Hospital In Turkey Research Articles

Determining the incidence and risk factors of medical device-related pressure injury in intensive care patients

AimThis study aims to determine the incidence and risk factors of Medical Device-Related Pressure Injury (MDRPI) in Intensive Care Unit (ICU) patients. Material and methodsThis descriptive cross-sectional study involved 300 patients who did not have an MDRPI at the time of admission to the ICU of a university hospital in Turkey. The data was collected using the Patient Information Form, the Medical Device-Related Pressure Injury Follow-Up Chart, and the Jackson/Cubbin Risk Assessment Scale. ResultsThe mean age of the patients was 71.88 ± 14.82 years old. Precisely 31% of patients were found to be at risk for pressure injuries, and MDRPI occurred in 18% of them. It was found that patients most commonly experienced stage 1 MDRPI in the hand-finger region due to pulse oximetry. It was also determined that nasal cannulas caused MDRPI the fastest. Patients with MDRPI had low Jackson/Cubbin scores, low albumin and hematocrit levels, and longer hospitalization durations (p < .05). Dependence on -respiratory support device, bedridden, and experiencing non-device-related pressure injuries were associated with MDRPI (p < .05). ConclusionIt was found that factors causing non-device-related pressure injuries may also pose an MDRPI risk for patients in intensive care. It was also observed that devices used in ICU could cause pressure injuries even in very short periods in cases where necessary precautions are not taken. Periodic evaluation of the area the medical devices are in contact with, removal of unused devices as quickly as possible, and the use of prophylactic dressings can play an important role in preventing MDRPI.

Relationships between nurse managers' person-organization fit, person-job fit, and cultural values in Turkey.

While individuals' thoughts and behaviors are shaped according to their environment's cultural characteristics, the managers' values also shape organizational culture. Therefore, the concepts of person-organization fit and person-job fit can also be affected by the managers' culture. This research aimed to examine the relationships between organization, job fit and cultural values of nurse managers working in university hospitals in Turkey. This research is a cross-sectional analytical study. The research sample comprised 391 nurse managers working in the 20 university hospitals in Turkey. The research data were collected via an information form, individual cultural values scale, person-organization fit scale (POFS), and person-job fit scale (PJFS). Descriptive statistics were computed to define demographic characteristics. Spearman's correlation coefficient was used to evaluate the relationship between numeric variables. The means of the nurse managers' power distance, uncertainty avoidance, collectivism, masculinity, long-term orientation scores were 3.03, 5.98, 5.34, 3.02, and 5.60, respectively. The means of the nurse managers' POFS and PJFS scores were 3.33 and 4.13, respectively. There was a positive relationship among power distance and long-term orientation dimensions and person-organization fit, while there was a negative relationship between the masculinity dimension and person-job fit (p < 0.05). This study found that the nurse managers' individual cultural values were related to the organization and job fit. In this context, it is worth considering the individuals' cultural values in nurse recruitment and selection processes.

Investigation of arranging doctor schedules during the COVID-19 outbreak by using a decision support system

People with minor symptoms are isolated at home, while those with severe symptoms are treated in hospitals. The hospital burden has so increased excessively. Healthcare workers experience physical tiredness as a result of stress. In addition to the growing workload, healthcare providers have psychological issues due to their worry of contracting an infection and spreading it to others. Healthcare personnel needs to be protected and given adequate working circumstances. Since protective gear including gloves that are secure, respiratory protection, and eyewear are crucial for the protection of medical professionals exposed to the virus, medical treatment should also be well arranged for. The fast-spreading COVID-19 epidemic has impacted numerous individuals throughout the globe. Considering the strong infectivity, governments issue advisories to stay at home or enact policies like lockdowns to prevent the spread of the illness. Arranging doctor scheduling is one of the crucial difficulties. As part of this study, create a doctor scheduling arrangements with a hospital in Turkey during the COVID-19 epidemic. In order to sustain activity in the new departments while lightening the load in the old departments, the hospital built three new COVID-19-related departments. To solve the arranging doctor scheduling issue, provide a Mixed Integer Programming (MIP) paradigm to turn the problem into a Decision Support System (DSS). The consequential schedules maintain healthcare delivery throughout all departments while distributing their effort evenly by reducing the risk of the doctors contracting the illness.

The Effect of Fear of Happiness as a Cultural Phenomenon on Anxiety and Self-Efficacy in the Puerperae.

Individuals who believe that experiencing positive emotions such as happiness could lead to negative results can suppress their authentic positive feelings to prevent undesired consequences. The aim of this study was to determine the levels of fear of happiness as a cultural phenomenon among puerperal women and the effects of fear of happiness on anxiety and self-efficacy in these women. This cross-sectional study was conducted in the puerperal service of a hospital in Turkey between September 2021 and June 2022 (n = 287). The study data were collected through State-Trait Anxiety Inventory Scale (STAI-I and STAI-II), General Self-Efficacy (GSE) Scale, and Fear of Happiness Scale (FHS). There was a significant relationship between STAI-II and GSE and FHS scores, which explained 43.4% (R2 = .434) of the variance (p < .001). Also, a significant relationship of GSE with working at an income-generating job, STAI-I, and STAI-II was found (p = .008, p = .040, p < .001, respectively). It was found that the puerperae who stated that they needed training on the postpartum process and baby care had high levels of fear of happiness (p = .007). Screening puerperae in terms of fear of happiness is important for determining their psychological well-being. Health care professionals should be aware that fear of happiness as a cultural approach negatively affects anxiety and therefore self-efficacy levels of puerperae. Providing a comprehensive training to the puerperae on parenthood and self-efficacy as well as mental health support is important for them to cope with fear of happiness.

Social and Medical Characteristics of Neonates Who Were Abandoned in a Tertiary Maternity Hospital in Turkey.

This study aimed to investigate the characteristics of neonates who were aban- doned in a tertiary maternity hospital and to determine the accompanying morbidities. This hospital-based, retrospective descriptive study was conducted by evaluating the medical records between 2012 and 2019 in a tertiary hospital in İzmir. During the study period, there were 76 women who left their babies in the hospital following delivery. Median age of the mothers was 23 (range 12-44) years. Among them, 31.5% (n = 24) were below 18 years of age. Seventy-three of the pregnancies (96%) were unwanted, 67 of the mothers were unmarried (88.16%), of which 17 revealed a history of rape (22.36%), and 2 of them were victims of incest (2.63%). Thirty-six (47.36%) neonates were female and 36 of them (47.36%) were delivered by cesarean section. The mean gestational age was 37.3 ± 2.2 weeks and the mean birth weight was 2927 ± 572 g. Twenty-one (27.63%) babies were born prematurely and 15 (19.73%) had low birth weight. Four babies (5.26%) had hypoglycemia, 3 (3.94%) had hyponatremia, 5 (6.57%) had hypocalcemia, and 3 (3.94%) had hypomagnesemia. Unwanted pregnancies were found to be one of the key reasons for newborn aban- donment and linked to a higher risk of complications for both mother and child. To prevent unintended pregnancy and its negative effects, it is important to ensure that all adolescents have access to high-quality education in a safe and supportive learning environment, school- based health services, and increase access to contraceptive services, including emergency contraception and safe and legal abortion services.

Prevalence and factors associated with surgery anxiety in hospitalized patients: a point-prevalence study.

Preoperative anxiety is a challenging problem in the preoperative care of patients. Identifying risk factors helps nurses provide psychological support during the pre-operative visit so that stress can be reduced. This study aimed to determine the prevalence of surgical anxiety and related factors in hospitalized surgical patients. This research was designed as a point-prevalence study. The study was completed with 223 patients hospitalized in the surgical clinics of a tertiary hospital in Turkey. Surgical anxiety questionnaire (SAQ) and State-trait anxiety inventory (STAI) were used for the assessment of anxiety. Preoperative anxiety prevalence was 69.5% according to the SAQ and 49.3% according to STAI. Women, participants with no primary school education, those who were unemployed and had low income, those with no previous surgery, those living in fear of surgery, the participants who underwent major surgery and general anesthesia, and those who did not have knowledge about the surgical procedure and anesthesia had higher anxiety according to the two scales. A highly significant and positive correlation was found between total STAI and total SAQ. The importance of surgical anxiety for the health system, which affects two out of every three hospitalized patients, should not be underestimated. Therefore, national and global plans should be made to prevent and manage surgical anxiety.

Readability Assessment of Patient Information Texts on Amblyopia on the Websites of Major Hospitals in Turkey

Especially in the last two decades, the use of internet has increased dramatically. As expected, the patient information texts on the websites of the hospitals are also read by much more people relative to the past. In this context, this paper mainly handles the readability of patient information texts on amblyopia on the websites of major hospitals in Turkey. Since the assessed texts are in Turkish, the readability assessments are carried out by Ateşman Formula which is mainly created in order to measure the readability of the texts in written in Turkish. For this purpose, the relevant information texts of the first ten hospitals that were reached as a result of typing the keyword “göz tembelliği” -which is the Turkish of “amblyopia”- on the internet search engine Google were evaluated. Average value of the Ateşman index of examined texts corresponds to the medium difficulty classification. However, the value found is quite close to the lower limit of the medium difficulty class. This reflects that the readability level of the text is relatively low. The readers of these texts consist of people from various segments of society with various levels of education. Moreover, it is highly probable that the majority of the aforementioned readership did not have a health or medical education. For all these reasons, the readability levels of these texts should be more appropriate for the readers. Various regulations can be brought by official authorities in this regard.

Spiritual Care Competencies and the Frequency of Spiritual Care Practices of Nurses in Turkey.

This descriptive study aimed at determining the spiritual care competencies and the frequency of spiritual care practices of nurses. A total of 119 nurses working in the palliative care unit, oncology services, and intensive care units of a state hospital in Turkey participated in the study. The data were collected by the Participant Information Form, Spiritual Care Competence Scale, and Nurse Spiritual Care Therapeutics Scale. Spiritual care competencies of the nurses were found to be high; the frequency of spiritual care practices was determined as moderate. We found a positive correlation between the spiritual care competencies and the frequency of spiritual care practices of nurses. There was a significant difference between nurses' received spiritual care training status and their scale scores. In addition, nurses who believed that spiritual care was an important part of nursing care, and an important need of patients,had higher scale scores.

The effect of nature-based music intervention on adaptation and anxiety levels in patients with COVID-19 placed in the prone position: A randomized controlled trial

ObjectiveTo examine the effect of listening to nature-based music on anxiety, physiological parameters, and adjustment to the prone position in conscious and hypoxemic COVID-19 patients. DesignA single-blinded randomized control trial design. SettingThe study was conducted in the intensive care unit of a state hospital in Turkey. Sixty-four patients were randomized into an intervention group and a control group. MethodsA nature-based music intervention was applied in addition to routine care to the intervention group in the prone position, while the control group received routine care in the same position. The study outcomes included state-trait anxiety, physiological parameters, and prone time within 24 h. Measurements were performed in the supine position (Time: T0), in the 30th minute in the prone position (T1), and in the 30th minute of the supine position given following the prone position (T2). Data analysis included independent samples t-test in independent groups and repeated measures ANOVA in dependent groups. ResultsState anxiety fell statistically significantly in the intervention group compared to that of the control group (39.1 ± 6.6 vs. 43.4 ± 7.9, p = 0.025). At T2, the heart rate of the intervention group did not increase, but it increased significantly in the control group compared to T0 and T1 values (87.8 ± 9.8 vs. 91.1 ± 10.8; p = 0.000). The oxygen saturation of the intervention group increased significantly compared to that of the control group (94.5 ± 2.3 vs. 93.4 ± 1.9, p = 0.035). The prone position time of the intervention group was significantly greater than that of the control group (11.5 ± 1.5 vs. 10.8 ± 1.1, p = 0.04). ConclusionsIt was found that nature-based music intervention applied to conscious and hypoxemic COVID-19 patients in the prone position improved anxiety and oxygen saturation and increased the prone position time. Implications for clinical practiceListening to nature-based music in prone position may reduce anxiety in conscious patients with hypoxemic respiratory failure, it may increase adjustment to the prone position, and it may improve oxygenation and heart rate.

Healthcare-associated Staphylococcus aureus infections in children in Turkey: A six-year retrospective, single-center study

Objective: To describe clinical and epidemiological characteristics, antimicrobial susceptibility and mortality-associated factors of healthcare-associated infections (HCAIs) caused by Staphylococcus (S.) aureus in children. Methods: We conducted a retrospective, single-centre study of pediatric HCAIs caused by S. aureus from a tertiary care hospital in Turkey between February 2014 and December 2019. The clinical and epidemiological characteristics and antimicrobial susceptibility of the methicillin-susceptible and methicillin-resistant S. aureus (MSSA and MRSA) isolates was evaluated. Results: A total of 310 pediatric patients were examined. Overall, 225 (72.6%) isolates were MSSA and 85 (27.4%) were MRSA. All S. aureus isolates were susceptible to teicoplanin, vancomycin, linezolid, tigecycline, mupirocin, and daptomycin. Penicillin resistance rates were high (89.0%), while fosfomycin, gentamicin, and clindamycin resistance rates were low (1.3%, 1.0%, and 2.3%, respectively). Except susceptibility to fosfomycin, which was significantly lower in 2014 compared to 2018 and 2019, no significant difference was found in the antimicrobial susceptibility of S. aureus isolates between the years. Baseline characteristics and mortality rate were similar comparing MRSA and MSSA causing HCAIs. The mortality rate of HCAIs caused by S. aureus was 6.5% (20 patients). Malignancy was an independent risk factor associated with mortality in the multivariate analysis (OR 5.446, 95% CI 1.573-18.849). Conclusions: Our findings demonstrate that MSSA remained the most causative agent of HCAIs caused by S. aureus. The mortality rate was 6.5%, the antibiotic resistance rate was quite high for penicillin and diagnosis of malignancy was the main risk factor for increasing mortality in children. These findings could help improve the management of HCAIs caused by S. aureus in children.

Physicians Presenteeism and Spirituality in the COVID-19 Pandemic

The aim of this study was to determine the spirituality (spiritual attitudes) and presenteeism (inability to be present at work) of family medicine clinic assistants who worked in many areas related to the COVID-19 (Coronavirus Disease 2019) pandemic in a pandemic hospital and to determine the factors affecting them and to investigate the relationship between them. The study is an observational and cross-sectional study and the sample consisted of family medicine residents (n=127) working in the Family Medicine Clinic of Ankara Bilkent City Hospital, which served as the largest pandemic hospital in Turkey, during the COVID-19 pandemic. The first part of the questionnaire form included the sociodemographic information of the participants, the second part included the data to determine the presenteeism status and its causes, and the Stanford presenteeism scale to devote oneself to work scale was applied. The third part included the spirituality scale. The presenteeism scale mean score of the physicians participating in the study was 18.75 points out of 30 points. The mean score of the spirituality scale was found to be 100.14 points out of 135 points, and the relationship between them was not found to be statistically significant. It has been observed that physicians who took a more active role in the pandemic had a lower level of inability to be present in their work, that is, higher job performance, compared to those who remained on passive duty for various reasons. A positive moderate correlation was found between the general health status of physicians and their job performance. It was determined that among the people with whom the physicians lived together during the pandemic period, the situation of being absent from work was higher in those who had a relative with a chronic disease compared to those who did not. It has been determined that those who have a spare person who can take care of themselves in the pandemic are less likely to be absent from their jobs than those who do not. It has been determined that among the physicians who had COVID-19, the situation of being absent from work was higher in those who required a rest report after isolation, compared to those who did not. On the other hand, physicians' mean scores of spirituality scale sub-dimensions such as "spiritual coping, transcendence, search for meaning, spiritual contentment, connection, harmony with nature" and total spirituality score were found to be high. In the study, physicians' presenteeism was found to be at a moderate level and spirituality at a high level. The awareness of physicians about the concept of presenteeism and spirituality was increased, the literature related to the conduct of this study was contributed in the field of health, and a different perspective was presented to the literature on the necessity of evaluating the human as a whole for the solution of presenteeism and the importance of addressing the regulatory role of spiritual attitudes.

Cultural adaptation of the revised Basel Instrument for Rationing of Care to the Turkish context: a study of validity and reliability.

Studies have shown that nurses do not complete one or more necessary nursing care elements in their last shift due to lack of time. The Basel Extent of Rationing Nursing Care (BERNCA) instrument is one of the most used scales to measure the rationing of nursing care. This study is aimed to culturally adapt the revised BERNCA (BERNCA-R) instrument to the Turkish language and to test its validity and reliability. A cross-sectional and methodological study was used. The instrument was adapted in three stages: translation and adaptation, content validity testing and validity and reliability. Data were obtained from 350 nurses working in two public acute care hospitals in Turkey, between September 2019 and January 2020. The descriptive statistics, content validity index, exploratory and confirmatory factor analyses, Cronbach's α, Guttman split-half and inter-item reliability analyses were performed for the analysis of the data. The Turkish version of the BERNCA-R instrument with a 27-item and three-subscales (monitoring, daily care and needs and psychosocial care) structure was found to have acceptable and good fit indices. The Turkish version of the BERNCA-R instrument is valid and reliable tool to measure rationing of nursing care.

The effectiveness of a training program on perceptions of caring culture among Turkish nurses: A quasi-experimental trial.

To assess the effectiveness of a training program on perceptions of caring culture among Turkish nurses and investigate the relationships among caring culture, job satisfaction, and intention to leave. Every organisation has its on culture with its vairous components including values, symbols, practices and policies. Healthcare organizations need a favorable caring culture to support nurses and other professional working in the organisation. This was a quasi-experimental trial of an educational intervention conducted between October and December 2020 at a university hospital in Turkey. The sample of the study consisted of 86 nurses. A four-week training program based on caring culture was provided for the training group. The data were collected using a Personal Information Form, the Turkish version of the Caring Culture Survey, and the Job Satisfaction Scale. Intention to leave was measured with a single question. The mean total caring culture and personal caring scores of the training group were significantly higher after the training than before (p<0.05). There were significant positive correlations between the mean caring culture total and subscale scores of the participants and their total job satisfaction scores. Besides, there were significant negative correlations between the caring culture total and subscale scores of the participants and their intentions to leave, but these relationships were weak or moderate (p<0.05). This training program based on caring culture can contribute to improving the caring culture perceptions of nurses. Caring culture is positively related to job satisfaction and negatively related to intentions to leave. Healthcare organizations should prioritize creating a caring culture and designing initiatives that focus on caring culture. The perceptions of nurses about caring culture should be measured and identified regularly.

Analysis of Density and Patient Wait Times in Terms of System Management in Turkish Hospitals: Setting A Pattern By Days and Hours of the Week

The time spent waiting is an important problem regarding patient satisfaction and hospital efficiency, and increases the need for evidence-based information for management to make decisions towards a solution. This study aims to examine the process flows in hospitals based on actual data with the intent to design a better service delivery system and set a pattern in terms of determining the congestion in the process and planning the necessary improvements. For this purpose, the data sets for 2016 pertaining to secondary and tertiary level hospitals in Turkey, which are stored in the central physician appointment system (CPAS), are investigated. The data is analyzed through pre-processing, cleaning and transformation stages. Congestion patterns are determined by days and hours spent in hospitals. Monday is found to be the day with the highest patient density and the longest wait time in Turkish hospitals. It is observed that wait times are shorter on Wednesday in the middle of the week, while they are longer on Friday, the last working day. Additionally, when analyzed by working hours, it is determined that the first 2 hours in the morning (9.00 a.m. to 11.00 a.m.) is the period when most patients are examined. The lunchtime (between 12.00 p.m. - 1.00 p.m.) and the afternoon from 4.00 p.m. to 5.00 p.m. are the times when patient density is the lowest, but average wait time is the longest. Turkish hospitals are found to be particularly congested on some days and during some hours regarding patient wait times. Thus, policy recommendations can be developed specifically to the days and times when congestion patterns are identified rather than suggesting a general policy. This study is the most comprehensive study conducted in Turkey through process data. The working model is reproducible in different countries and regions.

Association between self-reported menstrual disorders and occupational exposures in female healthcare workers: a university hospital experience from Turkey

Objectives: This study aims to demonstrate the relationship between menstrual disorders and occupational exposures in female healthcare workers, and to contribute to the regulation and improvement of working conditions of female healthcare workers. Methods: A cross-sectional study among 503 female healthcare workers at university hospital in Turkey was conducted during December 2020-April 2021. The questionnaire prepared using the Google Forms program was sent electronically. Results: Prevalence of dysmenorrhea was 59%, abnormal amount of menstrual bleeding 48.7%, abnormal menstrual duration 32%, and abnormal menstrual cycle length 154 30.6% in 503 participants. Dysmenorrhea risk was 0.79-fold (95% CI = 0.64-0.83) lower in those with advanced age and 1.56-fold (95% CI = 1.02-2.37) higher in smokers; risk of abnormal amount of menstrual bleeding was 3.91-fold (95% CI = 1.24-12.30) higher in those with total employment time of ≥ 20 years and 1.56-fold (95% CI = 1.07-2.26) higher in those who worked with display screens for &amp;gt; 20 hours a week; risk of abnormal menstrual cycle length was 3.46-fold (95% CI = 1.41-8.43) higher in technicians, 2.86-fold (95% CI = 1.24-6.61) higher in nurses, 2.63-fold (95% CI = 1.19-5.79) higher in other healthcare workers, and 2.14-fold (95% CI = 1.42-3.21) higher in those who were unsatisfied with their job. Conclusions: It was found that occupational exposures may increase the risk of menstrual disorders. A plan of action is needed to reduce the frequency of menstrual disorders by preventing occupational exposures experienced by healthcare workers.

Erectile dysfunction prevalence and associated factors in men living with HIV from Western Turkey: A cross-sectional study.

The majority of people living with HIV in our country are younger men. However, limited data exist for the sexual health of these patients. Knowledge of the epidemiology in this population may improve health outcomes across the continuum of HIV care. The aim of this study was to determine the prevalence of erectile dysfunction (ED) and its association with some clinical and laboratory factors. A cross-sectional study was conducted using random sampling in men living with HIV (MLWH) at a tertiary hospital in Turkey. Patients were asked to fill out the five-item International Index of Erectile Function (IIEF-5), and blood was collected for HIV viral load, CD4+ T lymphocyte count, lipids and hormone levels to assess biological aspects at the same clinical visit. A total of 107 MLWH were recruited. Mean age was 40.4 ± 12.4 years. ED was found in 73.8% (n = 79) of the participants. Severe ED was found in 6.3%, moderate in 5.1%, mild-moderate 35.4%, mild 53.2% of the participants, respectively. The mean age of men with erectile dysfunction was 42.5 ± 12.5 years, while those without erectile dysfunction were 34.5 ± 10years (p:0.00). ED was detected more frequently in cases with high Low Density Lipoprotein (LDL) levels (p:0.003). There was no statistically significant difference between ED presence and having hormone abnormality. There was a moderate, negative correlation between age and ED score (r: -0.440, p < 0.001). A negative and low correlation was found between triglyceride level and ED score (r: -0.233, p:0.02). The only predictive variable was age in the multivariate analysis [B: -0.155 (95% CI -0.232 to -0.078), p: <0.001]. Our study revealed a high prevalence of ED in the MLWH cohort. Age was found to be the only factor associated with ED. HIV clinicians should consider routine ED screening with validated measures as a part of the follow-up scheme to improve integrated wellbeing in MLWH.

Tuberculosis contact-tracing results in childhood: a retrospective study in a tertiary-care children’s hospital in Turkey

ABSTRACT Background Smear-positive adults with tuberculosis are the main source of childhood tuberculosis. The evaluation of children exposed to tuberculosis and determination of the disease stages are the cornerstones of managing childhood tuberculosis. Aim To determine the frequency of tuberculous contact, latent tuberculosis infection and tuberculosis disease in children who were in contact with smear-positive adults. Methods This is a single-centre, retrospective study. The medical records of children exposed to tuberculosis (<18 years old) between 2014 and 2018 were investigated. After diagnosing the index cases, the children were referred to the hospital. To identify the children in contact with adults with tuberculosis, a careful medical history, demographic features and physical examination, tuberculin skin test, postero-anterior and lateral chest radiographs, and, if necessary, chest computed tomography and microbiological tests were undertaken. The children’s final diagnosis, treatment regimens and follow-up were documented. The sensitivity, specificity and positive and negative predictive values, tuberculin skin test and chest radiograph imaging were assessed and compared with computed tomography results. Results A total of 150 paediatric patients were exposed to 88 index cases. These were fathers in 29.3% of cases and mothers in 10% of cases. Of the children, 131 (87.3%) were asymptomatic, and physical examination was normal in all children, apart from one who had respiratory symptoms. The tuberculin skin test results were positive in 60 (43%) patients and chest radiograph was abnormal in 100 (66%) children. Findings were consistent with tuberculosis in 34 (40%) of the 84 patients who underwent computed tomography. Fifty (38.5%) of the remaining children were defined as having been in contact with a case of tuberculosis, 41 (31.5%) had latent tuberculous infection and 39 (30%) had tuberculosis disease. Conclusion Pulmonary tuberculosis is asymptomatic in most children but with meticulous use of computed tomography it can be detected in asymptomatic children who have had close contact with tuberculosis. Abbreviation: AFB: acid-fast bacilli; AUC: area under the curve; BCG: bacillus Calmette-Guérin; CI: confidence interval; CT: computed tomography; CXR: chest radiograph; HIV: human immunodeficiency virus; ICD-10: International Classification of Diseases 10; LTBI: latent tuberculosis infection; MDR-TB: multi-drug-resistant tuberculosis; NPV: negative predictive value; PCR: polymerase chain reaction; PPV: positive predictive value; ROC: receiver operating characteristics; SD: standard deviation; TB: tuberculosis; TST: tuberculin skin test; XDR-TB: extensively drug-resistant tuberculosis.

Examination of Patients’ Attitudes Toward Exercising Patient Rights in a University Hospital in turkey: A Cross-Sectional Study

Patient rights support patient autonomy and is an important bioethics issue that has been on the healthcare agenda in recent decades. Patients exercising their rights is one of the factors that positively affect the care and treatment process. The aim of this study is to determine the attitudes toward patients exercising their rights, factors affecting it, and to raise awareness on the subject. This cross-sectional descriptive study was conducted with 421 patients hospitalized in a university hospital in Turkey. Data were collected using the Scale of Patient Rights Using Attitude (SPRUA) and 16 questions identifying the demographic characteristics of the participants and information that is thought to affect attitudes toward patient rights. Each statement on the SPRUA, a Likert-type scale, is scored from 5 to 1. The total score that can be obtained from the scale ranges between 29 and 145. The total score on the scale determines the attitude toward using patient rights. The Shaphiro wilk test, Student t test, One Way ANOVA, Tukey multiple comparison tests, Kruskal Wallis and All pairwise tests were used to evaluate the data. Participants’ total mean score on the SPRUA was 117.50 ± 22.72. Some socio-demographic variables and experiences during the illness affected the participants’ attitudes toward exercising patient rights. There was a significant difference between the participants’ the mean SPRUA score and the following factors: age, education level, place of residence, clinic hospitalized in, chronic disease status, knowledge about patient rights, duration of hospitalization. The participants had high mean scores on the scale.

Stigma Resistance Scale: A Psychometric Study in a Turkish Mental Illness Sample

The aim of this study was to evaluate the reliability and validity of the Turkish version of the Stigma Resistance Scale in patients with psychiatric disorders. This methodological study included 190 patients diagnosed with various psychiatric disorders in a psychiatry outpatient clinic of two hospitals in Turkey. The data were analyzed using SPSS and LISREL software. Explanatory and confirmatory factor analyses, Cronbach's alpha coefficients, and test-retest methods were used to determine the validity and reliability of the scale. The Cronbach's alpha coefficient of the scale was 0.89 for the entire scale and ranged between 0.72 and 0.82 for the five subscales; the item-total point correlations were between 0.43 and 0.63; and the correlation value of the test-retest was 0.78. The results of the explanatory factor analysis revealed that a five-factor structure, with factor loadings in the range of 0.44 to 0.70, explained 60.11% of the total variance. According to the results, acceptable adaptation values were computed (χ 2 /SD = 1.840, root-mean-square error of approximation = 0.06, standardized root-mean-square residuals = 0.070, comparative fit index = 0.96). In light of the findings, it was concluded that the Turkish version of the Stigma Resistance Scale could be used as a reliable and valid tool in assessing stigma resistance of Turkish psychiatric patients. Health care professionals may use this instrument in clinical practice to identify patients with mental illness who are experiencing stigma. [ Psychiatr Ann . 2023;53(7):333–339.]

COVID-19 pandemic and burnout: factors associated with burnout levels among healthcare workers

Purpose: This study investigated the psychosocial and demographic factors influencing burnout levels among healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic.&#x0D; Materials and Methods: A cross-sectional and descriptive study was performed on a total of 418 healthcare workers from Cukurova University Faculty of Medicine, Balcalı Hospital in Turkey. While the participants were selected randomly, a personal information form consisting of 33 open- and close-ended questions, Coronavirus Anxiety Scale, the Maslach Burnout Scale and the Beck Burnout were applied.&#x0D; Results: They were 418 healthcare workers aged 19-63 (mean= 35.51±9.38), 284 of whom were 61.8% female, 132 (31.7%) of whom were male, and 2 (0.5%) of whom refused to specify their gender. The study found that emotional exhaustion and depersonalization scores were significantly positively correlated with COVID-19 anxiety scores and Beck anxiety scores in healthcare workers, while personal accomplishment scores were significantly negatively correlated with these variables. The study also revealed that COVID-19 anxiety, Beck anxiety, being female, being young, being unmarried, having children, being diagnosed with COVID-19, having a chronic illness, and working more hours per week were all contributing factors to burnout. &#x0D; Conclusion: Both during and after the COVID-19 pandemic, it is very important to provide various forms of psychological support and make arrangements to address factors that can impact the burnout of healthcare professionals.