to cases reported considered as external factors. Conclusion: These issues could mainly be classified under two groups: the first is reflection of limitations introduced by the established buildings, roads and other infrastructure and the influence of economic opportunities on social organization and development on emergency service intervention processes; and this contributes into our case with inadequate structural features of buildings, stairs, elevators, roads, gates. The second is the issue related with social education, culture and mentality. Reflections of the second group issues could be observed in false and malicious calls made to emergency service, violation of right of way assigned to ambulances, adverse attitudes of relatives of patients and verbal attack aiming at emergency service personnel Likewise all over the world, emergency health services are the most inseparable element of health services, which requires race with time. Numerous studies have revealed that intervention made in the first five minutes, half-an-hour and in the first hour after experiencing an accident, acute disease or trauma is vitally important in terms of saving lives or preventing disability. Along the program of transition in health services applied in Turkey, emergency health services have been reorganized. This reorganization has both strengthened infrastructure of emergency health services and advanced its efficiency and agility. Nevertheless, there are various issues with the operation of the service and especially with having access, intervention to cases and in logistic phases of the process. The present study was conducted to determine the issues experienced during the provision of emergency health services in the pre-hospitalization period and to assist administrations and practitioners in terms of determining problems and making suggestions for resolution of these problems. Emergency health service given before hospitalization is a service branch which requires highly intensive and stressful work load (Duran et al., 2012: 144). Additionally, emergency health crews might face difficulties during intervention into the reported cases. It is commonly known that emergency crew members would encounter difficulties in having access to case locations while they are providing emergency health services in traffic environment because of other drivers’ ignorance of traffic rules or of traffic jam (Karakuş et al., 2014). 112 stations are required to be located in proximity of city center in order to intervene in cases immediately (Handerson & Mason, 2004). Another difficulty encountered in accessing cases especially with services provided to countryside is reported as improper width of roads in rural areas and poor traffic signage. Moreover, limited free space around the residential areas in urban areas makes access of ambulance units difficult; and living and passage areas in buildings non-conforming to the standards obstructs accessing patients (Uskun et al., 2007). Based on all of these characteristics and issues that could be encountered during performance of this duty, it is possible to conclude that provision of emergency health services has a quality which challenges human nature. Especially anxiety and other psychological problems could be observed with emergency health service personnel (Annagür, 2010). This finding suggests that emergency health service personnel might need psychological support. In the preliminary study, development phases of emergency health services in Turkey were introduced briefly; and issues laid by former studies were tried to be determined. In the present study, it was aimed to determine issues experienced at application level; to review the relevant literature and to make suggestions to administrations for resolution of revealed problems so as to make a contribution to the subject. Methods As the study was planned for March 2016; necessary initiatives were taken with the City Health Directorate and City Governorship for implementation of the survey study structured in five-point Likert style, a qualitative research method. Finally, the ultimate survey form was prepared under the title of “The Survey Form for Determining Issues Related with the Emergency Health Services in the Pre-Hospitalization Period” applied on voluntary basis to the emergency health personnel and their administrations on duty at the Branch Directorship, the Command and Control Center and 30 different ASHİ units in Trabzon City in the period of June and July 2016. Finally, 459 valid survey forms were collected. For reliability analysis of the scale, Cronbach's Alpha coefficient was estimated at 0.84 which suggests that the proposed survey could be considered as reliable. The KMO value was estimated at 0.881. Additionally, the Barlett sphericality test was employed for evaluation of significance of correlation among items; and significance was determined as 0.000 (Approx. Chi-Square: 4237.924/ df: 496/ sig: 0.000). In order to assess dimensions of items, “Direct Oblimin” rotation operation was executed by the “Principal Components” meth

  • MakaleYalnız künye2017
    Validity And Reliability Of The Turkish Version Of Constipation Assessment Scale In Nursing Students

    Doğan, Melike Demir; Aktuğ, Cemile

    Aim: Constipation is a common symptom for many patients and constipation assessment scales used by the nurses providing care take a long time to apply. Assessment of constipation is important to improve its management. Therefore, our study aimed to determine the validity and reliability of the Turkish version of The Constipation Assessment Scale. Methods: The Constipation Assessment Scale was translated into Turkish and was administered to a sample of 140 participants after the validation of cultural adaptation. The test–retest method was used to assess the scale’s stability over time. Internal consistency reliability was evaluated with Cronbach’s alpha coefficients. Results: The Constipation Assessment Scale’s structural validity was determined with confirmatory factor analysis and exploratory factor analysis was used to examine dimensionality. The test-retest reliability showed almost perfect agreement, with an ICC of 0.744 (p<0.001) for the total score of the Turkish version of the Constipation Assessment Scale. The internal consistency of the Turkish version of the Constipation Assessment Scale was good (Cronbach’s alpha = 0.784). Conclusion: The linguistic and psychometric evaluation demonstrated the validity of the Turkish version of Constipation Assessment Scale. It is consisting of eight items and providing easy use. So that nurses can assess constipation in less time.

  • MakaleYalnız künye2016
    Sağlıkta dönüşüm programı hakkında yönetici ve çalışan görüşlerinin karşılaştırılması üzerinden değişime direncin ölçülmesi

    Bostan, Sedat; Köse Ünal, Aslı

    Bu çalışmanın amacı öncelikle hastane yöneticileri ve sağlık çalışanlarının sağlıkta dönüşüm programı uygulamalarıyla gerçekleşen değişimi nasıl değerlendirdiklerini belirlemektir. İkinci olarak değişimin planlayıcısı olan üst yönetim tarafından atanan ve üst yönetimi temsil ettiği varsayılan hastane yöneticileri ile değişimin ortaya çıkardığı belirsizlik karşısında direnç göstermesi beklenen sağlık çalışanlarının görüşlerini karşılaştırmaktır. Son olarak elde edilen sonuçlar üzerinden sağlıkta dönüşüm programı uygulamalarına karşı sağlık çalışanlarının direnç düzeylerini belirlemektir. Bostan (2009) tarafından hastane yöneticileri ve sağlık çalışanlarına uygulanmak üzere oluşturulan sağlıkta dönüşüm programı değerlendirme ölçeği bu çalışmada kullanılmıştır. Ölçek geçerlenip, güvenirliği test edilmiştir. Araştırma kapsamında Türkiye genelinde 75 ilde 284 hastanede 779 hastane yöneticisi ve 774 sağlık çalışanına ulaşılmıştır. Çalışmadan elde edilen veriler istatistiksel programlarla analiz edilmiştir. Elde edilen bulgulara göre sağlık çalışanları ve hastane yöneticilerinin sağlıkta dönüşüm programı uygulamalarını paralel, fakat istatistiksel olarak anlamlı düzeyde farklı değerlendirdikleri görülmüştür. Hastane yöneticilerinin değerlendirme düzeyleri değişime direnç ölçeği açısından genel olarak çoğunlukla kabul, diğer durumlarda kayıtsızlık düzeyinde bulunmuştur. Sağlık çalışanlarının değerlendirmeleri ise genel olarak pasif direniş ve kayıtsızlık düzeyinde belirlenmiştir. Özellikle sağlık çalışanlarının kendi durumlarıyla ilgili ifadelerde her iki grubunda değerlendirme puanları düşmekte ve direnç artmaktadır. Bu sonuçlardan hareketle özellikle sağlık çalışanlarının değişime direnç gösterdiği söylenebilir. Sağlık çalışanlarının kaygılarının azaltılması yönünde çalışmaların yapılması önerilmektedir.

  • MakaleYalnız künye2016
    Sağlık ve Eğitim Sektöründeki Kadın Çalışanların Cam Tavan Algısının Karşılaştırmalı Olarak İncelenmesi

    Kılıç, Taşkın; Çakıcı, Ahmet Burhan

    Neredeyse bütün dünyada kadın ve erkekler iş hayatına katılım düzeyi bakımından eşit oranlara sahiptirler. Oysa yönetime katılım noktasında (alt, orta ve üst yönetim) kadınlar açısından temsil oranı erkeklere kıyasla son derece düşüktür. Bu araştırmanın amacı, Sağlık Bakanlığı ve Milli Eğitim Bakanlığında görev yapan kadın çalışanların "Cam Tavan algısının" karşılaştırmalı olarak ele alınmasıdır. Araştırmanın teorik kısmı ilgili yazın taramasından, uygulama kısmı ise 130 Sağlık, 130 Milli Eğitim Bakanlığı olmak üzere toplam 260 çalışana anket uygulanarak hazırlanmıştır. Elde edilen veriler, LISREL ve SPSS programlarında analizlere tabi tutulmuştur. Araştırma sonucunda; hem Sağlık hem de Milli Eğitim Bakanlığı çalışanlarında orta düzeyde Cam Tavan algısı olduğu, Cam Tavan algısının "örgüt kültürü" boyutunun Milli Eğitim Bakanlığı çalışanlarını, Sağlık Bakanlığı çalışanlarına göre daha fazla etkilediği, bekar çalışanların evlilere göre "kişisel tercih algıları" konusunda yüksek düzeyde Cam Tavan algısı yaşadıkları, "stereotipler (kalıplaşmış yargılar)" konusunda ise düşük düzeyde olmakla birlikte, evlilerin bekarlardan daha çok algıya sahip olduğu, yaş ve iş deneyimi ilerledikçe "stereotipler" algısı pozitif yönde, "kişisel tercih algısının" ise negatif yönde değiştiği, eğitim durumuna göre ise Cam Tavan algısının değişmediği sonuçlarına ulaşılmıştır

  • Derleme MakaleYalnız künye2016
    Application of Multi-Criteria Decision Making in Health Care Field: A Literature Review

    Ağaç, Gökhan; Baki, Birdoğan

    Health care is a vital importance for the society as well as play an important role in improving the welfare of the society. The purpose of this study is to present a detailed comprehensive literature review of the Multi-criteria Decision Making techniques (MCDM) in health and health care. The literature review was conducted with the help of relevant keywords on five different international databases. The findings show that Analytic Hierarchy Process (AHP) is the most widely used technique as well as the most widely used integrated techniques are Analytical Network Processbased (ANP-based). Also in recent years, it has been seen that increased in use of MCDA techniques

  • MakaleYalnız künye2016
    The Knowledge and Perspective of University Students about Organ Donation

    Doğan, Melike Demir; Ekinci, Hasan; Kaya, Nahsan; Altinkaynak, Muhammed; Uzun, İbrahim

    Objective: This study was conducted to determine the knowledge and attitudes about organ donation of college students studying in health-related sections. Materials and Methods: This cross-sectional study was conducted between 15 April - 15 May 2015. The sample of the study consisted of 764 students. Students are selected by simple random sampling and the students who agreed to participate were included in the sample. Data of the study were collected using socio-demographic information form and questionnaire about knowledge and attitudes of organ donation prepared by the researchers in line with the literature. Results: The mean age of the students was 20.66 &plusmn; 1.73 and then 43.84% of male and 56.16's% of female. The study showed that only 2.4% of the students donated organs. 38.7% of students stated that while seeking an organ donor, 24% of students reported that they did not want to donate their organs. There were seen that 56.5% of students received information about organ donation before. Conclusion: The knowledge level of the students were found to be good. In line with these findings, it is thought that health care professionals of the future should be supported to change their attitudes about organ ties

  • MakaleYalnız künye2016
    Work—Related Tension, Using the Methods of Overcoming the Stress and the Affecting Factors in Emergency Staff

    Yiğitbaş, Çağla; Ozan, A. Tevfik; Deveci, S. Erhan; Oğuzöncül, Ferdane; Pirinçci, Edibe; Rahman, Süheyla; Demirbağ, B.canan; Bulut, Aliye; Arın, Ulaş Evren; Açık, Yasemin

    The purpose of the study is to determine work-related tension, using the methods of over- coming the stress and the affecting factors in emergency staff MMaatteerriiaall aanndd MMeetthhooddss:: The universe of the study in descriptive type is consisted of health team members in institutions rendering emergency health service belong to public sector in Turkey. Turkey was divided into 4 clusters (east, west, south and north) by taking the geographical settlement areas into consideration and a province was selected from each cluster in random. The number of peo- ple within the scope of the research is 769 and 560 people was reached (response rate is 72.82%). Approval of ethi- cal committee and written permissions were acquired from the related institutions before the research. There are questions including the demographic characteristics of the participants and their opinions on the job in first section of the form in which data were gathered, and “Work-Related Tension Scale -WRTS” in the second section, and “Overcoming the Stress Scale -OSS” in the third section. The data were recorded in statistical program. The aver- ages were given with standard deviations and p<0.05 was accepted as meaningful. Frequency analysis was carried out in the evaluation of the data and, Mann Whitney U test, Kruskall Wallis test and Spearman Correlation Analy- sis were implemented. RReessuullttss:: Average of age of the participants was 29.71±7.92 years. WRTS point average was 49.80±5.92 and was found high in young people, having low education level, in emergency medical technicians (EMT), the ones working on contract, having negative point of view against the occupation (p<0.05). OSS point av- erage of the participants was 56.56±11.23. CCoonncclluussiioonn:: It was detected that WRTS point average in the participants was over scale point average and OSS point average was under scale point average. In health personnel rendering emergency service; service and training studies that will increase the level of using overcoming the stress methods, decrease the work-related tension and improve affecting factors should be given priority

  • MakaleYalnız künye2016
    Sağlık Çalışanlarında Mobbing ve İlişkili Faktörler

    Kılıç, Taşkın; Kıraç, Fatma Çiftçi; Şener, Şeyma

    AMAÇ: Son yıllarda çalışanlar üzerinde psikolojik ve fiziksel etkileri olduğu belirtilen mobbing kavramı, pek çok farklı sektörde araştırmalara konu edinilmiştir. Bu çalışma, Karadeniz bölgesinde bir devlet hastanesinde görev yapan yerli çalışanlar (o ilde doğmuş olanlar) ile yabancı (farklı illerden gelenler) çalışanların mobbinge maruz kalma oranlarının tespit edilmesi ve bazı demografik değişkenler ile mobbing arasında ilişki olup olmadığının belirlenmesi amacıyla yapılmıştır. YÖNTEM: Araştırma verileri anket aracılığıyla elde edilmiş olup, araştırmaya doktor, hemşire, sağlık personeli (hemşire, ATT vb.) gibi farklı alanlarda çalışan 160 personel katılmıştır. Veriler SPSS programı kullanılarak analiz edilmiştir.BULGULAR ve SONUÇ: Araştırma sonucunda, mobbing davranışlarının çalışanların geldikleri illere göre (yerliyabancı) anlamlı şekilde farklılaştığı ve diğer illerden gelen çalışanların, yerli çalışanlara göre daha fazla mobbinge maruz kaldıkları saptanmıştır. Ayrıca mobbing davranışlarının diğer demografik özelliklere göre farklılık gösterip göstermediğine bakıldığında ise mobbing davranışlarının çalışanların yaşlarına, cinsiyetlerine, unvanlarına ve eğitim durumlarına göre anlamlı şekilde farklılaştığı, medeni durumlarına ve deneyimlerine göre anlamlı şekilde farklılaşmadığı sonucuna ulaşılmıştır.

  • MakaleYalnız künye2015
    The mediator role of psychological effects between mobbing behaviors towards personality and physiocological effects

    Okan, Tarhan; Sezerel, Hakan; Bostan, Sedat

    The study attempts to reveal the direct or/and the indirect physical effects of mobbing behaviors (the psychological violence) on employees. The research model which posits the psychological effects as the mediator variable tested via the data drawn from 1187 health employees. Consequently, it is found that the psychological effects mediate the relationship between mobbing behaviors (direct, indirect, and explicit) and physiological effects. The model also applied to organizational positions namely, physicians, nurses, administrative staff, outsources staff and the other health staff. Accordingly, when the data suggest the mediator role of physiological effects is partially valid for nurses, outsourced staff, and the other health staff, it does not suggest any mediator role for physicians or/and the administrative staff. In addition, the exposed mobbing behaviors and the effects of mobbing have different aspects.

  • MakaleYalnız künye2015
    Acil Servise Başvuru Yapan Hastaların Memnuniyeti

    Özcan, Handan; Özdemir, Okay; İnci, Esma; Sözkesen, Nuriye

    Giriş: Hasta memnuniyeti kaliteli hizmetin önemli bir parçasıdır. Hastaların memnuniyet düzeylerinin belirlenmesi, hizmet kalitesinin artırılması ve hastaların beklentileri doğrultusunda daha nitelikli hizmet sunulması bakımından önemlidir. Amaç: Acil polikliniğine başvuru yapan hastaların, memnuniyet düzeylerini belirlemektir. Yöntem: Araştırma Gümüşhane Devlet Hastanesi Acil Servisinde, çalışmaya gönüllü olarak katılmayı kabul eden 300 hasta ile gerçekleştirildi. Veriler, SPSS for Windows 15.0 paket programı kullanılarak, frekans dağılımı ve ki kare testi ile analiz edildi. Bulgular: Hastaların, yaş ortalaması 33.34±14.46'dır. Katılımcıların %68'i acil serviste çok beklemeden muayene olduğunu, %75.3'ü tüm sağlık personelinin kişisel mahremiyetlerine dikkat ettiğini (muayene edilirken kapının kapanması, paravan veya perdenin çekilmesi gibi), %56'sı muayene eden doktorun hastalık hakkında bilgi verdiğini belirtti. Sonuç: Hasta mahremiyetine dikkat edilmesi, tıbbi bakım ve tedavinin kısa sürede yapılması, yapılan uygulamalar hakkında bilgi verilmesi, servisin temiz olması gibi etmenler hasta memnuniyetini artıran faktörlerdendir. Hastaların eğitim düzeyleri arttıkça memnuniyet beklentileri de artmaktadır

  • MakaleYalnız künye2015
    Sağlık hizmetlerinde hizmet hatası telafi stratejileri

    Bostan, M. Kemal; Cengiz, Ekrem; Akdu, Serap

    Bu çalışmanın öncelikli amacı hizmet hatalarının telafisi stratejilerinin müşteri tatmini üzerindeki etkilerini araştırmaktır. Çalışmada; Giresun, Gümüşhane, Trabzon, Ordu, Rize ve Samsun'da bulunan aile hekimliği hizmeti almış hastalar tesadüfi örnekleme yöntemiyle seçilmiş ve 463 kişi araştırma kapsamına alınmıştır. Önerilen modelin doğrulanması amacıyla yapısal eşitlik modeli kullanılmıştır. Sonuç olarak tespit edilen hizmet hatası telafi stratejilerinden; tazminat, özür, düzeltme, empati, kolaylaştırma, sürat ve çaba faktörlerinin hem hizmet hatası telafi memnuniyetini hem de tüm örgüt memnuniyetini değişik seviyelerde etkiledikleri tespit edilmiştir

  • MakaleYalnız künye2014
    School-hospital collaboration with the point of view of the students in birth internship

    Özcan, Handan

    Aim: This study; gynecology and obstetrics and maternity clinic in the course of the internship, first aid and emergency department nursing students, hospital, school co- operation is planned to determine perspectives. Materials and Methods: This descriptive and cross-sectional population of the study as planned; obstetrics and gynecology clinic internship with the maternity ward of the Emergency and First Aid Program 2nd grade students (n = 60) and Nursing Program 3rd grade students (n = 57) constitute. Before obtaining permission from school administration is taken through the application of face to face interviews were carried out. The data obtained were evaluated as percentage opinions and interpersonal was analyzed by Chi square test. Results: The mean age of the participants is 20.87 &plusmn; 1.86. Gynecology and childbirth in terms of the reasons behind the formation of co-operation at the beginning of the school hospital; 76.9% of hospitals with inadequate conditions, in second place with 54.7% for managers is to come. School of hospital in-service training to improve cooperation canceled (68.4%) was seen as necessary. Conclusion: Students should practice birth as an intership in those services which are specialized areas. To ensure cooperation between institutions arranging regular in-service training, in service full time work as academics, clinical nurse training program also participate in courses should be provided.

  • MakaleYalnız künye2012
    Trabzon İlindeki Sağlık Kuruluşlarında Hasta Memnuniyetinin Bir Yapısal Eşitlik Modeli Denemesi

    Ayyildiz, Hasan; Akyüz, Ahmet Mutlu

    This study investigated the factors that are thought to be affect patient satisfaction in the health service organizations in Trabzon city within the framework of patient satisfaction in health services. The proposed hypotheses were tested under a structural equation model (SEM). The sample population for the study are the individuals who have already hospitalized and discharged from Trabzon City hospitals andaccepted to represent their observations about health-care services. A draft questionnaire was developed to measure the factors in the model. All items under the factors were measured on a five-point Likert scale. Questionnaires were asked to adults who are over the age of 18 during face-to-face interviews. Data collection was carried out from January to March 2010 and 400 completed surveys were collected with a response rate of 89.5 percent. The Amos software package was used to perform the SEM and it was successfully performed. From the results of tested hypotheses, it was understood that patient satisfaction in the health service organizations in Trabzon city are respectively affected by managerial services, attention and politeness, cleanliness and hygiene, hospital informing services both directly and indirectly.

  • MakaleYalnız künye2011
    Elit kadın futbolcuların oyun pozisyonlarına göre aerobik güç performansları ve toparlanma sürelerinin karşılaştırılması

    Can, İbrahim; Sezgin, Ebru; Cihan, Hamit

    Bu çalışmanın amacı, elit kadın futbolcuların oyun pozisyonlarına göre (8 defans, 4 kaleci, 8 orta saha ve 4 hücum oyuncusu) aerobik güç performansları ve toparlanma sürelerinin karşılaştırılmasıdır. Bu amaçla, farklı takımlarda (Trabzonspor A.Ş., Trabzon İdmanocağı) mücadele eden 24 kadın futbolcu (yaş: 20.4 ± 2.6 yıl; boy: 165.8 ± 6.1 cm; vücut ağırlığı: 56 ± 5.5 kg) çalışmaya gönüllü olarak katılmıştır. Futbolculara bir saha testi olan Yo-Yo aralıklı toparlanma seviye 1 testi uygulanmış ve futbolcuların koşu mesafeleri, maksimal oksijen tüketimleri, maksimal kalp atım sayıları ve toparlanma süreleri oyun pozisyonlarına göre incelenmiştir. Elde edilen sonuçlara göre; kadın futbolcuların oyun pozisyonlarına göre koşu mesafeleri, maksimal oksijen tüketim kapasiteleri, maksimal kalp atım sayısı ve toparlanma süreleri arasında anlamlı bir farklılığın (p<0.05) olmadığı Kruskal Wallis-H testi ile belirlenmiştir. Sonuç olarak, kadın futbolcuların aerobik güç performanslarının ve toparlanma sürelerinin futboldaki oyun pozisyonlarına göre değişmediği istatistiksel olarak elde edilmiştir