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    A Survey of Violence Against Staff Working in the Emergency Department in Ankara, Turkey
    (ELSEVIER SCIENCE INC, 2011) Talas, Melek Serpil; Kocaoz, Semra; Akguc, Selma
    Purpose: Workplace violence in the emergency department is a significant problem world wide. The aims of this study were to identify the proportion of staff subjected to the types of violence, its sources, factors affecting violence experiences, reporting the incidence and the emotions of the victims after violence. Methods: This descriptive study was conducted between March and August 2009 in the the emergency department of six hospitals in Ankara, Turkey. Data were collected from 270 staff working in various emergency settings. The instrument was a 36-item questionnaire on types of violence, its sources, feelings, and ways to cope with violent behaviors. Descriptive statistics and chi-square tests were used for data analysis. Results: The results showed 85.2% of participants had been subjected to at least one kind of violence: 41.1% to physical assault, 79.6% to verbal abuse, 55.5% to verbal threats and 15.9% to sexual harassment. Patients' companions (90.9%) were identified as the primary perpetrators of violence. The rates of violence types were highest towards security officers and housekeepers. The most common reactions to violence were sadness and anger. "Did nothing and keeping silent" was the coping method used most commonly by the staff. Participants exposed to physical assaults and verbal threat did not report the incidence of violence to managers were at 43.3% and 65.3% respectively. Conclusion: Based on results of the study, it is suggested that every hospital institute reliable reporting procedures that staff members feel comfortable using, and also provide a comprehensive program of support services for staff that has been assaulted. Copyright (C) 2011, Korean Society of Nursing Science. Published by Elsevier. All rights reserved.
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    Urinary Incontinence Among Turkish Women An Outpatient Study of Prevalence, Risk Factors, and Quality of Life
    (LIPPINCOTT WILLIAMS & WILKINS, 2012) Kocaoz, Semra; Talas, Melek Serpil; Atabekoglu, Cem Somer
    PURPOSE: The aim of this study was to determine the prevalence and potential risk factors associated with urinary incontinence (UI) in women and to assess its impact on quality of life (QOL). DESIGN: We undertook a cross-sectional study based on interviews, using a structured questionnaire. SUBJECTS AND SETTING: Two hundred eighty-eight women, aged 19 years and older, from gynecology outpatient clinics attached to a university hospital in Ankara, Turkey, were interviewed. INSTRUMENTS: Data were collected via a Turkish version of the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and the Wagner's Quality of Life scale. METHODS: Data were collected by face-to-face interviews with subjects and took approximately 30 minutes to complete. Potential risk factors were analyzed using logistic regression. RESULTS: The prevalence of UI was 31.9%. Logistic regression analysis indicated that the number of pregnancies (odds ratio [OR] = 0.53, 95% CI: 0.28-0.99), UI in mother (OR = 2.46, 95% CI: 1.35-4.50) and sister (OR = 0.34, 95% CI: 0.16-0.77), previous UI during pregnancy (OR = 12.22, 95% CI: 4.11-36.36) and postpartum period (OR = 11.28, 95% CI: 3.66-34.76), and body mass index (OR = 0.49, 95% CI: 0.29-0.85) were associated with a higher likelihood of incontinence (P < .05). Ninety-two of 288 women (31.9%) stated that UI has a negative impact on their QOL and only 40 of 92 (43.5%) had asked for medical help. Impairment of QOL was related with the type of UI, frequency of UI episode, and amount of leakage. CONCLUSION: Our study results determined that UI is common in Turkish women. The QOL of women was mostly mildly or moderately affected by UI.