Browsing by Author "Buken, Erhan"

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Healthcare Personnel's Knowledge and Management of Frequently Encountered Forensic Cases in Emergency Departments in Turkey
(2020) Topcu, Emine Tugba; Erek Kazan, Ebru; Buken, Erhan; 0000-0002-4779-0623; 32068677; AAL-6847-2021
Background Emergency department (ED) personnel frequently encounter incidents related to crime, violence, and suspicious injuries. The aim of this descriptive study was to determine the knowledge levels of ED healthcare personnel in their handling of frequently encountered forensic cases. Methods A cross-sectional descriptive study composed of ED healthcare personnel at all state, education and research, and university hospitals with EDs, located in Ankara, Turkey, was completed. Participants at the 15 hospitals in question were interviewed via a questionnaire developed by the researchers. Results Three hundred fifty healthcare personnel who worked agreed to participate in the study. The results show that ED healthcare personnel have less knowledge than expected of the right way to handle frequently encountered forensic cases. Very few of the healthcare professionals who participated in the study had received any training or education in the field of forensic nursing. Among participants, postgraduates, health professionals educated in forensic nursing, and healthcare staff who used additional resources to understand forensic cases, and those who had evaluated cases that presented to the ED as forensic cases, had significantly higher levels of knowledge.
The Knowledge Level of Dentists in Turkey About Their Potential Role on the Disaster Victims Identification (DVI) Team
(2019) Yasar, Zehtiye Fusun; Durukan, Elif; Buken, Erhan; 30417805
Objective Although dentists are valuable assets in identification teams during disaster events, forensic dentistry is not used effectively in the identification studies conducted in Turkey, and the importance of dental data is ignored. The aim of this study was to determine the level of knowledge of dentists regarding their duties and responsibilities during major disasters. Methods This descriptive study was conducted between December 2015 and June 2016. Registered dentists (n=20.280) of the Turkish Dental Association were invited to complete the organization's online survey. A total of 539 dentists participated in the volunteer workshop. Data were analyzed using SPSS, version 22.0 (IBM Corp, Armonk, NY). The chi-square analysis was used to evaluate the knowledge level of dentists by group regarding disaster victim identification (DVI) - the process and procedure of recovering and identifying victims of major disasters (eg, earthquake, terrorist attack). Results The dentists included in the study consisted of 320 (59.4%) females and 219 (40.6%) males with a mean age of 37.4 +/- 12.6 years. The number of specialists and general dentists were 249 (45.6%) and 297 (54.4%), respectively; 249 (69.71%) dentists who had knowledge about forensic dentistry stated that they received this information during their formal training. The percentage of dentists who were aware of the existence of an organization of a disaster response operation in Turkey was 74.2%, but only 20.5% (n=110) had knowledge about DVI. We found that 92.9% (n=104) of these dentists believed that dentists should be included in the team for the identification of disaster victims. On the other hand, only half (52.3%) of the dentists with knowledge of DVI wanted to work on the identification teams. The majority (99.1%) considered DNA analysis to be the safest method for identification. Conclusion Our findings show that, although dentists know about the identification process, they do not have enough relevant knowledge. (Disaster Med Public Health Preparedness. 2019;13:533-538)
A METHOD SUGGESTION TO MEASURE THE EFFECTIVENESS OF INFORMED CONSENT DURING TREATMENT PROCESS A Study on University Students
(2019) Buken, Erhan; Yasar, Zehtiye Fusun; Zengin, Hatice Yagmur; Buken, Bora; 0000-0002-4779-0623; 0000-0002-9855-2449; AAL-6847-2021; ABA-3224-2021
It is difficult and subjective to evaluate how much of the treatment information given has been understood by the patient during the informing process. Various court decisions show that courts expect a hundred percent success in the informing process. This research was conducted to observe the effectiveness of written and verbal information given under ideal conditions. A coronary angiography consent form was standardized to measure readability and understandability. Two different labyrinth tests were performed from the text. Tests were performed on the Baskent University students in Turkey. The labyrinth test's subjects responded to the test after verbal information, had an absolute rate of 32.5% while the labyrinth test's subjects, responded to prior verbal information had an absolute success rate of 15%. 87.7% of those who achieved absolute success, in the second labyrinth test, also received verbal information. In the verbally informed group, those who achieved absolute success in the first test were 8.5%, while this rate increased to 28.5% after verbal information. There was no difference between the groups, in terms of the number of correct answers and response time, in the first test. Significant differences between the groups' tests arose in the test administered after being informed. This paper argues that the difference of total correct answers between the groups, in the post-test, stems from the effects of verbal informing. This study observed that verbally informing is more effective than written informing. It concludes that the success of the informing process can be measured by developing standardized methods, though it is unlikely to achieve 100% success.
Risk Factors in Victims of Sexual Assaults Who Acquainted, and Met with Their Perpetrators via Social Networking Services
(2014) Buken, Bora; Erkol, Zerrin; Kandemir, Ferhan; Buken, Erhan; https://orcid.org/0000-0002-4779-0623; AAL-6847-2021
Objective: In this study, our aim was to analyze the cases who had been exposed to sexual abuse by the individuals whom the internet user was acquainted with via social networks, and met them outdoors with the intention to distract attention to the potential dangers of social networks, and also discuss possible measures to be taken to ensure safe use of internet. Material and Method: For this purpose, 13 out of 162 cases who had been referred to the Department of Forensic Medicine, between the years 2011, and 2013 with a history of exposure to sexual abuse by the perpetrators whom they had gotten in personal contact after their acquaintance via internet were included in the study. Results: All of victims were female and perpetrators were male. Mean age of the cases was 17.00 +/- 2.3 years. Only one case was in the age group of >= 19 years. Sexual assault was claimed to be perpetrated via vaginal (n=4), anal (n=3), both vaginal, and anal (n=3) penetrations, while in three cases, any incident of penetration was not alleged. Physical examination revealed evidence of vaginal (n=3), anal (n=3) or both vaginal, and anal (n=1) penetrations. Conclusion: It is not completely possible to prevent children from exposure to harmful environment, and behaviours encountered on-line, so we think that necessary accumulation of information about harmful internet content, and educational courses on effective protection from its adverse effects will be beneficial.
A University Hospital Patients and Their Relatives' Opinions on Violence in Health
(2017) Yasar, Zehtiye Fusun; Durukan, Elif; Buken, Erhan; 0000-0002-4779-0623; 0000-0002-8579-5564; AAL-6847-2021; AAJ-8621-2021
Background. Currently, sectors rendering service for the public such as health, education transport and etc. are frequently exposed to violence without discriminating between age, gender, educational level and occupation. Within these sectors, health sector constitutes the most risky group because it generally renders service to individuals who are distressed and need care Aims. The study aimed to determine the opinions of patients and patient relatives s on violence against health professionals Methods: This descriptive study conducted in January-February 2015 and was implemented on 192 patients and patient relatives applied to a university hospital and who consented to participate the study. A questionnaire form was applied to the participants. IBM SPSS 22.0 statistical package program was used to analyze the data. Results. The mean age of the study participants was 41.3 +/- 13.7; 52,1 % were females and the educational level of 65.6% is university/doctorate level. Nearly 88% of patients stated that violence is not a method for seeking legal remedies, and they believed that it is wrong to use violence against the intervening doctor even in case where it was not possible to save the patient (91.7%). The participants stated that the cause of the increase in violence against health care workers; was related to lack of education of the patients and their relatives (73.2%) and was associated with longer waiting times in hospitals for examination (53.2%). Participants stated the reasons for getting angry in a healthcare facility as being ignored by healthcare professionals (76.6%) and failure in being informed about their patients' status. (54.2%). Thirteen (6.8%) of participants stated that they used violence against healthcare professionals and 7 of these stated that the incident took place in the emergency room. Conclusion. To prevent the violence cases, all individuals constituting the public, including patients/patient relatives and healthcare professionals should be trained. We think that presence of health care providers having high communication skills to communicate the individuals applied to health institution due to their illnesses and presence of effective security systems will contribute to solving of the problem.