Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026/r/gumushane/13712
  Factors 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.

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• MakaleAçık Erişim2025/r/gumushane/13658
  Optimizing CPR performance: the role of body composition and ergonomic positioning

  Aygun, Tayfun; Karaoglu, Olcay; Senturk, Hakan; Keskin, Arif; Yucel, Nurullah; Hekimoglu, Gulam

  Background: Quality cardiopulmonary resuscitation (CPR) is associated with improved survival rates in prehospital arrest cases. Although CPR guidelines emphasize compression depth, rate, and recoil, individual anatomical and biomechanical factors influencing CPR performance remain underexplored. This study aims to determine the optimal CPR position by focusing on individual positional conditions and anthropometric data to improve CPR effectiveness and guide team member selection in emergency scenarios. Methods: A cross-sectional study involving 123 paramedic associate degree students was conducted. Anthropometric measurements including upper extremity length, biceps circumference, and femur length were obtained. CPR performance was assessed using a feedback-capable mannequin, with data collected on compression depth, frequency, rhythm quality, and compression/decompression ratios. Positional parameters such as knee and hip angles, distance between knees, and distance from the mannequin were recorded and analyzed in relation to CPR outcomes. Results: Male participants demonstrated significantly higher CPR quality scores than females (65.09 ± 28.26 vs. 48.85 ± 27.11, p = 0.004). Positive correlations were found between BMI (r = 0.239, p = 0.008), upper extremity length (r = 0.364, p < 0.001), biceps circumference (r = 0.350, p < 0.001), and CPR quality metrics. A moderate inter-knee position (shoulder-width distance) provided superior compression depth and rhythm stability compared to narrow or wide positions (p < 0.001). Conclusion: Anthropometric and positional factors significantly influence CPR performance. Emergency team members with appropriate physical profiles (e.g., greater muscle mass, limb length, BMI) and adopting occupational ergonomic factors (e.g., moderate knee range, limited joint flexion) may improve CPR quality in the prehospital setting.

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