Bu çalışmanın amacı eğitim kurumlarının ve çalışanlarının gelişime açık alanlarını saptamak, iyileştirmek, sürekli gelişimi sistematik hale getirmek ve kurumun madde ve insan kaynaklarının etkililiğini, verimliliğini artırmak amacıyla bir E-Performans Yönetim Sistemi geliştirmektir. Çalışma tarama deseninde nitel bir çalışmadır. Öncelikle ilgili alanyazın incelenmiştir. Elde edilen veriler çalışmanın amacına uygun olarak derlenmiştir. Elde edilen bulgular aracılığı ile bir performans yönetim sistemi döngüsü hazırlanmıştır. Sistem bireysel ve kurumsal performans olarak iki şeklide kısımdan oluşmaktadır. Sistem değerlendirme, tanıma, izleme ve geliştirme ve sürekli gelişimi izleme aşamalarından oluşmaktadır. Bireylerin ve kurumların performansı değerlendirilirken süreç ve sonuç kriterleri kullanılmıştır. Süreç değerlendirmesinde bireysel performans için gerekli kriterler öğretmen, yönetici ve diğer çalışanların mesleki yeterliklerden yararlanılmıştır. Kurum için ise kullanılan kriterler çalışma grubu tarafından geliştirilen kurumsal standartlardan elde edilmiştir. Sonuç kriterleri ise bireylerin ve kurumların çalışmalarının nicel ifadesi olan bazı oranlar kullanılmıştır. Ayrıca sistem çoklu veri kaynaklarına dayanan elektronik bir sistemdir. Bireyleri ya da kurumların paydaşları arasında en iyi gözlemleme imkânına sahip olan paydaşlar için formlar düzenlenmiş ve elektronik sisteme yerleştirilmiştir. Paydaşlar belirlenen değerlendirme takviminde kendilerine verilen şifreler ile sisteme girerek değerlendirme yapacaklardır. Değerlendirmelerin ortalamaları alınarak bireylerin ve kurumların gelişim açıkları saptanacaktır. Bireyler değerlendirme sonuçlarına göre mesleki gelişim planı yaparken kurumlar ise kurum gelişim planı yapacaklardır.

This study was conducted to evaluate the duration of the peripheral venous catheter in vein, which is employed in the treatment of children who are hospitalized in pediatric clinics. Material and Method:The study was conducted as a prospective and observational-descriptive study. The sampling of the study consisted of the 249 child, who were admitted to the pediatric clinic and who underwent peripheral venous catheter insertion. Institution and ethics committee permission was obtained for the study. The data were collected with the "Peripheral Venous Catheter Monitoring Form" and "Phlebitis Scale", which were prepared according to the literature.Results: It was determined that a total of 57.8% of the children who were included in the study were 1-36 months old, 60.6% were male, and 66.7% were hospitalized for more than 6 days. It was also determined that the duration of the catheter in children was 58.76±28 hours and catheter was inserted 3.61±1 times during hospitalization. The negative correlation between "durations of peripheral ıntravenous catheters in veins" and "number of peripheral intra venous catheters inserted from hospitalization to discharge" was found to be statistically significant. It was determined that 73.5% of the catheters were removed because of the obstruction. Conclusion:As a result of the present study, it was determined that the peripheral venous catheter in children under three years of age had a shorter duration of remaining in the veins, and children were subjected to repeated peripheral venous catheter attempts because of obstructions before their treatments were completed.

Introduction: It was aimed to compare the malnutrition and nutritional status of geriatric individuals with and without dementia diagnosis, to evaluate the hand grip strength of geriatric individuals and to examine the difference between individuals who were diagnosed with dementia and those who were not diagnosed with dementia. Method: This study was carried out to compare the nutritional status of individuals who applied to Kastamonu State Hospital Neurology Outpatient Clinic, who were diagnosed with dementia and those who did not. The sample of the study consisted of 51 geriatric individuals aged 65 years and over who were diagnosed with dementia and 51 were not diagnosed with dementia. Groups were determined by randomized method. Anthropometric measurements and food consumption records of the participants were taken. Nutrition Risk Screening (NSI), Katz Activities of Daily Living Scale (ADL), Lawton&Brody Instrumental Activities of Daily Living Scale (EGYA) and EAT-26 Eating Behavior Scale were applied. Results: 58.8% (n=30) of individuals diagnosed with dementia are female, 41.2% (n=21) are male, and 70.5% (n=36) of individuals who are not diagnosed with dementia are female and 29.5% (n=15) are male. The average age of individuals diagnosed with dementia was 78.84 ± 7.844 years, and the average age of individuals not diagnosed with dementia was 75.02 ± 72.26 years. It was determined that there is a significant difference between dementia and malnutrition (p = 0.001), and malnutrition increases as dementia increases. The mean scores of ADL and EGFA scales of individuals diagnosed with dementia (4.039 ± 1.469, 2.118 ± 2.414, respectively) were lower than those who were not diagnosed with dementia (5.431 ± 0.922, 5.000 ± 2.569, respectively). There was no statistically significant difference between hand grip strength and dementia (p> 0.05). Conclusion: One of the important and over looked complications of dementia, the number of which is increasing in our country and around the world, is malnutrition. Nutritional status of individuals diagnosed with dementia should be evaluated regularly at the first meeting and in the follow-up of the disease. Adequate and balanced nutrition of the patient should be provided to prevent malnutrition and maintain functional independence. Further studies to examine the effects of nutrition on dementia will benefit medical nutrition therapy