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Article Citation - WoS: 8Citation - Scopus: 8Evaluating the Factors (stress, Anxiety and Depression) Affecting the Mental Health Condition of Nurses During the Covid-19 Pandemic(Sage Publications inc, 2022) Isik, Oguz; Tengilimoglu, Dilaver; Tosun, Nurperihan; Zekioglu, Aysu; Tengilimoglu, OnurThis study aimed to determine the depression, anxiety and stress levels that have negatively impacted nurses' mental health during the COVID-19 pandemic. A sample group of 826 nurses working in Turkey were asked to fill in an online questionnaire in order to evaluate their psychological responses and the related factors that have adversely affected their mental health during the COVID-19 pandemic. In total, 696 nurses (84.3%) showed symptoms of depression, 644 (78%) reported anxiety and 543 (65.74%) reported stress. This study also highlighted that the most concerning factor for the nurses was the risk of transmitting the COVID-19 infection to their household members (89.2%). The most important problems faced by the nurses during COVID-19 included equipment shortages (50.7%), administrative problems (38.5%) and issues such as accommodation and nutrition (27.4%). These were found to have a statistically significant correlation with the nurses' levels of depression, anxiety and stress. The fear of losing a household member, the inability to their household's social needs and the fear of death were among the factors that concerned nurses during the COVID-19 pandemic, significantly affecting their levels of depression, anxiety and stress. Taking the necessary measures to deal with the aforementioned problems and fears is important to protect the health, productivity and efficiency of nurses during the pandemic period.Article Citation - WoS: 19Citation - Scopus: 20The consumers' social media use in choosing physicians and hospitals: the case study of the province of Izmir(Wiley, 2017) Tengilimoglu, Dilaver; Sarp, Nilgn; Yar, Cemre Eda; Bektas, Meral; Hidir, Mehmet Nil; Korkmaz, EsinManifested as a reflection of the Internet technology progress, web 2.0 has transformed communication among people to different dimensions while increasing the social use of Internet. Thus, the concept of social media has entered our lives. Blogs, forums, Facebook, Twitter and YouTube applications are but few of the social media platforms with active users exceeding millions. As in many other subjects, these and others are also environments where people share information and their positive or negative experiential views with respect to healthcare issues and services. Hence, the social media communication and exchange of information are deemed influential on the process of receiving health services. In the present study that aims to determine social media use of individuals in their choice of physicians, dentists and hospitals, a survey, as a data collection instrument, has been carried out to 947 residents of the province of Izmir. Individuals participating in the study have stated that they have used social media in choosing a physician (41.9% of the participants), dentist (34.1% of the participants) and hospitals (41.7% of the participants). The study has revealed that individuals are affected by social media in their healthcare choices. Copyright (C) 2015 John Wiley & Sons, Ltd.Article Citation - WoS: 11Citation - Scopus: 14Informal Payments in Health Systems: Purpose and Occurrences in Turkey(Routledge Journals, Taylor & Francis Ltd, 2015) Tengilimoglu, Dilaver; Guzel, Alper; Toygar, Anil; Akinci, Fevzi; Dziegielewski, Sophia F.Informal payments constitute a significant portion of out-of-pocket payments in health systems, especially in developing countries. This study examined the current status of informal payments in Turkey and the opinions, attitudes, and behavior of individuals toward informal payments. To examine this concept, 1,033 residents in Ankara, the capital city of Turkey, were surveyed. The 28-item questionnaire used in data collection was developed based on previous research and expert opinions. The data analysis revealed that approximately 29% of the study participants made informal payments in return for the medical service they received. Three out of 4 people who made informal payments were from a low-income group. Informal payments were made in the form of cash prior to medical procedures and also as gifts following the procedures. Future recommendations for health policymakers include designing a new patient copay mechanism where informal payments can be effectively incorporated into the formal payment system, assistance to low-income individuals, and improvement in current medical staff salaries that would discourage taking such payments.Article Citation - WoS: 40Citation - Scopus: 53Impacts of Covid-19 Pandemic Period on Depression, Anxiety and Stress Levels of the Healthcare Employees in Turkey(Elsevier Ireland Ltd, 2021) Tengilimoglu, Dilaver; Zekioglu, Aysu; Tosun, Nurperihan; Isik, Oguz; Tengilimoglu, OnurThe COVID-19 pandemic has turned into a public health issue since December 2019 and has risen in all countries in the world. The healthcare employees taking part in the pandemic will eventually be affected by the process. The aim of the study is to determine the levels of the anxiety, depression, and stress of the healthcare employees during the COVID-19 pandemic in Turkey. As the data collection tool, an e-survey was used. In the first section, Depression, Anxiety and Stress Scale (DASS-21) was used. In the second section of the survey, the problems experienced by the healthcare employees during the pandemic and their working media were aimed to be defined. In the last section, the socio-demographic features of the employees were investigated. 2076 healthcare employees participated in the study. The results showed that the major cause of the anxiety or stress among healthcare employees comes from the fear to contaminate the COVID-19 virus to their families (86.9%). It was observed that the levels of depression, anxiety and stress of female employees are higher than that of male employees (p < 0.003). The highest depression, anxiety and stress levels of healthcare employees come from the pandemic, emergency, and internal services (p < 0.001). Health managers and policymakers need to make a move immediately to find solutions for the physical and psychological needs of the health employees. On the other hand, in order to minimize the risk, preparation of the work power plans beforehand and inclusion of obligatory referral chain into health services can be suggested.Article Health Beliefs and Attitudes: a Comparison Between Turkey and Palestine(Routledge Journals, Taylor & Francis Ltd, 2018) Menawi, Wafaa Allam; Tengilimoglu, Dilaver; Dziegielewski, Sophia F.The purpose of this study is to identify the beliefs and attitudes that influence health-related behavior while comparing two countries that can have different political and economic structures. This study also gathers both Turkish and Palestinian citizens' beliefs and attitudes towards health determinants. To assess and compare citizens' attitudes toward health care and health determinants a total of 4,100 questionnaires were distributed, whereas 2,600 were distributed in Turkey, and another 1,500 questionnaires in the Palestine. According to the research, the individuals surveyed in Turkey noted that smoking, stress, and getting access to a medical institution were noted as the most influential determinants which affect their health; whereas, the people of Palestine thought that income status, and educational levels were the most influential factors in health. In addition, it was found that there were some statistically significant differences between participants' responses in Turkey and Palestine; however, what both samples shared was that economic factors were an important factor affecting health beliefs and attitudes, regardless of where a participant lived. Finally, comparisons and future recommendations are made to improve health-related beliefs, attitudes and behaviors in both countries.
