PubMed İndeksli Yayınlar Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/3597

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Citation - WoS: 3
Citation - Scopus: 3
Healthcare Staff Experiences on the Impact of Covid-19 on Emergency Departments: a Qualitative Study
(Bmc, 2024) Butun, Ahmet
BackgroundThe COVID-19 pandemic has had a major impact on the access and delivery of healthcare services, posing unprecedented challenges to healthcare staff worldwide. Frontline healthcare staff faced unique stressors and challenges that impact their well-being and patient care. This qualitative study aimed to explore the experiences and perspectives of frontline ED healthcare staff on emergency care services during the COVID-19 pandemic, providing valuable insights into the challenges, adaptations, and lessons learned in delivering emergency care.MethodsThis study utilized a qualitative approach. In-depth semi-structured interviews were conducted with 30 ED healthcare staff from three different hospitals located in Turkey between 15/03/2022 and 30/04/2022. Convenience sampling was used to recruit participants. The duration of the interviews ranged from 28 to 37 min. Data saturation was reached as no new information was gathered. The data were analyzed using the thematic analysis method. NVivo software was used to manage the data analysis process. Member check was carried out to ensure that the generated themes conformed to the participants' views.Results15 sub-themes under three themes emerged: (1) the impact of COVID-19 on emergency care services, including sub-themes of "introducing a COVID-19 unit in the ED", "changes in the routine functioning of EDs", "changes in the number of ED visits", "quality of care", "resources", and "increased workload"; (2) the psychological effects of COVID-19 on ED healthcare staff, including sub-themes of "staying away from family", "fear", "society's perspective on healthcare professionals", "morale-staff burnout", "psychological and emotional effects", and "unable to receive sufficient support"; and (3) the difficulties faced by ED healthcare staff, including sub-themes of "difficult working conditions", "community-based effects difficulties", and "COVID-19 is an unknown situation".ConclusionStaff burnout threatens the quality of patient care and staff retention, and therefore this should be addressed by ED directors and leaders. This study could inform appropriate stakeholders regarding lessons learned from COVID-19 to better manage future pandemics. Learning from such lived experiences and developing appropriate interventions to minimize the difficulties faced during COVID-19 would allow better management of future pandemics. This study calls for a reform to address the challenges faced by healthcare staff, improve the overall response to public health crises, and enhance the resilience of healthcare systems for future crises.
Citation - WoS: 3
Citation - Scopus: 3
The Role of Family Health Centres in Preventing Paediatric Emergency Department Usage of Parents of Children With Non-Urgent Conditions
(Bmc, 2024) Butun, Ahmet
BackgroundOvercrowding in paediatric emergency departments (PEDs) has become a global public health issue, reducing healthcare quality, increasing dissatisfaction, and driving up costs. Overcrowding in PEDs not only affects patient satisfaction and healthcare costs but also can lead to burnout among healthcare professionals. This burnout could potentially result in suboptimal care for truly severe cases, ultimately increasing morbidity and mortality rates among patients requiring urgent attention. This study aims to determine how family health centres can reduce paediatric visits to PEDs and provide recommendations for alleviating overcrowding.MethodsThis study is a descriptive cross-sectional study. Participants were parents whose children were admitted to the PED at a tertiary hospital located in southeast Turkey. The data were collected between 15/05/2024-26/08/2024. This study was completed with 657 parents. A convenience sampling method was used to recruit participants. SPSS 11.5 software was used for data analysis.ResultsThe mean age of the parents and children brought to the PED was 31.99 +/- 8.51 years and 4.20 +/- 4.08 years, respectively. Of the children, 32.1% were admitted to the PED due to fever. Majority of parents (65%) visited the PED outside working hours. 8.8% of parents considered their child's health condition as "very urgent", 54.5% of them considered it as "urgent". The majority of parents thought that the PEDs were overcrowded (82.2%). 50.4% of the parents stated that they trusted the PED, and 52.7% stated that they were satisfied with the PED. More than half of the parents (61.8%) stated that they did not visit their family health centre before visiting the PED. 10.8% of parents reported that they had never visited a family health centre in the last year. Majority of parents (62.7%) stated that they will visit the PED again if their children have the same health problems in the future.ConclusionImproving the use of family health centres, introducing out-of-hours services, and enhancing parents' health literacy could shift non-urgent visits from PEDs to primary care settings. In addition, making parents more aware of services provided in family health centres could affect parents' health-seeking behaviours and choose to use their GP rather than PED for their children with non-urgent conditions.
Citation - WoS: 2
The Relationship Between Family Nutrition and Physical Activity Practices and Physical Activity Attitudes in Children
(BMC, 2025) Butun, Ahmet
Introduction Childhood obesity and sedentary lifestyles are growing public health concerns, with familial practices playing a critical role in shaping children's physical activity attitudes. The influence of family attitudes and behaviours regarding nutrition and exercise has been highlighted as a pivotal determinant in promoting healthier choices among children. This study aims to explore the relationship between family nutrition and physical activity practices and children's attitudes toward physical activity. Methods A descriptive cross-sectional study was conducted with 633 children and their parents from a tertiary hospital in eastern Turkey. Data were collected using three tools: (1) a sociodemographic form, (2) the Family Nutrition and Physical Activity Screening Scale (FNPASS), and (3) the Youth Physical Activity Attitude Scale in Children and Young People. Data were analysed using SPSS software and statistical analyses included Pearson correlation, linear regression, and ANOVA to explore associations and group differences. Results Family nutrition and physical activity practices significantly predicted children's physical activity attitudes. Physical activity positive attitudes (mean score: 3.74 +/- 0.88) correlated strongly with healthier family practices (FNPASS mean: 52.44 +/- 7.65; r = 0.648, p < 0.01), while physical activity negative attitudes (mean: 2.46 +/- 0.92) showed inverse relationships (r = -0.596, p < 0.01). Higher parental education, urban residency, and income levels were associated with more physical activity positive attitudes (p < 0.001). Underweight children had higher positive attitude scores than overweight/obese peers (p < 0.001). Conclusion Family environments significantly influence children's physical activity attitudes, with socioeconomic factors acting as key modifiers. This study demonstrates that family nutrition and physical activity practices significantly influence children's attitudes toward physical activity. Healthier family habits correlated with more positive attitudes in children, particularly among families with higher parental education and urban residency. Public health initiatives should focus on educating parents about healthy practices while ensuring equitable access to physical activity opportunities for children.

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