Fakülteler / Faculties
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Item An Essential Component Of Antimicrobial Stewardship During The COVID-19 Pandemic In The Intensive Care Unit: De-Escalation(Başkent Üniversitesi Eczacılık Fakültesi, 2024-05-24) Pehlivanli, Aysel; Ozgun, Cigdem; Sasal-Solmaz, Firdevs Gonca; Yuksel, Didem; Basgut, Bilgen; Ozcelikay, Arif Tanju; Unal, Mustafa NecmettinBackground The antimicrobial de-escalation strategy (ADE) plays a crucial role in antimicrobial stewardship, reducing the likelihood of bacterial resistance. This study aims to evaluate how often the intensive care unit (ICU) used ADE for empirical treatment during COVID-19.Materials Adult ICU patients receiving empirical antimicrobial therapy for bacterial infections were retrospectively studied from September 2020 to December 2021. ADE was defined as (1) discontinuation of an antimicrobial in case of empirical combination therapy or (2) replacement of the antimicrobial to narrow the antimicrobial spectrum within the first 3 days of therapy, according to the test results and clinical picture.Results A total of 99 patients were included in the study. The number of patients who received empirical combined therapy (38.4%) was lower than those who received monotherapy (61.6%). The most preferred monotherapy (45.9%) was piperacillin-tazobactam, while the most preferred in combination treatment (22.7%) was meropenem. Within the first 3 days of admittance to the ICU, 3% of patients underwent ADE for their empirical antimicrobial therapy, 61.6% underwent no change, and 35.4% underwent change other than ADE. Procalcitonin levels were below 2 mu g/L on the third day of treatment in 69.7% of the patients. Culture or culture-antibiogram results of 50.5% of the patients were obtained within the first 3 days of empirical therapy. There was no growth in the culture results of 21 patients (21.2%) during their ICU stay.Conclusion In this study, ADE practice was much lower than expected. In order to reduce the significant differences between theory and reality, clinical, laboratory, and organisational conditions must be objectively assessed along with patient characteristics.Item Examination of Burnout Levels and Social Support Resources of Healthcare Workers in Filiation Teams During COVID-19 Pandemic in Turkey(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-02-28) Duyan, Veli; Guere, Merve Deniz Pak; Karatas, MustafaThis study aims to examine the level of burnout and social support of healthcare workers in filiation teams during the period of COVID-19 in Turkey. A total of 1028 healthcare workers have been reached. The sociodemographic questionnaire, Maslach Burnout Inventory (MBI), and Multidimensional Scale of Perceived Social Support (MSPSS) have been used. SPSS was used to analyze the data. Descriptive statistics were created, and independent t-tests and Pearson correlation tests were performed. 69.5% of the participants were females. The participants consisted of midwives (21.2%), nurses (15.5%), doctors (14.1%), psychologists (10.8%), and dentists (10.7%). The MSPSS scale scores of the participants were 62.66 +/- 16.96; family 22.87 +/- 5.85, friends 21.14 +/- 6.30, and significant other person 18.65 +/- 7.95. MBI scale scores are 54.05 +/- 10.77, emotional exhaustion 18.12 +/- 8.36, depersonalization 4.53 +/- 3.45, and personal achievement 31.40 +/- 7.04. The study showed that females have higher levels of emotional exhaustion and, as education levels, the population of the region, daily working hours, patient burden, and death of coronavirus-infected colleagues increase, and burnout levels increase.Item Physical Activity, Anxiety, Depression, And Coping In Turkish Men And Women During The First Wave Of COVID-19(CADERNOS DE SAUDE PUBLICA, 2024-06-29) Filiz, Bijen; Ozyol, Funda Coskun; Guven, Bengu; Korur, Ezel Nur; Yuksel, Yilmaz; Yavuz, Cavit Isik; Ding, Kele; Yang, Jingzhen; Durstine, Larry; Chin, Ming -kai; Demirhan, GiyasettinA need exists to better understand the relationships between COVID-19, coping behaviors, physical activity and stress, and COVID-19's impact on way of life. A cross-sectional study design was used to examine adult physical activity, hope, depression, anxiety, and coping status by gender during the COVID-19 pandemic, and to determine the impact of these variables on the coping process. The study also examined the effect of gender on the relation between physical activity and dependent variables. A global survey instrument was used in this study, including 1,400 Turkish adults. This study identified significant gender-based differences regarding physical activity, hope, depression, anxiety, and coping status of adults, although no significant genderbased difference was found regarding hope scores. Furthermore, physical activity directly influenced coping (beta = 0.10), hope (beta = 0.12), and anxiety (beta = -0.08). Hope directly and positively influenced coping (beta = 0.45) and directly and negatively influenced anxiety (beta = -0.25) and depression (beta = -0.28). Moreover, gender did not directly affect physical activity, but it was associated with decreased coping and increased depression and anxiety. Finally, gender had no effect on the relation between physical activity and hope, coping, depression, and anxiety (p > 0.01). These outcomes support the critical importance of physical activity and hope when coping with COVID-19 regardless of gender.Item The Relationship Between Burnout And Work Engagement Levels Of Nurses And Physiotherapists Working During The Covid-19 Pandemic Period(WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION, 2024) Gulsen, Mustafa; Ertugrul, Bekir; Taskin, Gulsen; Aytar, Ayca; Genc, Yasemin KavuncubasiBACKGROUND: The COVID-19 pandemic has affected all health professionals worldwide. This has also influenced their working lives, affecting burnout and work engagement. OBJECTIVE: This study aims to investigate the relationship between burnout and work engagement among nurses and physiotherapists during the COVID-19 pandemic. METHODS: This cross-sectional study was conducted with total 509 nurses and physiotherapists who were working at any of the private, public, or university hospitals from two large and one small cities. A Personal Introduction Form, the Maslach Burnout Scale, and the Work Engagement Scale were used in the study. Frequency, percentage, mean, and Pearson correlation analysis were used for statistical analysis. Necessary ethical approvals were taken for the research. RESULTS: There was a significant, moderate, negative relationship between the average scores of the nurses on the vigor and devotion dimensions and the Work Engagement Scale and their average scores on emotional exhaustion, personal accomplishment, depersonalization dimensions and their average score on the Maslach Burnout Scale (p < 0.05). There was a significant, moderate, negative relationship between the scores of the physiotherapists on the Work Engagement Scale and its dimensions and their average scores on the Maslach Burnout Scale and its dimensions (p < 0.05). CONCLUSION: In our study, it was found that the burnout levels of nurses and physiotherapists had an effect on their work engagement during the COVID-19 pandemic. During and after the COVID-19 process, managers should take measures to reduce the burnout levels of health professionals and increase their level of work engagement.