Browsing by Author "Bilgel, Nazan Gönül"

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Counterproductive work behavior among white-collar employees: A study from Turkey
(Wiley, 2009-06) Bayram, Nuran; Gürsakal, Necmi; Bilgel, Nazan Gönül; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-9068-2021; 13609585600; 26429334100; 7801564702
The current study was designed to evaluate the magnitude and types of counterproductive work behaviors (CWBs) among a group of white-collar employees from different firms. A total of 766 employees voluntarily participated in our study. We focused especially on employees' perceptions of their work environment and on their affective responses to those perceptions. Data were dependent on self-reporting and privacy, and anonymity measures were taken into account. The five different instruments used to evaluate job satisfaction were, organizational constraints, interpersonal conflict, quantitative workload and CWB. We found a high degree of job satisfaction, a minimal quantitative workload and a limited exhibition of CWBs among our sample. Organizational constraints were found to be the most strongly correlated to exhibited CWBs, followed by interpersonal conflict and quantitative workload. Job satisfaction had a diminishing effect on CWBs. Among the five dimensions of CWBs, abuse and withdrawal were found to be the most important. The most frequently reported CWB was 'came to work late without permission.' Except for income we found no statistically significant relationship between demographic characteristics and the exhibition of CWBs. We concluded that by abolishing pre-existing organizational constraints there may be a reduction in CWBs.
Diagnosis of acute tonsillopharyngitis in primary care: A new approach for low-resource settings
(Taylor & Francis, 2013-06) Alper, Züleyha; Uncu, Yeşim; Akalın, Halis; Ercan, İlker; Sınırtaş, Melda; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi.; 0000-0002-8349-9868; 0000-0002-5225-4403; 0000-0002-5225-4403; AAB-1694-2021; AAU-8952-2020; ABE-2261-2020; AAP-9210-2020; D-9597-2016; 8580079400; 8892370600; 57207553671; 6603789069; 6505818048; 7801564702
Background: Diagnosing GABHS (Group A-beta Hemolytic Streptococcus) tonsillopharyngitis by clinical scoring is a recommended approach in developed countries, but there is still much controversy for low resource settings. Aim: We aimed to assess the impact of Centor criteria with the support of practical laboratory tests. Methods: We prospectively included patients complaining sore throat (N=5282). We evaluated them in terms of Centor scoring and performed white blood cell count (WBC), C-reactive protein (CRP), rapid antigen detecting test, and throat culture. Results: In GABHS cases (n=532, 11.3%), two of the criteria were observed to be positive in more than half of the cases (n=519, 59.3%), while 13 (40.7%) cases met three/four criteria. The specificity of having two criteria was found to be 65.5% and increased to 91.5% after including CRP and WBC. Conclusion: Centor criteria could be safely used to reduce unnecessary antibiotic usage for tonsillopharyngitis in developing countries.
Educating medical students about the personal meaning of terminal illness using the film, "wit"
(Mary Ann Liebert, 2014-08) Özçakır, Alis; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 0000-0001-5588-2037; 0000-0002-4539-5849; AAG-8209-2021; 9733230000; 7801564702
Background: Addressing the emotional needs of dying patients is rarely found to have a place in formal medical curriculum and is also a difficult area to teach through classical medical lectures. "Cinemeducation" is a wonderful way to educate health care providers about the magnitude of emotions that arise during those difficult situations. Objective: The aims of this study were to test the relevance and usefulness of the movie 'Wit' in teaching medical students about the personal meaning of terminal illness and to assess the impact of this teaching method on students' attitudes toward palliative care. Design: This was an education study using qualitative and quantitative data analysis of 518 first-year medical students in a single medical faculty in Turkey. Students watched the entire film, filled out an evaluation questionnaire, and answered questions about the film. Students also expressed their own feelings and thoughts about palliative care. Results: Overall, 88% rated the film as excellent, very good, or good. According to 54% of the students, the emotions of terminally ill patients were fully portrayed in the film and in a very realistic way. Approximately 61.4% of the students found this film emotional. Most students (80.5%) stated that this film made them think about the emotional and spiritual suffering that dying patients go through and found this learning approach about palliative care more useful than didactic lectures and journal article readings but not more useful than bedside rounds. It was thought that caring for dying patients would be very or fairly personally satisfying for 65.3% of the students. Conclusions: The film 'Wit' gave the students an opportunity to explore their beliefs, values and attitudes in terms of the bio-psycho-social-spiritual aspects of health care and encouraged them to think more about the humanitarian issues of the medical profession.
Health literacy among adults: A study from Turkey
(Oxford Univ Press, 2010-06) Özdemir, Hakan; Alper, Züleyha; Uncu, Yeşim; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 0000-0002-8349-9868; 0000-0002-5225-4403; 0000-0002-4539-5849; ABE-2261-2020; D-9597-2016; 57197077578; 8580079400; 8892370600; 7801564702
Patients' health literacy is increasingly recognized as a critical factor affecting health communication and outcomes. We performed this study to assess the levels of health literacy by using Rapid Estimate of Adult Literacy in Medicine (REALM) and Newest Vital Sign (NVS) instruments. Patients (n = 456) at a family medicine clinic completed in-person interviews, REALM and NVS tests which were translated into the Turkish language by translation-back translation process. Additional questions regarding demographic characteristics were also collected. The mean scores (mean +/- standard error) for REALM and NVS were 60.2 +/- 90.32 and 2.60 +/- 0.08, respectively. The REALM test scores showed that 2.7% had inadequate (less than or equal to 6th grade), 38.6% marginal (7th to 8th grade) and 58.7% (greater than or equal to 9th grade) adequate health literacy. The NVS test score revealed a proportion of 28.1% had adequate health literacy. Educational attainment was the most important demographic characteristic found to be related to the health literacy. Reading and vocabulary skills were better than numerical capabilities. Female, primary school educated and poor economic condition participants and those who were older had the lowest scores in both the tests.
The knowledge and attitudes about mammography in a group of Turkish women who attended a family medicine clinic
(Wiley, 2008) Sadıkoğlu, Ganime; Özçakır, Alis; Bayram, Nuran; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimiliği Anabilim Dalı.; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; 0000-0001-5492-184X; 0000-0001-5588-2037; 0000-0002-4539-5849; AAG-9068-2021; AAG-8209-2021; 22956348700; 9733230000; 13609585600; 7801564702
Mammography utilization among Turkish women
(Asian Pacific Organization Cancer Prevention, 2010) Sadıkoğlu, Ganime; Özçakır, Alis; Doğan, Fatma Oflu; Gökgöz, Şehsuvar; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.; 0000-0001-5588-2037; 0000-0002-4539-5849; AAG-8209-2021; 9733230000; 37080414800; 6603238737; 7801564702; 22956348700
In Turkey, breast cancer is the leading type of cancer and cause of cancer-related deaths among women, but information is limited on mammography practices. The objectives of the present study were to identify associations between attitudes and knowledge about mammography and socio-demographic indicators and having a mammogram. The participants of this cross-sectional and descriptive study were 1,208 women who attended the primary health care unit serving as a training unit of the medical faculty or the outpatient clinic for breast diseases of the same medical faculty's hospital between October and December 2007. A printed questionnaire covering socio-demographic variables, family history of breast cancer, mammography practices, and attitudes and knowledge of mammography was filled out in face-to-face interviews with the authors. Women with previously diagnosed breast cancer were excluded from the study. We performed chi square and logistic regression analyses. We found that 12.7% of the women had no knowledge of mammography, and 57.3 % had never had a mammogram. Fifty point six percent of our study group reported that they had had a clinical breast examination at least once, and 51.1% were aware of breast self examination (BSE). Need factors such as age and health-system-related factors such as awareness of BSE and having CBE were found to be more important than the socio-economic factors in mammography use. Mammography was accepted by 92.3% as a useful screening method for early detection of breast cancer and as a necessity for women of 50 years and over by the 90.6% of the study group. We found a positive attitude towards mammography and its importance but limited usage.
Prevalence of depression, anxiety, stress, and anger in turkish prisoners
(Wiley, 2013-05-17) Ünver, Yener; Yüce, Mehmet; Bayram, Nuran; Bilgel, Nazan Gönül; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Kamu Maliyesi Bölümü.; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-9068-2021; AAG-7390-2021; 57091324400; 13609585600; 7801564702
In Turkey, prison studies are rare and the mental health status of prisoners has not received proper attention. The purpose of this cross-sectional and descriptive study was to assess the prevalence of depression, anxiety, stress, and anger among a group of Turkish prisoners. Two self-reporting instruments (the Depression Anxiety Stress Scale-42 and Multidimensional Anger Scale) were filled out by 685 prisoners. Prisoners in the study group were found to be depressive, anxious, and stressed. Anger symptoms and aggressive behaviors were found to be at a moderate level. Prisoners with a history of being subjected to domestic violence in childhood had higher depression, anxiety, and stress scores than those without such a history. Young prisoners, those who had been previously imprisoned, with substance dependency and higher stress and anxiety levels reported more anger symptoms than others. Psychological support, together with stress and anger management programs, seems to be essential.
Social exclusion and quality of life: An empirical study from Turkey
(Springer, 2012-01) Bilgel, Fırat; Bayram, Nuran; Bilgel, Nazan Gönül; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-9068-2021; 13609585600; 7801564702
We examine the perception of social exclusion and quality of life and their interactions among a group of Turkish citizens. For this purpose we used the social exclusion scale developed by Jehoel-Gijsbers and Vrooman and the WHOQOL-BREF scale. The study group consists of 2,493 participants who are residents of a city in Turkey. Our study was based on self reporting and voluntary participation. We used SEM (Structural Equation Modeling) for the analysis. We observed significant paths among several dimensions of quality of life and social exclusion. We found that the material deprivation dimension of social exclusion has a direct and negative impact on the environment and social relationships domains of quality of life. The material deprivation dimension explains 36% of the variation in the environment and 16% of the variation in social relationship domains of quality of life. This finding indicates that the material deprivation and social participation play an important role in the perception of environmental and psychological life quality. Physical health, social relationships, and environmental domains of life quality are important in the social participation dimension of perceived social exclusion.
Subjective well-being among primary health care patients
(Public Library Science, 2014-11-08) Özçakır, Alis; Doğan, Fatma Oflu; Çakır, Yakup Tolga; Bayram Arlı, Nuran; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; 0000-0001-5588-2037; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-8209-2021; JFK-4021-2023; 9733230000; 37080414800; 56233512800; 13609585600; 7801564702
Background: The psychological importance of subjective well-being for a healthy life has been well recognized. It is also well known that depressive and anxiety disorders have a negative effect on subjective well-being. The aim of this cross-sectional, descriptive study was to assess the subjective well-being status of a group of primary healthcare patients in relation to socio-demographic characteristics, personal health and mood-status. Methods: A total of 284 patients participated in the study. The Oxford Happiness Scale, Life Satisfaction Scale, DASS-42 (Depression, Anxiety and Stress Scales-42) and a questionnaire about socio-demographic characteristics were completed by the participants. Results: In general, the participants were found to be moderately happy and satisfied with their lives. They had mild levels of depression, anxiety and stress. In terms of happiness, an older age (>= 40 years), educated to secondary level or higher and not having depression or anxiety were found to be factors increasing happiness. In terms of life satisfaction, female gender, an older age (>= 40 years), educated to secondary level or higher, being single and not having depression were found to increase life satisfaction. Conclusion: Primary healthcare providers should give more importance to the mood status of their patients. Screening for depression and anxiety should be applied at the primary healthcare level because negative mood status is more important than some socio-demographic characteristics in respect of unhappiness and dissatisfaction.
Turkish version of the depression anxiety stress scale (DASS-42): Psychometric properties
(Türk Nöropsikiyatri Derneği, 2010) Bilgel, Nazan Gönül; Bayram, Nuran; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; 0000-0001-5492-184X; AAG-9068-2021; 7801564702; 13609585600
Objective: This study explores the reliability, the construct and convergent validity of the Turkish version of the DASS-42. Methods: The Turkish-language version of the DASS-42 was administered to a non-clinical sample, broadly representative of a university student population (N=1102) in terms of demographic variables. Competing models of the latent structure of the DASS were derived from theoretical and empirical sources and evaluated using confirmatory factor analysis. The convergent validity of the scale was examined by correlating it with the previously validated and frequently used Turkish version of the Hospital Anxiety and Depression Scale. Results: The best fitting model of the latent structure of the DASS consisted of three correlated factors corresponding to the depression, anxiety, and stress scales. The reliability of the DASS was excellent and the measure possessed adequate convergent validity. Conclusion: The Turkish version of the DASS-42 is a reliable and valid measure of the constructs it was intended to assess. This measure was found useful for evaluating depression, anxiety, and stress in non-clinical population. Further studies are needed to study the utility of this measure in psychiatric patients.
Workplace violence: A study of Turkish workers
(Taylor & Francis, 2011) Sokullu, Füsun Akıncı; Aytaç, Serpil; Bozkurt, Veysel; Bayram, Nuran; Yıldız, Selver; Aytaç, Mustafa; Bilgel, Nazan Gönül; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonomi Anabilim Dalı.; 0000-0003-0616-8691; 0000-0001-5492-184X; 0000-0001-6659-4639; 0000-0002-4539-5849; AAH-5436-2021; AAG-9068-2021; I-7814-2019; 56835333800; 36642258900; 13609585600; 55043942300; 55041836700; 7801564702
This research was conducted to address the experience of workplace violence of Turkish workers from different sectors and to investigate the impact of the exposed violence on their psychological well-being. Data were collected anonymously with printed questionnaires from the volunteer participants and depended on self-reporting. The response rate was 79.0% (1708/2161). The prevalence of workplace violence was found to be 44.8%. The most common type was verbal violence together with mobbing (bullying). Victims of physical violence were mostly males, whereas females were found to be victims of verbal, psychological and sexual violence. Most cases did not result in legal action and the victims remained silent. Psychological well-being of exposed workers in terms of depression, anxiety and stress seemed to deteriorate. Workplace violence remains a silent epidemic in Turkey. Preventive measures against workplace violence and social support for violated workers do not exist.