IntroductiondCricothyroidotomy is an advanced and life-saving technique, but it is also a rare an... more IntroductiondCricothyroidotomy is an advanced and life-saving technique, but it is also a rare and a difficult procedure. The purpose of the present study was to produce a low-cost simulation model with realistic anatomic features to investigate its effectiveness in developing cricothyroidotomy skills. MethodsdThis study was performed at a university simulation center with 57 second-year student paramedics and a cricothyroidotomy simulation model. Total scores were assessed using a checklist. This consisted of 13 steps and was scored as misapplication/omission=0, correct performance and timing with hesitation=1, and correct performance and timing without hesitation=2. One of these steps, local anesthesia of the area if time is available, was not performed owing to time limitations. The highest possible score was 24. Data are presented as mean±SD with range, as appropriate. Normal distribution was evaluated using the Kolmogorov-Smirnov test, Student t test, and Mann-Whitney U test, and correlation analysis was used for statistical analysis. ResultsdStudents completed the cricothyroidotomy procedure steps in 116±46 (55e238) s. At performance assessment, the score achieved was 12±5 (2e24). The highest total score of 24 was achieved by 3 students (5%). Total scores exhibited negative and significant correlation with procedure time (r=-0.403, P=0.002). ConclusionsdThe model developed in this study is an inexpensive and effective method that can be used in cricothyroidotomy training for student paramedics. We think that repeating the cricothyroidotomy procedure on the model will increase success levels.
Turkiye Klinikleri Journal of Health Sciences, 2021
Information is changing rapidly and being constantly updated in the fight against coronavirus dis... more Information is changing rapidly and being constantly updated in the fight against coronavirus disease-2019 (COVID-19) infection. Obtaining up-to-date information has become an important requirement of healthcare workers during this time. The purpose of this study was to determine information communication technology (ICT) tools used by healthcare workers to access up-to-date information concerning COVID-19 disease during the peak period. Material and Methods: This descriptive study was conducted with the participation of 134 healthcare workers, 59 physicians and 75 nurses, working in Karadeniz Technical University Farabi Hospital. A data form developed by the authors was employed as a data collection tool. The data were analyzed using the chi-square and Wilcoxon signed rank tests. Results: Length of use of ICT tools and applications increased significantly compared to the pre-pandemic period (p<0.05). The ICT tool regarded as most useful by physicians and nurses for obtaining upto-date information about the COVID-19 disease during the pandemic was the official Health Ministry web site (76.4% and 71.4%, respectively) and WhatsApp (28.0% and 32.8%, respectively). The academic databases most employed for access to professional information among healthcare workers during this period were Google Scholar (44.8%), PubMed (44.0%), and MEDLINE (20.9%). Conclusion: During the COVID-19 pandemic, healthcare workers mostly followed the Ministry of Health publications for access to up-to-date information on the COVID-19 disease, and benefited WhatsApp application the most. During this period, there was a significant increase in the time that healthcare workers use (ICT) tools to obtain information about clinical applications. The data obtained from this study will be a useful guide for strategies aimed at facilitating access to evidence-based information on the part of healthcare workers during times of pandemic.
Objective: The COVID-19 pandemic outbreak put health care systems under severe strain. In this pr... more Objective: The COVID-19 pandemic outbreak put health care systems under severe strain. In this process, determining the difficulties faced by healthcare professionals is important in terms of making the necessary preparations for similar outbreaks and improving healthcare provision. The aim of the study was to determine the views of healthcare professionals about healthcare provision and the difficulties they faced during the COVID-19 pandemic period. Methods: The descriptive study was carried out with the 147 health care professionals consisted of 89 doctors and 58 nurses working in a university hospital in the Black Sea Region. In the study, the data form developed by the researchers and the job-related strain scale were used as data collection tools. The data obtained from the study were analyzed using parametric and non-parametric tests, categorical data were shown as numbers and percentages. Results: While the psychological difficulty stated by the participants in the study was the anxiety of infecting the family / relatives (93.2%), the factor that made the service delivery the most difficult was expressed as the discomfort (85%) caused by using personal protective equipment. In this period, it was determined that the majority of healthcare professionals needed information on isolation measures (82.3%), and used the official page of the Ministry of Health (87.8%) as a source of information. In COVID-19 Amaç: Covid-19 salgını sağlık sistemi için ağır bir yük getirmiştir. Bu süreçte, sağlık çalışanlarının karşılaştığı güçlüklerin belirlenmesi, benzer salgınlar için gerekli hazırlıkların yapılabilmesi ve sağlık hizmeti sunumunun iyileştirilebilmesi açısından önem taşımaktadır. Çalışmada sağlık çalışanlarının Covid-19 salgın döneminde sağlık hizmeti sunumuna ilişkin görüşlerinin ve bu süreçte karşılaştıkları güçlüklerin belirlenmesi amaçlandı. Yöntemler: Tanımlayıcı nitelikte olan çalışma Karadeniz Bölgesi?nde bulunan bir üniversite hastanesinde çalışmakta olan 89 doktor ve 58 hemşirelerin katılımıyla gerçekleştirildi. Çalışmada veri toplama aracı olarak araştırmacılar tarafından geliştirilen veri formu ve işe bağlı gerginlik ölçeği kullanıldı. Bulgular: Çalışmada en fazla katılımcı tarafından belirtilen psikolojik güçlük aile/yakınlara hastalık bulaştırma kaygısı (%93.2, n=137) iken hizmet sunumunu en fazla güçleştiren etmen kişisel koruyucu ekipman kullanmanın verdiği rahatsızlık (%85, n=125) olarak ifade edildi. Covid-19 salgın döneminde sağlık hizmeti verirken hissedilen kaygı düzeyinin kadınlarda erkeklere göre (p=0.01) ve hemşirelerde hekimlere göre (p=0.001) daha fazla olduğu bulundu. Katılımcıların işe bağlık gerginlik ölçeğinden aldığı ortalama puan 37.51±5.80 idi.
ÖZET Deprem, sel, kasırga gibi doğa kaynaklı ve savaşlar, endüstriyel kazalar gibi insan kaynaklı... more ÖZET Deprem, sel, kasırga gibi doğa kaynaklı ve savaşlar, endüstriyel kazalar gibi insan kaynaklı olaylar, çok ciddi acil durumlara ve afetlere yol açabilmekte; doğal yaşam koşullarını değiştirebilmektedir. Afet durumunda acil müdahalenin sağlanabilmesi ve afetler nedeniyle değişen yaşam şartlarında sağlık hizmetlerinin sürdürülebilmesi için hemşirelerin "afet hemşireliği" ile ilgili özel bilgi ve becerilere sahip olması önemlidir. Bu makalede dünya çapında afetlerin yaygınlaşmasıyla birlikte daha fazla dikkat çekmeye başlayan afet hemşireliğinin Türkiye'deki durumunun ele alınması; afet hemşireliğine ilişkin eğitim olanakları, bilimsel araştırmalar ve hemşirelerin afet durumundaki görev ve sorumluluklarına ilişkin alan yazın bilgisinin sunulması amaçlanmıştır. Türkiye'de afet hemşireliği halen gelişme aşamasındadır. Özelleşme sürecini tamamlayarak hemşireliğin diğer uzmanlık alanları gibi ayrı bir uzmanlık dalı haline gelememiştir. Türkiye'de lisans düzeyinde eğitim veren hemşirelik programlarının müfredatlarında afetlerle ilgili dersler yer almaktadır. Ancak bu derslerin kapsamı ile ilgili bir standardizasyon oluşturulmamıştır. Türkiye'de hemşirelerin yetkilerini belirleyen yasalarda da, afet durumundaki görev ve sorumluluklar konusunda oldukça sınırlı bir düzenleme bulunmaktadır. Hemşireler afet durumunda, görevli oldukları sağlık kuruluşlarında, arama kurtarma örgütlerinin gönüllü üyeleri olarak ya da bir sosyal hizmet kuruluşu olan Kızılay bünyesinde sağlık hizmeti verebilmektedir. Türkiye'de afet hemşireliği alanında yapılan araştırmalar incelendiğinde hemşirelerin kendilerini afetlere müdahale konusunda yeterli görmedikleri ve afet hemşireliği konusunda eğitim gereksinimleri olduğu dikkat çekmektedir. Söz konusu eğitim gereksiniminin karşılanabilmesi ve Türkiye'de afet hemşireliğinin gelişim sürecinin hızlanması için lisans düzeyinde standartlaştırılmış, ortak bir çerçeve ve çekirdek müfredatın oluşturulması önem taşımaktadır.
Istanbul earthquakes occur due to tectonic movements in the northern branch of the North Anatolia... more Istanbul earthquakes occur due to tectonic movements in the northern branch of the North Anatolian Fault, which is called the Main Marmara Fault and lies under the Sea of Marmara. In the past, Istanbul witnessed many devastating earthquakes. It is possible to reach archive information about the Istanbul earthquakes recorded since the Roman-Byzantine periods. Records show that there were approximately 26 earthquakes that caused destruction in the city during the Byzantine period. The earthquakes of 1509, 1719, 1766, 1894 and 1912 during the Ottoman Empire and the recent earthquake of 1999 caused serious destruction and many casualties in the city. The conducted studies reveal that intense seismic energy has accumulated in the unbroken segments of the Main Marmara Fault in the recent past and a severe earthquake awaits Istanbul. Considering the importance of Istanbul for both our country and the whole world, it is important to prepare the city for before and after the earthquake.
Technology has brought many innovations to the way healthcare providers acquire information, work... more Technology has brought many innovations to the way healthcare providers acquire information, work and communicate. Emergency departments are the primary areas where these innovations are most common. One of the important innovations that technological developments offer to emergency departments is that imaging methods and diagnostic tests can be applied at the bedside. The main purpose of bedside imaging methods and diagnostic tests is to achieve rapid results and initiate appropriate treatment in a short time. The developing technology provides fast access to diagnostic tests and rapid results, as well as facilitating access to specialist physicians. Patients' data can be transmitted to advanced centers by telemedicine application, and consultation service can be obtained. Bedside consultation is also possible thanks to the telemedicine application supported by robotic technology. Biosensors, mobile applications, technological products used in the patient registration and follow-up process, and voice response systems used in patient monitoring after discharge can be listed among other technological innovations used in emergency departments. All these listed tools and systems provide many facilities for emergency service delivery. However, reasons such as being expensive, not supervised by medical professionals, or being time-consuming limit their use. While technological developments continue without slowing down, in order to ensure the same development in emergency departments, scientific studies with a high value of evidence are needed in this field.
Various economic, political, environmental and social reasons can force people to migrate, leavin... more Various economic, political, environmental and social reasons can force people to migrate, leaving their home. Migration, which is as old as human history, has increased because of some reasons such as globalization, wars and natural disasters. Children have constituted a significant proportion of immigrants. According to the report of the United Nations Children's Fund for 2015, the number of immigrant children living in a different country from the country of their birth is approximately 31 million, of whom about 10 million are refugees around the world. Children have been obliged to deal with many problems such as hunger, thirst and illness during their migratory journey. In countries to which children migrated to seek asylum, children have been exposed to a great deal of abuse and exploitation, including violence, human trafficking and participation in criminal organisations. Unaccompanied children are especially vulnerable to all these hazards. The physical and mental health of immigrant children is affected by cultural, geographical and climatic changes. Not knowing the language of the destination country and being unable to communicate with their peers causes an impact of psychological trauma on children. In addition, refugee children living in difficult conditions for a long time are at risk of mental problems and behavioural disorders.
IntroductiondCricothyroidotomy is an advanced and life-saving technique, but it is also a rare an... more IntroductiondCricothyroidotomy is an advanced and life-saving technique, but it is also a rare and a difficult procedure. The purpose of the present study was to produce a low-cost simulation model with realistic anatomic features to investigate its effectiveness in developing cricothyroidotomy skills. MethodsdThis study was performed at a university simulation center with 57 second-year student paramedics and a cricothyroidotomy simulation model. Total scores were assessed using a checklist. This consisted of 13 steps and was scored as misapplication/omission=0, correct performance and timing with hesitation=1, and correct performance and timing without hesitation=2. One of these steps, local anesthesia of the area if time is available, was not performed owing to time limitations. The highest possible score was 24. Data are presented as mean±SD with range, as appropriate. Normal distribution was evaluated using the Kolmogorov-Smirnov test, Student t test, and Mann-Whitney U test, and correlation analysis was used for statistical analysis. ResultsdStudents completed the cricothyroidotomy procedure steps in 116±46 (55e238) s. At performance assessment, the score achieved was 12±5 (2e24). The highest total score of 24 was achieved by 3 students (5%). Total scores exhibited negative and significant correlation with procedure time (r=-0.403, P=0.002). ConclusionsdThe model developed in this study is an inexpensive and effective method that can be used in cricothyroidotomy training for student paramedics. We think that repeating the cricothyroidotomy procedure on the model will increase success levels.
Turkiye Klinikleri Journal of Health Sciences, 2021
Information is changing rapidly and being constantly updated in the fight against coronavirus dis... more Information is changing rapidly and being constantly updated in the fight against coronavirus disease-2019 (COVID-19) infection. Obtaining up-to-date information has become an important requirement of healthcare workers during this time. The purpose of this study was to determine information communication technology (ICT) tools used by healthcare workers to access up-to-date information concerning COVID-19 disease during the peak period. Material and Methods: This descriptive study was conducted with the participation of 134 healthcare workers, 59 physicians and 75 nurses, working in Karadeniz Technical University Farabi Hospital. A data form developed by the authors was employed as a data collection tool. The data were analyzed using the chi-square and Wilcoxon signed rank tests. Results: Length of use of ICT tools and applications increased significantly compared to the pre-pandemic period (p<0.05). The ICT tool regarded as most useful by physicians and nurses for obtaining upto-date information about the COVID-19 disease during the pandemic was the official Health Ministry web site (76.4% and 71.4%, respectively) and WhatsApp (28.0% and 32.8%, respectively). The academic databases most employed for access to professional information among healthcare workers during this period were Google Scholar (44.8%), PubMed (44.0%), and MEDLINE (20.9%). Conclusion: During the COVID-19 pandemic, healthcare workers mostly followed the Ministry of Health publications for access to up-to-date information on the COVID-19 disease, and benefited WhatsApp application the most. During this period, there was a significant increase in the time that healthcare workers use (ICT) tools to obtain information about clinical applications. The data obtained from this study will be a useful guide for strategies aimed at facilitating access to evidence-based information on the part of healthcare workers during times of pandemic.
Objective: The COVID-19 pandemic outbreak put health care systems under severe strain. In this pr... more Objective: The COVID-19 pandemic outbreak put health care systems under severe strain. In this process, determining the difficulties faced by healthcare professionals is important in terms of making the necessary preparations for similar outbreaks and improving healthcare provision. The aim of the study was to determine the views of healthcare professionals about healthcare provision and the difficulties they faced during the COVID-19 pandemic period. Methods: The descriptive study was carried out with the 147 health care professionals consisted of 89 doctors and 58 nurses working in a university hospital in the Black Sea Region. In the study, the data form developed by the researchers and the job-related strain scale were used as data collection tools. The data obtained from the study were analyzed using parametric and non-parametric tests, categorical data were shown as numbers and percentages. Results: While the psychological difficulty stated by the participants in the study was the anxiety of infecting the family / relatives (93.2%), the factor that made the service delivery the most difficult was expressed as the discomfort (85%) caused by using personal protective equipment. In this period, it was determined that the majority of healthcare professionals needed information on isolation measures (82.3%), and used the official page of the Ministry of Health (87.8%) as a source of information. In COVID-19 Amaç: Covid-19 salgını sağlık sistemi için ağır bir yük getirmiştir. Bu süreçte, sağlık çalışanlarının karşılaştığı güçlüklerin belirlenmesi, benzer salgınlar için gerekli hazırlıkların yapılabilmesi ve sağlık hizmeti sunumunun iyileştirilebilmesi açısından önem taşımaktadır. Çalışmada sağlık çalışanlarının Covid-19 salgın döneminde sağlık hizmeti sunumuna ilişkin görüşlerinin ve bu süreçte karşılaştıkları güçlüklerin belirlenmesi amaçlandı. Yöntemler: Tanımlayıcı nitelikte olan çalışma Karadeniz Bölgesi?nde bulunan bir üniversite hastanesinde çalışmakta olan 89 doktor ve 58 hemşirelerin katılımıyla gerçekleştirildi. Çalışmada veri toplama aracı olarak araştırmacılar tarafından geliştirilen veri formu ve işe bağlı gerginlik ölçeği kullanıldı. Bulgular: Çalışmada en fazla katılımcı tarafından belirtilen psikolojik güçlük aile/yakınlara hastalık bulaştırma kaygısı (%93.2, n=137) iken hizmet sunumunu en fazla güçleştiren etmen kişisel koruyucu ekipman kullanmanın verdiği rahatsızlık (%85, n=125) olarak ifade edildi. Covid-19 salgın döneminde sağlık hizmeti verirken hissedilen kaygı düzeyinin kadınlarda erkeklere göre (p=0.01) ve hemşirelerde hekimlere göre (p=0.001) daha fazla olduğu bulundu. Katılımcıların işe bağlık gerginlik ölçeğinden aldığı ortalama puan 37.51±5.80 idi.
ÖZET Deprem, sel, kasırga gibi doğa kaynaklı ve savaşlar, endüstriyel kazalar gibi insan kaynaklı... more ÖZET Deprem, sel, kasırga gibi doğa kaynaklı ve savaşlar, endüstriyel kazalar gibi insan kaynaklı olaylar, çok ciddi acil durumlara ve afetlere yol açabilmekte; doğal yaşam koşullarını değiştirebilmektedir. Afet durumunda acil müdahalenin sağlanabilmesi ve afetler nedeniyle değişen yaşam şartlarında sağlık hizmetlerinin sürdürülebilmesi için hemşirelerin "afet hemşireliği" ile ilgili özel bilgi ve becerilere sahip olması önemlidir. Bu makalede dünya çapında afetlerin yaygınlaşmasıyla birlikte daha fazla dikkat çekmeye başlayan afet hemşireliğinin Türkiye'deki durumunun ele alınması; afet hemşireliğine ilişkin eğitim olanakları, bilimsel araştırmalar ve hemşirelerin afet durumundaki görev ve sorumluluklarına ilişkin alan yazın bilgisinin sunulması amaçlanmıştır. Türkiye'de afet hemşireliği halen gelişme aşamasındadır. Özelleşme sürecini tamamlayarak hemşireliğin diğer uzmanlık alanları gibi ayrı bir uzmanlık dalı haline gelememiştir. Türkiye'de lisans düzeyinde eğitim veren hemşirelik programlarının müfredatlarında afetlerle ilgili dersler yer almaktadır. Ancak bu derslerin kapsamı ile ilgili bir standardizasyon oluşturulmamıştır. Türkiye'de hemşirelerin yetkilerini belirleyen yasalarda da, afet durumundaki görev ve sorumluluklar konusunda oldukça sınırlı bir düzenleme bulunmaktadır. Hemşireler afet durumunda, görevli oldukları sağlık kuruluşlarında, arama kurtarma örgütlerinin gönüllü üyeleri olarak ya da bir sosyal hizmet kuruluşu olan Kızılay bünyesinde sağlık hizmeti verebilmektedir. Türkiye'de afet hemşireliği alanında yapılan araştırmalar incelendiğinde hemşirelerin kendilerini afetlere müdahale konusunda yeterli görmedikleri ve afet hemşireliği konusunda eğitim gereksinimleri olduğu dikkat çekmektedir. Söz konusu eğitim gereksiniminin karşılanabilmesi ve Türkiye'de afet hemşireliğinin gelişim sürecinin hızlanması için lisans düzeyinde standartlaştırılmış, ortak bir çerçeve ve çekirdek müfredatın oluşturulması önem taşımaktadır.
Istanbul earthquakes occur due to tectonic movements in the northern branch of the North Anatolia... more Istanbul earthquakes occur due to tectonic movements in the northern branch of the North Anatolian Fault, which is called the Main Marmara Fault and lies under the Sea of Marmara. In the past, Istanbul witnessed many devastating earthquakes. It is possible to reach archive information about the Istanbul earthquakes recorded since the Roman-Byzantine periods. Records show that there were approximately 26 earthquakes that caused destruction in the city during the Byzantine period. The earthquakes of 1509, 1719, 1766, 1894 and 1912 during the Ottoman Empire and the recent earthquake of 1999 caused serious destruction and many casualties in the city. The conducted studies reveal that intense seismic energy has accumulated in the unbroken segments of the Main Marmara Fault in the recent past and a severe earthquake awaits Istanbul. Considering the importance of Istanbul for both our country and the whole world, it is important to prepare the city for before and after the earthquake.
Technology has brought many innovations to the way healthcare providers acquire information, work... more Technology has brought many innovations to the way healthcare providers acquire information, work and communicate. Emergency departments are the primary areas where these innovations are most common. One of the important innovations that technological developments offer to emergency departments is that imaging methods and diagnostic tests can be applied at the bedside. The main purpose of bedside imaging methods and diagnostic tests is to achieve rapid results and initiate appropriate treatment in a short time. The developing technology provides fast access to diagnostic tests and rapid results, as well as facilitating access to specialist physicians. Patients' data can be transmitted to advanced centers by telemedicine application, and consultation service can be obtained. Bedside consultation is also possible thanks to the telemedicine application supported by robotic technology. Biosensors, mobile applications, technological products used in the patient registration and follow-up process, and voice response systems used in patient monitoring after discharge can be listed among other technological innovations used in emergency departments. All these listed tools and systems provide many facilities for emergency service delivery. However, reasons such as being expensive, not supervised by medical professionals, or being time-consuming limit their use. While technological developments continue without slowing down, in order to ensure the same development in emergency departments, scientific studies with a high value of evidence are needed in this field.
Various economic, political, environmental and social reasons can force people to migrate, leavin... more Various economic, political, environmental and social reasons can force people to migrate, leaving their home. Migration, which is as old as human history, has increased because of some reasons such as globalization, wars and natural disasters. Children have constituted a significant proportion of immigrants. According to the report of the United Nations Children's Fund for 2015, the number of immigrant children living in a different country from the country of their birth is approximately 31 million, of whom about 10 million are refugees around the world. Children have been obliged to deal with many problems such as hunger, thirst and illness during their migratory journey. In countries to which children migrated to seek asylum, children have been exposed to a great deal of abuse and exploitation, including violence, human trafficking and participation in criminal organisations. Unaccompanied children are especially vulnerable to all these hazards. The physical and mental health of immigrant children is affected by cultural, geographical and climatic changes. Not knowing the language of the destination country and being unable to communicate with their peers causes an impact of psychological trauma on children. In addition, refugee children living in difficult conditions for a long time are at risk of mental problems and behavioural disorders.
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