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  • Öğe
    Health care students' willingness to work during disasters in Turkey
    (Elsevier Ltd, 2021) İnal, Ebru; Kaya, Edip
    Introduction: Disasters place a substantial burden on the health care workforce; as such, it is important to understand whether members of the health care workforce might be willing to work during disasters. The aim of this study is to explore the willingness of health care students in nursing, emergency and disaster management (EDM) departments to work during disasters and to examine sociodemographic and disaster-related factors that affect their willingness to work during disasters. Methods: A cross-sectional survey was conducted among 839 students enrolled in a Turkish University Faculty of Health Science (619 nursing students and 220 EDM students). Chi-square tests and binary logistic regressions were used to determine predictors of willingness to respond to disasters. Results: The majority of students (62.2%) were willing to work during disasters; however, approximately 31.2% of students were uncertain, and 6.7% were unwilling to work during disasters. Approximately 85.0% of EDM students and 54.0% of nursing students were willing to work during disasters. Overall, participants were more willing to work during earthquake (71.1%) and traffic accident disasters (66.2%) but were less willing to work during contagious disease (35.1%) and gas leak disasters (33.5%). Students' willingness to work during disasters was predicted by program type, educational level and membership in a disaster-related nongovernmental organization. Conclusion: The majority of students were willing to work during disasters, although these numbers varied according to program and disaster types. These findings have significant implications for disaster education programs and interventions.
  • Öğe
    Factors Affecting the Intervention of Health-Care Professionals in Radiological Events: A Systematic Review
    (Cambridge University Press, 2023) Dağ, Nihal; Çalışkan, Cüneyt; Koçak, Hüseyin; Demir, Gülcan; Çelebi, İsmet
    This research aims to explore the factors affecting the intervention of health-care professionals regarding a radiological event and to determine what actions they cause. In line with the keywords determined, a search was conducted on Cochrane, Scopus, Web of Science, and PubMed until March 2022. Eighteen peer-reviewed articles that met the inclusion criteria were reviewed. This systematic review was conducted using the PICOS and PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses)guidelines. Of the 18 studies included in the study, 8 were cross-sectional studies, 7 were descriptive studies, 2 were interventional studies, and 1 was a systematic review. As a result of the qualitative analysis, 7 factors affecting the intervention of health-care professionals in a radiological event were identified as follows: rarity of the event; inadequacy of health-care professionals against the radiological event; sensory responses; dilemma and ethical concern; communication, workload; and other factors. The most important factor affecting the intervention of health-care professionals in a radiological event is inadequate education about a radiological event, which influences the formation of other factors. These and other factors cause actions such as delayed treatment, death, and disruption of health services. Further studies are needed on the factors affecting the intervention of health-care professionals.
  • Öğe
    Analysis of Gender Sensitivity of Turkey's Disaster Legislation to Create a Disaster-Resilient Society
    (Tohoku University Medical Press, 2021) Erbaydar, Nuket Paksoy; Önal, Ebru İnal; Kaya, Edip
    Disasters frequently occur in Turkey. Although there is comprehensive disaster legislation in Turkey, it has not been well studied in terms of gender sensitivity. This study aimed to evaluate the disaster legislation of Turkey in the context of gender equality. We investigated 17 non-technical disaster legislations to determine in what context and to what level disaster management is gender-sensitive in Turkey. We also carried out a workshop with experts from governmental bodies and nongovernmental organizations (NGOs), and academics to discuss the gender sensitivity of the legislations. We found that only two of the 17 legislations included a gender perspective. One legislation addressed gender equality and equity very well, while one was partially gender-sensitive and the others 5 were gender blind. The workshop was conducted in collaboration with the Disaster and Emergency Management Presidency (AFAD) and 33 participants from 19 organizations. The participants agreed that the disaster legislation did not include a gender perspective and acknowledged the importance of integrating a gender perspective into the disaster policies of Turkey. They recommended that the AFAD and emergency response units should have at least one female president or vice president, gender equality training should be provided to officers and managers of government and non-governmental disaster institutions, and a working group should be established to develop strategies that integrate gender perspectives into disaster and emergency policies. The disaster legislation of Turkey is not gender sensitive. It is important to incorporate language terminologies, understanding, and approaches that are sensitive to gender into disaster-related legislation and regulations.
  • Öğe
    The Science of Disaster Medicine: From Response to Risk Reduction
    (Istanbul Medeniyet University, 2021) Koçak, Hüseyin; Kınık, Kerem; Çalışkan, Cüneyt; Açıksarı, Kurtuluş
    The scientific advancement of the disaster medicine concept started approximately five decades ago. Different disciplines, such as public health, emergency health services, emergency medicine, and military medicine, work within the disaster medicine framework. Disaster medicine aimed to ensure that health services and facilities are operational both in the pre-and post-disaster periods to prevent and reduce the negative health circumstances of the society facing disaster risks. It is a discipline with slow scientific progress due to unclearly systematized multidisciplinary structure and sub-study areas. However, important targets regarding the field of disaster medicine were indicated in the Sendai Framework for Disaster Risk Reduction 2015-2030 published by the United Nations. Among the global goals of disaster medicine, are to reduce the number of deaths and injuries, reduce the number of affected people, strengthen critical facility infrastructure, and ensure functional sustainably of these facilities during disasters. To achieve these goals, disaster medicine is expected to rapidly develop both institutionally and academically. Disaster medicine is a global, mass, administrative, and doctrinal discipline that means beyond clinical studies. Particularly, the development and dissemination of disaster medicine education were emphasized for the first time with the Sendai Framework for Disaster Risk Reduction, which was determined globally in 2015. The disaster medicine discipline is seen to reach a very strong point by 2030.
  • Öğe
    Evaluation of maritime accident reports of main search and rescue coordination centre between 2001 and 2012
    (Via Medica, 2021) Koçak, Hüseyin; Altıntaş, Kerim Hakan
    Background: The aim of the study was to evaluate the marine accident and incident reports between 2001 and 2012 by the Main Search and Rescue Coordination Centre (MSARCM). The method of the study was a descriptive-cross-sectional epidemiological study. Materials and methods: The data of the research were composed of MSARCM’s marine accident, incident and medical evacuation reports between 2001 and 2012. In the research, 1796 marine accident/incident reports were examined. The data were evaluated statistically by frequency distribution, univariate and bivariate regression analysis and multidimensional scaling analysis. Results: The highest number of cases in the study occurred in 2010 (n = 228, 12.7%). Considering the time of realisation of the cases, the highest number of cases occurred between 12:00 and 17:59 (n = 538, 30.0%). In the total of 1796 cases, there were 150 injured, 6046 rescued, 311 deaths, 202 missing and 73 patients. Considering the causes of accidents, the first three places were bad weather conditions (n = 287, 16.0%), human errors (n = 241, 13.4%) and machine malfunctions (n = 232, 12.9%). In the univariate and bivariate analysis of the data, it was seen that injuries in the Istanbul region were statistically more significant than those in the international region (8.5 fold, 95% confidence interval). Conclusions: The risk management activities on injuries and accidents need to be carried out more carefully particularly in the areas with a high occurrence of marine accidents/events and medical evacuations (such as strait traffic, ports, shipyards), in the hotspots for shipping accidents
  • Öğe
    Disaster literacy and public health: A systematic review and integration of definitions and models
    (Cambridge University Press, 2021) Çallşkan, Cüneyt; Üner, Sarp
    Objective: The aim of this study is to develop an integrated definition and a conceptual model covering the dimensions of disaster literacy. Methods: A systematic literature review was conducted to identify the definitions and conceptual frameworks of disaster literacy. The content analysis of definitions and conceptual frameworks were conducted to identify the central dimensions of disaster literacy and to develop an integrated model. Results: In this study, 8 disaster literacy definitions and 4 conceptual model studies related to disasters were found. In line with these studies, a comprehensive definition of disaster literacy was presented. In addition, based on content analysis, a 16-matrix integrative conceptual model of the mitigation, preparedness, response and recovery dimensions of disaster literacy, and the access, understanding, appraisal, and application areas of disaster information processing were developed. Conclusions: In this study, a comprehensive definition and conceptual framework of disaster literacy were presented in an integrated model. By using this model, practices that are special to the phases of a disaster can be identified and supported in society. In addition, the model can contribute to empirical studies by providing the basis for the development of tools to measure disaster literacy. Copyright © 2020 Society for Disaster Medicine and Public Health, Inc..
  • Öğe
    National Polar Research as a Manifestation of Turkey's Soft Power
    (Ahmet Yesevi University, 2021) Caymaz, Ebru; Büyüksağnak, Y. Barbaros; Özsoy, Burcu
    In the global economy of the 21st century, the production of information and technology and the process of its transformation into economic benefit have become the most important parame-ter in the relative distribution of power among states. Intending to have a larger share of the global economic pie, Turkey has been trying to conduct an efficient public diplomacy process. Turkish Polar Scientific Expeditions and Researches, which are conducted with national and international academic partnerships, are examined in the context of soft power and public diplomacy. The aim of this study is, as a successful public diplomacy case, to present the prospective contributions of these researches to Turkey’s soft power capacity from science diplomacy perspective.