Browsing by Author "Sevimli, Sukran"

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Challenges and Ethical Issues Related To Covid-19 Contact Tracing Teams in Turkey
(Dove Medical Press Ltd, 2021) Sevimli, Sukran; Sevimli, Baris Sarp
Objective: The purpose of this study was to determine and evaluate the challenges and ethical issues faced by COVID-19 filiation (contact tracing) teams and report the experiences of team members. Methods: This is a descriptive study conducted to evaluate the performance of contact tracing field teams established by the Ministry of Health to identify, refer, and follow-up persons who tested positive for COVID-19 and their contacts. Reports were collected from various Turkish medical associations, the Turkish Ministry of Health, online news sources, and online interviews published between 11 March 2020 and 18 April 2021. Results: A total of 32 reports published by the Turkish Ministry of Health, various medical associations in Turkey, and the Turkish Academy of Science, together with a number of online media reports on issues involving contact tracing teams, were reviewed. While the activities of the teams were overall found to be of benefit during the pandemic, numerous factors negatively impacting their success were identified. These factors included insufficient social support, wherein the fundamental bioethical values of solidarity, responsibility, respect, and trust were not adopted on a societal level, as well as issues involving the teams themselves, such as lack of time to properly conduct their work, inadequate communication skills and/or personal issues. Conclusion: Studies conducted by the contact tracing teams were of vital importance in managing the pandemic. The teams were especially effective in reaching both educated and uneducated segments of the society, in diagnosing cases, and in informing the public regarding the pandemic. Evaluating the experiences of the contact tracing teams deployed in Turkey is of vital importance to ensure better preparation for any future pandemics.
Health Professionals of Emergency Service: an Evaluation of Disaster Medicine and Ethical Values
(Univ Bophuthatswana, 2015) Sevimli, Sukran; Dursun, Recep; Karadas, Sevdegul
Aim: To obtain the opinions of health professionals' who work in emergency medical services on the application of basic attitudes like triage, ethics, legal rules; to popularize problems they have encountered or may experience while giving health services after natural disasters; and to develop further suggestions. Material and method: In order to evaluate health service problems, laws, triage and ethics applications, a questionnaire tool was formulated. The poll that was taken included 133 emergency service workers, with and without earthquake experiences. Data were analyzed using descriptive statistics with statistical significance set at p<0.001. The frequency distributions taken into account and chi square test were applied to understand the difference between the employees who experienced an earthquake and the employees who did not. Findings: 57.7% of participants in the survey were males and 42.3% females. Their average age was 29.8 %. 16.8% of them worked in the university hospital, 77.4 % in a state hospital and 5.8% in private hospitals. 51.1% of the participants were doctors, 43.1% nurses and 5.8% emergency medical technicians. 48.2% of the participants had experienced earthquakes, 52.6% had not. 27% of them were consulted on triage, 37.2% on both triage and legal rules, 31.4% on triage, laws and ethics and 4.4% on triage and ethical principles. Conclusion: Results show that while ethical principles are less considered in medical services after natural disasters, triage and legal regulations play an essential role in resource allocation and medical service presentation. The results show that the inclusion of ethical training in natural disaster medicine education and its enhancement through regular rehearsals is essential.
Health Professionals of Emergency Service: Evaluation of Triage and Ethical Values in Disaster Medicine
(Emergency Medicine Physicians Assoc Turkey, 2015) Sevimli, Sukran; Dursun, Recep; Karadas, Sevdegul
Aim: To understand opinions of health professionals who work in emergency services about the application of basic concepts, such as triage, ethics, legal rules, to popularize problems they experience while they are providing health services after natural disasters, and to develop suggestions. Materials and Methods: In order to evaluate health service problems, a questionnaire tool was formulated regarding triage and ethics applications. The questionnaire was given to 133 emergency service workers with and without earthquake experiences. Data were analyzed using descriptive statistics with statistical significance set at p < 0.001. The frequency distributions were taken into account and chi square test was performed to understand the differences between employees who had experienced earthquakes and those who had not. Results: In the survey, 57.7% of participants were male and 42.3% were female. The mean age of the participants' was 29.8 years; 16.8% of them worked in the university hospital, 77.4% in the state hospital, and 5.8% in private hospitals. Of the participants, 51.1% were doctors, 43.1% were nurses, and 5.8% were emergency medical technicians; 48.2% of participants had experienced an earthquake and 52.6% had not. In addition, 27% of the participants had to consult regarding triage; 37.2% on triage and legal rules; 31.4% on triage, laws, and ethics; and 4.4% on triage and ethical principles. Conclusion: The results show that triage and legal regulations play an essential role in resource allocation and medical service presentation, while ethical principles are less considered in medical services after natural disasters. Inclusion of ethical training in natural disaster medicine education and its enhancement through regular rehearsals are essential.
Intensive Care Residents? Views Regarding Ethical Issues and Practices
(int Scientific information, inc, 2022) Sevimli, Sukran; Tekeli, Arzu Esen
Background: This study sought to understand the ethical issues encountered by medical residents during their residencies, evaluate the solutions proffered by them, and present their suggestions. Material/Methods: A survey consisting of 32 questions, including demographic information, was developed and distributed to Intensive Care Unit (ICU) residents from December 2020 to January 2021. A total of 53 completed question-naires were submitted to the researchers. The data were analyzed using SPSS software version 26.0.Results: Of the participating residents who returned completed forms, 50.9% were male and 49.1% were female, with an overall mean age of 30.5 +/- 4.4 years. Most residents' views on ethical issues concerned themselves, the clin-ic, and patients/patient relatives. Responses showed a number of commonalities with the views of ICU physi-cians in other countries. Suggestions for resolving ethical issues solutions included instruction in medical eth-ics for all staff, increasing and strengthening pathways of communication both inside and outside of the clinics, regular inventory of medical supplies and assessment of equipment to prevent a shortage of resources, and the establishment of a hospital ethics committee. Conclusions: As numerous and varied ethical issues were encountered in the participating ICUs, we propose the following: preparation of an ICU-specific guide for resolving ethical problems, clarification of rules based on legal regula-tions, determining a hierarchy of responsibilities, and ethics courses for all ICU staff. In addition, hospital man-agers should support ICU services from both a legal and ethical standpoint.
Issues Affecting Health Professionals During and After Catastrophic Earthquakes in Van-Turkey
(Pakistan Medical Assoc, 2016) Sevimli, Sukran; Karadas, Sevdegul; Dulger, Ahmet Cumhur
Objective: To assess physical and psycho-social problems faced by health professionals, and to analyse the ethical, legal and triage dimensions of disaster medical services. Methods: The descriptive study was conducted from November 2011 to March 2012 and comprised health professionals from two hospitals of Van, Turkey A specific questionnaire was designed and interviews were conducted face to face. SPSS 13 was used for statistical analysis. Results: Of the 430 health professionals who had experienced one ormore earthquakes and were part of the study, 225(52.3%) were nurses and 205(47.7%) were doctors. There were 224(52%) women and 206(48%) men. Besides, 206(48) were below 31 years of age. Overall, 193(44.9%) participants experienced chaos, 83(19.3%) panic and fear, and 129(30%) despair. Only 20(4.7%) of them lived at home, while others lived in tents, containers, hospitals or cars during the emergency and continued to provide services despite social, economic and psychological problems. Triage was preferred by 339(78.8%) of the respondents. Conclusion: Problems of health professionals were multi-dimensional and addressing them would make service delivery more effective.
Nsan Gücünden Motorlu Taşıtlara; Hasta Taşımacılığının Gelişimi
(2020) Sevimli, Sukran; Dinc, Gulten
Amaç: Bu çalışmanın amacı, hastaların antik çağlardan günümüze geçişini evrimsel bir bakış açısıyla incelemek ve gelişimini etkileyen faktörleri ortaya koymaktır. Yöntem: Bu çalışma, tarihsel yaşlardan günümüze hasta ulaşımını araştırmak için kapsamlı bir derleme olarak gerçekleştirildi ve 2016-2019 arasında yapıldı. Bu amaçla, eski zamanlardan günümüze kadar hasta ulaşımına ilişkin tarihsel metinlerden, makalelerden ve kitaplardan web sitelerine kanıt parçaları topladık ve inceleme bulguları kronolojik olarak değerlendirildi. Bulgular: Çalışmada antik çağdan yalnızca bir veriye ulaşılabildi, bu ilk veri Makedonya kralı savaş direktiflerinde yer almaktaydı, ikincisi deve, at gibi hayvanlar kullanıyordu, üçüncüsü litre, araba ve vagonlardı ve bundan sonra teknoloji hasta arabalar, trenler, tekneler ve nihayet nakliye için kullanılmış kara ve hava ambulansları geliştirilmiştir. Sonuç: Bu gelişmeler tıptaki ilerlemelere paralel olarak gerçekleşmiştir ve bu yöntemlerin incelenmesi tıp tarihinin bir başka yönünü de ortaya koymaktadır. Örneğin, hasta taşıma yöntemleri, toplumların hasta ve/veya yaralılara verdiği değer, hasta refahının nasıl sağlandığı ve tıbbi müdahalenin nerede ve hangi koşullar altında gerçekleştiği hakkında bilgi sağlamaktadır. Ek olarak, bu çalışma aynı zamanda hangi yöntemlerin hangi coğrafyalarda kullanıldığını, hangi şartlar altında tercih edildiğini açıklamakta ve savaş zamanlarında veya hastanın ilerleyişinde ortaya çıkan büyük salgınlarda tıp biliminin seviyesine ilişkin detayları sunmaktadır. Ambulansın tarihi, insanın tarihini keşfetmemize ve ayrıca hastalara yardımcı olacak yeni fikirleri geliştirmemize yardımcı olmaktadır.
Perceived Social Support Levels Among Medical Staff Working at the Medical Faculty Hospital of Van Following the 2011 Van-Turkey Earthquake
(Sage Publications inc, 2014) Guner, Sukriye Ilkay; Sevimli, Sukran; Bulduk, Bahattin; Orakci, Hakan
The aim of the study was to evaluate the "perceived social support levels" of the medical staff after the earthquake. The sample of this study is made up of 300 of the 490 medical staff of the Medical Faculty Hospital of Van. The data were collected using a survey that included the personal information and the "multidimensional perceived social support scale." It was observed that since the houses of the medical staff were being repaired or rebuilt, 55% of the medical staff were not residing in their homes. It was determined that 41.3% of the staff were residing in different cities away from their families. Among those, 52.4% was obliged to live apart from their families for more than 6 months. The medical staff whose families did not relocate, those who stayed with their spouses, and those who lived in containers were reported to have high social support.
Sağlık Bakanlığı Türkiye İlaç ve Cihaz Müdürlüğü’nün Onayıyla Düzenlenen \"iyi Klinik Uygulamalar Temel Kursu
(2024) Sevimli, Sukran
Amaç: Bu mektubun amacı Van Yüzüncü Yıl Üniversitesi Klinik Araştırmalar Etik Kurulu üyelerinin Sağlık Bakanlığı Türkiye İlaç ve Cihaz Müdürlüğü’nün onayıyla düzenlenen \"İyi Klinik Uygulamalar Temel Kursu\" ile ilgili bilgi ve deneyimleri paylaşmaktır. Metot: İyi uygulamalar etik kursu beş eğitmenin hazırladığı ve bakanlığın onayladığı sunumlar çeşitli alanlarda uzmanlıklarını yapmış 29 akademisyen ve dört sivil katılımcıya sunuldu. Kursa katılanlar bakanlığın önerisiyle hazırlanmış olan ve bakanlığın onayladığı 17 soru dağıtılarak soruları cevaplanması istendi. Aynı sorular kurs sonrası tekrar dağıtıldı ve testlerin sonuçları karşılaştırıldı. Ayrıca öneri ve temenniler alındı. Bulgular: Kurs öncesi ve kurs sonrası yapılan ön-test ve son test değerlendirmeleri sonucu kursun katılımcıların bilgi düzeyini artırdığı görülmüştür. Ön teste katılan 33 katılımcının puanı 100 üzerinden 62.40 iken son test sonuçları 80.89 oldu. Ön testteki başarı ortalamasını son test başarı ortalamasıyla karşılaştırdığımız başarının %11,53 arttığı belirlenmiştir. Sonuç: Sağlık hizmetinin sunumunda takip edilmesi gereken temel etik ilkeler klinik araştırma sürecinde çok daha detaylı ve titizlikle uygulanması gerekmektedir. Araştırmaların amacı, metodolojisi, güncel yasal düzenlemeler, iyi klinik uygulamalar kılavuzu, Helsinki Bildirgesi, klinik etik kavramlar ve uygulamalara uygun olması gerekmektedir. Gönüllü katılımcıların hakları etik ve yasal düzenlemelere uygun olarak korunması etik kurulların söz konusu tüm yasal, etik ve bilimsel değerlere uygun değerlendirmeler yapmasıyla olanaklıdır. Kurs, etik kurul üyelerinin araştırma dosyalarını değerlendirirken araştırmanın etik değerlere uygunluğunun ve kendi etik sorumluluklarının önemini daha net anlamalarına katkı sağlamıştır.
Transplantation and Medicine Ethics in Turkey
(Pabst Science Publishers, 2008) Sevimli, Sukran
Our study is a pilot project to create a collaborative authoritative reference service using the collective expertise of reference organ donation. In Turkey, the code 2238 which is about "The Organ and Tissue Taking, Preserving and Transferring" enacted in 1979 and reorganized to cover the legality of the transplantation from the dead in 1982. Surely, the legal arrangements about the transplantation go hand in hand with the positive attitudes of the society and their willingness about the organ donation. In our country, although people perceived organ donation positively, the limited number of people who donate their organs make people to solve this problem within the family. It is seen that, rather than the conscious and willing participation in the process of the transplantation within the family, the altruism approach is adopted. That is to say, beyond the voluntaries of the person in the family, the feeling of the necessity to help make people donate organs. For this reason, it is observed that the person who donates an organ, experience depression and feel that she/he is incomplete. In this sense, the performance of the organ donation in respect of the ethical principles of the medicine is essential to prevent the health of the donators from physical, psychological and social negative effects. The reasons stated above shows that the training about the organ donation and the conscious and willing participation of the people who will donate organs should be provided in Turkey. In our research, a training practice has been done and a public survey has been conducted. Furthermore, the information has been given about the necessities and the importance of the organ donation to provide the participation of the appropriate people.
Türkiyedeki Van Depreminde Mobil Sağlık Hizmetleri
(2015) Dursun, Recep; Gönüllü, Hayriye; Güner, Savaş; Sevimli, Sukran; Çetinkaya, Orhan; Bilvanisi, Sevdegül Karadaş