Browsing by Author "Bayram Değer, Vasfiye"

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ADÖLESAN DÖNEMDE ÜREME SAĞLIĞI, CİNSELLİK VE CİNSEL EĞİTİMİN ÖNEMİ
(Turkish Studies (Elektronik), 2018) Bayram Değer, Vasfiye; Balcı, Elçin; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Dünyadaki tüm kültürel, sosyal, ekonomik ve politik yapılanmalarda, gençlerin ÜS/CS (üreme sağlığı ve cinsel sağlık) gereksinimleri sağlıklı büyüme ve gelişmenin bir parçası olarak kabul edilmektedir. Gençlerin ÜS/CS gereksinimleri, sorun ve hakları özelikle son 25 yılda gündemdedir ve karşılan(a)mayan üreme sağlığı gereksinimleri dünyada ve ülkemizde önemli halk sağlığı sorunları arasındadır. Karşılan(a)mayan üreme sağlığı gereksinimleri istenmeyen gebelikler, ergenlik dönemi gebelikleri, sağlıksız düşükler ve cinsel yolla bulaşan enfeksiyonlar (CYBE) ile sonuçlanmaktadır. Bu sağlık sorunlarının bedeli kimi kez çok ağır ödenmektedir. Bu risklerden korunmak sadece doğru bilgi ve olumlu davranışlarla mümkündür. Bunun en etkili, ucuz ve ulaşılır yolu ise ÜS/CS eğitiminin örgün eğitim içerisinde verilmesidir. Adölesanların yaşamı bilinçli seçeneklerle düzenleyebilmeleri için seçim yapma özgürlüğünü kullanabilmesi, yaptığı seçimlerin sorumluluğunu alabilmesi, cinselliğe karşı olumlu bir tutum içinde cinsel kimliklerinden hoşnut, bedenlerinin ve duygularının bilincinde erişkinler olabilmeleri cinsel sağlık eğitiminin başlıca amacıdır. Sosyal iletişim deneyiminin yetersizliği, kendi bedenleri hakkında ve nereden yardım alacakları konusunda bilgisizlik sıklıkla genç insanların gereksinimleri olan doğru hizmete ulaşmalarını sınırlamaktadır. Ayrıca özellikle ülkemizde sağlık olanakları gençler için ÜS/CS bilgisi/danışmanlığı ve hizmet sunumu yönünden çoğunlukla yetersiz kalmaktadır. Örgün eğitim programı içerisinde ÜS/CS ile ilgili konulara çok az değinilmektedir. Medyanın, gençlerin kendi cinsellikleri hakkında bilinçli karar vermelerini sağlayabilecek bir bilgi kaynağı olması bir seçenek iken, zaman zaman yanlış bilgiler vererek, olumsuz etkilere neden olabilmektedir. Çoğu aile geleneksel değerler nedeniyle cinsel konularda çocukları ile konuşmaya açık değillerdir ve çocukların ergenlik döneminde yaşadıkları sıkıntılar aileler tarafından göz ardı edilebilmektedir. Bu nedenlerle adölesan yaş grubuna verilen cinsellik hakkındaki eğitim programlarının yaygınlaştırılması gerekmektedir.
Attitudes of Health Sciences Students in Turkey Towards Individuals With Different Sexual Orientations
(Womens Health & Action Research Centre, 2025) Bayram Değer, Vasfiye; Kacan, Havva; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Study was planned in a descriptive design to examine how the empathic tendencies of students in the Faculty of Health Sciences affect their attitudes toward individuals who have different sexual orientations and was conducted with seven hundred and six students. The data collected online using the Student Information Form, Empathic Tendency Scale (ETS) and Attitudes Toward Lesbian and Gay Men Scale (ATLGS). Participants' mean scores were 62.98 +/- 18.79 on the ESS and 29.02 +/- 10.75 on the ATLGS. When the correlation between ETS and ATLGS scores was analyzed, a positive and moderate (p<0.05) correlation (r = 0.62) was found between ETS and ATLGS scores. These scores were moderate and the correlation between ETS and ATLGS scores was significant (F=438.585; p<0.05). Empathic disposition explained 38.3% of the total change in ATLGS level (R2=0.383) and increased ATLGS level (B=0.620). It was found that as students' empathic skills improved, their homophobic attitudes decreased.
Citation - WoS: 4
Citation - Scopus: 6
Attitudes promoting coping with death anxiety among parents of children with disabilities
(Taylor and Francis Online, 2021) Sakız, Halis; Sakız, Halis; Bayram Değer, Vasfiye; 02.04. Department of Educational Sciences / Eğitim Bilimleri Bölümü; 09.01. Department of Nursing / Hemşirelik Bölümü; 02. Faculty of Letters / Edebiyat Fakültesi; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
We investigated death anxiety among parents of children with disabilities and its associations with coping attitudes and psycho-demographic factors. Surveys were administered to 382 parents of children who possess a severe disability and data were analyzed via descriptive and inferential statistics. Findings revealed that parents experienced high levels of death anxiety; the level of death anxiety changed according to some psycho-demographic factors, such as external support, type of disability, and death-related beliefs; and death anxiety was significantly explained by demographic variables, death-related thoughts, and experiences, and adaptive and maladaptive coping attitudes.
Common and atypical otorhinolaryngological findings of Covid-19
(Cukurova Medical Journal, 2021) Bayram Değer, Vasfiye; Sarı, Neslihan; Arslan, Nurgül; 09.01. Department of Nursing / Hemşirelik Bölümü; Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü; 09.03. Department of Nutrition and Dietetics/ Beslenme ve Diyetetik Bölümü; 10. Faculty of Medicine / Tıp Fakültesi; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Purpose: Several atypical presentations of COVID-19 like anosmia, conjuctivitis, and gastrointestinal findings are seen in the literature. The purpose of this study was to investigate the common and atypical symptoms of COVID-19 among the patients admitted to the otorhinolaryngology (ENT) outpatient clinic. Materials and Methods: This case series was conducted with 49 patients who applied to hospital between April 1, 2020 and April 30, 2020. Common and atypical otolaryngological findings were recorded. Sociodemographic findings and blood parameters were also evaluated. Results: Of the patients, 59.18% were aged 40 and over, 46.94% were of the A blood group, 55.10% were male and 24.49% were smokers, 51.02% had a chronic disease. Among typical symptoms; fever (71.43%), a dry cough (46.94%), shortness of breath (42.86%) was seen. Diarrhea (48.98%), runny nose (51.02%), nasal congestion (42.85%), sore throat (22.44%), headaches (32.65%), 18.36% olfactory disorder, 26.53% gustatory disturbance were noted. Olfactory and gustatory disturbances are found to be related to good prognosis and mild clinical course. The difference between Hg and D–dimer levels of the female and male patients were found to be statistically significant. The D-dimer levels determined in the present study were higher than those reported in the literature. Conclusion: While COVID-19 present with common symptoms, sometimes atypical symptoms can be the only finding during initial application to the hospital. Olfactory and gustatory disturbances point to the effects of COVID-19 on neurons. Neuronal effects like olfactory and gustatory disturbances should be closely monitored in COVID-19 patients in long term.
Comparison of Breastfeeding Behaviors of Mothers Toward Infants by Ethnic Groups: an Example of a Multicultural City
(Mary Ann Liebert, inc, 2025) Bütün, Ahmet; Bayram Değer, Vasfiye; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Introduction: Breastfeeding practices vary widely among different ethnic groups and are influenced by cultural, social, economic, and educational factors. The aim of this study was to compare the breastfeeding behaviors of mothers toward infants in different ethnic groups.Methods: This descriptive cross-sectional study included women of four ethnic groups (Assyrian, Turkish, Arab, and Kurdish) living in Mardin, Turkey. The study was completed with 180 Assyrian, 184 Turkish, 175 Arab, and 169 Kurdish women. In total, 708 women participated in this study. Data were collected between August 12, 2024, and September 22, 2024.Results: The highest rate of traditional breastfeeding practices was seen in Kurdish (99.4%), whereas this rate was 97.3% in Turkish, 96% in Arab, and 84.4% in Assyrian. The highest rate of giving breast milk immediately after birth was in Assyrian (71.7%), while this rate was 69.3% in Turkish, 61.9% in Kurdish, and 47% in Arab (p = 0.000). The rate of those who waited for three calls to prayer to feed the baby was 13.1% in Kurdish, 11.3% in Arab, 9.5% in Turkish, and 7.9% in Assyrian. The rate of those who did not give the first milk (colostrum) to the baby was 15.8% in Assyrian, 11.7% in Turkish, 6.5% in Kurdish, and 6% in Arab. The rate of those who give sugared water as the baby's first nutrient was 37.5% in Arab, 20.8% in Kurdish, 11.7% in Turkish, and 9.2% in Assyrian. Increased education levels were associated with decreased rates of the presence of traditional practices.Conclusion: This study provides novel results regarding the comparison of breastfeeding behaviors among ethnic groups living in the same city. Comparing breastfeeding practices across the four ethnic groups allowed us to better understand different breastfeeding practices, which could lead to the development of culturally sensitive interventions to improve the health of children and mothers. Educating the community about the benefits of breastfeeding and the risks associated with some traditional practices could contribute to public health.
Citation - WoS: 14
Citation - Scopus: 16
Comparison of the Breastfeeding Practices of Refugee Syrian Mothers and Native Turkish Mothers
(Mary Ann Liebert, inc, 2020) Deger, Vasfiye Bayram; Çifçi, Sema; Ertem, Meliksah; Bayram Değer, Vasfiye; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Background: The World Health Organization recommends that babies be breastfed within the first hour of delivery and that they should exclusively be given breast milk in the first 6 months. The aim of this study was to ascertain the breastfeeding behaviors of refugee Syrian women and to compare their practices with those of the native mothers of the local community. Materials and Methods: This study is a cross-sectional study. The study was conducted in a Southern city in Turkey. The questionnaire was filled by face-to-face interviews. A total of 381 refugee Syrian mothers were compared with 381 native women living in the same community. Results: A significant difference was found between the two groups regarding breastfeeding. The rate of those who initiated breastfeeding within 1 hour after delivery was 61.4% for the Syrians and 71.1% for the Turkish mothers. In addition, the rates of exclusive breastfeeding (28.1 versus 34.1) and continuing breastfeeding for 12 months (55.0 versus 63.8) were lower in the Syrian refugee mothers. Maternal age and educational level were not correlated to the breastfeeding rates. Conclusions: This study is a rare study in which refugee mothers and local mothers were compared. Forced migration and refugee status are negatively associated with breastfeeding behavior.
Considering the Attitudes Toward the Covid-19 Vaccine, the Levels of Vaccine Hesitancy Among Family Healthcare Center (fhc) Employees: a Cross-Sectional Study
(Wiley, 2024) Bayram Değer, Vasfiye; Yigitalp, Guelhan; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Aim. The primary objective of this study was to investigate the attitudes towards the COVID-19 vaccine, the extent of vaccine hesitancy, and the factors influencing the Family Healthcare Center staff who are responsible for delivering primary healthcare services. Methods. The research, which employed a cross-sectional design, was carried out with a sample of 102 healthcare professionals employed at family healthcare centers located in the city center. The study data were collected using three instruments: the "Personal Information Form," the "Vaccination Hesitancy in Pandemic Scale," and the "Attitudes towards COVID-19 Vaccine Scale." Results. A total of 13.7% of the participants said that they were hesitant about having themselves vaccinated. The mean total score of vaccine hesitancy in the pandemic was found to be 22.760 +/- 8.323, and the attitude towards the COVID-19 vaccine was 3.640 +/- 0.831. A negative and weak relation was detected between the total score of vaccine hesitancy and the total score of attitude towards the COVID-19 vaccine in the pandemic. It was also found that the situation of considering the vaccine as partially necessary increases the vaccine hesitancy in the pandemic and the decrease in the degree of considering the childhood vaccines as necessary decreases the attitude towards the COVID-19 vaccine. Discussion. Despite the relatively low prevalence of vaccination hesitancy among healthcare workers, it remains a noteworthy concern. It is imperative to conduct a thorough investigation into the various factors that contribute to vaccine hesitancy and the attitudes held by healthcare professionals, with a particular focus on those factors having a negative impact.
Citation - WoS: 1
Citation - Scopus: 1
Discrimination Based on Sexual Orientation “Homophobia in Healthcare Employees”: a Cross-Sectional Study
(Springer, 2025) Değer, V.B.; Bayram Değer, Vasfiye; Kaçan, H.; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Introduction: The study was conducted to examine the attitudes of healthcare employees toward homosexuals and the factors affecting them, while homophobic thoughts and behaviors are based on heteronormative cultural beliefs and gender stereotypes. Methods: This study was planned as a cross-sectional and completed with 720 healthcare employees. The Demographic Information Form and Hudson and Ricketts Homophobia Scale were used in the study. Data were collected between January 06 and January 10, 2022. Results: The mean homophobia total score of the employees was determined as 97,503 ± 25,807. Homophobia levels of male healthcare employees, those who thought homosexuality is a disease, and those who stated that homosexuality can be caused by taking an example had increasing homophobia levels. The level of homophobia decreases in the presence of homosexual friends, those who can talk freely about homosexuality, and healthcare employees who support same-sex marriage. Conclusions: Recognition of individuals with different sexual orientations by healthcare employees will reduce homophobic attitudes toward these individuals. Examining the level of homophobia in healthcare institutions and ensuring that discriminatory attitudes or behaviors toward individuals from different sexual orientations are determined to be effective on the quality of healthcare and access to healthcare services. Policy Implications: There is a healthcare system in which patients are generally assumed to be heterosexual; [healthcare employees are not prepared to work with Lesbian, Gay, Bisexual, and Transsexual patients in general. Studies conducted on this subject indicate that more studies are needed on the subject to implement a healthcare policy focusing on sexual diversity in healthcare services and to discuss healthcare practices for the Lesbian, Gay, Bisexual, and Transsexual population. © The Author(s) 2024.
Citation - WoS: 5
Citation - Scopus: 6
Eating Behavior Changes of People With Obesity During the Covid-19 Pandemic
(Dove Medical Press Ltd, 2021) Bayram Değer, Vasfiye; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Objective: The precautions taken during the pandemic period may cause stress-related eating behavior disorders. It was aimed to test this hypothesis, and the study was carried out to examine pandemic measures the effect of on the nutritional, depression and stress conditions of people with obesity. Methods: The individuals who participated in the study were people with obesity who received follow-up dietary therapy in a private hospital. Three separate scales were applied to the individuals, which measured the desire to overeating request, depression status and stress-fighting status. Results: This study was conducted on 368 individuals. Women had lower values of BMI (28.57 +/- 3.89 kg/cm(2)) than men ( 30.64 +/- 2.87 kg/cm(2)). When the scores of the excessive eating request scale mean scores before and during the pandemic were examined, it was seen that the scores of the individuals increased during the pandemic. In the multivariate regression model, it was seen that the increase of stress and BMI increased the FCQ score (p<0.001). Multiple regression models were created by taking into account the criteria that caused the score increase. Each variable can predict the FCQ score separately. The predictor significance order of variants on FCQ score beta values is as follows: the Patient Health Questionnaire-9 (PHQ-9) (beta=0.774), before pandemic FCQ (beta = 0.601), the Perceived Stress Scale ( PSS) (beta=-0.268), before pandemic BMIa (beta=-0.223), during pandemic BMIb (beta=0.073), and age (beta=-0.013). Conclusion: COVID-19 pandemic, making applications such as quarantine in pandemic processes has successful results in being able to combat its. However, undesirable conditions such as stress can have serious negative consequences on other health measurements. It was observed in the results of this study that excessive eating food desire developed in people with obesity.
Citation - WoS: 2
Citation - Scopus: 2
Editorial: Anxiety, burnout, and stress among healthcare professionals
(Frontiers, 2023) Bayram Değer, Vasfiye; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
The technology, informatics and social fields are experiencing continuous changes and developments day by day. Such changes and developments influence human life and expand the fields of research. One of these fields is the world of work life. Work life is an area where people spend a significant part of their lives by spending time and effort. The willingness of employees to make quality use of their time and labor significantly affects the efficiency obtained as a result of their work (Burton, 2010). The nature of the work requirements and the quantity of communication with other people in the workplace create challenging situations for employees. In this context, when it comes to health in work life, health workers are seen as an important sample group in terms of researching variables in work life, since their field requires qualified labor force, is vital and is a profession that constantly involves face-to-face interaction with people. The health sector is one of the sectors where employees have the most difficulties due to various factors. The health sector differs from other working environments due to the difficulty of serving patients with severe stress and the fact that employees in this sector often face stressful situations in their daily working environment.
Citation - WoS: 1
Citation - Scopus: 1
Effect of Individual Psychoeducation for Primary Caregivers of Children With Autism on Internalized Stigma and Care Burden: a Randomized Controlled Trial
(Taylor and Francis Ltd., 2025) Kaçan, H.; Bayram Değer, Vasfiye; Gümüş, F.; Bayram Değer, V.; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
This study aims to determine the effects of a six-week individual psychoeducation program provided to primary caregivers of children with autism on stigma and care burden. The study was conducted with 88 primary caregivers (experimental group n = 45, control group n = 43) of children diagnosed with autism. The study, prepared in an experimental design with a pretest, posttest, and control group, was performed between 17 June 2021 and 17 January 2022. In the study, a six-week individual psychoeducation was given to the experimental group. Study data were collected using a personal information form, the Internalized Stigma of Parents in Mental Illness Scale (ISPMIS), and the Caregiver Burden Scale (CBS).The mean pretest ISPMIS total score of the experimental group was (Formula presented.) =105.756 and the posttest total score after the psychoeducation was (Formula presented.) =66.489,which was a significant decrease (t = 25.571; p < 0.05). The mean CBS pretest total score of the experimental group was (Formula presented.) =61.067 and the posttest total score was (Formula presented.) =31.667, which was a significant decrease (t = 17.499;p < 0.05). The study revealed that the six-week individual psycho education provided to primary caregivers of children with autism decreased the participants’ internalized stigma and perceived care burden. © The British Society of Developmental Disabilities 2023.
The Effect of Socioeconomic Factors on Malnutrition in Syrian Children Aged 0-6 Years Living in Turkey: a Cross-Sectional Study
(Bmc, 2024) Bayram Değer, Vasfiye; Çifçi, Sema; Ertem, Meliksah; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Background This study was conducted to examine the prevalence of malnutrition in Syrian immigrant children living in Turkey. Methods The study was carried out in the city of Mardin, which is one of the cities with a high Syrian immigrant population in Turkey. Height, body weight and BMI values were recorded to determine the malnutrition status of the children. Z-scores of children were calculated using the malnutrition assessment WHOAntro program. Results The data show that 30.5% of Syrian children between the ages of 0 and 6 months are male, making up 55.8% of the total, and that 55.3% do not follow a regular breakfast schedule. The percentages of body weight for height, height for age, and BMI for age of Syrian children with a score between - 2 and + 2 SD Number were (89.3%), (74.3%), and (79.3%), respectively. Girls are more likely than boys to experience stunting and low body weight in the context of Syrian children (Stunting OR: 0.855(0.761-1.403), Underweight OR: 0.705(0.609-1,208)). Additionally, there is a link between levels of stunting and underweight and elements like the mother's educational level and the family's income. Contrary to the situation of adequate nutrition, it was discovered that the likelihood of stunting and low body weight in children increased by 0.809 and 1.039 times, respectively, when access to an adequate food supply was not available within the family (p < 0.05). Conclusions According to the results of the study, gender, family income, mother's education level and access to food affected the severity of malnutrition in children. Migration is an imporatnt factor affecting children's health. In this study malnutrition was found high im immigrant children. Programs should be developed to monitor the growth and development of disadvantaged children and to support their nutrition.
The Effects of the Covid-19 Pandemic on the Anxiety Levels and Sleep Among University Students
(Galenos Publ House, 2023) Çifçi, Sema; Bayram Değer, Vasfiye; Kacan, Havva; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Objective: This study was conducted to examine the effects of the Coronavirus disease-2019 (COVID-19) pandemic on the anxiety and sleep levels of university students.Materials and Methods: The population of this descriptive study consisted of students who studied in health departments. The data were collected with a questionnaire that consisted of the descriptive characteristics form, Beck Anxiety Inventory, and Pittsburgh Sleep Quality Index.Results: A total of 70.5% of the students who participated in the study were female. 9.0% of the students use drugs and 38.4% of them smoke. The difference between anxiety score averages and having a chronic disease, continuous drug use, smoking, and being a disabled person in the living environment is significant. Sleep quality scores were found to be "elevated" and significant for those who constantly used drugs, had a family member with a disability and/or a person over the age of 65, and those who smoked. It also affected the sleep quality scores of those who were infected with the Coronavirus, those who had family members with Coronavirus in their family, and/or students who had a relative who died from the Coronavirus.Conclusion: It can be argued that the anxiety frequency of the students increased and their sleep quality deteriorated during the COVID-19 pandemic period. Having a family member over the age of 65, having a disabled person, being infected with the Coronavirus and/or losing one of their relatives to the Coronavirus affected the anxiety and sleep quality scores of the students.
Citation - WoS: 1
Citation - Scopus: 2
Evaluation of the organizational innovation and self-efficiency levels of health workers
(Acta Scientiarum. Health Sciences, 2023) Bayram Değer, Vasfiye; Vural Doğru, Birgül; Arslan, Nurgül; 09.01. Department of Nursing / Hemşirelik Bölümü; 09.03. Department of Nutrition and Dietetics/ Beslenme ve Diyetetik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
The aim of this study was determine whether the personal features of the participants create a difference in terms of organizational innovation. This study was conducted with 1234 nurses and midwives. A multiple regression model was created to see and predict the effect on individuals' total innovative scores and self-efficacy scores. The total innovative and the self-efficacy score are predicted with multiple regression analyses. It was observed that the variable that most affected both the total innovative score and the self-efficacy score of the individuals was the education level of the individuals. The fact that midwives and nurses have a certain level of innovative and self-confidence is important for the society to receive better and faster health services. In this study, it was observed that the education level was important for the development of innovative and self-confidence in both groups.
Examining the Effect of Lean Hospital Management on Workload in Emergency Services: the Case of an Education and Research Hospital
(2025) Bayram Değer, Vasfiye; Değer, Vasfiye Bayram; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Giriş: Acil servislerde yalın yönetimin iş yükü üzerine etkisinin incelenmek bu çalışmanın temel amacını oluşturmaktadır. Yöntem: Bu bağlamda, araştırma kapsamında öncelikle sağlık, yalın yönetim ve iş yükü konuları açıklanmış, ardından tanımlayıcı ve kesitsel türde bir araştırma ortaya koyulmuştur. Veri toplama esnasında tanıtıcı bilgiler formu, aşırı iş yükü ölçeği ve yalın yönetim ölçeği kullanılmıştır. Çalışma evreni 136, örnekleminin ise 129 acil servis çalışanından oluştuğu bu çalışma %94.85 ile evrene genellenebilir bir katılıma ulaşmıştır. Bulgular: Çalışmada aşırı iş yükü ölçek puanı ortalama 44.74 (±5.51) olarak, yalın yönetim ölçeğinin genel ortalaması ve standart sapması 2.70 (±0.67) olarak bulunmuş olup, hem iş yükü hem yalın yönetimde istatistiksel olarak anlamlı bir fark yaratan durumlar ise; nöbet tutma durumunda gece-gündüz şiftlerinde %79.2 oranı iş yükünde, 3.79 puan ile nöbet tutmayanların hem nöbet tutma durumu hemde haftada ortalama kaç saat nöbet tutulduğu maddeleri yalın yönetimde, haftada ortalama tutulan nöbet saati iş yükünde 32.19 saat, iş yükünün nasıl değerlendirildiği ankette çok ağır diyenlerin %42.6 iş yükü, 3.66 puan ile orta diyenler yalın yönetimde serviste çalışan personel sayısının yeterliliği durumunu kısmen yetersiz ve yetersiz diyenler %93.8 iş yükü, 3.68 puan ile kararsızım diyenler yalın yönetimde anlamlı olarak bulgulanmıştır. Serviste ortalama kaç hastanın muayene-tedavi-nakil sürecine katılındığı 25-75 ile %30.2 oranı ile sadece iş yükü üzerinde farklılık yaratmıştır. Yalın yönetim ile iş yükü arasında negatif yönlü ve güçlü bir ilişki bulunmuştur. Tanımlayıcı bilgi formunda 'nöbet tutma durumu', 'haftada ortalama kaç saat nöbet tutulduğu', 'iş yükünün nasıl değerlendirildiği', 'serviste çalışan personel sayısının yeterli olup olmaması', 'serviste günlük ortalama kaç hastanın muayene-tedavi-nakil sürecine katıldığı' yer alan maddeler ve 'yalın yönetim ölçeği' iş yükü üzerindeki değişimin %61'ini açıklamıştır. Sonuç: Çalışanların iş yükünü ağır buldukları ve hastanenin yalın yönetilmediği sonucuna varılmıştır. Yalın yönetimin acil servislerde iş yükünü etkilemekte olduğu; iş yükü yönetimi, fiziksel koşulların iyileştirilmesi, yalın yönetim uygulamalarının geliştirilmesi ve kullanımı acil servislerin iş süreçlerini yalınlaştırarak iş yükünü azaltacağı belirtilebilir.
Gebelikte Aile İçi Şiddet ve Etkileyen Faktörler
(2023) Çifçi, Sema; Değer, Vasfiye Bayram; Bayram Değer, Vasfiye; Balcı, Elçin; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Giriş: Gebelikte aile içi şiddet tüm toplumlar için önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı aile içi şiddeti incelemek ve gebeliği etkileyen faktörleri belirlemektir. Yöntem: Kesitsel tanımlayıcı nitelikteki bu araştırmanın evrenini, Türkiye’nin güneydoğusundaki bir ilde 15 Aralık 2014-15 Ocak 2015 tarihleri arasında bir kadın doğum hastanesi ayaktan takip polikliniğine başvuran 747 hamile kadın oluşturdu. Veri toplamak için araştırmacılar tarafından literatüre dayalı olarak hazırlanan 25 sorudan oluşan bir anket kullanılmıştır. İstatistiksel analizde yüzdeler, ortalamalar, standart sapmalar ve ki-kare analizi kullanıldı ve p<0,05 anlamlı kabul edildi. Bulgular: Araştırmaya katılanların yaş ortalaması 26.43±5.4’tür. Gebelerin %7,2’si evlilikleri sırasında eşinden fiziksel, duygusal, ekonomik veya cinsel şiddete maruz kaldığını, bununla birlikte gebelerin %2,8’i ise şu anki gebeliklerinde şiddete maruz kaldığını bildirmiştir. Mevcut gebelikleri sırasında ve gebeliği istedikleri zamanda şiddete maruz kalma, eşinin şiddete karışması, gebelik sayısı ve geçmişte eşinin ailesinden şiddet görmüş olması arasında anlamlı bir ilişki bulunmuştur. Sonuç: Şiddeti önlemek için aile eğitimi, danışmanlık hizmetleri, aile terapileri ve iletişim becerileri eğitimi verilmelidir. Gebelikte şiddete maruz kalmayı etkileyen faktörler arasında gebelikte şiddete maruz kalmak, gebeliği istememek, kocanın şiddete karışması, gebelik sayısı ve eşinin ailesi tarafından geçmişte şiddete maruz kalması sayılabilir.
Hastanede Yatan Yaşlı ve Kronik Hastalığı Olan Bireylerin Anksiyete ve Baş Etme Düzeyleri ile Etkileyen Değişkenlerin İncelenmesi
(2024) Bayram Değer, Vasfiye; Değer, Vasfiye Bayram; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Amaç: Bu araştırma hastanede yatan kronik hastalığı olan yaşlı hastaların anksiyete ve baş etme düzeylerinin belirlenmesi ve etkileyen değişkenlerin incelenmesi amacıyla yapılmıştır. Yöntemler: Çalışma tanımlayıcı ve ilişki arayıcı bir çalışma olarak planlanmıştır. Araştırmanın evrenini 01.04.2022-01.07.2023 tarihleri arasında hastaneye yatan 65 yaş kronik hastalığı olan 1426 hasta, örneklemini ise 310 hasta oluşturmuştur. Veriler, üç bölümden oluşan (yaşlı bireyleri tanımlayıcı form, Beck Anksiyete Ölçeği ve Stresle Başa Çıkma Tutumları Ölçeği) bir veri formu aracılığıyla toplanmıştır. Verilerin analizinde ortalama, sayı, yüzde, pearson korelasyon ve regresyon analizi (stepwise) kullanılmıştır. Sonuçlar: Yaşlı hastaların yaş ortalaması 70,83 ±5,66 olarak, hastalığı nedeni ile hastaneye yıllık yatış sayısı ortalaması 2,05±1,11 olarak saptanmıştır. Yaşlıların “anksiyete” puan ortalaması 23,53±9,85 olarak saptandı. Sıklıkla ilk üç sırada kullanılan başa çıkma tutumları dini başa çıkma (31,38±1,92), madde kullanımı (11,96±2,83), soruna odaklanma ve duyguları açığa vurma (10,32±2,29) olarak saptamıştır. Anksiyete düzeyini yaşın ileri olması arttırmakta (ß=0,229), sağlığı iyi olarak değerlendirme azaltmakta (ß=-0,338), hastalığı için hafif kaygı yaşadığını ifade etme azaltmakta (ß=-0,248)’ dır. Kronik hastalık sayısının fazla olması ise anksiyete düzeyini arttıran (ß=0,110) ve belirleyen değişkenler olarak saptanmıştır. Tartışma: Hastanede yatan kronik hastalığı olan yaşlıların kaygılı oldukları ve yaşanan kaygı ile etkili baş etmede yeterli olmadıklarını söyleyebiliriz. Yaşın ileri olması ve kronik hastalık sayısının fazla olması anksiyeteyi arttıran değişkenlerdir. Yaşlılar için özel olarak hizmet alabilecekleri geriatrik ruh sağlığı tedavi merkezleri, ruh sağlığını koruyucu ve özellikle depresyon ve kaygı bozukluğu gibi ruhsal hastalıkları önleyici özel hizmet birimlerinin (psikiyatri hekimi, hemşire, sosyal hizmet uzmanı ve psikoloğun da dahil olduğu) oluşturulması önerilmektedir.
Citation - WoS: 27
Citation - Scopus: 29
Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey
(BMC Health, 2021) Bayram Değer, Vasfiye; Çifçi, Sema; Çifçi, Sema; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Background: Low levels of health literacy are associated with increased hospitalization rates, problems regarding the proper intake of medications, poor general health and increased mortality rates. It is a well-known fact that health literacy differs among ethnic groups and ethnic minorities, in particular, are known to have a low level of health literacy. The present study aimed to reveal the levels of health literacy among different ethnic groups and the affecting factors as well as the relationship between health literacy and health perceptions. Methods: This cross-sectional study was carried out with different ethnic groups (Kurdish, Arab, Turkish and Assyrian origin), between 18 and 65 years old in the province of Mardin in Turkey. The study was conducted with a total of 600 people. The European Health Literacy Scale-Turkish Adaptation (EHLS-TR) and Health Perception Scale (HPS) were used for measurement. Descriptive analysis, Mann Whitney U Test, Kruskal Wallis Test and Spearman correlation were used in the data analysis. Results: It was found that 80.7% of the participants had relatively low levels of health literacy. The lowest levels of health literacy were among those of Kurdish origin. There were correlations between sufficient levels of health literacy and several factors including being of Assyrian origin, being 50–65 years old, living in a nuclear family, being a secondary school graduate, having a high financial status, being retired, evaluating one’s own health status as good, obtaining health information from healthcare professionals, preferring to visit a state hospital to seek medical assistance first, smoking and drinking alcohol. A positive correlation was also identified between the levels of health literacy and health perception. Conclusions: It is essential to develop programs to increase health literacy for the public and, in particular, for the ethnic groups that are disadvantaged in many aspects in the context of health literacy.
Hemşirelerde İş Yaşam Kalitesinin İş Doyumuna Etkisinde Motivasyonun Aracı Rolü
(2025) Bayram Değer, Vasfiye; Değer, Vasfiye Bayram; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Bu araştırma Mardin Eğitim Araştırma Hastanesinde çalışan hemşirelerin iş yaşam kalitesi, iş motivasyonu ve iş doyumu arasındaki ilişkinin incelenmesi amacıyla planlanmıştır.Bu çalışma bir hastanede çalışan hemşirelerin iş yaşam kalitesi, iş motivasyonu ve iş doyumu arasındaki ilişkinin incelenmesi amacıyla gözlemsel tanımlayıcı tipte bir çalışma olarak planlanmıştır. Bu doğrultuda iş yaşam kalitesi, motivasyonu ve iş doyumuna yönelik önerilerde bulunulması hedeflenmektedir.
Citation - WoS: 1
Citation - Scopus: 1
The intercultural sensitivity levels of primary health care workers in a city in Eastern Turkey
(Journal of the Pakistan Medical Association, 2021) Çifçi, Sema; Bayram Değer, Vasfiye; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Objective: To assess intercultural sensitivity levels and related factors of primary healthcare workers providing care to a variety of socio-ethnic groups. Methods: The descriptive cross-sectional study was conducted from March 1, 2019, to February 1, 2020, in the city of Mardin, Turkey, and comprised primary healthcare workers. Data was collected using a questionnaire about socio-demographic characteristics and the Turkish version of the Intercultural Sensitivity Scale. Data was analysed using SPSS 24 software version. Results: Of the 150 subjects approached, 131(87.3%) volunteered to participate. Of them, 80(61%) were females and 51(39%) were males. The largest age group was 25-34 years having 77(59%) subjects. The total mean score of the intercultural sensitivity scale was 73.30±16.7. There was a strong relationship between the subscales of 'Responsibility and Interaction Attentiveness' and 'Respect for Cultural Differences' (p<0.01). Significant difference was found between the sensitivity levels and the job titles of the participants, their status of friendship in different countries, the opportunity to be with people in other cultures for any reason, the status of willingness to work in different cultures and their intercultural sensitivity scale scores (p<0.05). Conclusions: The level of cultural sensitivity of the healthcare professionals was overall moderate. © 2021 Pakistan Medical Association. All rights reserved.