Fakülteler / Faculties
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Item Electrocardiography Interpretation Training in Emergency Medicine: Methods, Resources, Competency Assessment, and National Standardization(2015) Ozel, Betul Akbuga; Demircan, Ahmet; Keles, Ayfer; Bildik, Fikret; Ozel, Deniz; Ergin, Mehmet; Gunaydin, Gul PamukcuObjective(s). The aim of this study was to evaluate the status of electrocardiography (ECG) training in emergency medicine residency programs in Turkey, and the attitude of the program representatives towards standardization of such training. Methods. This investigation was planned as a cross-sectional study. An 18-item questionnaire was distributed to directors of residency programs. Responses were evaluated using SPSS (v.16.0), and analyzed using the chi-square test. Results. Thirty-nine program directors (out of 42) responded to the questionnaire. Twenty-eight of them stated they did not have a formal ECG training curriculum. The most preferred ECG education method was clinical education in the Emergency Department; the most common education resource was ECG textbooks; and the most common evaluation method was case scenarios. Only thirteen of the programs had an obligation to prove competency. The most common competency-assessment method was obtaining a passing grade based on an instructor's observation. The majority of program directors are of the opinion that there should be a formal ECG teaching curriculum, and that a national ECG training program and national ECG database should be formed. Conclusions. The majority of programs do not have a formal ECG interpretation curriculum, which is an obligation to prove competency. As a result, their training methods, resources, and assessment tools were determined to be subjective.Item Evaluation of Nutrition and Dietetic Programs in Turkey as Perceived by Stakeholders(2015) Aksoydan, Emine; Mizikaci, Fatma; 0000-0003-2780-2495; AAC-3795-2020; AAH-3098-2020AimUniversities responsive to social changes can change rapidly and correctly and reflect these changes in the programs and institutions that are intertwined with society. Program development, in accordance with the requirements of the profession, is integrated with program evaluation studies. The objective of the present study is to evaluate expectations and needs of stakeholders of Nutrition and Dietetic programs in Turkey. MethodsThirty-four Nutrition and Dietetics programs in Turkey were analysed qualitatively in terms of their historical background, present status, program structure, and knowledge and skills offered through courses. After identification of the stakeholders (participants) of the programs, they were given questionnaires and interviews to provide their opinions about the program. The total number of participants in the present study was 408; 34.3% are students, 22.1% are dietitians, 17.2% are patients and clients, 13% are instructors, 12.2% are cooks and waiters, and 1.2% are managers. ResultsThere was a statistically significant difference (P < 0.05) among students, dietitians and instructors in evaluating the programs' competency providing basic qualifications aimed through theory, practice and extra field courses. The same difference occurred for the degree they find important skills and knowledge for the profession. Majority of the stakeholders agreed the programs should include more practice courses on work-related knowledge and skills. ConclusionsPrograms should be reviewed in accordance with the needs and expectations of stakeholders. Segments of society affected by the program should actively participate in future program studies.Item The Attitudes of The Undergraduate Nursing Students Towards Lesbian Women and Gay Men(2016) Unlu, Hayriye; Beduk, Tulin; Duyan, Veli; 0000-0002-8662-7415; 0000-0003-4316-5756; 0000-0002-4514-9381; 27349619; AAG-1932-2020; AAU-9733-2021; M-7630-2018; B-7765-2018Aims and objectives. This study was conducted to determine the attitudes of undergraduate nursing students towards lesbian women and gay men. Background. Nursing education in Turkey is conducted holistically; in other words, it is an integration of the physical, spiritual, mental and social realms. Students are therefore expected to not express any discrimination due to factors such as religion, language, race and gender. However, some serious problems still exist in terms of the practical applications of that philosophy. Design. This study was descriptive. Methods. This study included 964 students. The Attitudes towards Lesbian Women and Gay Men scale and a questionnaire were used to learn about the attitudes of undergraduate nursing students regarding gay men and lesbian women. Results. Results of this study have indicated that the attitudes of religiously educated and/or conservative students towards lesbian women and gay men were negative. Female students from families with high incomes and highly educated families attended social activities and read more than other female students. The students with free life choice options expressed very positive attitudes towards gay men. Conclusion. The nursing education curriculum should cover information about patients with diverse sexual orientations and their absolute rights for equally optimal healthcare. Strategies to discourage traditional gender role stereotypes and educational and media experiences for better acceptance of sexual minorities need to be developed by educational policy makers. Antidiscrimination policies protecting lesbian women and gay men should be developed by the legislative authorities and then taught to students during their nursing education. Getting familiar with diverse sexual orientations might create awareness among nursing students and reduce their attitudinal and behavioural prejudices and biases. Relevance to clinical practice. To provide equal healthcare services for all patients, nurses must have accurate information about lesbian women, gay men and modify their attitude and behaviour accordingly.Item Etiology of Increased Referrals for Evaluation of Early Puberty in a Tertiary Care Center in Turkey: True Precocious Puberty, Obesity, or Parental Anxiety and Lack of Knowledge?(2021) Cemeroglu, Ayse Pinar; Kaval, Damlanur; Ozcan, Ozan; 0000-0002-1653-7932; 0000-0002-9421-0855; 0000-0002-3430-5203; 33889682There has been a global increase in pediatric endocrinology referrals for the concerns of early puberty. The objective of this study was to determine the reasons behind this increase. A retrospective cross-sectional study was designed to analyze the clinical characteristics of patients seen for the concerns of early puberty in pediatric endocrinology clinic of a tertiary care center (Study A). Additionally, a prospective questionnaire study was designed to assess the knowledge and concerns of the mothers regarding the timing of puberty in girls (Study B). In study A, of the 305 girls, 42.9% were overweight/obese, 68.5% either had normal pubertal development for age or were prepubertal, 1 had non-classic congenital adrenal hyperplasia, and 2 had central precocious puberty. Of the 36 boys, 56% were overweight/obese, 64% either had normal pubertal development for age or were prepubertal, and 1 had non-classic congenital adrenal hyperplasia. In study B, 95% of the participants thought the girls have been developing earlier, over 10% considered the first sign of puberty to be normal after the age 14 years and 12.4% considered menarche to be normal after age 14 years. The common sources of anxiety for the participants regarding the earlier timing of puberty were psychosocial issues and short final height. In conclusion, many parents had wrong beliefs/information about the normal timing of puberty and were concerned about precocious puberty in girls. Education of parents about the normal timing of puberty may help avoiding unnecessary referrals, parental anxiety, and financial burden to the society.Item Peripheral Block Education and Level of Competency: A Survey of Turkish Anesthesiologists(2020) Selvi, Onur; Tulgar, Serkan; Senturk, Ozgur; Tas, Zafer; Kose, Halil Cihan; Topcu, Deniz Ilhan; Ozer, ZelihaBACKGROUND/AIMS Presently, in Turkey, there is no work being conducted on the period of regional anesthesia education, and there are no statistics available on the frequency with the administration of basic extremity blocks. The present survey was conducted on anesthesia doctors throughout Turkey to explore the personal knowledge and competency of the participants. Simultaneously, this survey aimed to evaluate the information sources for regional anesthesia training in Turkey. MATERIAL and METHODS The present study surveyed 377 anesthesia doctors in March 2017 through a questionnaire formulated on the Delphi platform. The voluntary participants were recruited from professional organizations, hospital portals, and Turkey's anesthesia departments. Descriptive analyses were conducted for statistical evaluation. RESULTS Of the total participants, 3.2% were professors, 3.2% were associate professor doctors, 7.4% were assistant professors, 64.5% were specialist doctors, and 21.8% were residents. In the segment concerning skill and information level self-evaluation for blocks, the most commonly performed act was infraclavicular block (26.8%). With regard to their "information source," 40% of the participants chose "from my colleagues" for upper extremity blocks. The specialist training was the least popular information source for ultrasound-guided interscalene block, while the digital visual information sources were often consulted for the same. CONCLUSION Various sources have been identified as the source of information as much as the specialty training, more so in some blocks. A significant majority of the participants avoided block applications. In the future, it would be useful to collect data on a more comprehensive national scale to overcome the limitations of the present issue.Item Sexuality and sexual dysfunction in spinal cord-injured men in Turkey(2015) Akman, Ramazan Yavuz; Celik, Evrim Coskun; Karatas, Metin; 26422842Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spinal cord-injured men based on self-reports of patients. Materials and methods: Forty-seven spinal cord-injured men who completed the spinal shock and rehabilitation period were included. Patients were asked to complete a questionnaire developed to assess social status, sexual activities, abilities, and sexuality education after injury. Neurologic levels of patients were classified according to American Spinal Cord Injury Association protocol. Erectile function was evaluated by International Index of Erectile Function-5 (IIEF-5) questionnaire. Results: Patients were aged between 20 and 62 years (mean: 35.2). Twenty-eight patients had T10 and above, 15 between T11 and L2, and 4 cauda conus injury. While 61.7% of the patients declared sexual activity, 93.6% declared some degree of erection. Mean IIEF-5 score was 5.3 and 87.3% of the patients had moderate to severe erectile dysfunction. Conclusion: Continuation of sexual activity after injury is very important and has a great impact on quality of life and interpersonal relationships for spinal cord-injured men. More attention must be given to sexuality after spinal cord injury. A very high rate of sexual dysfunction in spinal cord-injured patients was found and the importance of sexual education was emphasized in this study.