Private Hospital In Istanbul Research Articles

Pain's impact on eating patterns and inflammation: A case-control study.

Pain is a widespread and troubling clinical and social problem with important effects on society and individuals. The purpose is to assess the relationship between pain and eating behavior, macro-micronutrient intake, and dietary inflammation index. The study was carried with a total of 80 patients, consisting of 40 patients diagnosed with pain and 40 patients not diagnosed with pain, who applied to a private hospital in Istanbul as outpatients with a questionnaire face-to-face consisting of questions about sociodemographic characteristics, anthropometric measurements, pain-related information, Eating Attitude Test (EAT-19), and 24-hour food consumption record. The statistical analysis of the data was conducted with SPSS v27 package program. People who had pain had higher levels of disrupted eating attitudes than those who did not have pain. The "Bulimia" subfactor mean score of the EAT-19 was higher in those with pain (P < .05). No difference was found between the case-control groups regarding the mean dietary inflammation index (DII) score and energy, macro- and micronutrient consumption values (P > .05). No difference was detected between the case-control groups with disrupted eating attitudes regarding the median DII score (P > .05). The median DII score was significantly higher in individuals with pain and normal eating attitudes than in those without pain and with disrupted eating attitudes (P < .05). There is a relationship between pain, eating attitudes, and DII, the median DII score of those who had pain and had normal eating attitudes was higher.

The Stirling Antenatal Anxiety Scale (SAAS): Turkish validity and reliability study

AimsTo examine the psychometric properties of the Stirling Antenatal Anxiety Scale (SAAS), developed by Sinesi et al., which assesses the level of anxiety of pregnant women in the prenatal period, in the Turkish culture, and to conduct a validity and reliability study. MethodsThis study had a methodological approach, with a cross-sectional and descriptive research design. Reporting was in accordance with the STROBE checklist. The sample included 160 pregnant women who were followed up in the maternity outpatient clinics of a public hospital and a private hospital in Istanbul. Data were collected face-to-face using a personal information form, the Turkish version of the SAAS, and the Generalized Anxiety Disorder-7 scale between June and August 2023. In the data analysis, validity analyses were performed with content and construct validity and multiple fit indices for confirmatory factor analysis. Item-total score analysis was conducted using Cronbach's alpha coefficient and Pearson's correlation analysis to assess reliability. Descriptive and reliability analyses were undertaken using SPSS v.28.0.1.0, and validity analyses were performed using SPSS AMOS v.26.0.0.0. FindingsBased on expert opinions on the items in the Turkish version of the SAAS, the content validity ratio was 0.96. The decision was made to exclude Item 9 from the Turkish version because the item factor load was low. The Turkish version had a single factor, as did the original version. The Cronbach alpha coefficient was 0.87, so the Turkish version was determined to have high reliability. ConclusionThe Turkish version of the SAAS, originally produced in English, has high levels of validity and reliability. In addition, it is short and easy to apply in clinical and research settings. As such, the Turkish version of the SAAS is recommended for use to evaluate the level of anxiety in pregnant women.

MEDICAL BUREAUCRACIES AND THE ROLE OF SOCIAL PERCEPTION IN THE PROFESSIONALIZATION OF NURSING: A PHENOMENOLOGICAL STUDY CONDUCTED IN ISTANBUL

This research is a qualitative field study conducted to investigate how the nursing perception of medical bureaucracies and society affects the professionalization process of the nursing profession. In the research, data were collected through in-depth face-to-face interviews with 20 nurses working in different medical departments of public and private hospitals in Istanbul between September 2018 and June 2019. In order to collect the data, after reviewing the relevant literature, an introductory personal information form, consisting of 10 questions and an individual interview form, consisting of 14 questions were given. The study, which is based on a phenomenological approach, tries to understand how the nursing profession is in the professionalization process, the position of nursing in the health system as a profession, and how to be influential on the nursing image of the society by viewing and understanding the nurses' own observations and experiences. According to the findings of the study, the most difficult factor in the professionalization process of the nursing profession is that, because it is determinative of the ambiguous position of nursing in the health system and the erroneous image of the nurse in society, there are significant uncertainties in the job description of nurses. In addition, it is seen that the weakness of professional nurse organizations, the differences in education levels, and being seen in the category of non-physician “assistant” health personnel have effects that make it difficult to professionalize nursing.

The relationship between environmental turbulence and organizational improvisation in hospitals: The moderator role of organizational culture

Aim: In today's business environment, dynamism, uncertainty, and environmental turbulence are quite high. Organizational improvisation is seen as an effective mechanism for organizations operating in these environments to respond to demands from the environment. This study aims to examine the relationship between environmental turbulence and organizational improvisation, and also the moderator role of organizational culture (adhocracy, clan, hierarchy, and market culture). &#x0D; Methods: The study used a descriptive cross-sectional design. The data were collected from 487 lower, middle, and upper-level managers working in private hospitals in Istanbul. The disproportionate stratification method was used since hospitals are not homogeneous regarding technological and financial structure, size, and human resource quality. The data was analyzed using Statistical Package for the Social Sciences 23 program through PROCESS macro. &#x0D; Results: The results show a positive relationship between environmental turbulence and organizational improvisation. Also, adhocracy, clan, and market cultures moderate the environmental turbulence and organizational improvisation relationship. As these three organizational cultures increase, the effect of environmental turbulence on organizational improvisation weakens. &#x0D; Conclusion: This study indicates that environmental turbulence is an effective factor in hospitals' organizational improvisation capability. Furthermore, the moderation analysis suggests that organizational culture may be an important mechanism underlying environmental turbulence and organizational improvisation relationship.

Factors affecting the psychomotor vigilance of nurses working night shift.

Shifts and long working hours decrease the psychomotor vigilance of healthcare workers especially when working night shifts. Working night shifts adversely affects nurses' health and impacts patient safety. The purpose of this study is to identify factors affecting the psychomotor vigilance of nurses working night shift. This descriptive cross-sectional study was carried out with 83 nurses who were working in a private hospital in Istanbul and voluntarily participated in this study between April 25 and May 30, 2022. Data were collected using "Descriptive Characteristics Form," "Psychomotor Vigilance Task," "Pittsburgh Sleep Quality Index," and "Epworth Sleepiness Scale." The "STROBE checklist" for cross-sectional studies was utilized in order to report the findings of the study. When time-dependent variation of the nurses' psychomotor vigilance task performances on the night shift was examined, it was observed that the nurses' mean reaction time and number of lapses increased at the end of the night shift. Age, smoking, physical activity, daily water consumption, daytime sleepiness, and sleep quality were found as the factors affecting nurses' psychomotor vigilance. The psychomotor vigilance task performances of nurses working night shift are affected by age and a variety of behavioral factors. Suggestions for nursing policy include the implementation of workplace health promotion programs in order to increase the attention level of nurses in order to ensure employee and patient health and safety and create a healthy working environment.

Determining the relationship between diet inflammatory index, mental status and quality of life in type 2 diabetes: a cross-sectional study

PurposeDiabetes is one of the health problems of increasing importance owing to the increase in its incidence and the problems it causes, and it is closely related to nutrition. This study aims to determine the relationship between the dietary inflammatory index (DII) scores of individuals with type 2 diabetes, depression, anxiety and quality of life.Design/methodology/approachIn this cross-sectional study, 158 individuals with type 2 diabetes who applied to a nutrition and diet outpatient clinic of a private hospital in Istanbul were included. Their depression status was evaluated using the Beck Depression Inventory; their anxiety status was evaluated using the Beck Anxiety Inventory; and their quality of life was evaluated using the Short Form 36 Quality of Life scale. One-way ANOVA test was used to define the difference between groups. All test results were evaluated at a significance level of 0.05.FindingsThere was no significant relationship between DII scores, depression (p = 0.814) and anxiety (p = 0.817). However, a significant decrease was observed in the scores of the quality of life criterion in the groups with high depression and anxiety scores (p < 0.05). In addition, participants with high anxiety states had higher HbA1c levels (p = 0.043).Originality/valueIndividuals in this sample with no known psychiatric diagnosis or treatment history demonstrated a significant relationship between depression and anxiety scores and quality of life.

The Relationship between Immigrants' Primary Language Learning, Anxiety Levels and Postpartum Recovery

This study was carried out to investigate the relationship between the Turkish proficiency of immigrant women and their postpartum physical complaints, well-being and anxiety levels. A total of 202 people who applied to a private hospital in Istanbul due to birth were included in the study. 56 (28%) of these participants were immigrants and 54 (26%) gave birth naturally. Participants were asked to evaluate physical well-being, complaints, general health, state and trait anxiety, as well as demographic questions, through Turkish and Arabic questionnaires. Obtained findings; It shows that the Turkish language proficiency in terms of immigrants does not cause a difference in the research variables, the variable that causes the difference between the research variables is physical complaints, and this variable is affected by ethnicity and educational status. In addition, it is among the findings obtained as a result of the research that the factors affecting the general health status are state anxiety level and physical well-being.

Comparison of Psychological Well-Being of Surgical and Non-Surgical Specialty Physicians Working in a Hospital using the General Health Questionnaire-28 (GHQ-28)

Purpose: Psychological well-being of a physician affects the physician’s mental and physical health, even the patient-physician relationship. This article aims to evaluate and compare the psychological well-being of surgeons and internists in a hospital and to investigate the relationship with relevant variables.&#x0D; Method: Full-time physicians working in a private hospital in Istanbul between 15-30 April 2019 participated in this study. With General Health Questionnaire-28 (GHQ-28), the frequency of Probable Psychiatric Cases (PPCs) was determined. The GHQ-28 results were compared with the physician’s specialty, demographic information, and answers to the job satisfaction questions that we prepared. Moreover, the relationship between these answers and the physician’s specialty was evaluated.&#x0D; Results: 84 (37.3%) of 225 physicians (Confidence Level= 95%, Margin of Error= 8%) participated in the study. 19 (22.6%) physicians were found a PPC with a GHQ-28 score of ≥5. Of these 19 people, 11 were surgeons and 8 were internists. The frequency of PPCs was found as 25.6% in surgeons and 19.5% in internists (p&gt;0.05). While 90.8% of non-PPCs were satisfied with their working environment, this rate was 68.4% in PPCs (p=0.038). There was no significant difference in the answers to job satisfaction questions between the surgeons and internists (p&gt;0.05). &#x0D; Conclusion: There was no relationship between the physician’s specialty and being a PPC. A relationship was found between not being a PPC and being satisfied with the physician’s working environment and it should be considered in the evaluation of the mental health of the physicians.

Tip 2 Diyabeti Olan Bireylerde Kendini Damgalama Ölçeğinin Türkçe Geçerlik ve Güvenirliği

Amaç: Tip 2 diyabet hastalarının sosyal yaşama katılma engellerini belirlemeye yarayacak Kendini Damgalama Ölçeği’nin (KDÖ) Türkçe geçerlik ve güvenirliğinin yapılmasıdır. &#x0D; Gereç ve Yöntem: Metodolojik çalışmanın yapılabilmesi için gerekli izinler alındı. Araştırma, İstanbul’da, bir özel hastanede, 2019 yılında tip 2 diyabeti olan 180 kişi ile yapıldı. Veriler, Hasta Tanımlama Formu, Kendini Damgalama Ölçeği (KDÖ), Rosenberg Benlik Saygısı Ölçeği ile toplandı. Veriler; doğrulayıcı faktör analizi, içerik güvenirliği, test tekrar test güvenirliği ve Cronbach alfa analizleriyle değerlendirildi.&#x0D; Bulgular: Uzmanların önerileri, ölçek dil uyarlaması ve pilot çalışma bulguları doğrultusunda; ölçekteki 11., 14. ve 39. soruların anlaşılamadığı için çıkarılmasına karar verildi. Kapsam geçerliği analizi sonunda ölçeğin bilişsel, duyuşsal ve davranışsal olmak üzere 3 alt boyuta ayrıldığı, toplam varyansın %61,37’sini açıkladığı görüldü. Ölçeğin total skoru için Cronbach alfa değeri 0.96 olarak belirlendi. Cronbach alfa değeri, bilişsel alt boyutu için 0.92, duyuşsal alt boyut için 0.92 ve davranışsal alt boyut için 0.87 olarak hesaplandı. Zamana göre değişmezlik için yapılan test tekrar test analizinde; puan ortalamaları arasında güçlü, anlamlı bir ilişki saptandı (p

İstanbul’da Bir Özel Hastanede İdrar Yolu Enfeksiyonu Bulunan Hastalardan İzole Edilen Bakteriler ve Antibiyotik Duyarlılık Profillerinin Belirlenmesi

Amaç: Toplum ve hastane ortamında insanlarda en yaygın bakteriyel enfeksiyonlardan biri idrar yolu enfeksiyonlarıdır (İYE) ve tüm enfeksiyon hastalıkları içinde %25’lik bir oranla ikinci sıklıkta görülmektedir. İdrar yolu enfeksiyonlarının, %95’ten fazlası bakteriyel etkenler olmak üzere idrar yolları epitelinde inflamatuar yanıta neden olan mikroorganizmalar tarafından oluşturulmaktadır. Bu çalışmanın amacı; 2017-2021 tarihleri arasında, İstanbul’da bir özel hastanenin farklı servis ve polikliniklerine idrar yolu enfeksiyonu şikâyeti ile gelen ve idrar yolu enfeksiyon bulguları bulunan yatan hastalardan alınan idrar örneklerinden yapılan mikrobiyolojik analizler sonucunda, izole edilen bakteriler ve antibiyotiklere direnç/duyarlılıkları açısından retrospektif olarak incelenmesi ve değerlendirilmesidir.Yöntem: Araştırmada, 2017-2021 tarihleri arasında hastanenin mikrobiyoloji laboratuvarına gönderilen 772 idrar örneği, izole edilen bakteriler ve antibiyotiklere direnç/duyarlılıkları açısından retrospektif olarak incelenmiştir. Verilerin analizi SPSS İstatistik 26 versiyonu ile gerçekleştirilmiştir. Kategorik değişkenler sayı ve yüzde olarak hesaplanmıştır. Kategorik değişkenler arasındaki farklılığı ki-kare testi kullanılarak analiz edilmiştir.Bulgular: Çalışmada 572 (%74) ’si kadın ve 200 (%26) ’ü erkek olmak üzere toplamda 772 hastaya ait idrar örneği mikrobiyolojik kültür/antibiyogram sonuçları incelenmiştir. Hastalara ait yaş dağılımları incelendiğinde; %6’sı 0-15 yaş, %5,9’u 15-24 yaş, %33,9’u 25-49 yaş ve %54,2’si 49 yaş ve üzerinde olduğu görülmüştür. İdrar örneklerinden toplamda 32 farklı bakteri türü izole edilmiş olup, en fazla izole edilen bakteri türleri sırasıyla; Escherichia coli, Klebsiella pneumoniae ve Proteus mirabilis’tir. Escherichia coli izolatlarının en çok duyarlılık gösterdiği antibiyotikler; amikacin (%97,2), meropenem (%95,3), imipenem (%95,1), colistin (%94,7), ertapenem (%92), tazobactam-piperacillin (%88,6), nitrofurantoin (%87,7), gentamicin (%84,3), ticarcillin-clavulanate (%83,1) ve cefoxitin (%82,9) olarak belirlenmiştir. En fazla direnç gelişimi gözlenen antibiyotikler ise sırasıyla; ampicillin (%71,3), ampicillin-sulbaktam (%69,9) ve amoxicillin-clavulonic acid (%49,4) olarak belirlenmiştir. Klebsiella pneumoniae izolatlarında en çok duyarlılık saptanan antibiyotikler sırasıyla; colistin (%70,4) ve amikacin (%69,8) olup en fazla direnç gelişimi ampicillin (%94,9), ampicillin-sulbaktam (%93,5) ve cefazolin (%69,6)’de saptanmıştır. İzole edilen Proteus mirabilis’lerde en fazla tazobactam-piperacillin (%78,8), aztreonam (%78,6) ve meropenem (%75)’e duyarlılık saptanırken, en çok direnç gelişimi şekillenen antibiyotikler ise nitrofurantoin (%72,7) ve colistin (%81,5) olduğu görülmüştür.Sonuç: Günümüze kadar İYE patojenlerine karşı antibiyotiklerin yaygın kullanımı, antibiyotiğe dirençli türlerin ortaya çıkmasına neden olmuştur. Antibakteriyel direncin oluşma nedenlerinden en önemlisi, uzun süreli ve yetersiz dozda antibiyotik kullanımıdır. Ayrıca yanlış antibiyotik seçimi de direnç gelişimine yol açmaktadır. Bu durum tedavi sürecini etkilemekte ve etkin bir tedavi için doğru kemoterapotik seçeneklerin belirlenmesi gereğini ortaya çıkarmaktadır. İYE’una neden olan bakterilerin antimikrobiyal direnç dağılımları zamana ve bölgeye göre farklılıklar göstermektedir. Antibiyogram test sonuçlarının zaman alması nedeniyle, İYE şikayeti ile gelen hastalara genellikle ampirik antibiyotik tedavisi uygulanmaktadır. Ampirik preparat seçiminde ilk önce bölgesel olarak en sık izole edilen etken ve en düşük direnç oranının görüldüğü antimikrobiyal ajan dikkate alınmalı, mümkünse antibiyotik tedavisine başlamadan önce etken izolasyonu ve antibiyogram değerlendirmesi amacıyla idrar örneklerinin laboratuvara ulaştırılması sağlanmalıdır.

The Mediating Role of Work Alienation in the Effect of Workplace Ostracism on Employee Voice

The aim of this study was to determine the mediating role of work alienation in the effect of workplace ostracism on employee voice. The research was conducted between 11 December 2020 and 27 April 2021 in Istanbul, Turkey. The research data were collected from employees of private hospitals in Istanbul. The research showed that workplace ostracism has a positive effect on work alienation. It was also determined that both workplace ostracism and work alienation negatively affect employee voice. Finally, it was established that work alienation has a mediating role in the effect of workplace ostracism on employee voice.

The effect of personality traits and parental attitudes on treatment in children and adolescents: a 6-month follow-up study

Objectives: This study aims to examine the effects of personality traits and parental attitudes on the change of emotional and behavioral problems in children and adolescents with mental disorders receiving outpatient treatment during the six months. Methods: In the study, 233 individuals between the ages of 7-17 who applied to the Child Psychiatry Outpatient Clinic of a private hospital in Istanbul between September 2015 and September 2017 and who had psychiatric disorders regarding DSM-V diagnostic criteria were evaluated before treatment with the Sociodemographic Data Form, Strengths and Difficulties Questionnaire (SDQ), Quick Big Five Personality Test (QBFPT), and Parental Attitude Scale (PAS). Emotional and behavioral problems of children and adolescents who were followed up for psychiatric treatment were evaluated by SDQ at the first, third, and sixth months. Results: According to the Pearson Correlation Analysis, it was found that the SDQ total scores of children and adolescents in the pre-treatment period were statistically significantly positively correlated with the Democratic Attitude subscale scores (r = 0.129, p = 0.049). Considering the QBFPT and PAS sub-dimension scores in ANCOVA analyzes, the change in the SDQ total scores before and after treatment was statistically significant (p &amp;lt; 0.05), and Democratic Attitude subscale scores (F = 2.70, p = 0.048) and Emotional Stability subscale scores (F = 3.27, p = 0.023) had statistically significant effects on this change. Conclusions: In children and adolescents with mental disorders, focusing on democratic attitudes and personality traits associated with emotional stability may help reduce emotional and behavioral problems during treatment.

A THREE-YEAR RETROSPECTIVE ANALYSIS OF VAGINITIS AGENTS IN PATIENTS ADMITTED TO A PRIVATE HOSPITAL

Objective: In this study, we aimed to present the pathogens detected as vaginal infection agents isolated from vaginal swab samples in adult patients admitted to the Department of Gynecology and Obstetrics of a private hospital in Istanbul for three years retrospectively.Material and Methods: Vaginal swabs of adult non-pregnant patients admitted to Gynecology and Obstetrics outpatient clinics of a private hospital in Istanbul between 2016-2018 were included in this study. The samples were transferred quickly to the laboratory after sampling, and the infectious agents were identified with conventional bacterial culture methods.Results: Identification results of 314 vaginal swab samples revealed that 28 (8.92%) had C. albicans, 13 (5.73%) had pathogens that cause aerobic vaginitis, and five (1.59%) had bacterial vaginosis agents. C. albicans was the highest among agents with a frequency of 8.92%, followed by E. coli (2.23%).Conclusion: Our retrospective analysis revealed that C. albicans is the most frequent pathogen causing vaginitis in our hospital. As the pathogens causing vaginitis vary from region to region, we believe that monitorization of the epidemiological data is important.

The effect of the fatalistic perception on the perceptions of occupational health and safety practices: The case of a hospital.

Many factors threaten occupational health and safety, such as technology and production systems used by businesses as well as employee qualifications. This research addresses the issue of how these factors have become a threat to occupational health and safety. This study aims to determine whether healthcare professionals' fatalistic perceptions affect their perceptions of occupational health and safety practices. The population of the study consists of 538 nurses and other auxiliary healthcare professionals working in a private hospital in Istanbul. The study initially intended to reach the whole population without establishing a sample, but 221 (41.1%) employees were reached due to reasons such as the shift system, employees' unwillingness to participate, and personnel on leave. The study employed a survey form consisting of three parts as data collection tool. The first part of the survey includes demographic information, the second part is a Fatalism Scale and the last part is the Occupational Health and Safety (OHS) Practices Scale. Descriptive statistical analyses and SEM analysis were used for data analysis. The analyses were performed within the 95% confidence interval. A negative relationship was found between fatalism and occupational health and safety practices. In addition, employees' fatalistic perceptions negatively affect their occupational health and safety practices. Fatalistic perception plays an important role in occupational health and safety practices. For this reason, employees can be shown through trainings that occupational accidents are not fate and can be prevented by certain measures they can take.

Determination of the Factors Affecting the Frequency and of Chemotherapy- Induced Alopecia and Methods of Coping with Alopecia

Purpose: The aim of the study is to determine the prevalence of chemotherapy-induced alopecia and the patients’ coping methods with alopecia. Materials and Methods: This descriptive study was conducted with 240 patients who applied to chemotherapy unit of two private hospitals in Istanbul between December 2019 and January 2020. The data were collected using a patient information form developed by the researchers upon the literature review. Results: It was determined that 85.7% of the women experienced alopecia problem and the difference was significant according to their gender (p=0.00). 92.0% of patients with genitourinary system cancer and 88.5% of breast cancer patients experienced alopecia, the difference was statistically significant, and the significance was caused by experiencing alopecia more in these cancer types than the other cancer types (p=0.007). It was determined that 82.5% of the patients, who were receiving chemotherapy for less than a year, statistically significantly experienced alopecia more compared to the patients who were receiving chemotherapy for a longer period (p=0.031). It was also found that 69.7% of patients with Stage IV cancer experienced alopecia but they experienced alopecia statistically significantly less compared to the other stage patients (p=0.040). When the patients were examined in terms of diagnosis time according to family history of breast cancer, it was determined that 43.6% of those, who had family history of breast cancer, and 63.8% of those, who had no family history of breast cancer, were diagnosed in the stage II of their disease. The distribution of the cancer diagnosis time of patients according to having breast cancer history in the family was statistically significant (p=0.000). It was determined that 28.2% of the patients who had family history of breast cancer and 21.0% of the patients, who had no family history of breast cancer, noticed the lump for the first time in their regular self-breast examination. The distribution of duration of cancer diagnosis based on family history of breast cancer and the way of noticing the lump in the breast were statistically significant (p=0.000, p=0.014). It was also determined that 61.0% of the patients experiencing alopecia used a wig-bonnet (p=0.00) and there was no statistically significant difference between experiencing alopecia and age, marital status, occupation, place of residence, income status and social security. Conclusion: Alopecia was seen to be more common in women. Patients with genito-urinary system and breast cancer experienced alopecia more than other cancer patients. More than half of the women used bonnets and wigs. As the education level increased, women’s status of using bonnet and wig increased as well.

Frequency, reasons, correlates and predictors of missed nursing care in Turkey: A multi-hospital cross-sectional study.

We aimed to examine the frequency, reasons, correlates and predictors of missed nursing care in Turkey. This descriptive and cross-sectional study sample consisted of 1310 nurses working in inpatient units of 10 public, university and private hospitals in Istanbul. Data were collected using the Nursing Teamwork Survey-Turkish and the MISSCARE Survey-Turkish between February and June 2019. Descriptive analysis, parametric comparative analysis, correlational analysis and regression analysis were used to analyse the data. The total occurrence of missed nursing care was 2.93 (on a scale of 1.00-4.00), which differed across 21 nursing care elements. The most frequently missed care was turning patients every 2 hours. Multiple regression analysis determined that nurses' tenure in the profession, patient-nurse ratio, days absent in the last 3 months and nursing teamwork significantly affected missed nursing care. Nursing teamwork alone accounted for 23.6% of the variance in missed nursing care. The level of missed nursing care was found to be high, and labour resources issues were the most important reason. Nurse professionals should apply interventions to improve nurses' work environment factors such as patient-nurse ratio and nursing teamwork to reduce the incidence of missed nursing care.

Adaptation of the Person-Centered Perioperative Nursing Scale to Turkish: A Validity and Reliability Analysis

This study aims to perform a detailed analysis of the validity and reliability of the Turkish version of the Person-Centered Perioperative Nursing Scale (PCPON). Methodological and descriptive study. This study was conducted online between December 2020 and February 2021, with 240 nurses working in the surgical wards of private hospitals in Istanbul, Turkey. Individual Characteristics Questionnaire and PCPON were used to collect data. Cronbach Alpha reliability analysis and Confirmatory Factor Analysis (CFA) were applied using R Project software to the data. As a result of the analysis, all corrected item correlation values for compassionate interaction, respect, comfort, sharing information, and expertise were found to be positive following the original factors structure of the scale. According to reliability analysis statistics, Cronbach's Alpha coefficients were calculated as 0.781, 0.758, 0.780, 0.750 and 0.808 for compassionate interaction, respect, comfort, sharing information, and expertise sub-dimensions, respectively. According to these findings, all five sub-dimensions had high reliability levels. As a result of CFA, the items in all sub-dimensions were statistically significant. Standardized factor loads were also positive in the five sub-dimensions of the scale. Based on these results, all PCPON items were under appropriate sub-dimensions. PCPON as adapted from English to Turkish had high levels of validity and reliability. It was concluded to be a valid and reliable scale, which we believe will be useful for our country in the fields of education, practice, and research to evaluate the attitudes and behaviors of surgical nurses towards the care-oriented nurse-patient relationship.

Pandemi Dönemindeki Gebelerde Obstetrik Özelliklerin Depresyon, Anksiyete ve Stres Düzeyleri Üzerine Etkisi

Aim:This study was carried out to determine the effect of obstetric characteristics of pregnant women who had relatives diagnosed with SARS-COV2 (COVID-19) on depression, anxiety and stress levels.&#x0D; Material and Methods:This descriptive study was conducted between 17 April 2020 and 30 May 2020 with 450 pregnant women in the Obstetrician Clinic of a private hospital in Istanbul. The study data were collected face-to-face with the Introductory Information Form, State-Trait Anxiety Index (STAI), and the Depression Anxiety Stress Scale (DASS-21). &#x0D; Results:All pregnant women were aware of COVID-19 pandemic (100.0%), and 40.0% of them had a relative diagnosed with COVID-19. A total of 64.4% of those with no relatives diagnosed with COVID-19 had depression, 80.4% had anxiety and 81.5% had stress. A total of 100.0% of those who had relatives diagnosed with COVID-19 had depression, anxiety, and stress (DASS). &#x0D; Conclusions:It was found that DASS-21 scores were high in all pregnant women who had relatives diagnosed with COVID-19. Presence of chronic diseases and parity count were decisive in depression and anxiety levels in pregnant women who had relatives diagnosed with COVID-19, unlike those who did not. Clinical evaluations should be made carefully with this situation in mind..

Measurement of Patient's Perception Levels With Reference to Physician's Empathy: Private Hospitals Scenario.

PurposeThis study aims at understanding the empathy of doctors and the perception level of patients about it. The survey was conducted including doctors and patients who were cured by these doctors.MethodsPatient’s Perception Scale of Physician Empathy and Jefferson Scale of Physician Empathy were applied to 70 physicians who worked at 35 private hospitals in Istanbul and 420 patients who received health services from these physicians. Statistical Package for the Social Sciences (SPSS) 24.0 program (IBM Corp., Armonk, NY) was used for statistical analysis.ResultsPhysicians who worked in the internal medicine department had more empathy toward the patients. Physicians who were new to the medical profession or who were young had higher empathy levels. Patients who received health services perceived that the surgeons had more empathy. Moreover, it was found that the empathy perception among the educated patients was significantly higher towards physicians.ConclusionThe perception level of patients for empathy depends directly on the empathy developed by the doctors. Providing better working conditions for the physicians and preparing the educational plans to increase the health information of patients could improve the physician's empathy with the patients and patient will get better health services.

THE EFFECT OF PATERNALIST LEADERSHIP ON ORGANIZATIONAL CITIZENSHIP BEHAVIOR

The aim of this study is to examine the impact of paternalist leadership behaviors on organizational citizenship behavior. The sample of the study consists of 535 healthcare professionals working in a private hospital in Istanbul. Correlation Analysis and Simple Linear Regression Analysis were used to examine the relationship between the measured variables. As a result of the research, it was found that paternalist leadership has a positive and moderate effect on organizational citizenship behavior (r = 0.427, p &amp;lt;0.01) and 18.3% of the changes in organizational citizenship behavior are explained by paternalist leadership. Our study shows that paternalistic leadership has a significant impact on the organizational citizenship behavior of health workers. By exhibiting paternalistic leadership behavior, health administrators can enable health workers to display more organizational citizenship behavior.