International Journal of Health Services Research and Policy最新文献

{"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}

{"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}

{"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}

{"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}

{"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}

{"title":"EFFECT OF EATING ATTITUDES OF INDIVIDUALS WITH TYPE 2 DIABETES UPON QUALITY OF LIFE","authors":"D. Akça, Sibel Şentürk","doi":"10.33457/ijhsrp.726014","DOIUrl":"https://doi.org/10.33457/ijhsrp.726014","url":null,"abstract":"Eating disorders, which are one of the most important causes of poor glycemic control, increase weight gain among diabetic people, complicate weight loss and reduce quality of life by aggravating diabetic complications. The current study was undertaken to explore the effect of eating attitudes of individuals with Type 2 diabetes upon quality of life. This descriptive and cross-sectional study was done with 127 Type 2 diabetic individuals between November 2019 and March 2020. The data were gathered using Patient Information Form, Eating Attitudes Test and The Diabetes Quality-of-Life Measure. The average age of the participants was 58.77±8.78 years, 62.2% of them were female and 42.7% of them showed a cutoff point of ≥30 for eating attitudes. There was a negatively significant correlation between the Type 2 diabetic individuals’ total score of eating attitudes test and the sub-dimensions of satisfaction with treatment, impact of treatment, worries about future effects of diabetes and total diabetes quality of life scores (r=-.493, p=0.000; r=-.226, p=0.011; r= -.193, p=0.030; r=-.390, p=0.000) but a positively significant and moderate correlation between the sub-dimension of worries about social and vocational issues and total score of eating attitudes test (r=0.304; p=0.001). It was determined that individuals with Type 2 diabetes with impaired eating behaviors had low quality of life. It is recommended that with the first diagnosis, individuals’ eating behaviors should closely be monitored and they should be informed of the importance of eating and nutrition in diabetes.","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":"45816248","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}

{"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}

{"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}

{"title":"CAPABILITY MODEL AND COMPETENCE MEASURING FOR SMART HOSPITAL SYSTEM: AN ANALYSIS FOR TURKEY","authors":"B. Çalis","doi":"10.33457/ijhsrp.670597","DOIUrl":"https://doi.org/10.33457/ijhsrp.670597","url":null,"abstract":"Today, rapidly developing technological innovations affect and change all sectors. Health sectors are inevitably involved in a digital transformation. In this transformation, IoT technology plays an important role, which enables many devices to connect and work together. IoT basically converts systems into intelligent systems that work together using sensors, connection methods, internet protocols, databases, cloud computing and analytics as infrastructure. In this respect, it is necessary to establish the necessary technical infrastructure and establish a suitable environment for the establishment of intelligent hospitals. Finally, a capability model has been developed in order to measure digital performance of Turkey. For Turkey health sector, technology assessment report is presented based on survey results and HIMMS EMRAM data.","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":"45689168","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}

{"title":"INVESTIGATION OF OECD COUNTRIES WITH MULTI-DIMENSIONAL SCALING ANALYSIS IN TERMS OF TRAFFIC ACCIDENT INDICATORS","authors":"Özlem Bezek Güre, M. Kayri","doi":"10.33457/ijhsrp.670014","DOIUrl":"https://doi.org/10.33457/ijhsrp.670014","url":null,"abstract":"This study tries to compare similarities and differences in OECD countries in terms of traffic accidents utilizing Multidimensional Scale Analysis (MDS). In the study, MDS analysis was used utilizing basic indicators such as the number of injuries, deaths and the number of accidents resulting in material damage in the traffic accidents that happened in 2017. As a result of analysis, stress values and RSQ values turned out to be 0.0000 and 1.0000, respectively. That the stress value has resulted as zero shows that there is no inconsistency; and the fact that RSQ value has been found to be 1 indicates that the accuracy rate of this analysis is high and the values are in excellent coherence. According to results obtained from the analyses, it is seen that Malta and Liechtenstein, in particular, have appeared to be in a very different position from other countries when the counties are compared in terms of traffic accidents. In the second dimension, the countries do not have positive load over 1. However, Mexico, which has the value of 0.6378 the closest positive value to 1, can be considered as the most important parser for this dimension. When the matrix of the differences is examined; Turkey and Liechtenstein have seemed to be the two countries very different from each other. It poses great importance in terms of both for individual and public health that the necessary precautions be taken by evaluating our country, Turkey, and other countries to decrease traffic accidents taking places at the top of the list as the most important death causes. It is clear that traffic accidents, a global public health problem, have a great influence on individuals and communities and national economies. It is necessary that especially, the countries such as the US, Japan, India, Germany, Korea and Turkey which take place in high ranks in terms of traffic accident indicators should develop national and international projects in order to face to this problem coming together. In addition, in local basis, taking serious precautions (substructure services, increasing traffic fines and education etc.) will help reduce human and economic losses to the lowest levels.","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":"48870634","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}