Person: HIDIROĞLU, SEYHAN
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HIDIROĞLU
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SEYHAN
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Publication Open Access A qualitative study of hand hygiene compliance among health care workers in intensive care units(J INFECTION DEVELOPING COUNTRIES, 2019-02-28) TEKER SAYIN, AYŞE GÜLSEN; Ay, Pinar; Teker, Ayse Gulsen; Hidiroglu, Seyhan; Tepe, Pinar; Surmen, Aysen; Sili, Uluhan; Korten, Volkan; Karavus, MeldaIntroduction: Studies indicate that adherence to hand hygiene guidelines is at suboptimal levels. We aimed to explore the reasons for poor hand hygiene compliance. Methodology: A qualitative study based on the Theory of Planned Behavior as a framework in explaining compliance, consisting four focus group discussions and six in-depth interviews. Results: Participants mostly practiced hand hygiene depending on the sense of dirtiness and cleanliness. Some of the participants indicated that on-job training delivered by the infection control team changed their perception of emotionally based hand hygiene to indication based. Direct observations and individual feedback on one-to-one basis were the core of this training. There was low social cohesiveness and a deep polarization between the professional groups that led one group accusing the other for not being compliant. Conclusions: The infection control team should continue delivering one-to-one trainings based on observation and immediate feedback. But there is need to base this training model on a structured behavioral modification program and test its efficacy through a quasi-experimental design. Increasing social cohesiveness and transforming the blaming culture to a collaborative safety culture is also crucial to improve compliance. High workload, problems related to work-flow and turnover should be addressed.Publication Open Access The Knowledge and Attitude about Diarrhea of Mothers of Students Attending an Elementary School in a Suburban Area in Istanbul(MARMARA UNIV, INST HEALTH SCIENCES, 2019-08-31) SAVE, DİLŞAD; Keskin, Nese; Surmen, Aysen; Save, Dilsad; Hidiroglu, Seyhan; Karavus, MeldaObjective: Diarrhea is one of the main cause of morbidity and mortality among children age under 5 years in Turkey though diarrheal disease control program has been performing and death ratio due to diarrheal disease under 5 years has been decreasing year by year in Turkey. This study is undertaken to evaluate knowledge, attitude and practice of mothers about childhood diarrheal diseases in a suburban area. Methods: This descriptive study was carried out in a primary school in a suburban area of Istanbul. One hundred and forty four mothers of children included accepted in the study with response rate of 85%. A questionnaire form was applied for data collection. Epi-Info programme was used for statistical analysis. In addition to the descriptive statistical methods, for the comparison of qualitative data a chi-square test was used. Results: In our study, the percentage of mothers who could define diarrhea correctly was 40%. Abdominal pain and watery defecation were the main signs which the mothers understand their children have diarrhea. Most of the mothers indicated that microbes as the cause of diarrhea. One of every two mothers stated that they would take their children to the doctor as they notice their child has diarrhea. Among the homemade treatments we asked, Potatoes cooked in boiling water and banana were the most frequent answers. Only one of mothers mentioned about using drugs at home for diarrhea and percentage of hearing about ORS was 21.5%. Eleven percent of mothers mentioned they believed to decrease liquid intake would be an effective practice in the treatment of diarrhea. Education level was very influential about knowledge and attitude about diarrheal disease. Conclusion: This study reveals the importance of continuous health education of mothers as well as the need for raising their status especially schooling in communities. Circulating of correct information is also important as well as educating population.Publication Metadata only The pharmacists' awareness, knowledge and attitude about childhood autism in Istanbul(SPRINGER, 2016) ÜNAL, ÇAĞRI; Luleci, Nimet Emel; Hidiroglu, Seyhan; Karavus, Melda; Karavus, Ahmet; Sanver, Furkan Fatih; Ozgur, Fatih; Celik, Mehmethan; Celik, Samed CihadBackground Being one of the key players in healthcare, pharmacists could have an important role in the early detection and care of children with autism, by familiarizing themselves with autism-related resources and helping families to find relevant professional resources. Objective The purpose of this study was to determine the awareness of pharmacists about autism, and their knowledge and attitude towards autism. Setting A degrees stanbul Province of Turkey. Method This descriptive study was carried out in pharmacists working in Istanbul Province of Turkey in 7 municipalities out of 39. One hundred forty-one out of 150 pharmacists who agreed to participate in our study were interviewed with the help of questionnaires. Main outcome measure Knowledge about childhood ASD and the social characteristics thereoff amongst pharmacists. Results Minimum 33.4 and maximum 73.1 % of the pharmacists gave correct answers to each question. Furthermore pharmacists' knowledge about causative factors of childhood ASD proved to be lacking and they tend to believe in outdated theories. The percentage of pharmacists believing that autism holds social stigma in this community was 66.0 %. Conclusion Pharmacists' knowledge regarding ASD needs to be improved. Enhancing their awareness, especially about basic social characteristics of childhood ASD will help pharmacists direct families of children with ASD to responsible health authorities.Publication Metadata only Missed opportunities for chronic diseases prevention in a primary health care center in Istanbul [Istanbul'da bir birinci basamak saǧlık kuruluşunda kronik hastalıklardan korunmada kaçırılmış fırsatlar](Gulhane Military Medical Academy, 2011) TOPUZOĞLU, AHMET; Topuzoǧlu A., Hidiroǧlu S., Fatih Önsüz M., Polat G.AIM: The aim of the study was to investigate missed opportunities about chronic diseases and related risk factors in a primary health care center in Istanbul. METHOD: This descriptive study was held in a Primary Health Care Center in Istanbul with the study population consisted of 500 people which were applicated in one month period. Participants were asked; if they were questioned by their physician about major risk factors (smoking, obesity, diabetes mellitus, hypertension, coroner heart disease in family, glysemic level, cholesterol level) and regular exercise practice according to Primary Care 2006 Guidelines. The data was evaluated by descriptive statatistics, chi square test. RESULTS: The median age of the participants were 40 (25.p; 32-75.p;52) and 76.4% of them were female. 50.4% of participants were overweight, 20.8% of them were obese. 36.2% of them were smoking, 22.0% were hypertensive, 10.4% were hiperglysemic. There were around 90.0% missing opportunities screening and management of obesity and blood cholesterol level, 70.0% about hypertension and 85.0% about diabetes. CONCLUSION: Opportunities about chronic diseases and their risk factors are being missed and asking about risk factors are neglected in primary health care center.Publication Open Access Hand hygiene knowledge, perception and practice of healthcare workers in a Turkish university hospital intensive care unit(J INFECTION DEVELOPING COUNTRIES, 2019-08-31) BİLGİN, HÜSEYİN; Sili, Uluhan; Ay, Pinar; Bilgin, Huseyin; Hidiroglu, Seyhan; Korten, VolkanIntroduction: While improvement of hand hygiene (HH) compliance is considered as the best approach to reduce healthcare-associated infections, the instructional interventions in HH among healthcare workers of intensive care unit (ICU) of our hospital was not successful enough. The following study was conducted to evaluate HH knowledge, perception, practice and effectiveness of the trainings among healthcare workers of ICU in our hospital. Methodology: A cross-sectional study was conducted in the ICU containing 8 medical and 16 surgical beds with 284 filled questionnaires about HH knowledge and 1187 observed opportunities for HH compliance. Results: Overall observed HH compliance rate was 40.6%; lowest compliance was 21.7% for before clean/aseptic procedure indication and highest compliance was 68.6% for after touching a patient indication. Although > 90% healthcare workers correctly identified the World Health Organization's five indications for HH, 82 -85% failed to recognize non-indications, i.e. when it was not necessary to perform HH. Our study showed that 15.1% of healthcare workers neither received nor felt the need for HH training. Conclusions: Despite regular HH trainings, healthcare workers could not differentiate when HH was not required which suggested failure to understand HH rationale. This may explain poor HH compliance rates. A systematic study is needed in order to find out the reasons behind of this noncompliance and improve HH training methods for educating healthcare workers.Publication Open Access The barriers against childhood immunizations: a qualitative research among socio-economically disadvantaged mothers(OXFORD UNIV PRESS, 2007-03-28) TOPUZOĞLU, AHMET; Topuzoglu, Ahmet; Ay, Pinar; Hidiroglu, Seyhan; Gurbuz, YucelBackground: The socio-economically disadvantaged populations are among the most vulnerable groups that are under-vaccinated. Therefore, the aim of this qualitative study was to understand the behaviours of mothers concerning the immunization of their children, the decision-making process, the perceived barriers, and the enabling factors to access the services in a suburban population in Istanbul. Method: Eight focus group discussions and two in-depth interviews were carried out with the mothers who have children younger than five years. Results: While the responsibility of immunization was left totally to the mother, the socially subordinate role of women did not provide the means of getting the immunization services. The women were dependent mostly on social networks for getting the immunization services. Another important barrier to the services was related to the economical constraints and accessibility of the services. In addition, the lack of effective communication and information transfer between the health personnel and the mothers formed an important obstacle. Conclusion: This study underlines a need for an effective counselling tailored to the immunization session, which will maintain a positive relationship between the personnel and the mother.Publication Metadata only Hastane hizmet personelinde iş kazaları ve enfeksiyon kontrolü(2016-05-07) HIDIROĞLU, SEYHAN; LÜLECİ, NİMET EMEL; KARAVUŞ, MELDA; HIDIROĞLU S., DEMİRHAN S., LÜLECİ N. E., Dilber Kiraz H., ÜZÜLMEZ B., ŞAHİN E., MANDIRACIOĞLU A., KARAVUŞ M.Publication Open Access Energy drink consumption among pre-clinical medical students attending a public medical school in Istanbul, Turkey(MARMARA UNIV, FAC MEDICINE, 2019-05-28) KULAK, ERCAN; Kulak, Ercan; Hidiroglu, Seyhan; Luleci, Emel; Karavus, MeldaObjective: It has been reported that energy drink usage is increasing worldwide despite reports of severe adverse health effects. This study aimed to explore pre-clinical medical students' attitudes and perceptions in relation to energy drinks. Materials and Methods: This was a questionnaire-based descriptive study of pre-clinical medical students attending a public medical school in Istanbul, Turkey. Questions covered the students' sociodemographic characteristics, personal habits (e.g., smoking and alcohol consumption), energy drink perceptions and energy drink consumption, and their experience of side effects from energy drinks. Chi-square tests were used to compare the categorical data. Results: The mean age of the participants was 21.27 +/- 1.37 (range: 19-28) years, and 54.0% (n: 81) were females and 46.0% (n: 69) were males. Overall, 68.0% (n: 102) reported that they had consumed an energy drink at least once in their lives, with 29.4% of these reporting use in combination with alcohol, 22.6% reporting use before exams, 20.6% reporting use before a physical activity, 13.7% reporting use to relieve fatigue, and 48.0% reporting that they had only tried an energy drink out of curiosity. Conclusion: A large number of participants tried energy drinks out of curiosity, but energy drink consumption was quite common in combination with alcohol. Case studies are needed to provide detailed information on the actual adverse health effects of energy drinks, but in the meantime, energy drink consumption should not be encouraged. Health care providers should educate children and families for the adverse effects of energy drinks.Publication Metadata only Do perceived health risks outweigh the benefits of modern contraceptives? A qualitative study in a suburban population in Istanbul, Turkey(TAYLOR & FRANCIS LTD, 2007) TOPUZOĞLU, AHMET; Ay, P.; Hidiroglu, S.; Topuzoglu, A.; Ucar, M. Solakoglu; Kose, O. O.; Save, D.Objectives To evaluate the health concerns and the perceived non-contraceptive benefits of modern contraceptive methods through utilizing qualitative methods. Methods Six focus group discussions were carried out with a total of 53 married women in a socio-economically disadvantaged community in Istanbul, Turkey. Results Women had a vague knowledge of the mechanism of menstruation. Some women believed that the uterus was filled with blood-termed 'dirty blood'-which should be eliminated during menstruation in order to stay healthy. For this reason, amenorrhoea was recognized as the important disadvantage of the progestin-only injectable contraceptives. While the participants mentioned fallacious and exaggerated side effects related to modern methods they did not recognize their non-contraceptive benefits. Most women gained the information concerning side effects through their social networks. Sometimes the information acquired was based on rumours that biased women against the modern contraceptives. Conclusions Women outweighed the risks, some of which were fallacious and exaggerated, against the benefits of modern contraceptives. It is crucial to address health concerns of women and what they 'heard' from their peers during counselling sessions. Also the non-contraceptive health benefits of modern methods should be well emphasized. Since informal sources are prevalent, the effectiveness of peer education should be studied in this community.Publication Metadata only Measles vaccination coverage and reasons for non-vaccination(W B SAUNDERS CO LTD, 2008) HIDIROĞLU, SEYHAN; Torun, Sebahat Dilek; Demir, Figen; Hidiroglu, Seyhan; Kalaca, Sibel
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