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Öğe Ağız ve Diş Sağlığında Yaşam Kalitesi: Diyabet Hastalığının Yaşam Kalitesi Üzerine Etkisi(2015) Sönmez, Seda; Top, MehmetBu çalışmanın amacı diyabet hastalığının ağız ve diş sağlığında yaşam kalitesi ve genel sağlık yaşam kalitesi üzerine etkisini değerlendirmektir. Çalışma evrenini Kırıkkale Ağız ve Diş Sağlığı merkezine başvuran hastalar oluşturmaktadır. Araştırmaya ilişkin veriler diyabet hastalarından (n259) ve sosyo-demografik özellikleri açısından eşleştirilen kontrol grubuna (n268) farklı sosyodemografik özellikleri içeren sorulardan ve ağız ve diş sağlığı ile ilgili yaşam kalitesi ölçekleri olan OHIP-14 ve OHQoL-UK ve genel sağlık yaşam kalitesi ölçeği olan SF-36'dan oluşan anket formu aracılığıyla toplanmıştır. Yapılan analizler sonucunda diyabet hastalarında ağız ve diş sağlığına ilişkin yaşam kalitesi ve genel sağlık yaşam kalitesi diyabet hastası olmayan bireylerden daha düşük bulunmuştur (p0,05). Bu araştırmada diyabet hastalığının ağız ve diş sağlığı yaşam kalitesi ve genel sağlık statüsünü anlamlı bir şekilde farklılaştırdığı bulunmuştur. Ayrıca araştırmada cinsiyetin yaşam kalitesi ve sağlık statüsünü etkileyen önemli bir değişken olduğu sonucuna ulaşılmıştır. Araştırma sonuçlarının diş hekimliği uygulamalarında sağlık yöneticilerine ve karar vericilere diyabet hastalığına ilişkin kanıta dayalı önemli bilgiler sağlaması beklenmektedir.Öğe Computer Anxiety in Nursing: An Investigation from Turkish Nurses(Springer, 2015) Top, Mehmet; Yilmaz, AliThe purpose of this study was to determine and analyze levels of computer anxiety in nurses at a public university hospital in Turkey. This study investigated the dimensions of computer anxiety in terms of computer literacy, self-efficacy, physical arousal, affective feelings, positive beliefs, and negative beliefs. Moreover in this study it was aimed to analyze relationships among computer anxiety and some characteristics of nurses (age, gender etc.). This study based on Beckers and Schmidt's computer anxiety model. The Beckers and Schmidt's Computer Anxiety Scale (BSCAS) was used for data collection. BSCAS comprises six factors: computer literacy, self-efficacy, physical arousal in the presence of computers, affective feelings towards computers, positive beliefs, and negative beliefs. At the end of the data collection period, 175 nurses were received from the population. The response rate was 43.75 %. This study showed that a majority of nurses had medium levels of computer anxiety. Overall computer anxiety means score was 12.11 +/- 1.72. Computer anxiety has significant relationship with age (r=-.153; p<.05), personal computer ownership (r=.171; p<.05). The highest correlation was between overall computer anxiety and self efficacy (r=-.859), the lowest correlation was between overall computer and negative beliefs (r=-.653). Multiple regression analysis revealed that computer anxiety of nurses was predicted significantly by self efficacy, affective feelings, physical arousal, computer literacy, positive beliefs, and negative beliefs, respectively.Öğe Electronic Medical Records (EMR) and Nurses in Turkish Hospitals(Springer/Plenum Publishers, 2013) Top, Mehmet; Yilmaz, Ali; Gider, OmerElectronic medical records (EMR) are generally used by nurses in hospitals. However, studies investigating views on and evaluations of EMR by nurses are limited in Turkey and in other countries around the world. In this study, nurses' views on EMR systems were investigated in terms of "Nursing care management", "Order entry", "Information Management", "Information quality", "Service quality", "Impact of EMR system on clinical care". The purpose of this study was to investigate the views/perceptions on EMR used by nurses working at hospital clinics in Turkey. The research questions were: (a) What are nurses' perceptions on EMR? (b) Were there relationships among nurses' perceptions on EMR? (c) Were there differences among nurses' perceptions on EMR according to hospitals in Turkey. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on EMR was reviewed. A Likert scale type was used in this questionnaire. The study was planned and conducted on nurses working at inpatient care units at four Turkish hospitals. At the end of this study, the questionnaire had been conducted on 517 nurses. Total response rate is 66.70 %. We found that the Information quality of EMR, impact of EMR system on clinical care and service quality were high level. Information quality has the highest mean score. EMR system is an important system for nurses' hospital has the highest mean score in this study. Nurses feel about impact of EMR system on clinical care that generally 'EMR system's usefulness', 'improving quality of information due to EMR system', 'improving quality of nurses' work', 'improving quality of information due to EMR system'. All of the six subscales of EMR were positively correlated with each other. This study revealed that there are significant differences among the mean scores for six subscales according to the ownership of hospitals. EMR systems were not well integrated into their workflow. In addition, half of all respondents had not been trained in using EMR systems. This study will added to evaluation views and assessments of nurses about EMR literature. The results will assist in determining "Information quality", "Service quality", of EMR, and "Impact of EMR system on clinical for nurses in Turkish health system". This survey suggests that nurses favor the use of an EMR and suggests opportunities for EMR enhancement.Öğe An Evidence-Based Approach to Outcome Measurement in Oral and Dental Health Services: Oral Health-Related Quality of Life and Oral Health Impact(Wiley, 2019) Top, Mehmet; Sonmez, Seda; Aslan, HuseyinPurpose The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL and OHIP. Methods This cross-sectional study was conducted and planned for dental patients in Turkey. OHRQOL-United Kingdom (OHRQOL-UK) and OHIP-14 were used for data collection. Descriptive statistics, correlation analysis, student t-tests, and ANOVA were used for data analyses. Results Of 527 respondents, 62.8% were female, and 37.2% were male. One-hundred-forty-one (26.8%) participants were illiterate. Three-hundred-fifty-four (67.20%) dental patients had an elementary school degree. Only 32 (6.10%) participants graduated from college and bachelor programs. For dimensions of the OHIP-14 and OHRQOL-UK, we detected statistically significant differences in personal characteristics. We found that gender, marital status, age, education status, and reasons for coming to the hospital have a significant impact on OHRQOL and OHIP. Linking Evidence to Action These results are expected to provide important evidence-based information to health managers and decision-makers in health planning and reimbursement policies. Clinicians and health managers should use OHIP, quality of life (QOL), and evidence-based practice to determine individual treatments and approaches to improve oral health. QOL is an outcome indicator in healthcare services and evidence-based practice. Measurements of evidence-based health outcomes in national health systems can be made, and global comparisons and policies in oral and dental health can be developed.Öğe Quality of life and oral health impact profile in Turkish dental patients(Elsevier Sci Ltd, 2016) Sonmez, Seda; Top, MehmetBackground: OHRQoL, oral health impact assessment and QoL in oral health have become central to dental and oral health research. Researchers studying oral health problems have used OHRQoL as an outcome measure to determine the effect of treatment on QoL in health technology assessment. Aim: Here we aimed to evaluate the effect of oral health related quality of life and oral health impact dimensions on general health related quality of life. Method: Outpatients (n=527) at a public dental hospital were incorporated into the study. Data were collected using a survey, including questions addressing socio-demographic features, oral health related quality of life (Oral Health Impact Profile-14 [OHIP14] and Oral Health Related Quality of Life - United Kingdom [OHRQoL-UK]) and general health related quality of life (SF-36). Results: We found that OHIP-14, OHRQoL-UK responses significantly correlated with the physical and mental health dimensions of the SF-36. Our data will be useful for health managers and decision makers in health planning and reimbursement policies. Conclusion: The research results are expected to provide important evidence based information to health managers and decision makers in health planning, health technology assessment, and reimbursement policies. (C) 2016 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.Öğe Sağlık Sektöründe Bütçe Etki Analizi(2018) Sönmez, Seda; Top, MehmetSağlık sektöründe bütçe etkisi analizi özellikle sosyal güvenlik kurumları tarafından yeni bir ilaç veya diğer tedavi yöntemlerini güvence kapsamına alma noktasında yoğun olarak kullanılmaktadır. Sağlık sektöründe hizmet sunucuları ve hizmet ödeyicileri günümüzde hastalık esaslı bütçeleme yöntemlerini kullanmaya başlamıştır. Hastalık bütçelemesi kapsamında hastalıkların tedavisinde kullanılan yeni ilaçların ve tedavi yöntemlerinin bütçe etki analizinin yapılması kaçınılmazdır. Bütçe etki analizi etkili bir şekilde uygulanırsa sağlık sistemlerinde kaynak tasarrufu sağlanabilir ve etkili bütçeleme sağlanabilir. Bu çalışmada bütçe etki analizi sağlık sektörü açısından genel olarak incelenmiş, kavramsal ve uygulamaya dönük genel bilgiler sunulmaya çalışılmıştır. Ayrıca makalede bütçe etkisi analizi konusunda temel araştırmalar özetlenmiştir. Sonuç kısmında ise Türkiye’deki sağlık sistemi açısından bütçe etkisi analizi ile ilgili öneriler getirilmeye çalışılmıştır.
