Halk Sağlığı Enstitüsü
https://hdl.handle.net/11655/124
2024-03-29T06:16:34ZErişkin Suriyeli Göçmenlerde Belirsizlik Ölçeği Geliştirilmesi Ve Belirsizlik İle Sağlık Düzeyleri İlişkisinin Değerlendirilmesii
https://hdl.handle.net/11655/34597
Erişkin Suriyeli Göçmenlerde Belirsizlik Ölçeği Geliştirilmesi Ve Belirsizlik İle Sağlık Düzeyleri İlişkisinin Değerlendirilmesii
Aktuna, Gamze
Uncertainty, characterized by unpredictability, unforeseeableness, lack of clarity, or absence of confidence about future events, outcomes, or information, expresses a subjective cognitive and/or emotional state. Uncertainty transforms into a complex structure intertwined with numerous external factors within the context of migration. Uncertainty has multifaceted effects on human health and well-being. We aimed to develop a valid and reliable measurement tool to assess the level of uncertainty of adult migrants and to define the relationship between the measured level of uncertainty and general health perception. This methodological study targets the Syrian population in the districts of Altındağ, Mamak, and Yenimahalle in Ankara. The sample includes 666 literate male and female Syrian migrants aged between 18-64 from these districts. The item pool was created through phenomenological research, evaluated with expert workshops and the Davis content validity method, and 39 items were selected for validity-reliability analysis. We conducted item analyses (item discrimination value and factor load); validity analysis (content, and constract validity); reliability analysis (split-half, and internal consistency) and descriptive analyses (descriptive statistics, Chi-square test, Kruskal Wallis, and Mann Whitney U tests). The Adult Migrants' Uncertainty Scale (AMUS) consists of 24 items with item discrimination values over 0.20 and factor loads over 0.30. We found Cronbach's alpha=0.80, Spearman-Brown Coefficient=0.73, and RMSEA=0.06. The total minimum score from the scale is 24 and the maximum is 120, with higher scores indicating increased uncertainty. The average uncertainty level of Syrian migrants is 57.1±10.9. Those is living in rented houses, without a profession, with chronic diseases, with multimorbidities, woman and have witnessed armed conflict, scored higher in uncertainty. A statistically significant negative relationship was found between the uncertainty score and both economic status and general health perception. AMUS is presented as a valid and reliable tool for measuring uncertainty among migrants. Applying the scale to different groups will allow a deeper understanding of uncertainty and facilitate the inclusion of uncertainty elements in public health intervention strategies.
2024-01-01T00:00:00ZA STUDY OF SCALE DEVELOPMENT TO EVALUATE INDIVIDUAL PREPAREDNESS TO FLOODS (KASSALA, SUDAN)
https://hdl.handle.net/11655/34574
A STUDY OF SCALE DEVELOPMENT TO EVALUATE INDIVIDUAL PREPAREDNESS TO FLOODS (KASSALA, SUDAN)
Osman, Marwa
The study aimed to provide scale tools for measuring individual preparedness for measuring individual’s knowledge and behavior regarding flood preparedness in Kassala, Sudan. Item development was conducted by reviewing the literature and considering the opinions of the target population. Six experts agreed on the item pool and confirmed its content validity with a content validity index ≥0.75 for all the items. This process resulted in dividing of the item pool into two draft scales: knowledge and behavior. Study participants were 413 household key persons from seven neighborhoods affected by the 2018 floods in Kassala city in Sudan. Analysis of the collected data was carried out using the Statistical Package for Social Sciences (SPSS) software for Exploratory Factor Analysis (EFA) construct validity, Cronbach’s alpha internal consistency, test retest reliability analysis, and item analysis. In addition LISREL 7.8 program was used for Confirmatory Factor analysis construct validity and Monte Carlo application for Pararel to analyze factor number in construct validity. Experts confirmed the content validity of the scales. EFA revealed a construct of two factors in Knowlege scale and construct of three factors for the behavior scale. Parallel analysis confirmed the number of factors. Items loaded on their factors by > 0.3. CFA also revealed acceptable significant loadings of the items of the two scales and acceptable measures of goodness of fit. Cronbach’s alpha, composite reliability indices for all factors were ≥ 0.7. The test–retest reliability coefficients were 0.75 and 0.63 for the knowledge and behaviour scales respectively. Item analysis showed acceptable corrected total item correlations and Cronbach’s alpha if the item was deleted for all the items. Differences between means scores of the highest and lowest score groups for all the factors were significant which indicate good power of discrimation of the items.The findings support the hypothesis that the two scales are instruments that produce valid and reliable measures that can be used for measuring individual’s knowledge and behavior regarding flood preparedness in Kassala, Sudan.
2024-01-01T00:00:00ZA STUDY OF SCALE DEVELOPMENT TO EVALUATE INDIVIDUAL PREPAREDNESS TO FLOODS (KASSALA, SUDAN)
https://hdl.handle.net/11655/34523
A STUDY OF SCALE DEVELOPMENT TO EVALUATE INDIVIDUAL PREPAREDNESS TO FLOODS (KASSALA, SUDAN)
Osman, Marwa
The study aimed to provide scale tools for measuring individual preparedness for measuring individual’s knowledge and behavior regarding flood preparedness in Kassala, Sudan. Item development was conducted by reviewing the literature and considering the opinions of the target population. Six experts agreed on the item pool and confirmed its content validity with a content validity index ≥0.75 for all the items. This process resulted in dividing of the item pool into two draft scales: knowledge and behavior. Study participants were 413 household key persons from seven neighborhoods affected by the 2018 floods in Kassala city in Sudan. Analysis of the collected data was carried out using the Statistical Package for Social Sciences (SPSS) software for Exploratory Factor Analysis (EFA) construct validity, Cronbach’s alpha internal consistency, test retest reliability analysis, and item analysis. In addition LISREL 7.8 program was used for Confirmatory Factor analysis construct validity and Monte Carlo application for Pararel to analyze factor number in construct validity. Experts confirmed the content validity of the scales. EFA revealed a construct of two factors in Knowlege scale and construct of three factors for the behavior scale. Parallel analysis confirmed the number of factors. Items loaded on their factors by > 0.3. CFA also revealed acceptable significant loadings of the items of the two scales and acceptable measures of goodness of fit. Cronbach’s alpha, composite reliability indices for all factors were ≥ 0.7. The test–retest reliability coefficients were 0.75 and 0.63 for the knowledge and behaviour scales respectively. Item analysis showed acceptable corrected total item correlations and Cronbach’s alpha if the item was deleted for all the items. Differences between means scores of the highest and lowest score groups for all the factors were significant which indicate good power of discrimation of the items.The findings support the hypothesis that the two scales are instruments that produce valid and reliable measures that can be used for measuring individual’s knowledge and behavior regarding flood preparedness in Kassala, Sudan.
2024-01-01T00:00:00ZBolu Abant İzzet Baysal Üniversitesi İzzet Baysal Eğitim ve Araştırma Hastanesi’nde Çalışan Personelin COVID-19 Hakkında Görüşleri, Tükenmişlik ve Umutsuzluk Düzeylerinin Saptanması
https://hdl.handle.net/11655/34076
Bolu Abant İzzet Baysal Üniversitesi İzzet Baysal Eğitim ve Araştırma Hastanesi’nde Çalışan Personelin COVID-19 Hakkında Görüşleri, Tükenmişlik ve Umutsuzluk Düzeylerinin Saptanması
Demir Özer, Esra
COVID-19 is a pandemic that has affected all countries. It is known that the pandemics put an excessive burden on the health sector and hospitals play a critical role in the pandemics. Hospital workers, and especially healthcare workers who care for COVID-19 patients, take many responsibilities during the pandemic and may be at risk for COVID-19. In this study, the opinions, burnout and hopelessness levels of all personnel working at Bolu AIBU Izzet Baysal Training and Research Hospital regarding COVID-19 were examined in order to evaluate the COVID-19 pandemic process. 562 personel participated in the research study. The data gathering form, which consists of 8 sections with 87 questions, includes the Maslach Burnout Scale with 22 questions and the Beck Hopelessness Scale with 20 questions. While the Turkish validity and reliability study of the Maslach Burnout Scale was conducted by Ergin in 1996, the Turkish validity and reliability study of the Beck Hopelessness Scale was conducted by Durak and Palabıyıkoğlu in 1994. The data were analyzed with the SPSS program. In the analyzes, Independent Sample T-Test, One Way ANOVA, Post-Hoc analysis, Bonferroni Tamhane's tests were used under appropriate conditions, and Stepwise Hierarchical Regression analysis was used for further analysis. The average age of the participants was 35.8±8.8. The average duration of working in the profession was 9.1±8.3 years. 61.2% of the participants were women, 37.9% had a bachelor's degree and 59.6% were married. 32,0% of the participants had worked in COVID-19 units at least once, 31.1% contracted COVID-19 disease and 55.4% of them treated COVID-19 patients. 86.2% of the personnel thought that “COVID-19 outbreak is a disaster for Türkiye”, 27.8% thought that “COVID-19 outbreak cannot be controlled”, 84.9% thought that “they can contract COVID-19 disease”, 84.9% thought that “COVID-19 pandemic has negatively affected them psychologically”, 84.9% thought that “COVID-19 is a serious illness” and 16.9% thought that “they cannot return to normal life after the COVID-19 pandemic”. Being a woman, being young, not having children, being a nurse, having a short working time in the profession, staff having a chronic disease, working in shifts, overtime and regular working hours, having a change in the unit worked, working at least once in the COVID-19 units, losing a relative due to COVID-19, intervening a COVID-19 positive patient without using PPE, staff thinking that the pandemic has negatively affected them psychologically, thinking that they are not sufficiently knowledgeable about COVID-19 disease, the thought of COVID-19 as a serious disease with severe consequences, thinking that the COVID-19 pandemic could not be controlled and that the life will not return to normal as it was before COVID-19 pandemic were predictors of burnout and its subscales. It has been determined that being a woman, staff having a chronic disease, working in shifts, overtime and regular working hours, the staff's thinking that the pandemic has negatively affected them psychologically, thinking that the COVID-19 pandemic can not be brought under control, and that they cannot return to their normal life as it was before the COVID-19 pandemic are important predictors of hopelessness.
2023-01-01T00:00:00Z