Due to the ever-changing, developing and complex structures of health institutions, the need to manage their administrations via professional managers arised by the end of the 1800s in the world, mainly in the USA and Europe, and such a need has been continuously emerging in our country since the 1950s. Concerning those current professional health managers, who serve in a rapidly evolving and changing health sector, following periodicals, books and articles on general or health management should be among the sine qua non for the development and change of such professional health management. Together with the Health Transformation Program (HTP) that has been implemented in Turkey since 2003, despite the adoption of the understanding that predominantly professional healthcare managers should be assigned in the management of health institutions, there are still many managers operating in the sector, who are not adequately educated. The aim of this study is to determine the prevalence of those managers of the public health administrators in Diyarbakir, reading articles, books and periodicals on general-health management for their development. The study is a descriptive study, involving 165 healthcare managers, which mainly have been serving in 3 public health institutions (Provincial General Secretariat to Association of Public Hospitals, Provincial Directorate of Community Healthcare, Provincial Directorate of Health and its affiliated units) in Diyarbakir province prior to November 25th, 2017. 80.7% of the managers did not have master's degree in health-general management education. In the case of Diyarbakir, it is obviously seen that health-care administrators are urgently required to undertake bachelor, masters, PhD programs on general health management.
{"title":"READING ROUTINES OF COMMUNITY HEALTH EXECUTIVES UPON MANAGERIAL TOPICS, WITHIN THE CONTEXT OF HEALTH TRANSFORMATION PROGRAM (HTP) IN THE TURKEY; DIYARBAKIR CASE","authors":"M. E. Kurt, A. Ceylan","doi":"10.33457/ijhsrp.795298","DOIUrl":"https://doi.org/10.33457/ijhsrp.795298","url":null,"abstract":"Due to the ever-changing, developing and complex structures of health institutions, the need to manage their administrations via professional managers arised by the end of the 1800s in the world, mainly in the USA and Europe, and such a need has been continuously emerging in our country since the 1950s. Concerning those current professional health managers, who serve in a rapidly evolving and changing health sector, following periodicals, books and articles on general or health management should be among the sine qua non for the development and change of such professional health management. Together with the Health Transformation Program (HTP) that has been implemented in Turkey since 2003, despite the adoption of the understanding that predominantly professional healthcare managers should be assigned in the management of health institutions, there are still many managers operating in the sector, who are not adequately educated. The aim of this study is to determine the prevalence of those managers of the public health administrators in Diyarbakir, reading articles, books and periodicals on general-health management for their development. The study is a descriptive study, involving 165 healthcare managers, which mainly have been serving in 3 public health institutions (Provincial General Secretariat to Association of Public Hospitals, Provincial Directorate of Community Healthcare, Provincial Directorate of Health and its affiliated units) in Diyarbakir province prior to November 25th, 2017. 80.7% of the managers did not have master's degree in health-general management education. In the case of Diyarbakir, it is obviously seen that health-care administrators are urgently required to undertake bachelor, masters, PhD programs on general health management.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42857197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The world refugee crisis is currently at a record level. Refugees have an increased risk of developing mental illness like post-traumatic stress disorder (PTSD), depression, and somatic symptoms because of their exposure to violence. Despite increased healthcare needs, refugees face considerable barriers in accessing services. Women refugees may have unique mental healthcare needs due to their vulnerability to gender-based violence and abuse during flight from war. This study explores the mental healthcare need, availability of support and barriers in accessing services among Syrian refugee women in Winnipeg. Semi-structured interviews were conducted with nine refugee women and six service providers/decision makers. The data were analyzed using a qualitative thematic approach aided by NVivo 12 qualitative software. The most cited barriers in accessing mental healthcare services were language, weather, unemployment, stigma, system navigation, different understandings of mental health and illness, and lack culturally competent care. Results from this study can inform decision makers of issues requiring policy responses to improve mental healthcare for refugee women in Manitoba.
{"title":"A QUALITATIVE STUDY ON ACCESS BARRIERS TO MENTAL HEALTHCARE SERVICES BY SYRIAN REFUGEE WOMEN IN WINNIPEG, MANITOBA, CANADA","authors":"Sanjida Newaz, N. Riediger","doi":"10.33457/ijhsrp.798280","DOIUrl":"https://doi.org/10.33457/ijhsrp.798280","url":null,"abstract":"The world refugee crisis is currently at a record level. Refugees have an increased risk of developing mental illness like post-traumatic stress disorder (PTSD), depression, and somatic symptoms because of their exposure to violence. Despite increased healthcare needs, refugees face considerable barriers in accessing services. Women refugees may have unique mental healthcare needs due to their vulnerability to gender-based violence and abuse during flight from war. This study explores the mental healthcare need, availability of support and barriers in accessing services among Syrian refugee women in Winnipeg. Semi-structured interviews were conducted with nine refugee women and six service providers/decision makers. The data were analyzed using a qualitative thematic approach aided by NVivo 12 qualitative software. The most cited barriers in accessing mental healthcare services were language, weather, unemployment, stigma, system navigation, different understandings of mental health and illness, and lack culturally competent care. Results from this study can inform decision makers of issues requiring policy responses to improve mental healthcare for refugee women in Manitoba.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47814627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Covid-19 which emerged in Wuhan, China in December 2019, is an infectious disease caused by coronavirus and causes serious respiratory infections. Covid-19 disease was declared as a pandemic by the World Health Organization in March 2020 due to its easy and rapid spread and affecting many countries globally. This rapid spread also increased the number of individuals infected with the virus, reaching 9,067,559 people worldwide and 187,685 people in Turkey. Unfortunately, deaths resulting from the disease cannot be prevented and the number of individuals who lost their lives continues to increase rapidly. Today, the number of people who died due to the pandemic has reached 500,000 worldwide and 5000 in Turkey. Elective surgery of individuals who are infected or at risk can be postponed in pandemics with such high rate of infectiousness and disease-related mortality. However, if the absence or postponement of the surgery is life-threatening, performing the surgery becomes inevitable. An individual infected or possibly infected with the Covid-19 virus may pose many risks during the surgical procedure, which requires taking some additional precautions before, during and after surgery. In addition to the normal surgical process, perioperative nursing care should focus on some specific issues during the pandemic, which are improving the treatment success of the patients, improving the quality of the care, ensuring that the Covid-19 disease is overcome without complications, and preventing the transmission of the disease to other individuals. Thus, the perioperative nursing care of the Covid-19 patients with possible or definitive diagnosis was discussed considering the available literature.
{"title":"PERIOPERATIVE NURSING CARE IN CASES REQUIRING EMERGENCY SURGERY IN COVID-19 INFECTED PATIENTS","authors":"Remziye Cici, E. Topdemir","doi":"10.33457/ijhsrp.765438","DOIUrl":"https://doi.org/10.33457/ijhsrp.765438","url":null,"abstract":"Covid-19 which emerged in Wuhan, China in December 2019, is an infectious disease caused by coronavirus and causes serious respiratory infections. Covid-19 disease was declared as a pandemic by the World Health Organization in March 2020 due to its easy and rapid spread and affecting many countries globally. This rapid spread also increased the number of individuals infected with the virus, reaching 9,067,559 people worldwide and 187,685 people in Turkey. Unfortunately, deaths resulting from the disease cannot be prevented and the number of individuals who lost their lives continues to increase rapidly. Today, the number of people who died due to the pandemic has reached 500,000 worldwide and 5000 in Turkey. Elective surgery of individuals who are infected or at risk can be postponed in pandemics with such high rate of infectiousness and disease-related mortality. However, if the absence or postponement of the surgery is life-threatening, performing the surgery becomes inevitable. An individual infected or possibly infected with the Covid-19 virus may pose many risks during the surgical procedure, which requires taking some additional precautions before, during and after surgery. In addition to the normal surgical process, perioperative nursing care should focus on some specific issues during the pandemic, which are improving the treatment success of the patients, improving the quality of the care, ensuring that the Covid-19 disease is overcome without complications, and preventing the transmission of the disease to other individuals. Thus, the perioperative nursing care of the Covid-19 patients with possible or definitive diagnosis was discussed considering the available literature.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44505865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanidin Kantar, Rabia Sohbet, Fatma Karasu, C. B. Okuyan
Objective: This descriptive and cross-sectional study was conducted to examine the frequency of daytime sleepiness and its effects on anxiety in factory workers working in shifts. Methods: The population of the research consisted of 1052 workers working in two factories. The data were collected using the data collection form, Epworth Sleepiness Scale, and Beck Anxiety Inventory. Normally distributed data were presented as number, percentage, mean, and standard deviation. Independent samples t test and ANOVA were used in statistical analysis. Results: The mean Epworth Sleepiness Scale score of shift workers was 10.4 ± 4.2 and 42.8% had excessive daytime sleepiness. When the Epworth Sleepiness Scale scores and Beck Anxiety Inventory scores of the workers participating in the research were compared, it was determined that the daytime sleepiness levels of shift workers increased as anxiety risk increased, and the effect on vital characteristics was statistically significant (P < 0.05). Conclusion: Therefore, interventions, effective coping methods, and training strategies should be developed in order to improve the sleep quality, especially daytime sleep quality, and vital characteristics of shift workers.
{"title":"FREQUENCY OF DAYTIME SLEEPINESS OF FACTORY WORKERS WORKING IN SHIFTS AND ITS EFFECT ON ANXIETY","authors":"Sanidin Kantar, Rabia Sohbet, Fatma Karasu, C. B. Okuyan","doi":"10.33457/ijhsrp.720685","DOIUrl":"https://doi.org/10.33457/ijhsrp.720685","url":null,"abstract":"Objective: This descriptive and cross-sectional study was conducted to examine the frequency of daytime sleepiness and its effects on anxiety in factory workers working in shifts. Methods: The population of the research consisted of 1052 workers working in two factories. The data were collected using the data collection form, Epworth Sleepiness Scale, and Beck Anxiety Inventory. Normally distributed data were presented as number, percentage, mean, and standard deviation. Independent samples t test and ANOVA were used in statistical analysis. Results: The mean Epworth Sleepiness Scale score of shift workers was 10.4 ± 4.2 and 42.8% had excessive daytime sleepiness. When the Epworth Sleepiness Scale scores and Beck Anxiety Inventory scores of the workers participating in the research were compared, it was determined that the daytime sleepiness levels of shift workers increased as anxiety risk increased, and the effect on vital characteristics was statistically significant (P < 0.05). Conclusion: Therefore, interventions, effective coping methods, and training strategies should be developed in order to improve the sleep quality, especially daytime sleep quality, and vital characteristics of shift workers.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47640627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: High rates of presenteeism among the nurses decreases their performances, increases the patient safety risks, and causes negative results in healthcare institutions. Presenteeism is affected by individual and organizational factors. The study was carried out to determine the presenteeism situation of nurses and their relationship with perceived organizational support. Methods: The research was carried out at a hospital in Kayseri/Turkey. The hospital has 372 nurses work there. Research population and sample the population of the research consisted of all the nurses working in the hospital (N=372). Thus, the research was conducted on 330 nurses. The research was carried out between September 2019 and November 2019. In the study, the data were collected by using the information form which was prepared by the researcher, the presenteeism scale and the perceived organizational support scale. Results: The total mean score of the participants’ presenteeism is 23.64 ± 2.56. The lowest possible score which was obtained from the scale is 11 and the highest is 28. When the average of the perceived organizational support scale is examined; the average of the score was medium and the average score was 122.76 ± 8.53. It was determined that there was a significant relationship between the absence of attention-distraction, which is the sub-dimension of presenteeism scale, and the total score of perceived organizational support (p 0.05). Conclusion: The high rate of presenteeism in nurses, decrease in work efficiency and job satisfaction, causes absenteeism. These study suggest that measures should be taken by institutions to prevent and avoid negative situations which are caused by presenteeism.
{"title":"DETERMINING THE RELATIONSHIP BETWEEN PRESENTEEISM AND ORGANIZATIONAL SUPPORT IN NURSING","authors":"S. Şahan, A. Yıldız","doi":"10.33457/ijhsrp.778017","DOIUrl":"https://doi.org/10.33457/ijhsrp.778017","url":null,"abstract":"Objectives: High rates of presenteeism among the nurses decreases their performances, increases the patient safety risks, and causes negative results in healthcare institutions. Presenteeism is affected by individual and organizational factors. The study was carried out to determine the presenteeism situation of nurses and their relationship with perceived organizational support. Methods: The research was carried out at a hospital in Kayseri/Turkey. The hospital has 372 nurses work there. Research population and sample the population of the research consisted of all the nurses working in the hospital (N=372). Thus, the research was conducted on 330 nurses. The research was carried out between September 2019 and November 2019. In the study, the data were collected by using the information form which was prepared by the researcher, the presenteeism scale and the perceived organizational support scale. Results: The total mean score of the participants’ presenteeism is 23.64 ± 2.56. The lowest possible score which was obtained from the scale is 11 and the highest is 28. When the average of the perceived organizational support scale is examined; the average of the score was medium and the average score was 122.76 ± 8.53. It was determined that there was a significant relationship between the absence of attention-distraction, which is the sub-dimension of presenteeism scale, and the total score of perceived organizational support (p 0.05). Conclusion: The high rate of presenteeism in nurses, decrease in work efficiency and job satisfaction, causes absenteeism. These study suggest that measures should be taken by institutions to prevent and avoid negative situations which are caused by presenteeism.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46767570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Laparoscopic sleeve gastrectomy (LSG) has become an increasingly common method for surgical treatment of morbid obesity in recent years. This study aimed to evaluate the histopathological findings of gastrectomy specimens obtained in LSG and the clinical outcomes of patients. Material and methods: Between June 2018 and December 2019, the resected gastric samples of 170 patients with LSG underwent histopathological examination. Results: Histopathologic examination is routinely performed on gastric specimen that is resected during the sleeve gastrectomy for histopathologic examinations of the severity of inflammation, atrophy, intestinal metaplasia, and H. pylori infection. We found that the most common histopathological findings were chronic gastritis (58.2%), normal gastric mucosa (17.6%), and chronic active gastritis (12.4%). Patients with normal gastric histopathology after LSG lost more weight at the end of the 1st, 3rd, 6th, and 12th months than those with abnormal histopathological findings (chronic gastritis, chronic active gastritis, and edema congestion). Conclusions: Histopathologic examinations are extremely necessary in diagnosing lesions that may have been missed in endoscopies before sleeve gastrectomy. Many factors, such as age, sex, histopathology of the removed stomach, and H. pylori positivity, should be considered in predicting postoperative weight loss success.
{"title":"HISTOPATHOLOGICAL FINDINGS AND CLINICAL OUTCOMES OF PATIENTS AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY","authors":"M. Aykota, S. Yılmaz","doi":"10.33457/ijhsrp.732733","DOIUrl":"https://doi.org/10.33457/ijhsrp.732733","url":null,"abstract":"Background: Laparoscopic sleeve gastrectomy (LSG) has become an increasingly common method for surgical treatment of morbid obesity in recent years. This study aimed to evaluate the histopathological findings of gastrectomy specimens obtained in LSG and the clinical outcomes of patients. Material and methods: Between June 2018 and December 2019, the resected gastric samples of 170 patients with LSG underwent histopathological examination. Results: Histopathologic examination is routinely performed on gastric specimen that is resected during the sleeve gastrectomy for histopathologic examinations of the severity of inflammation, atrophy, intestinal metaplasia, and H. pylori infection. We found that the most common histopathological findings were chronic gastritis (58.2%), normal gastric mucosa (17.6%), and chronic active gastritis (12.4%). Patients with normal gastric histopathology after LSG lost more weight at the end of the 1st, 3rd, 6th, and 12th months than those with abnormal histopathological findings (chronic gastritis, chronic active gastritis, and edema congestion). Conclusions: Histopathologic examinations are extremely necessary in diagnosing lesions that may have been missed in endoscopies before sleeve gastrectomy. Many factors, such as age, sex, histopathology of the removed stomach, and H. pylori positivity, should be considered in predicting postoperative weight loss success.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44006908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective is to research the face-to-face method of education and the educational methods through information technology in the tendency and approach to medical errors and whether some characteristics create a difference on both these situations. It is a randomized controlled intervention research with a pretest-posttest design. A power analysis was carried out and 60 individuals were included in the sampling. Pretesting was conducted through data collection tools before hospital implementations were commenced. The required interventions were conducted after hospital implementations were commenced. No interventions were made on the control group. The individual identificatory characteristics of the participants comprised the independent variables; the Medical Error Tendency Scale for Nurses (METSN) and Medical Error Attitude Scale (MEAS) comprised the dependent variables. The analyses were implemented via SPSS-22 program, and p<0.05 was regarded as the significance level. The mean age of the participants was 22.02 ± 3.33 (20-41). The pretest score from METSN was 217.51 ± 15.14, the posttest score from METSN was 220.18 ± 15.39, the pretest score from MEAS was 62.71 ± 5.24, and the posttest score from MEAS was 64.21 ± 5.18 in terms of Mean ± SD scores. No difference was found in the pretest and posttest scores from METSN and from MEAS of the variables of age group, gender, income, the place lived in over a long period of time, whether the job was selected in accordance with one's own preference, satisfaction with job selection. A moderately positive correlation was found between the pretest and posttest scores from METSN and MEAS. Type of education received and some of the socio-demographic characteristics researched do not constitute any difference in terms of the tendency and attitude to medical error and malpractice; nevertheless, the posttest scores of the intervention groups were high. Evaluation of whether clinical skills make a difference may be recommended
{"title":"THE EFFECT OF TWO DIFFERENT METHODS IN TERMS OF MALPRACTICE: A RANDOMİZED CONTROLLED STUDY","authors":"Çağla Yiğitbaş, F. Top, Aliye Bulut","doi":"10.33457/ijhsrp.739533","DOIUrl":"https://doi.org/10.33457/ijhsrp.739533","url":null,"abstract":"The objective is to research the face-to-face method of education and the educational methods through information technology in the tendency and approach to medical errors and whether some characteristics create a difference on both these situations. It is a randomized controlled intervention research with a pretest-posttest design. A power analysis was carried out and 60 individuals were included in the sampling. Pretesting was conducted through data collection tools before hospital implementations were commenced. The required interventions were conducted after hospital implementations were commenced. No interventions were made on the control group. The individual identificatory characteristics of the participants comprised the independent variables; the Medical Error Tendency Scale for Nurses (METSN) and Medical Error Attitude Scale (MEAS) comprised the dependent variables. The analyses were implemented via SPSS-22 program, and p<0.05 was regarded as the significance level. The mean age of the participants was 22.02 ± 3.33 (20-41). The pretest score from METSN was 217.51 ± 15.14, the posttest score from METSN was 220.18 ± 15.39, the pretest score from MEAS was 62.71 ± 5.24, and the posttest score from MEAS was 64.21 ± 5.18 in terms of Mean ± SD scores. No difference was found in the pretest and posttest scores from METSN and from MEAS of the variables of age group, gender, income, the place lived in over a long period of time, whether the job was selected in accordance with one's own preference, satisfaction with job selection. A moderately positive correlation was found between the pretest and posttest scores from METSN and MEAS. Type of education received and some of the socio-demographic characteristics researched do not constitute any difference in terms of the tendency and attitude to medical error and malpractice; nevertheless, the posttest scores of the intervention groups were high. Evaluation of whether clinical skills make a difference may be recommended","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44984012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Tumor markers(TMs) result from the re-expression of substances by embryologically related tissues. Many are found in different tumors of the same tissue. Therefore, they have low specificity and aren’t sufficiently sensitive as a screening test. The aim of this study is to evaluate the TM requesting habits of clinicians in Usak Training and Research Hospital, and the appropriateness of the test requests with the diagnosis. Material-Method: Data of 6998 serum TMs requested from 3316 patients between May 1 and July 31, 2019 were obtained from Laboratory Information System and grouped as sex, age, disease diagnoses and multiple requests (more than 3 tests simultaneously). Compliance with diagnosis was evaluated as appropriate or inappropriate based on published guidelines for indications for TM requests. Results: 796 of the 6998 TMs requested from inpatients (2.75 markers/patient) and 6202 from outpatients (2.04 markers/patient). Most TMs were made in the 50-70 age range (48.3%). Multiple TMs were mostly demanded from the Obstetrics and Gynecology Clinic with the diagnosis of menstrual irregularity. Also, 1078 of 1408 total PSA and 28 of 191 free PSA tests were requested with appropriate pre-diagnosis. Conclusion: This study is an example of the use of data mining for conformity assessment purposes of the TM requests. Accordingly, it was found that the TMs were often incompatible with the diagnosis and were used for general screening purposes. In order to minimize misuse, evidence based indicators should be developed and clinician awareness should be increased by creating test request algorithms that support the diagnosis.
{"title":"EVALUATION OF CLINICAL USE HABİTS OF TUMOR MARKER TESTS","authors":"A. Ozdemir, S. Mızrak","doi":"10.33457/ijhsrp.692759","DOIUrl":"https://doi.org/10.33457/ijhsrp.692759","url":null,"abstract":"Introduction: Tumor markers(TMs) result from the re-expression of substances by embryologically related tissues. Many are found in different tumors of the same tissue. Therefore, they have low specificity and aren’t sufficiently sensitive as a screening test. The aim of this study is to evaluate the TM requesting habits of clinicians in Usak Training and Research Hospital, and the appropriateness of the test requests with the diagnosis. Material-Method: Data of 6998 serum TMs requested from 3316 patients between May 1 and July 31, 2019 were obtained from Laboratory Information System and grouped as sex, age, disease diagnoses and multiple requests (more than 3 tests simultaneously). Compliance with diagnosis was evaluated as appropriate or inappropriate based on published guidelines for indications for TM requests. Results: 796 of the 6998 TMs requested from inpatients (2.75 markers/patient) and 6202 from outpatients (2.04 markers/patient). Most TMs were made in the 50-70 age range (48.3%). Multiple TMs were mostly demanded from the Obstetrics and Gynecology Clinic with the diagnosis of menstrual irregularity. Also, 1078 of 1408 total PSA and 28 of 191 free PSA tests were requested with appropriate pre-diagnosis. Conclusion: This study is an example of the use of data mining for conformity assessment purposes of the TM requests. Accordingly, it was found that the TMs were often incompatible with the diagnosis and were used for general screening purposes. In order to minimize misuse, evidence based indicators should be developed and clinician awareness should be increased by creating test request algorithms that support the diagnosis.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48544855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Burnout syndrome is an important problem among health professionals. The aim of the study is to evaluate the relationship between the burnout status and communication skills in primary care staff. Methods: The study was conducted in the cross-sectional type between April and June 2019. The population of the study comprised of physicians and family health professionals working in primary care unit. The participants were administered the Maslach Burnout Inventory, certain questions concerning sociodemographic characteristics, and the communication skills evaluation scale. Results: In total, 383 individuals working in the primary care unit participated in the study. The mean age was 43 ± 8,1 and among them, 64.8% were women. The scores of the emotional exhaustion and depersonalization of physicians were significantly higher compared to nurses. While the depersonalization score of women was significantly lower than men, the sense of personal accomplishment score was higher than men. As the number of daily clinic visits of the physicians increased, the rate of their emotional exhaustion and depersonalization increased. While the communication skills decreased as the emotional exhaustion and depersonalization increased, the communication skills level increased as the sense of personal accomplishment increased. Women, nurses, the widowed/the divorced women, and age group were determined to have better communication skills. Conclusion: A significant relation was determined between burnout subscales and increased number of daily average clinic visits of physicians, gender and occupational groups. There was a significant relationship between communication skill levels and burnout subscales concerning occupational groups, gender, marital status and age groups.
{"title":"THE EVALUATION OF BURNOUT AND COMMUNICATİON SKILLS IN PRIMARY CARE STAFF","authors":"N. Emre, T. Edirne, Aysun Özşahin, A. Türk","doi":"10.33457/ijhsrp.735875","DOIUrl":"https://doi.org/10.33457/ijhsrp.735875","url":null,"abstract":"Objective: Burnout syndrome is an important problem among health professionals. The aim of the study is to evaluate the relationship between the burnout status and communication skills in primary care staff. Methods: The study was conducted in the cross-sectional type between April and June 2019. The population of the study comprised of physicians and family health professionals working in primary care unit. The participants were administered the Maslach Burnout Inventory, certain questions concerning sociodemographic characteristics, and the communication skills evaluation scale. Results: In total, 383 individuals working in the primary care unit participated in the study. The mean age was 43 ± 8,1 and among them, 64.8% were women. The scores of the emotional exhaustion and depersonalization of physicians were significantly higher compared to nurses. While the depersonalization score of women was significantly lower than men, the sense of personal accomplishment score was higher than men. As the number of daily clinic visits of the physicians increased, the rate of their emotional exhaustion and depersonalization increased. While the communication skills decreased as the emotional exhaustion and depersonalization increased, the communication skills level increased as the sense of personal accomplishment increased. Women, nurses, the widowed/the divorced women, and age group were determined to have better communication skills. Conclusion: A significant relation was determined between burnout subscales and increased number of daily average clinic visits of physicians, gender and occupational groups. There was a significant relationship between communication skill levels and burnout subscales concerning occupational groups, gender, marital status and age groups.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48657950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer is a complex disease that emerges from uncontrolled cell growth as a result of genetic and environmental factors. Although there are various types of cancer and standard procedures are applied to specific types of cancers, it is also a personal disease. Cancer treatment varies depending on the cancer type, placement, stage, general health of the individual and other factors. Furthermore, cancer treatment is complex, costly and requires a long time. As the prevalence of cancer increased in societies, the application of systemic chemotherapy and the occurrence of associated side effects also increased. Early monitoring and assessment has become important for early diagnosis of side effect symptoms and reduction and prevention of complications through symptom control. Social environments and families should be taken into consideration during patient assessment. Monitoring and assessment of cancer patients by all healthcare professionals and nurses during chemotherapy is at least as important as the follow-up of disease. In this review, we aim to assess the factors leading to cancer, chemotherapy used to treat cancer and side effects associated with chemotherapy and to examine the applicable nursing care practices.
{"title":"CANCER, SIDE EFFECTS OF CHEMOTHERAPY AND NURSİNG CARE","authors":"Çiçek Saruhan","doi":"10.33457/ijhsrp.670942","DOIUrl":"https://doi.org/10.33457/ijhsrp.670942","url":null,"abstract":"Cancer is a complex disease that emerges from uncontrolled cell growth as a result of genetic and environmental factors. Although there are various types of cancer and standard procedures are applied to specific types of cancers, it is also a personal disease. Cancer treatment varies depending on the cancer type, placement, stage, general health of the individual and other factors. Furthermore, cancer treatment is complex, costly and requires a long time. As the prevalence of cancer increased in societies, the application of systemic chemotherapy and the occurrence of associated side effects also increased. Early monitoring and assessment has become important for early diagnosis of side effect symptoms and reduction and prevention of complications through symptom control. Social environments and families should be taken into consideration during patient assessment. Monitoring and assessment of cancer patients by all healthcare professionals and nurses during chemotherapy is at least as important as the follow-up of disease. In this review, we aim to assess the factors leading to cancer, chemotherapy used to treat cancer and side effects associated with chemotherapy and to examine the applicable nursing care practices.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46599037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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