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Öğe The evaluation of academic emergency department design(Turkish Assoc Trauma Emergency Surgery, 2007) Deniz, Turgut; Aydinuraz, Kuzey; Oktay, Cem; Saygun, Meral; Agalar, FatihBACKGROUND In our study which was based upon a questionnaire, the inner and outer architectural designs of emergency services of Emergency Medicine Departments were investigated. METHODS In this descriptive study, a standard questionnaire was sent to 26 Emergency Medicine Departments which were operating at that time. In the questionnnaire, the internal, external architectural and functional features were questioned. Answers of 22 Emergency Medicine Departments were analysed. Two Emergency Medicine Departments that were not operating at that time were not included in the study. RESULTS The analysis of the replies revealed that only 59% (n=13) of the Emergency Medicine Departments were designed as an emergency service prior to the construction. The ambulance parking areas were not suitable in 77% of the emergency units while only 54.5% (n=12) had protection against adverse weather conditions. In only 59% (n=13) of the emergency units, a triage unit was present and in only one of the in only one (4.5%), a decontamination room was available. It was understood that only 32% (n=8) of the emergency units were appropriate in enlarging their capacity taking the local risk factors into consideration. There was a toilette for disabled patients in only 18% (n=4) of the units as well. Considering a 12-year of history of the Emergency Medicine in Turkey, the presence of a lecture room is still 68% (n=15) in emergency departments which reflects that academical efforts in this field is emerging in challenging physical conditions. CONCLUSION The results of our study revelaed that emergency service architecture was neglected in Turkey and medical care given was precluded by the insufficient architecture. The design of emergency services has to be accomplished under guidance of scientific data and rules taking advices of architects who have knowledge and experience on this field.Öğe Perspectives and Attitudes of Emergency Medicine Educators Towards E-Assessment Technologies(2023) Berikol, Göksu Bozdereli; İlhan, Bugra; Oktay, CemAim: The widespread use of distance education due to the pandemic has accelerated distance assessment and evaluation technologies (E-assessment). While educators and trainees promptly adapt to distance learning platforms, several factors can affect the adoption of e-assessment models. This study aimed to identify these factors affecting the perspectives and attitudes on e-assessment technologies among emergency medicine educators. Material and Methods: A survey on self-efficacy, self-confidence, and attitudes toward E-assessment technologies was conducted on ninety emergency medicine educators. In this questionnaire-based study, educators of emergency medicine residency training programs with different academic ranks who work in emergency departments involved in emergency medicine residency training were included. A pool of questions was created from the questionnaires with the concepts of “self-efficacy”, “self-confidence”, “attitude”, “educational need” and “computer-use self-efficacy”. The items were evaluated with a 7-point Likert scale. Correlation, validation, reliability and factor analysis were performed. Results: There was a statistically significant difference among computer-use skills, especially regarding self-confidence (p=0.02) and self-efficacy (p=0.01). No significant difference was found in terms of attitude (p=0.877). Advanced computer skills had higher levels of self-confidence and self-efficacy for E-assessment. There was a significant difference in self-confidence (p=0.001) and self-efficacy (p=0.001) regarding increased E-assessment experience. Forty-four percent of the participants had ethical concerns, 30% were not concerned about this issue, and 25.6% were partially concerned about screen sharing. Conclusion: Experience, computer-use skills and self-efficacy, and E-assessment education are the key factors that may be related to self-confidence and self-efficacy and may indirectly affect attitudes toward E-assessments in emergency medicine education. Since it is important to monitor and evaluate the training processes, the adaptation of the trainers to this technology is possible by increasing their computer skills and experience to ensure this continuity in conditions such as pandemics.Öğe Ülkemizde Acil Tıp Anabilim Dalları’nda acil servislerin fonksiyonel mimari açısından değerlendirilmesi(2007) Deniz, Turgut; Aydınuraz, Kuzey; Oktay, Cem; Saygun, Meral; Ağalar, FatihAMAÇ Ülkemizdeki Acil Tıp Anabilim Dalları’na (ATAD) bağlı acil servislerinin iç ve dış mimari yapıları araştırıldı. GEREÇ VE YÖNTEM Tanımlayıcı tipteki bu araştırmada, çalışmanın yapıldığı tarihte mevcut olan 26 ATAD’ye anket formları gönderildi. Bu anketle acil servislerin iç ve dış mimari yapıları ve fonksiyonel hizmet durumları sorgulandı. Anketi yanıtlayan 22 ATAD’nin verileri değerlendirmeye alındı. Henüz kurulma aşamasında olan ve hizmet vermeyen iki Anabilim Dalı çalışmaya dahil edilmedi. BULGULAR Geri bildirimlerin değerlendirilmesinde ATAD’den ancak %59’unun (n=13) hizmet verdikleri alanın acil servis alanı olarak planlandığı izlendi. Acil servislerin ambulans girişlerinin %77 oranında uygun olmadığı, %54,5 ATAD’de (n=12) acil servis girişinde ambulansların hasta bıraktığı alanın hava koşullarından korumalı olmadığı görüldü. Gelen yanıtlara bakıldığında ancak %59 ATAD’de (n=13) acil serviste triyaj ünitesinin bulunduğu, yine sadece bir ATAD’de (%4,5) acil serviste temizlenme (dekontaminasyon) odası bulunduğu bildirildi. Halen hizmet vermekte olan ATAD’lerine bağlı acil servislerin ancak %32’sinde (n=8) mevcut lokal risk faktörleri doğrultusunda genişleyebilme düzeyinin yeterli olabileceği belirlendi. ATAD’lerin sadece %18’inde (n=4) özürlü tuvaletinin var olması ülke genelinde özürlülere yönelik mimari değişikliklerin eksikliğinin acil servislerde de olduğunun göstergesidir. Acil tıbbın ülkemizde 12 yıllık geçmişi olduğu düşünüldüğünde ATAD’lerin ancak %68’inde (n=15) seminer odalarının var olması, akademik yapılanmaya fiziksel alt yapı yetersizliği olan yerlerde başlandığının göstergesidir. SONUÇ Ülkemizdeki acil tıp yapılanması içerisinde acil servis mimarisine gereken önemin verilmediğini, verilen hizmetteki bilimselliğin mimari yetersizliklerle gölgelendiğini göstermiştir. Acil servis mimari tasarımı, bilimsel veri ve kurallar çerçevesinde sağlanmalıdır. Bunun için hastane ve özellikle acil servis mimarisi hakkında bilgi ve tecrübesi olan mimar veya mimarlar yetkili kişiler ile hedefler üzerinde bir anlaşmaya varmalıdırlar.
