Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Validity and Reliability of the Turkish Version of the Optimality Index-US (OI-US) to Assess Maternity Care Outcomes(2015) Yucel, Cigdem; Taskin, Lale; Low, Lisa Kane; 26299370Background: although obstetrical interventions are used commonly in Turkey, there is no standardized evidence-based assessment tool to evaluate maternity care outcomes. The Optimality Index-US (OI-US) is an evidence-based tool that was developed for the purpose of measuring aggregate perinatal care processes and outcomes against an optimal or best possible standard. This index has been validated and used in Netherlands, USA and UK until now. Objective: the objective of this study was to adapt the OI-US to assess maternity care outcomes in Turkey. Design: translation and back translation were used to develop the Optimality Index-Turkey (OI-TR) version. To evaluate the content validity of the OI-TR, an expert panel group (n= 10) reviewed the items and evidence-based quality of the OI-TR for application in Turkey. Following the content validity process, the OI-TR was used to assess 15O healthy and 15O high-risk pregnant women who gave birth at a high volume, urban maternity hospital in Turkey. The scores between the two groups were compared to assess the discriminant validity of the OI-TR. The percentage of agreement between two raters and the Kappa statistic were calculated to evaluate the reliability. Findings: content validity was established for the OI-TR by an expert group. Discriminant validity was confirmed by comparing the OI scores of healthy pregnant women (mean OI score= 77.65%) and those of high-risk pregnant women (mean OI score =78.6O%). The percentage of agreement between the two raters was 96.19, and inter-rater agreement was provided for each item in the OI-TR. Conclusion: OI-TR is a valid and reliable tool that can be used to assess maternity care outcomes in Turkey. The results of this study indicate that although the risk statuses of the women differed, the type of care they received was essentially the same, as measured by the OI-TR. Care was not individualised based on risk and for a majority of items was inconsistent with evidence based practice, which is not optimal. Implications for practice: use of the OI-TR will help to provide a standardized way to assess maternity care process and outcomes of maternity care in Turkey which can inform future research aimed at improving maternity care outcomes. (C) 2015 Elsevier Ltd. All rights reserved.Item In the shadow of gender: Wives of prisoners in Turkey(2022) Bekiroglu, Seval; Attepe Ozden, Seda; Icagasioglu Coban, Arzu; 0000-0003-0712-6653Imprisonment of men can many negative economic, social and psychological effects on prisoners, their spouses and children. It is important to evaluate these and understand the gender-related experiences of wives of prisoners. So, we conducted three focus group discussions (FGDs) with 14 women in Turkey. We used an inductive content analysis approach and identified four relevant themes as follows: (1) women's roles (as spouse, mother and social beings), (2) poverty, (3) stigma and exclusion, and (4) coping mechanisms. We noted that our respondents faced economic problems, difficulties in raising children, social exclusion, and emotional difficulties. In Turkey, gender norms and insufficient policies and services for such women exacerbate such issues. It is therefore important to develop gender-sensitive services that would empower and support them.Item Knowledge and View of Mothers Whose Babies in Newborn Intensive Care Units About Breast Milk Banking in Turkey(2020) Gurel, Reyyan; Erenel, Ayten SenturkBACKGROUND/AIMS This study aimed to assess the knowledge, awareness, and attitudes of mothers whose babies were in the newborn intensive care units about breast milk banking. MATERIALS and METHODS The participants of this descriptive research were 102 mothers who provided their oral and written consent for study participation and whose newborns were in the intensive care units during June to August 2016 (n=102). A p value <0.05 was considered to indicate statistical significance. RESULTS We found a statistically significant relationship of the "Request to Benefit from Breast Milk Banking" with the educational background, working status, and the place where the mothers had spent most of their lives. In addition, there was a statistically significant relationship of the "Request to Donate Breast Milk to the Breast Milk Banks" with the place where the mothers had spent most of their lives, breastfeeding experience, and the institution from which they had received care before the delivery (p<0.05). CONCLUSION Although a considerable proportion of the mothers have positive thoughts about breast milk banking, they were hesitant about feeding their babies donor milk when needed.Item A content analysis of food advertising on Turkish television(2016) Ok, Mehtap Akcil; Ercan, Aydan; Kaya, Fatih Suleyman; 26135584; AAZ-8170-2020The aim of this study was to conduct a comprehensive content analysis of Television (TV) food advertising and compare various food advertisements on free-to-air Turkish national TV channels by broadcast time (duration) and frequency over the period of aweek (19-25 April 2012). TV food advertisements were the unit of content analysis in this study. Each advertisement identified as promoting a food product was analysed for content; non-food advertisements were not analysed, although they were counted as a proportion of the advertisements aired. We recorded all programmes for 4 h each per day (7 p.m.-11 p.m.), totalling 84 h. Five types of food-related advertisements were identified (basic foods, junk foods, meat products, beverages and fast food), and six types of non-food advertisements. The Student t-test and ANOVA were used to compare the mean broadcast time of all prime time advertising for the two groups. The mean broadcast times for prime time, non-food advertisements showed a statistically significant difference (p < 0.05). This difference is related to the prime time period 7 p.m.-8p.m. being considered dinner time for most Turkish families. Additionally, the number and broadcast times of beverage advertisements increased during this time period, while the broadcast time per beverage advertisement decreased (ratio = 20.8 s per ads). As a result, TV food advertising increased not only during dinner time but also in overall broadcast time (per advertisement). These findings may be useful for explaining how advertising can negatively influence food choices, thereby increasing public awareness of the need for health messages targeting obesity.