Patient satisfaction with nursing is an important indicator of the quality of the nursing services. This study used The Patient Perception of Hospital Experience With Nursing (PPHEN) scale (Dozier, Kitzman, Ingersol, Holmberg, & Schultz, 2001) to determine the nursing care perception of patients in a Turkish tertiary care hospital. The study design was descriptive comparative and used convenience sampling. In total, 566 patients volunteered to take part in the study. The patient satisfaction level with nursing was found to be below average; patient satisfaction showed no meaningful differences between genders, marital status, or the clinics where the patient was hospitalized, but significantly higher levels of satisfaction were found with higher levels of education, younger age, higher incomes, and being employed. Overall, the patients considered that nursing care needs improvement, especially in terms of the provision of information and psychosocial support.

Objective: Patient privacy is a complex concept that may be affected by many parameters in healthcare services, especially in Emergency (ER) Departments. To examine the privacy of patients receiving healthcare and medical treatment in the ED, and to evaluate privacy-related problems, if any, from the ethical perspective. Methods: The data-collecting instrument in this study was a survey form consisting of 11 questions seeking demographic information about participants and 15 privacy-related questions formulated as a 5-point Likert type scale. Results: The average age of participants was 42.23±1.716. 220 (96.5%) participants reported that they did not change the information they provide to physicians and nurses because such information may be overheard by others. 146 (64.0%) participants agree that paying attention to privacy in the ER is important. Age is a significant factor in perception of privacy. Women are more sensitive than men, and married patients are more sensitive than single patients with regard to privacy. Conclusion: Expectations related to the protection of privacy are closely associated with patients' trust in physicians. While adhering to the principles of avoiding delays in treatment, physicians are required to respect patient privacy, with a view to meeting patient expectations.

BACKGROUNDThere is increasing recognition of the importance of obtaining children’s reports of their health, but significant challenges remain in accomplishing these goals in a systematic, community-based approach.OBJECTIVESThe aim of study was to evaluate the validity and reliability of the culturally adapted Turkish version of the “Child Health and Illness Profile – Child Edition (CHIP-CE) (6–11) for children 6 to 11 years of age.DESIGNCross-sectional analytical study conducted at Eskisehir Osmangazi University, Faculty of Medicine, Department of Pediatrics, Eskisehir, Turkey.SETTINGChildren’s health and diseases clinic.PATIENTS AND METHODSFor the purpose of this study, face-to-face interviews were conducted with inpatients (children aged between 6 and 11 years staying in the hospital) and healthy children (children aged between 6 and 11 years attending a private elementary school in the spring semester of 2010–2011). The Turkish version of CHIP-CE (6–11) was administered after the original version of CHIP-CE in English was translated into Turkish, and then back translated into English. All steps in the cultural adaptation process were undertaken meticulously by an expert committee. Confirmatory factor analysis (CFA) was conducted to test construct validity. The Cronbach’s alpha and item-total correlations were used to evaluate internal consistency for reliability testing.MAIN OUTCOME MEASURESDomain scores on the CHIP-CE questionnaire, Cronbach’s alpha and item-total correlations.RESULTSThe Turkish version of CHIP-CE (6–11) was administered to 235 children, including 109 (46.4%) girls and 126 (53.6%) boys receiving inpatient treatment in the hospital, and 194 healthy children, including 89 (45.9%) girls and 105 (54.1%) boys. The mean (standard deviation) age was 6.9 (1.6) years in the group of children receiving inpatient treatment, and 9.2 (1.6) years in the healthy children. In the reliability testing of the CHIP-CE form, Cronbach’s alpha was 0.79 in children receiving inpatient treatment, and 0.80 in healthy children. These values indicate excellent reliability. The CFA measurement model produced results consistent with standards: χ2=185.76 df=160 P=.07986 RMSEA=0.026 in the children receiving inpatient treatment, and χ2=180.20 df=109 P=.00002 RMSEA=0.058 in healthy children.CONCLUSIONCHIP-CE proved to be a reliable and valid measurement instrument for children receiving treatment for various diseases and healthy children. The internal consistency of the Turkish version of CHIP-CE is acceptable.LIMITATIONSThe sample, although large and diverse, was self-selected and does not represent the population of children in Turkey.

ÖZET Birey merkezli her uygulama ve çalışma alanı çoklu zekâ kuramlarına ihtiyaç duymaktadır. Yapılan araştırmalar çoklu zekâ yetilerine sahip olan yönetici durumundaki kişilerin iş yaşamlarında daha verimli olduklarını ortaya koymuştur. Bireysel-deneyimsel ve sezgisel durumları içine alan, yönetsel zekâ kavramı içinde bir beceri olarak tanımlanan ahlaki zekâ; eylemin ortaya konmasından önce kişilerin zihinlerinde bu kararı değerlendirdikleri bir zekâ türüne işaret etmektedir. Bu beceri, ayırt edebilme-karar verebilme ve eyleme geçme sonrası kararları kapsamaktadır. Ahlaki zekâ türü özellikle belli gruplar için gereklidir. Bunlar şirket yöneticileri, doktor ve hemşireler, terapistler, psikologlar ve yönetici konumda çalışan kişilerdir. Her gün hastalar ile temasta olan hekim ve hemşirelerin ahlaki zekâ düzeyleri hastalarla kurulan ilişkinin kalitesini artıracaktır. Sağlıkta iletişime olan ihtiyaç sağlık hizmetlerinin karmaşıklaşmasıyla artmakta, iyi bir iletişim; güven, tedaviye uyum, zamandan tasarruf gibi sağlık organizasyonlarının eksikliklerini giderebilmektedir. Hizmet sunumu sırasında iyi ilişkiler kurulmasında ahlaki zekâ parametrelerinden nezaket-tolerans-adaletempati-kişisel kontrol-eşitlik kavramına ihtiyaç büyüktür. Ahlaki zekâ; sadece aralarında asimetrik ilişki olan sağlık profesyonelleri ve hasta arasında değil, sağlık çalışanlarının ast-üst ilişkilerinde de önemlidir. Ahlaki zekâ parametrelerinin dikkatle takibi açık ve anlaşılır bilgi verilmesini, hastaların tedaviye ilişkin güvenini artıracaktır. Böylelikle hasta merkezli tıp uygulamaları daha çok taraftar bulabilmekte, yüksek nitelikli bakım kurum memnuniyetini artırabilmekte, daha iyi klinik beceriler ve kaliteli sağlık bakımı güçlendirilebilmektedir.Anah tar Ke li me ler: Ahlaki zekâ; sağlık hizmeti; iletişim ABS TRACT Individual-centered practice and workplace needs multiple theories of intelligence. The researches have shown that people who have multiple intelligence abilities are more efficient in their work life. Moral intelligence, that is described as a skill within the concept of administrative intelligence which includes individual-emprical and intuitional skills; refers to a kind of intelligence with which individuals evaluate their decisions in their minds before taking an action. This skill involves distinguishing-making decisions and decisions after taking an aciton. Moral intelligence is required especially for specific groups. These are company administratives, doctors, nurses, therapists and psychologist and people who work in managerial positions. Moral intelligence levels of the doctors and nurses who are in contact with patients every day would raise the quality of healthcare professional-patient relationship. The need for good communiciation in healthcare increases as health services get complicated. The need for communication in health increases with the complexity of health services, good communication; it can overcome the shortcomings of health organizations such as trust, adaptation to treatment and saving time. Building...

BACKGROUND AND OBJECTIVESQadi registers are important documents for Ottoman medical history research. “Sharia Court Records (Ser’iyye Sicilleri)” are notebooks that include the records that qadis kept with regard to their decisions and deeds. These registers are the only authentic sources from which to acquire information on rural life, away from the center of the town, and to understand the daily practices of the Ottoman society. The objective of this study is to provide evidence for the fact that the concept of informed consent on medical interventions, and hence the written consent documents arranged between patients and physicians, dates back to older times in our history when compared to the Western world.DESIGN AND SETTINGA large number of Ser’iyye (Sharia Court) record originals have been surveyed. The consent form registered as A-40. 221a in Ser’iyye (Sharia Court) Records found in Bursa has been presented here as the earliest consent document found by the authors. Transcription of the original document has been performed and analyzed. The aforementioned consent form dates back to 26/Dhu al-Qi’dah/933 (August 24, 1524).METHODSThe original version of the referenced consent document is the earliest consent document presented so far to the best of the authors’ knowledge; it was found in Bursa Ser’iyye Records and evaluated accordingly.RESULTSBased on the document, it is argued that the history of consent forms dates back about 500 years.CONCLUSIONObtaining consent in scientific research from human beings was considered to have originated from the Nuremberg Code (1949). However, with this study, it has been shown that the concept of informed consent was already present in the Ottoman Period, during the 16th century, and that the original consent document dates back to 1524, pertaining to a surgical intervention.