Bir devlet hastanesinde çalışan hemşirelerde tükenmişlik

Objective: This research were conducted for the purpose of examining nurses’ burnout levels who work in a government hospital according to some variables.Material and Method: 320 nurses constituted universe of research, all nurses were selected by disproportional group sample method constituted sample of research. The data were collected by using “Personal Information Form”, and “Burnout Measure”. The data gathered were analyzed in the program of SPSS. Findings: It was occurred nurses scored average 3.46±0.68 from Burnout Measure. On the other hand nurses have experienced most physical exhaustion (3.78±0.85) and it is followed by mental exhaustion (3.66±0.54), emotional exhaustion (2.93±1.03) (potential points distribution of measure and elements between 1-7). Nurses were separated among burnout groups according to continuous points in Burnout Measure. In grouping process, nurses who have between 1-3 points were assigned to burnout group-1; 3-4 points to group-2; 4-5 points to group-3; 5-7 points to group-4. It was determined that the 51.9% of nurses had in group 2, 27.8% of them had in group 1, 19.4% of them had in group 3, and 0.9% of nurses had in group 3. It was found characteristics of nurses gender, age, professional and experiences in their unit overcame with statistical relevancies; the variables like marital status, professional education, unit of working didn’t have weight with burnout level.Conclusion: Nurses within the scope of this research are experiencing burnout. Therefore, actions to prevent and to develop strategies for dealing to burnout of nurses must be planned and implemented in both organizational and individual basis.Amaç: Bu araştırma, bir devlet hastanesinde çalışan hemşirelerin tükenmişlik düzeylerini bazı değişkenler açısından incelemek amacı ile yapıldı. Gereç ve Yöntem: Araştırmanın evrenini, bir devlet hastanesinde çalışan 320 hemşire, örneklemini ise oransız küme örnekleme yöntemi ile seçilen tüm hemşireler oluşturdu. Veriler, "Kişisel Bilgi Formu" ve "Tükenmişlik Ölçeği" kullanılarak toplandı. Elde edilen veriler SPSS programında analiz edildi.Bulgular: Hemşirelerin Tükenmişlik Ölçeğinden aldıkları puanların ortalamasının 3.46±0.68 olduğu saptandı. Öte yandan hemşirelerin en fazla fiziksel tükenme (3.78±0.85) yaşadıkları, bunu sırası ile zihinsel (3.66±0.54) ve duygusal (2.93±1.03) tükenmenin izlediği saptandı (ölçeğin ve bileşenlerinin puan sınırı 1-7 arasındadır). Hemşireler, Tükenmişlik Ölçeğinden aldıkları sürekli puanlara göre, tükenme grupları içinde sınıflandırıldı. Bu sınıflandırma sürecinde, 1-3 arasında puan alan hemşireler tükenme grubu 1; 3-4 arası grup 2; 4-5 arası grup 3; 5-7 arası grup 4'e atandı. Hemşirelerin %51.9'unun grup 2'de, %27.8'inin grup 1'de, %19.4'ünün grup 3'te, %0.9'unun grup 4'te bulunduğu belirlendi. Hemşirelerin cinsiyet, yaş, mesleki ve çalıştığı birimdeki deneyim süresi özelliklerinin tükenmişlik düzeylerini istatistiksel anlamlılıklarla etkilediği; medeni durum, mesleki eğitim, çalıştığı birim değişkenlerinin tükenmişlik düzeyi üzerinde etkisi olmadığı saptandı.Sonuç: Araştırma kapsamındaki hemşireler tükenmişlik yaşamaktadır. Bu nedenle hem örgütsel hem de bireysel zeminde, hemşirelerin tükenmişliklerini önleme ve başa çıkma stratejileri geliştirmeye yönelik eylemler planlanmalı ve uygulanmalıdır

Evaluation of beta-blockers on left ventricular dyssynchrony and reverse remodeling in idiopathic dilated cardiomyopathy: A randomized trial of carvedilol and metoprolol

Background: The effect of b-blockage on cardiac dyssynchrony in idiopathic dilated cardio­myopathy (IDC) is unknown. This study evaluated the impact of carvedilol and metoprolol succinate on left ventricular (LV) dyssynchrony and reverse remodeling in IDC. Methods: In this small, prospective, double-blind study, we randomly assigned 81 IDC pa­tients to receive carvedilol or metoprolol succinate. Echocardiographic measurements (dyssyn­chrony, LV volumes and ejection fraction [EF]) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels were obtained at baseline and at first and sixth month of therapy. Results: A total of 74 (91%) patients completed all investigations at sixth month (38 and 36 taking carvedilol and metoprolol succinate, respectively). In the carvedilol group, reduction in LV end diastolic volume (D LVEDV at 6 months, 50 ± 15 mL to 40 ± 17 mL, p = 0.03) and increase in LVEF (D LVEF, 7 ± 2% to 5 ± 3%, p = 0.02) was higher compared to the meto­prolol group. Also improvement in inter-ventricular dyssynchrony achieved with carvedilol was higher than metoprolol (D interventricular delay at 6 months, 11 ± 8 ms to 6 ± 7 ms, p = 0.03). However, improvement in intraventricular dyssynchrony was similar in the two groups (D intraventricular delay, 9 ± 7 ms to 9 ± 6 ms, p = 0.91). Improvements in LV mechanical dyssynchrony and reverse remodeling achieved with both drugs were accompanied by reduction in NT-proBNP levels in both carvedilol and metoprolol groups (1614 ± 685 pg/mL to 654 ± ± 488 pg/mL and 1686 ± 730 pg/mL to 583 ± 396 pg/mL, respectively, p < 0.001 for both). Conclusions: Although reduction in LVEDV and increase in LVEF was higher with carvedilol, improvement in intraventricular dyssynchrony was similar in carvedilol and metoprolol groups.

Neurosurgery training camp for medical student: experience of the Turkish neurosugery academy and Bursa Uludag University

IntroductionTo highlight the importance of hands-on experiences and mentorship in shaping the future workforce of specialized medical professionals via a Neurosurgery Training Camp.MethodsResponses of the questionnaire regarding the Neurosurgery Training Camp organized by Bursa Uludag University's Faculty of Medicine and the Turkish Neurosurgery Academy were reviewed retrospectively. A one-day program was organized to introduce neurosurgery to medical students. During the camp, the students participated in interactive presentations delivered by faculty members, had lunch together, became acquainted with neurosurgical tools and technologies, and performed interventions. With pre and postworkshop questionnaire, student's expectations and thoughts about camp was evaluated.ResultsForty-one students from 10 medical schools, spanning every year of study, attended the camp. Approximately 39% of the attendees (n = 16) were women and 61% (n = 25) were men. The post-workshop survey results demonstrated that 73% of the students (n = 30) were inclined to pursue a career in neurosurgery after the camp, 21.9% (n = 9) remained undecided, and 4.8% (n = 2) chose not to pursue neurosurgery. Feedback from the post-workshop questionnaire highlighted that all students perceived the camp as beneficial in providing insights into their future careers and aiding in making a decision regarding their career paths.DiscussionThe neurosurgical training camp effectively inspired and educated medical students about the discipline of neurosurgery. Furthermore, the camp effectively altered the career aspirations and perceptions of neurosurgery among the participating students

Assessment of the requisites of microbiology based infectious disease training under the pressure of consultation needs

<p>Abstract</p> <p>Background</p> <p>Training of infectious disease (ID) specialists is structured on classical clinical microbiology training in Turkey and ID specialists work as clinical microbiologists at the same time. Hence, this study aimed to determine the clinical skills and knowledge required by clinical microbiologists.</p> <p>Methods</p> <p>A cross-sectional study was carried out between June 1, 2010 and September 15, 2010 in 32 ID departments in Turkey. Only patients hospitalized and followed up in the ID departments between January-June 2010 who required consultation with other disciplines were included.</p> <p>Results</p> <p>A total of 605 patients undergoing 1343 consultations were included, with pulmonology, neurology, cardiology, gastroenterology, nephrology, dermatology, haematology, and endocrinology being the most frequent consultation specialties. The consultation patterns were quite similar and were not affected by either the nature of infections or the critical clinical status of ID patients.</p> <p>Conclusions</p> <p>The results of our study show that certain internal medicine subdisciplines such as pulmonology, neurology and dermatology appear to be the principal clinical requisites in the training of ID specialists, rather than internal medicine as a whole.</p

Evaluation of Fibromialgia Patients in Terms of Depression, Anxiety Disorders and Sleep Disorders

Bu araştırmada Fibromiyalji hastaları depresyon, anksiyete bozukluğu ve uyku bozukluğu açısından değerlendirilmektedir. Fibromiyalji sendromu, yaygın kas-iskelet ağrısı ile spesifik anatomik bölgelerde ortaya çıkan hassas noktalarla karakterize kronik ağrı sendromudur. Fibromiyalji hastalarında ortaya çıkan birçok şikayet sonucunda yapılan fiziki muayene ile laboratuvar testleri sonucunda önemli bir hastalığın bulunamaması, belirtilerin psikolojik kökenli olabileceğini düşündürmektedir. Fibromiyalji hastalarında ortaya çıkan depresyon daha çok kronik ağrıya bağlı olarak gelişmektedir. Kişinin kronik ağrı ya da ağrı ile başa çıkma mekanizmasında eksiklikler olduğu bilinmektedir. Fibromiyalji hastalarının şikayet ettiği diğer bir hastalık ise anskiyete bozukluğudur. Anksiyete bozukluğunun eşlik ettiği fibromiyalji hastalarında, daha çok FM belirtileri ile ilişkili fiziksel belirti ile ağrı yoğunluğu daha fazla olmaktadır. Fibromiyalji hastalarında görülen uyku bozukluğunda ise, uykunun kalitesiz oluşu, dinlendirmeyen uyku, sabah sertliği ile yorgunluk gibi belirtilerle karakterize olmaktadır. Araştırma literatürde bulunan bilgilerin taranması sonucunda toplanıp, incelendikten sonra derlenmesi ile gerçekleşmiştir. Öncelikli olarak fibromiyalji sendromu kavramı kapsamlı bir şekilde taranmıştır. Sonrasında depresyon, anksiyete bozukluğu ve uyku bozukluğu ile ilgili bilgiler derlenerek sunulmuştur. Araştırmanın sonucunda ise fibromiyalji sendromunun sadece yaygın vücut ağrıları ile seyreden bir ağrı bozukluğu olmayıp, psikolojik öncüllerinde fibromiyaljiyi etkilediği bulunmuştur. Fibromiyalji hastalarına eşlik eden depresyon, anksiyete bozukluğu ve uyku bozukluğunun hastalığın gelişiminde ve ilerlemesinde ciddi bir faktör olduğu elde edilmiştir.In this study, fibromyalgia patients are evaluated in terms of depression, anxiety and sleep disorder. Fibromyalgia syndrome is a chronic pain syndrome characterized by diffuse musculoskeletal pain and tender points that occur in specific anatomical areas. The absence of an important disease in the physical examination and laboratory tests performed as a result of many complaints in fibromyalgia patients suggests that the symptoms may be psychological. Depression that occurs in patients with fibromyalgia develops mostly due to chronic pain. It is known that the person has deficiencies in the mechanism of coping with chronic pain or pain. Another disease that fibromyalgia patients complain about is anxiety disorder. In patients with fibromyalgia accompanied by anxiety disorder, the physical symptoms associated with FM symptoms and the pain intensity are higher. Sleep disorders in patients with fibromyalgia are characterized by poor quality sleep, restless sleep, morning stiffness and fatigue. The research was carried out after collecting and reviewing the information in the literature. First of all, the concept of fibromyalgia syndrome was reviewed comprehensively, and afterwards information on depression, anxiety disorder and sleep disorder was compiled and presented. As a result of the research, it has been found that fibromyalgia syndrome is not only a pain disorder with widespread body pain, and affects fibromyalgia in its psychological premises. It has been shown that depression, anxiety and sleep disorder accompanying fibromyalgia patients are serious factors in the development and progression of the disease