Authors:Bektaş SARI Abstract: In the environment we live in, a large number of events occur that negatively affect the lives of people and communities. These events may be caused by the environment or nature, or may be caused by people or the products or services they produce. When looking at the studies and explanations made about disasters in the historical process; First of all, the events that caused the deaths of people were treated as disasters. Later, events that cause physical or social losses, events that affect people and cause property damage, and eventually the concept of disaster; were associated with the concepts of environment, development and sustainability. The aim of this study is to; evaluates the titles and topics necessary for interagency coordination in disaster management. This study is a review article created using qualitative method. Currently, the discipline of disaster management has produced various studies in many national and international institutions. In particular, efforts to combat climate change, sustainable development goals and Disaster Risk Reduction have become central to disaster management. Incident Command System, collaboration, communication, information and resource sharing, common purpose and teamwork, flexibility and authority, and use of social media are at the heart of interagency coordination in disaster management decisively. In order for disaster and emergency situations to be managed in coordination, qualified works should be carried out in the above headings. As a result, interagency coordination in disaster management consists of the topics mentioned above. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Bekir ERTUĞRUL; Muammer SARUGAN, Cihangir ÖZCAN Abstract: Today, the courses included in the Faculties of Medicine, Dentistry and Health Sciences and Health Services Vocational Schools, the existence of the core education program, the physical areas where basic Professional skills are applied, the models, the simulators and the qualifications of the trainers continue to maintain their importance. It is seen that the changes in the methods, environment, duration and titles in the education and practices specific to the same occupational groups in different countries maintain their importance in the same way. Graduates of the First and Emergency Aid program are expected to gain basic skills during school, as they will work in ambulances, emergency services of hospitals and in different situations. In this review, the paramedic situation of different countries is examined and the courses in the First and Emergency Aid Technician associate degree programs in our country, basic skills, the physical area of the Professional skills laboratory, the necessary models, trainings, the quality of the trainers and the importance of the simulation unit are emphasized. With this review, it is aimed to reveal the processes that must be overcome in the acquisition of Professional skills in paramedic education and their commendations regarding the accreditation process. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Fevziye GURLAŞ Abstract: Objective: This research was performed to obtain information about the views of health workers in emergency services about social support perception, spirituality in workplace and medical errors during the coronavirus epidemic. Concordantly, we analyzed the moderator role of workplace-based medical error within the effects of social support perception on workplace.Materials and Methods: Data were obtained with the online questionnaire collection method which was created via Google form using convenience and snowball sampling methods from 449 health professionals. For the data analysis, SPSS 23 package program, AMOS 20 and PROCESS v.3.4 plug-in tools were used.Results: The simple linear regression analysis revealed a significantly positive relationship between social support perception and work spirituality (Beta= 0.382, p<0.000). Used to determine the moderator role of workplace-based medical error, the PROCESS macro analysis method (model 1) showed that the regulatory variable had a significantly negative effect in this relationship (b=-0.113, p <0.05, CI [-0.178/ -0.048).]).Conclusion: It was concluded that social support is an important element for the spiritual development of health workers and workplace-based medical error negatively affects the relationship between spirituality and social support. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Ali DOĞAN; Gülseren KESKİN, Ayşegül DÖNMEZ Abstract: Exposure to a traumatic event in a person's life is likely to affect not only the exposed individual, but also the people around whom the person communicates. It is suggested that there is similarity in the reactions of individuals who are first confronted with trauma (primary) and indirectly confronted with trauma (secondary or secondary). In primary trauma, the threat is the Direct event itself, while in secondary traumatic effect, the threat is the traumatic event of the individual in communication. A person who has experienced secondary trauma may experience symptoms of reliving, avoidance, over-arousal, as experienced by a person who is at the center of a traumatic event, and may have difficulty maintaining a routine life. A secondary event can have at least as much effect on a person who is directly affected by it as on a person who is subjected to primary trauma. Aid workers who serve in disasters are among those decimated by secondary trauma. It is possible for aid workers to avoid the negative consequences of secondary traumatic stress by taking a number of measures. In this study, the focus was on the secondary trauma that people with traumatic lives face as a result of the relief activities carried out by aid workers who intervene during or after the trauma. Attempts to avoid the negative consequences of a secondary traumatic event were mentioned and the importance of potential secondary traumatization, which may affect aid workers, was emphasized. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Bahadır TERCAN; Saime ŞAHİNÖZ Abstract: Objective: In this study, it is aimed to develop scale in line with Structural Equation Modeling that can evaluate the disaster preparedness perceptions of the personnel working in prehospital emergency health services in a valid and reliable way.Materials and Methods: An item pool of 71 items was created by the researcher in line with the literature. In line with expert opinion, a draft scale form consisting of 55 items was obtained. This form was applied to 312 personnel working in the pre-hospital emergency health services of Erzincan and Tunceli Provincial Health Directorates between April 2021 and May 2021.Results: Explanatory and Confirmatory Factor Analyzes were conducted to determine the construct validity of the draft scale. As a result of explanatory factor analysis, a five-factor structure was obtained. Factors were named as “Willing”, “Importance”, “Self-Efficacy”, “Intervention Skill” and “Benefit”. As a result of confirmatory factor analysis, the ‘Disaster Preparedness Perception Scale of Personnel Working in Pre-Hospital Emergency Health Services' consisting of 28 items was obtained. The Cronbach's Alpha value of the scale is 0.925.Conclusions: The lowest 28 points and the highest 140 points are taken from the scale. As the scores increases, the participant's perception of disaster preparedness increases. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Süleyman YILDIRIM; Senem DEMİRCAN, Nuray KÜP AYLIKCI Abstract: Objective: This study was conducted to evaluate the use of personal protective equipment (PPE), knowledge and skills of pre-hospital emergency health care workers in Adana against chemical, biological, radiological and nuclear (CBRN) events.Materials and Methods: The universe of our study consists of Doctor, Emergency Medical Technician, Paramedic, Driver, Nurse / Midwife and Health Officer working in Adana 112 Provincial Ambulance Service and the total number of samples is 541. The data were collected by two data collection forms consisting of 13 questions containing the demographic characteristics of the participants and 25 questions prepared by the researcher by examining the literature. Data were evaluated with reliability analysis, explanatory factor analysis, independent t test, and one-way analysis of variance. KMO = 0.948 (adequate) and scale reliability was found to be 0.942 (Cronbach Alpha>0.6). According to the results of the Bartlett Sphericity test, the chi-square was found to be at an acceptable level χ2(300) =7741,889; p<0.05). SPSS 25 program was used in the analysis of the dataResult: 541 Adana 112 Provincial Ambulance Service personnel, including 329 men (60.8%) and 212 women (39.2%), participated in the study. The level of knowledge of personnel who received Personal Protection Method (PPM) training and PPM training in CBRN was higher than those who did not receive training; those who received more than one PPM training in CBRN higher than those who did not receive or less educated; those education status with an associate degree or bachelor's degree was higher than high school degree. The rate of the personnel who received PPM training is 61.0%, the rate of those who didn’t receive is 39%. The rate of the personnel who received PPM training in CBRN is 76.0%, the rate of those who didn’t receive is 24.0%. The rate of the participants who received PPM training in CBRN once is 51.8%, the rate of those who received 5 or more is 2.0%.Conclusion: As a result of the study, it is seen that the use of PPE has a very important role in a possible CBRN incident. It has been seen that it is important to have knowledge about PPE and to gain the ability to use it. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Şebnem AKMAN BALTA; Oncel UGUR, Mehmet FIRAT, Ahmet TEKE Abstract: Objective: The aim of this research is to adapt the "Perceived Job Risk Scale" consisting of 5 dimensions and 19 questions into Turkish. Materials and Methods: Language validity in the scale adaptation was carried out by 5 academicians in the Department of Foreign Languages. The sample of the research is the SPA personnel of the 4 and 5 star hotels in the provinces of Antalya, Bodrum and Istanbul, which are affiliated to the Ministry of Culture and Tourism. Questionnaire technique was used to collect research data and 435 valid data were collected. In this context, frequency, validity (exploratory, confirmatory, convergent and discriminant validity) and reliability analyzes were performed, respectively, to adapt the scale. Results: As a result of exploratory factor analysis; It has been determined that the perceived job risk scale, which consists of 5 dimensions and 19 questions, consists of 3 dimensions and 14 questions, which explains 62.62% of the total variance on SPA employees in 4 and 5 star hotels. The model fit indices obtained as a result of confirmatory factor analysis confirmed the fit of the model with the data. As a result of the discriminant validity, it was determined that the square roots of the calculated Average Variance Extracted values for each variable were larger than the correlation values of that variable with other variables. Finally, it was determined that the Average Variance Extracted values of the scale dimensions were greater than 0.5, the Composite Reliability values were greater than 0.7 and the Cronbach alpha values were greater than 0.7. Conclusion: As a result of validity and reliability analyzes, it was concluded that the Perceived Job Risk Scale Turkish Form was valid and reliable on the SPA personnel to whom it was applied. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Yeliz ŞAPULU ALAKAN Abstract: Objective: To examine the effects of simulation training on skill, self-confidence level and perception of competence in needle cricothyroidotomy and pleural needle decompression practices, which are the most difficult interventions perceived by the students of Vocational School of Health Services Emergency and Firs Aid program. Materials and Methods: The universe of the study, which was designed in the semi-trial model, consisted of 61 students studying at the Vocational School of Health Services, Primary and Emergency Aid Program of a university. In collecting the data, a questionnaire containing the descriptive characteristics of the students and their perceptions of proficiency before and after the application, simulation models in which skills were evaluated and skill assessment forms were used. Simulation applications were evaluated twice, before and after the training. Results: 62.3% of the students participating in our study are female and 37.7% are male students. When the students' previous practice or vision status was examined, it was determined that both practices were not seen during 112 internships, and needle cricothyroidotomy application was observed at a rate of 3.3% and pleural needle decompression application was seen at a rate of 4.9% in the emergency room. Only 1.6% of the students had the opportunity to apply pleural needle decompression in the area. It was determined that the rate of correct application of needle cricothyroidotomy and pleural needle decompression steps after simulation training was statistically significant (p <0.001). Conclusion: It has been observed that simulation-supported training is an effective method in increasing the practice success rates, competence perception and self-confidence of paramedics in “needle cricothyroidotomy” and “pleural needle decompression” applications that paramedic students hardly perceive and often cannot see or apply in the clinical setting. PubDate: Thu, 02 Dec 2021 00:00:00 +030
Authors:Sezgin DURMUŞ; Ali EKŞİ Abstract: Objective: In this study, it is aimed to examine the institutional interaction in the Turkey Disaster Response Plan (TAMP), which entered into force in 2014 and aims to carry out the disaster response in a systematic and far away from chaos, by means of social network analysis.Material and Method: In the study, the data were created by evaluating the interaction of service groups and solution partners in TAMP, and the information obtained was analyzed using the NodeXL Basic (free) Program. The obtained data were visualized using Fruchterman-Reingold and Harel-Koren Fast Multiscale algorithms.Result: All chart types in analysis consist of undirected, that is, unidirectional charts. The network with the highest number of nodes belongs to the network operation service, and the service with the least number of nodes is the information and planning service. In the number of unique and repeating edges that define the interaction between the actors, the edges in services other than the operation service are mostly composed of one-way unique edges. This shows that the interaction is low in services other than the operation service. The fact that there is no duplicate edge in the information and planning service, where interaction should be considered the most, draws attention as one of the weakest areas in the network analysis of the plan. In addition, in general, the number of edges in services is seen to be quite low outside the operation service. The lowest network density is in the financial and administrative affairs, while the highest network density is in the information and planning service.Conclusion: In the Turkey Disaster Response Plan, it is necessary to increase the interaction between the actors in the information and planning service, and to review the information gathering and communication service stakeholders. In addition, it is necessary to clarify the job descriptions of the institutions that have duties and responsibilities in the Turkey Disaster Response Plan at the national and local level, and to define the coordination between the institutions more clearly. PubDate: Thu, 02 Dec 2021 00:00:00 +030
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