Scopus İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/7
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Article Citation - Scopus: 18A Comprehensive and Integrated Hospital Decision Support System for Efficient and Effective Healthcare Services Delivery Using Discrete Event Simulation(Elsevier Inc., 2023) Ordu, M.; Demir, E.; Tofallis, C.; Gunal, M.M.The difficulty that hospital management has been experiencing over the past decade in balancing demand and capacity needs is unprecedented in the United Kingdom. Due to a shortage of capacity, hospitals cannot treat all patients. We developed a whole hospital-level decision support system to assess and respond to the needs of local populations. We integrated a comparative forecasting approach and discrete event simulation modelling using Hospital Episode Statistics and local datasets. It is clear from the literature that this level of whole hospital simulation model has never been developed before (an innovative decision support system). First, the demands of all hospital specialties were forecasted, and the forecasts were embedded into the simulation model as input. Secondly, a simulation model was developed to capture the patient pathway of all specialties. The model integrates every component of a hospital to aid with efficient and effective use of scarce resources (e.g., staff and beds). As a result, the hospital can meet the increasing demand with its current resources. According to the scenario analysis, the hospital bed occupancy rate will reach the national target (i.e., 85%), and the total hospital revenue will increase by approximately 13%, with a 10% increase in A&E and outpatient and a 20% increase in inpatient demand. In conclusion, the hospital-level simulation model can become a crucial instrument for decision-makers to provide an efficient service for hospitals in England and other parts of the world. © 2023 The AuthorsArticle Citation - WoS: 22Citation - Scopus: 22The Earthquakes in Turkey and Their Effects on Nursing and Community Health(Wiley, 2023) Seren, Arzu Kader Harmanci; Dikec, Guel; Harmanci Seren, Arzu KaderBackgroundSevere damage was experienced in 10 provinces in Turkey, and the north of Syria, with the earthquakes that hit Kahramanmaras at midnight and afternoon on February 6, 2023. AimThe authors aimed to give brief information to the international nursing community about the situation related to earthquakes in the aspects of nurses. ConclusionThese earthquakes caused traumatic processes in the affected regions. Many people, including nurses and other healthcare professionals, died or were injured. The results demonstrated that the required preparedness had not been applied. Nurses went to these areas voluntarily or on assignment and cared for individuals with injured. The universities in the country passed to distance education because of the shortage of safe places for victims. This situation also negatively influenced nursing education and clinical practice by interrupting in-person education one more time after the COVID-19 pandemic. Implications for nursing and nursing policySince the outcomes show a need for well-organized health and nursing care, policymakers may consider getting nurses' contributions to the disaster preparedness and management policy-making processes.Article Citation - WoS: 20Citation - Scopus: 20A Multinational Cross-Sectional Study on the Awareness and Concerns of Healthcare Providers Toward Monkeypox and the Promotion of the Monkeypox Vaccination(Frontiers Media Sa, 2023) Swed, Sarya; Alibrahim, Hidar; Bohsas, Haidara; Jawish, Nagham; Rais, Mohammed Amir; Nasif, Mohamad Nour; Data Collection Grp; Elsayed, Mohamed E. G.; Grp, Data CollectionBackgroundThe aim of this study was to explore potential healthcare workers' (HCWs) concerns about the monkeypox virus in order to create practical solutions to manage this disease. MethodsOnline cross-sectional research was conducted in 11 Arabic countries (Egypt, Saudi Arabia, Yemen, Syria, Libya, Algeria, Tunisia, Iraq, Palestine, Jordan, and Sudan) from 2 August 2022 to 28 December 2022. ResultsApproximately 82% of respondents felt the need to acquire further information. The acceptability of the vaccine against monkeypox has been indicated by more than half of the participants (54.5%). Furthermore, we state that 45% of the participants are knowledgeable about the monkeypox virus, and 53.1% of the participants have never been affected with COVID-19 before are more worried about COVID-19 than about monkeypox. Participants diagnosed with COVID-19 were 0.63 times less likely to worry about monkeypox than those who were not diagnosed with COVID-19. A greater willingness to get the monkeypox vaccination was seen among the age group 21-30 years (42.4%) compared to the other age groups. ConclusionMost healthcare professionals have a moderate knowledge of the monkeypox virus. Furthermore, they demonstrated a low willingness to get the vaccination against the monkeypox virus.Article Citation - WoS: 16Citation - Scopus: 16Monkeypox Post-Covid Knowledge, Worrying, and Vaccine Adoption in the Arabic General Population(Mdpi, 2023) Swed, Sarya; Bohsas, Haidara; Alibrahim, Hidar; Rakab, Amine; Hafez, Wael; Sawaf, Bisher; Sah, RanjitBackground: The outbreak of monkeypox was declared a global public health emergency by the World Health Organization on 23 July 2022. There have been 60,000 cases reported worldwide, most of which are in places where monkeypox has never been seen due to the travel of people who have the virus. This research aims to evaluate the general Arabic population in regard to the monkeypox disease, fears, and vaccine adoption after the WHO proclaimed a monkeypox epidemic and to compare these attitudes to those of the COVID-19 pandemic. Methods: This cross-sectional study was performed in some Arabic countries (Syria, Egypt, Qatar, Yemen, Jordan, Sudan, Algeria, and Iraq) between 18 August and 7 September 2022. The inclusion criteria were the general public residing in Arabic nations and being older than 18. This questionnaire has 32 questions separated into three sections: sociodemographic variables, prior COVID-19 exposure, and COVID-19 vaccination history. The second portion assesses the knowledge and anxieties about monkeypox, while the third section includes the generalized anxiety disorder (GAD7) scale. Logistic regression analyses were performed to compute the adjusted odds ratios (aOR) and their confidence intervals (95%CI) using STATA (version 17.0). Results: A total of 3665 respondents from 17 Arabic countries were involved in this study. Almost two-thirds (n = 2427, 66.2%) of the participants expressed more worry about COVID-19 than monkeypox diseases. Regarding the major cause for concern about monkeypox, 39.5% of participants attributed their anxiety to the fear that they or a member of their family may contract the illness, while 38.4% were concerned about monkeypox becoming another worldwide pandemic. According to the GAD 7 score, 71.7% of the respondents showed very low anxiety toward monkeypox and 43.8% of the participants scored poor levels of knowledge about monkeypox disease. Participants with previous COVID-19 infection showed a 1.206 times greater acceptance to receive the monkeypox vaccine than those with no previous infection. A 3.097 times higher concern for monkeypox than COVID-19 was shown by the participants who perceived monkeypox as dangerous and virulent than those who did not. Participants who have a chronic disease (aOR: 1.32; 95%CI: 1.09-1.60); participants worried about monkeypox (aOR: 1.21; 95%CI: 1.04-1.40), and perceived monkeypox as a dangerous and virulent disease (aOR: 2.25; 95%CI: 1.92-2.65); and excellent knowledge level (aOR: 2.28; 95%CI: 1.79-2.90) have emerged as significant predictors. Conclusions: Our study reported that three-fourths of the participants were more concerned about COVID-19 than monkeypox disease. In addition, most of the participants have inadequate levels of knowledge regarding monkeypox disease. Hence, immediate action should be taken to address this problem. Consequently, learning about monkeypox and spreading information about its prevention is crucial.Article Citation - WoS: 6Citation - Scopus: 6Psychometrics of Job Stress-Related Presenteeism Scale Among Turkish Nurses(Sage Publications inc, 2023) Beklemis, Nihal; Seren, Arzu K. Harmanci K.; Gilbreath, Brad; Harmanci Seren, Arzu K.Presenteeism occurs when workers are present at work but with diminished work capacity due to illness, stress, or other causes. Recent studies report that nursing is one of the leading professional groups experiencing presenteeism. Although studies of illness-related presenteeism predominate, fewer studies have investigated stress-related presenteeism. Nurses in Turkey are particularly vulnerable to stress-related presenteeism because of the country's low nurse-to-patient ratio. A scale for measuring presenteeism from job stress - the Job-Stress-Related-Presenteeism Scale-has been developed but not validated. This study had two objectives: to adapt the Job-Stress-Related-Presenteeism Scale to Turkish to use in measuring of presenteeism from job stress among nurses; and to assess the scale's validity. We conducted a cross-sectional study to test the content validity, construct validity, reliability, and stability of a Turkish version of the Job-Stress-Related Presenteeism Scale on a sample of 261 nurses. The content validity index of the Job-Stress-Related Presenteeism Scale was .65. Item-total score correlation values varied between .44 and .77. The confirmatory factor analyses confirmed the six-item, one-factor construct. The Cronbach's alpha internal consistency coefficient was .86. Results indicated that our adapted version of the Job-Stress-Related Presenteeism Scale is valid and suitable for use in Turkey.Article Citation - WoS: 1Citation - Scopus: 2Developing a Valid and Reliable Perceived Global Future Scale(Wiley, 2022) Bodur, Gonul; Seren, Arzu K. Harmanci; Harmanci Seren, Arzu K.Purpose To develop a valid and reliable data collection tool to define individuals' perceptions of the global future. Design and Methods This methodological study was carried out on 870 participants in Istanbul, a city with the country's highest and most diverse population. Findings Content validity, construct validity, item analyses, and stability of the draft tool were tested. The seven-factor scale structure was confirmed. Cronbach's alpha coefficient of the scale was .93. Practice Implications The Perceived Global Future Scale, consisting of 36 items and seven dimensions, was used. It is a valid and reliable tool to define perceptions of individuals on the global future.Article Fourier Method for Higher Dimensional Inverse Quasi-Linear Parabolic Problem(Wiley, 2021) Baglan, Irem; Kanca, FatmaIn this work, higher-dimensional inverse quasi-linear parabolic problem was investigated. We demonstrated the solution by the Fourier approximation. The inverse problem was first examined by linearizing and then used implicit finite difference schema for the numerical solution.Article Citation - WoS: 14Citation - Scopus: 15Perceptions and Experiences of Adolescents With Mental Disorders and Their Parents About Psychotropic Medications in Turkey: a Qualitative Study(Mdpi, 2022) Dikec, Gul; Kardelen, Cansin; Gonzalez, Laura Pilz; Mohammadzadeh, Marjan; Bilac, Oznur; Stock, Christiane; Pilz González, LauraThis descriptive phenomenological study aimed to evaluate the perception and experiences of adolescents with mental disorders and their parents about the use of and adherence to psychotropic medications. A total of 12 semi-structured interviews with adolescents between the ages of 12 to 18 who were attending an outpatient psychiatric clinic for children and adolescents and 12 interviews with parents were conducted between October 2021 and January 2022 in Manisa, Turkey. Colaizzi's phenomenological interpretation method was used for the analysis of the participants' statements. Our study highlights the main positive effects of psychotropic medication and barriers to medication intake and adherence. Positive effects included symptom management and health improvement. Barriers varied from those directly linked to medication effects (e.g., negative side effects or lack of perceived effect) to personal barriers (e.g., forgetting to take medication or feelings of not being oneself due to medication intake) and societal barriers. In general, the barriers were reflected in concerns related to long-term consequences, such as medication dependence, and in concerns about diminished life prospects. Possible recommendations to improve the use of and adherence to psychotropic medication among adolescents include educating adolescents and parents not only about treatment options but also about mental disorders.Article Citation - WoS: 11Citation - Scopus: 9Antibiotic Use and Influencing Factors Among Hospitalized Patients With Covid-19: a Multicenter Point-Prevalence Study From Turkey(Galenos Publ House, 2022) Sencan, Irfan; Cag, Yasemin; Karabay, Oguz; Kurtaran, Behice; Guclu, Ertugrul; Ogutlu, Aziz; Agalar, Canan; Ergen, Pınar; Kul, Gülnur; Uzar, Hanife; Yiğit, Özge; Tasbakan, MeltemBackground: Broad-spectrum empirical antimicrobials arc frequently prescribed for patients with coronavirus disease 2019 (COVID-19) despite the lack of evidence for bacterial coinfection. Aims: We aimed to cross-sectionally determine the frequency of antibiotics use, type of antibiotics prescribed, and the factors influencing antibiotics use in hospitalized patients with COVID-19 confirmed by polymerase chain reaction. Study Design: The study was a national, multicenter, retrospective. and single-day point prevalence study. Methods: This was a national, multicenter, retrospective, and single-day point-prevalence study, conducted in the 24-h period between 00:00 and 24:00 on November 18, 2020, during the start of the second COVID-19 peak in Turkey. Results: A total of 1500 patients hospitalized with a diagnosis of COVID-19 were included in the study. The mean age +/- standard deviation of the patients was 65.0 +/- 15.5, and 56.2% (n = 843) of these patients were men. Of these hospitalized patients, 11.9% (n = 178) were undergoing invasive mechanical ventilation or ECMO. It was observed that 1118 (74.5%) patients were receiving antibiotics, of which 416 (372%) were prescribed a combination of antibiotics. In total, 71.2% of the patients had neither a clinical diagnosis nor microbiological evidence for prescribing antibiotics. In the multivariate logistic regression analysis, hospitalization in a state hospital (p < 0.001), requiring any supplemental oxygen (p = 0.005). presence of moderate/diffuse lung involvement (p < 0.001), C-reactive protein >10 ULT coefficient (p < 0.001), lymphocyte count < 800 (p = 0.007), and clinical diagnosis and/or confirmation by culture (p <0.001) were found to be independent factors associated with increased antibiotic use. Conclusion: The necessity of empirical antibiotics use in patients with COVID-19 should be reconsidered according to their clinical, imaging, and laboratory findings.