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Öğe Perspective of Doctors and Nurses on the Principle of Extended Autonomy in Konya, Turkey(Sage Publications Inc, 2021) Tekpinar, Lutfiye; Uludag, AyhanDespite the support with legislation in Turkey regarding extended autonomy and advance directive, there is no clear provision and sufficient practice on the subject. Turkish doctors and nurses are generally unfamiliar with the conception of extended autonomy or advance directive, which raises dilemmas in terms of life-support choice, and this situation can even affect clinical decision-making processes. This study investigated the awareness level about extended autonomy and advance directive in Turkey and assessed doctors and nurses' attitudes toward patient autonomy. This was a quantitative descriptive study. It was found that the 46.8% of the respondents supported the principle of extended autonomy in health service delivery. However, 53.8% of the respondents had poor knowledge regarding advance directive. Majority (77.9%) of the respondents indicated that the legislative arrangements should be made concerning the principle of extended autonomy and the advance directive, which is its field of application.Öğe A QUALITATIVE EVALUATION OF THE VIEWS OF THOSE STAYING IN DORMITORY-HOSPITALS DURING THE COVID-19 PANDEMIC(Nobel Ilac, 2022) Uludag, Ayhan; Safak, KeremObjective: The aim of the study was to identify the important roles in public health that dormitories, which act as a kind of hospital during COVID-19 pandemic, have fulfilled during COVID-19 pandemic. Also, it was aimed to develop recommendations based on existing experiences for making dormitories more readily available and more useful in managing similar major outbreaks. Material and Method: Since this study was qualitative in nature, the sample size was not determined at the outset of the study. The population of the study included 17 volunteers from 365 individuals who were quarantined in a dormitory between 5th and 20th April 2020. In-depth interview was used to collect data and content analysis was used to analyze the interview data. Results: The views of those who stay in dormitory-hospitals on the management of COVID-19 pandemic were generally positive. However; the majority of participants stated that they would prefer to stay at home if it was possible, instead of staying at dormitory. Moreover; most of participants stated that they were bored during their stay. High dormitory standards might be a reason for high satisfaction of participants, as well as the fear of COVID-19. Conclusion: The present findings showed that dormitories can provide health care services by organizing as dormitory-hospital at times of quarantine. It was seen that the burden of dormitory-hospitals on the existing health system has been very limited. It was recommended to make the necessary arrangements for the detection of appropriate dormitories on the basis of provinces and the use of them at times of outbreaks.Öğe The Relationship between Cognitively-Based Clinical Empathy and Attitudes toward Death and Dying in Medical Students(Routledge Journals, Taylor & Francis Ltd, 2020) Unlu, Gazi; Uludag, AyhanTheory Empathy has a potentially complicated relationship with dealing with death and dying. Having clinical empathy can improve interactions with dying, but educational interventions aimed at fostering empathy may cause medical students to connect emotionally with dying patients and behave unprofessionally out of self-defense. Cognitively-based clinical empathy should lead to positive attitudes toward death and dying by adhering to the principles of detached concern and professionalism.Hypotheses:The main components of cognitively-based clinical empathy are negatively correlated with (1) difficulty communicating with dying patients and their relatives, and (2) avoidance of death and dying.Method:This cross-sectional study included 372 medical students from two universities in Konya, Turkey. Data were collected via a survey consisting of three parts: socio-demographic information, the Turkish version of Jefferson Scale of Empathy-Student Version (JSE-S), and the Turkish Approach to Death and Dying Patients Attitude Scale. Independent samples t-test and one-way analysis of variance were used for comparative analysis. Bivariate and partial correlation analyses were used to assess the associations between variables.Results:Perspective-taking and compassionate care were significantly and moderately positively correlated with difficulty communicating with the dying and their relatives. Perspective-taking and compassionate care had significant, but weak positive correlations with avoiding death and dying. There was no significant correlation between standing in the patient's shoes and either communication or avoidance.Conclusions:Both hypotheses were rejected. The present findings raise questions regarding whether the JSE-S is an effective operationalization of cognitively-based clinical empathy. Perspective-taking and compassionate care as measured by the JSE-S may reflect a propensity to engaging emotionally that leads to negative attitudes toward death and dying in medical students. If so, reducing the negative effects of emotional engagement seems crucial for developing positive attitudes toward death and dying in medical students.