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Marmara Sağlık Hizmetleri Dergisi
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  This is an Open Access Journal Open Access journal
ISSN (Print) 2459-1114 - ISSN (Online) 2587-1838
Published by Marmara University Homepage  [6 journals]
  • Evaluation of distance education during the pandemic process in a
           vocational school

    • Authors: Tugba SARI; Tuğçe YEŞİLYAPRAK, Hilal PARLAK SERT, Huriye DEMİRHAN, Deniz KOÇYİĞİT, Taha Yusuf KEBAPCI, Mehmet Halil ÖZTÜRK
      Abstract: Aim: It is planned to determine and improve the effectiveness and quality level of live lessons on distance education activities, and to reveal and correct the limiting factors associated with the infrastructure of the distance education live lesson system. Materials and Methods: The sample of the study consisted of 641 students studying at Pamukkale University Denizli Vocational School of Health Services and lecturers working in different departments at universities in the Aegean Region.Data belonging to students; Between 7-28 June 2021, the data of the instructors were collected online with the "Introductory information form" and "Questionnaire containing the situation determination and opinions on the distance education process". The data were analyzed with the SPSS 22.0 package program. Continuous variables are given as mean±standard deviation and categorical variables as numbers and percentages. Results: While it was determined that the majority of the students (52.8%) used laptops for distance education in theoretical courses, it was found that the number of students who followed the courses from the archive was high (57.3%). The positive and negative opinions of students and instructors about the distance education process were determined. Conclusion: Along with the pandemic, there has been a rapid change in the education system, and this has greatly affected university students who continue their education in health-related departments. Acute solutions have been produced in higher education institutions regarding the problems experienced.
      PubDate: Mon, 28 Mar 2022 00:00:00 +030

    • Abstract: This article summarizes updated guidance on the role of extracorporeal membrane oxygenation (ECMO) in patients with severe cardiopulmonary failure due to the Extracorporeal Life Support Organization (ELSO) 2019 Coronavirus disease (COVID-19).• V-V ECMO can be used in patients with COVID-19 and severe respiratory failure with expected outcomes comparable to patients supported with V-V ECMO prior to the pandemic.• V-A ECMO can be used in patients with COVID-19 and severe heart failure; but experience is more limited.• Mobile ECMO can be implemented and conducted safely for COVID-19 patients.• ECMO centers should be organized to coordinate patient referrals in geographic areas wherever possible.• As far as possible, patient selection criteria should be combined across a geographic region.• Contraindications to ECMO use should become more stringent as ECMO capacity decreases.• Data presentation is crucial to facilitate research and improve understanding of optimal ECMO care for patients with COVID-19.• Although some centers have increased their anticoagulation targets, bleeding remains a concern and there are no data to suggest deviation from traditional anticoagulation targets.• There are no data to suggest deviations from traditional ECMO practices such as blood product transfusion thresholds, tracheostomy, endotracheal extubation, rehabilitation, cannulation configuration, or ventilator management.• The potential discontinuation of ECMO in the event of perceived futility should be openly discussed with patients and surrogate decision makers.• Rarely, when ECMO support is required for severe ARDS, myocarditis, or multisystem inflammatory disease in children, ECMO patient selection and management should follow conventional guidelines.
      PubDate: Mon, 28 Mar 2022 00:00:00 +030
  • No title

    • Authors: Vedat AKTAŞ; Şermin DURAK, Büşra AKSOYER, Ali GÜROL, Hayriye Arzu ERGEN, Şakir Ümit ZEYBEK
      PubDate: Mon, 28 Mar 2022 00:00:00 +030

    • Authors: Ceren HANCİ; Liina RANDMANN
      Abstract: Introduction and Objective: Burnout is accepted as a medical condition and described as three facets of exhaustion, cynicism, and inefficacy. High workload, over-commitment, and prolonged exposure to high levels of stress at work cause burnout. Symptoms of burnout are emotional exhaustion, depersonalization and reduced personal accomplishment. Self-compassion is a healthy form of self-acceptance. It represents a friendly, warm and accepting manner towards those aspects of oneself and one’s life that are disliked.The objective of this survey study is to investigate the impact of self-compassion in relation to work engagement and burnout, bringing this issue to the forefront in an effort to decrease negative effects of burnout and indirectly enhance well-being among health care employees through self-compassion and increasing awareness.Method and Materials: 43 health care workers from public hospitals in Turkey participated in this study. All the participants were informed of study’s objective, confidentiality and anonymity and they were assigned randomly in to groups. Survey was consisted of 74 questions and conducted via Google Survey. Self-Compassion Scale (SCS), Perceived Stress Scale (PSS), Utrecht Work Engagement Scale (UWES), Copenhagen Burnout Inventory (CBI) were used.Results: The strongest correlation was client-related burnout (r= .864, p= .00), followed by work-related burnout (r= .966, p= .00) and personal burnout (r= .903, p= .00). Another strongest significant correlation was between work-related burnout and personal burnout. Results suggest that health care workers get more affected by interaction with patients and relatives of patients in overall model but also daily life and occupational stressors trigger one another. Particularly participants with low and moderate self-compassion get more affected from burnout. No significant relationship was found for high self-compassion condition, Burnout and work engagement interaction is affected by self-compassion, although self-compassion has not a direct significant effect on work engagement.Conclusion: As self-compassion decreases, the negative relationship between burnout and work engagement gets stronger. This research posits that self-compassion of health care workers can be improved through training and awareness, and self-compassion has a mediating effect on burnout and work engagement.
      PubDate: Mon, 28 Mar 2022 00:00:00 +030
  • No title

    • Authors: Selden ÇEPNİ; Yiğit Şerif KARABULUT
      PubDate: Mon, 28 Mar 2022 00:00:00 +030
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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