Bu çalışma ile hekimlerin şiddete maruz kalma sıklıkları, maruz kaldıkları şiddet ile ilişkili etmenler değerlendirilmiş; hekimlerin sağlıkta şiddetin nedenleri hakkındaki düşüncelerinin ve şiddeti önleme konusundaki önerilerinin alınması amaçlanmıştır. YÖNTEM ve GEREÇLER: Kesitsel tanımlayıcı olarak planlanan bu araştırma bir eğitim araştırma hastanesinde görev yapan araştırma görevlisi hekimlerde yürütülmüştür. Araştırma verileri, şiddete uğrama durumu ve düşüncelerini belirlemeye yönelik 17 sorudan oluşan anket yoluyla, gözlem altında toplanmıştır. SPSS 22.0 programında analiz edilmiştir. P<0.05 anlamlı kabul edilmiştir. BULGULAR: Çalışmaya 298 (katılım oranı %82) araştırma görevlisi hekim katılmıştır ve hekimlerin %65.8'i dahili birimlerdedir. Hekimlerin %49.3'ü meslek hayatları boyunca en az 1 kez şiddete maruz kalmıştır. Erkek hekimlerin şiddete uğrama sıklığı %56.3, kadınların şiddete uğrama sıklığı %44.2'dir (p:0.038). Hekimlerin %35.9'u meslek hayatı boyunca en az 1 kez beyaz kod vermiştir. Yaşadıkları şiddet türlerinin %79.4'ü sözel, %2.2'si fiziksel, %18.4'ü sözel+fiziksel şiddettir. Hekimlerin %84.9'u sosyal medyanın sağlık çalışanı üzerinde saygınlık azaltıcı etkisinin olduğunu, %90.3'ü ise caydırıcı yasal düzenlemelerin şiddetin önlenmesi için alınabilecek tedbir olduğunu düşünmektedir. TARTIŞMA ve SONUÇ: Şiddet giderek büyümekte olan bir iş sağlığı sorunudur. Çalışmamızda her iki hekimden birinin mesleğini icra ederken şiddete maruz kaldığı görülmüştür. Uğradığı fiziksel şiddet sonucu yaşamını kaybeden sağlık çalışanlarının olduğu ülkemizde sağlıkta şiddete yönelik yeni yasal düzenlemelerin yapılmasına, risk gruplarının belirlenerek koruyucu ve önleyici stratejilerin uygulanmasına ihtiyaç vardır. Toplum tarafından şiddetin bütün boyutları ile bilinirliğinin sağlanması, hasta ya da yakınlarını şiddete yönelten etkenlerin belirlenmesi, hastanelerde uygun fiziki koşulların sağlanması, kişiler arası iletişim becerilerinin geliştirilmesi, problem çözme pratiklerinin sağlanması ve etkin yasal yaptırımların varlığı bu konuda atılacak Abstract INTRODUCTION: With this study, the frequency of exposure to violence of physicians and the factors related to the violence they were exposed to were evaluated. It was aimed to get the opinions of physicians about the causes of violence in healthcare and their suggestions on preventing violence. METHODS: This research, planned as a cross-sectional descriptive study, was carried out by research assistant physicians working in a training and research hospital. The research data were collected under observation through a questionnaire consisting of 17 questions aimed at determining the state of exposure to violence and thoughts. The data was analyzed in SPSS 22.0 program. The p-value of <0.05 was considered significant. RESULTS:The study included 298 research assistants (response rate was 82%), 65.8% of them were physicians in internal clinics. 49.3% of them have been exposed to violence at least once throughout their professional life. While the frequency of exposure to...

Infectious diseases pose a major threat to elderly populations. Streptococcus pneumonia bacteria, influenza-causing viruses, and COVID-19 viruses cause three pathologies in the respiratory system with similar symptoms, transmission routes, and risk factors. Our study aimed to evaluate the effects of pneumococcal, influenza, and COVID-19 vaccinations on the status of COVID-19 hospitalization and progression in people over 65 years of age living in nursing homes. This study was performed in all nursing homes and elderly care centers in the Uskudar district of Istanbul.The diagnosis rate of COVID-19 was determined as 49%, the rate of hospitalization as 22.4%, the rate of hospitalization in the intensive care unit as 12.2%. The rate of intubation was determined as 10.4%, the rate of mechanical ventilation as 11.1% and the rate of COVID-19 related mortality rate as 9.7%. When the factors affecting the diagnosis of COVID-19 were examined, the presence and dose of COVID-19 vaccine was protective. When the factors affecting hospitalization status were examined, male sex and presence of chronic disease were risk factors; four doses of COVID-19 vaccine and influenza vaccine and pneumococcal vaccine together with COVID-19 vaccine were protective. When the factors affecting COVID-19-related death were examined, the male sex was a risk factor; the pneumococcal and influenza vaccine together with COVID-19 vaccine were protective. Our results revealed that the availability of influenza and pneumococcal vaccines positively impacted the progression of COVID-19 disease in the elderly population living in nursing homes.

OBJECTIVE: This study aims to evaluate the knowledge, perceptions, and attitudes of physician faculty members, nurses, and medical students who work in a hospital in Istanbul regarding COVID-19. METHODS: This cross-sectional study was conducted in a tertiary hospital from March 2 to March 10, 2020. The research data were collected through a survey consisting of 22 questions about their demographics and their level of knowledge, sources of information, actions, attitudes, and thoughts about COVID-19. The collected data were analyzed using SPSS 22.0. RESULTS: Out of 1.460 people, 614 (42%) participated in this study. More than 60% of the participants correctly answered the information questions about COVID-19. 72.6% of the participants stated that the situation that would stress them out the most in case of a COVID-19 outbreak in Turkey would be the diagnosis of one of their family members with COVID-19. Social media (66.4%) was the primary source of information in this process. CONCLUSION: The findings obtained in this study showed that right before the outbreak, healthcare professionals were concerned and stressed about the inadequacy of protective measures and the possibility of transmission, although they were ready for the outbreak in the professional sense.

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