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. (Eurasian J Emerg Med 2015; 14: 107-12)
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.
In this relational model research, the sample comprised 45 students from the Faculty of Medicine and 45 students from the Faculty of Dentistry for a total of 90 first-year students. The data of this study was collected by "Kolb Learning Style Inventory". Results: When we examine the distribution of learning styles of the students included in this study, it was observed 44.4%, 31.1%, 15.6%, and 8.9% among the first-class students of the Faculty of Medicine while it was 57.8%, 20%, 20%, and 2.2% among the first-class students of Faculty of Dentistry for Assimilators, Convergers, Divergers, and Accommodators groups, respectively. The distribution of learning styles of students had similar proportions both in two faculties. Also, no statistically significant difference was observed between the two groups in terms of gender. Conclusion:According to the results of this study, first-year students of the Faculties of Medicine and Dentistry have similar learning styles and the preferred learning style is not be affected by gender factors. Training programs based on students' learning styles will be more useful for two groups in those there are intensive theoretical and practical training as well as some similar courses in the first year.
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 questionnaires 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 clinic, and patients/patient relatives. Responses showed a number of commonalities with the views of ICU physicians in other countries. Suggestions for resolving ethical issues solutions included instruction in medical ethics 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 regulations, determining a hierarchy of responsibilities, and ethics courses for all ICU staff. In addition, hospital managers should support ICU services from both a legal and ethical standpoint.
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