Person: CİVANER, MUSTAFA MURAT
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CİVANER
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MUSTAFA MURAT
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Publication Adaptation of the critical care family need inventory to the Turkish population and its psychometric properties(Peerj, 2015-08-01) Büyükçoban, Sibel; Çiçeklioğlu, Meltem; Yılmaz, Nilüfer Demiral; Civaner, M. Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; S-4188-2019In the complex environment of intensive care units, needs of patients' relatives might be seen as the lowest priority. On the other hand, because of their patients' critical and often uncertain conditions, stress levels of relatives are quite high. This study aims to adapt the Critical Care Family Need Inventory, which assesses the needs of patients' relatives, for use with the Turkish-speaking population and to assess psychometric properties of the resulting inventory. The study was conducted in a state hospital with the participation of 191 critical care patient relatives. Content validity was assessed by expert opinions, and construct validity was examined by exploratory factor analysis (EFA). Cronbach's alpha coefficient was used to determine internal consistency. The translated inventory has a content validity ratio higher than the minimum acceptable level. Its construct validity was established by the EFA. Cronbach's alpha coefficient for the entire scale was 0.93 and higher than 0.80 for subscales, thus demonstrating the translated version's reliability. The Turkish adaptation appropriately reflects all dimensions of needs in the original CCFNI, and its psychometric properties were acceptable. The revised tool could be useful for helping critical care healthcare workers provide services in a holistic approach and for policymakers to improve quality of service.Publication For what reasons do patients file a complaint? A retrospective study on patient rights units' registries(Galenos Yayıncılık, 2015-01-01) Onal, Gülsüm; Civaner, Mustafa Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; S-4188-2019Background: In 2004, Patient Rights Units were established in all public hospitals in Turkey to allow patients to voice their complaints about services.Aims: To determine what violations are reflected into the complaint mechanism, the pattern over time, and patients' expectations of the services.Study Design: Descriptive study.Methods: A retrospective study performed using the complaint database of the Istanbul Health Directorate, from 2005 to 2011.Results: The results indicate that people who are older than 40 years, women, and those with less than high school education are the most common patients in these units. A total of 218,186 complaints were filed. Each year, the number of complaints increased compared to the previous year, and nearly half of the applications were made in 2010 and 2011 (48.9%). The three most frequent complaints were "not benefiting from services in general" (35.4%), "not being treated in a respectable manner and in comfortable conditions" (17.8%), and "not being properly informed" (13.5%). Two-thirds of the overall applications were found in favour of the patients (63.3%), and but this rate has decreased over the years.Conclusion: Patients would like to be treated in a manner that respects their human dignity. Educating healthcare workers on communication skills might be a useful initiative. More importantly, health policies and the organisation of services should prioritise patient rights. It is only then would be possible to exercise patient rights in reality.Publication Physician involvement in torture: An ethical perspective(Springer, 2013-03-01) Siddiqui, Norain A.; Civaner, Murat; Elçi, Ömür Çınar; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; 0000-0001-5376-3499; S-4188-2019Evidence proves that physician involvement in torture is widely practiced in society. Despite its status as an illegal act as established by multiple international organizations, mandates are routinely unheeded and feebly enforced. Philosophies condemning and condoning torture are examined as well as physicians' professional responsibilities and the manner in which such varying allegiances can be persuasive. Physician involvement in torture has proven detrimental to the core values of medicine and has tainted the field's commitment to individuals' health and well-being. Only when this complex issue is addressed using a multilevel approach will the moral rehabilitation of medicine begin.Publication Do we discuss ethical problems regarding end-of-life care in a perspective broad enough?(Güneş Kitabevi, 2019-01-01) Civaner, Mustafa Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; S-4188-2019Publication How to defend mandatory immunization against vaccine hesitancy and vaccine refusal? An ethical assessment(Ankara Microbiology Soc, 2023-01-01) Civaner, M. Murat; Civaner, M. Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; 0000-0001-5376-3499; S-4188-2019One of the basic ethical principles in medical practice is to respect personal autonomy. However, it is a widely accepted view that when it comes to health problems that concern not only the individual but also the society, especially in epidemics of infectious diseases, individual autonomy can be violated by prioritizing the benefit of the community. This view is based on the scientific fact that epidemics can only be controlled by immunizing all susceptible individuals. However, whether all susceptible individuals can be compelled to be immunized remains a matter of debate around the world. Especially in the last three years, during the worldwide Coronavirus disease-2019 (COVID-19) pandemic, a significant part of the society has been hesitant about being vaccinated, and some have argued that vaccines should be rejected altogether. In the face of the situation outlined above, the question of "should immunization be mandatory?" has become more important than ever to be able to answer the question in a way that will ensure as broad consensus as possible. In this review article; it was discussed under which conditions mandatory immunization could be justified in terms of ethics and thus, it was aimed to contribute to the solution of the vital problem created by the phenomenon of vaccine hesitancy and rejection in terms of public health. To this aim, first of all, the need to clarify some concepts was mentioned. Afterwards, the arguments "must be compulsory", "should be optional", and "should not be done to anyone" were evaluated with their justifications and it was determined that the argument that immunization should be mandatory could be justified in terms of ethics. In the article, it was argued that the conflicts of "individual freedom X community benefit" and "personal autonomy X community benefit" did not exist in today's actual conditions, but it was stated that an individual with the knowledge of reality experiences a tension in the face of not putting this knowledge into practice. It was emphasized that in order to overcome this tension, consolidation of the theoretical background and also consideration of the macro determinants of vaccine hesitancy and rejection in practice were necessary. What needs to be done to re-establish trust in the medical institution was listed, and it was argued that the question of how to implement mandatory immunization could only be answered in a healthy way through a transformation process that will be implemented through a social dialogue.Publication Artificial intelligence in medical education: A cross-sectional needs assessment(BMC, 2022-11-09) Civaner, M. Murat; Uncu, Yeşim; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; CİVANER, MUSTAFA MURAT; UNCU, YEŞİM; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; 0000-0001-5376-3499; S-4188-2019; CDG-7200-2022; JSP-5105-2023; HGL-1599-2022; HGN-1277-2022Background As the information age wanes, enabling the prevalence of the artificial intelligence age; expectations, responsibilities, and job definitions need to be redefined for those who provide services in healthcare. This study examined the perceptions of future physicians on the possible influences of artificial intelligence on medicine, and to determine the needs that might be helpful for curriculum restructuring. Methods A cross-sectional multi-centre study was conducted among medical students country-wide, where 3018 medical students participated. The instrument of the study was an online survey that was designed and distributed via a web-based service. Results Most of the medical students perceived artificial intelligence as an assistive technology that could facilitate physicians' access to information (85.8%) and patients to healthcare (76.7%), and reduce errors (70.5%). However, half of the participants were worried about the possible reduction in the services of physicians, which could lead to unemployment (44.9%). Furthermore, it was agreed that using artificial intelligence in medicine could devalue the medical profession (58.6%), damage trust (45.5%), and negatively affect patient-physician relationships (42.7%). Moreover, nearly half of the participants affirmed that they could protect their professional confidentiality when using artificial intelligence applications (44.7%); whereas, 16.1% argued that artificial intelligence in medicine might cause violations of professional confidentiality. Of all the participants, only 6.0% stated that they were competent enough to inform patients about the features and risks of artificial intelligence. They further expressed that their educational gaps regarding their need for "knowledge and skills related to artificial intelligence applications" (96.2%), "applications for reducing medical errors" (95.8%), and "training to prevent and solve ethical problems that might arise as a result of using artificial intelligence applications" (93.8%). Conclusions The participants expressed a need for an update on the medical curriculum, according to necessities in transforming healthcare driven by artificial intelligence. The update should revolve around equipping future physicians with the knowledge and skills to effectively use artificial intelligence applications and ensure that professional values and rights are protected.Publication A proposal for the prevention of ethical problems related to drug promotion: A national network for drug information(Türkiye Sinir ve Ruh Sağlığı Derneği, 2008-09-01) Civaner, Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; 0000-0001-5376-3499; S-4188-2019The promotional activities of pharmaceutical companies are becoming an increasingly hot topic among healthcare workers and the general public. There are many studies in the literature claiming that drug promotion may lead to ethical problems, irrational use of medication, and increased costs, as well as negative effects on the patient-physician relationship and the medical profession. When considering that healthcare workers generally acquire their knowledge from the pharmaceutical industry, the problems mentioned, which are indeed of paramount importante, and the need for effective and sustainable interventions are clearly revealed. Many kinds of interventions have been recommended by various authorities and studies in order to prevent the kinds of problems mentioned above, including training healthcare workers, publishing professional codes to serve as guidelines about which professional values should be protected and how to cope with different situations in relationship to the pharmaceutical industry, or applying the business ethics codes of the pharmaceutical companies. Studies that assessed the effectiveness of different interventions, however revealed that educating healthcare workers about marketing methods and state regulations are the only effective interventions.In this article, after defining the problem, a proposed national network for drug information is to decrease the negative effects of drug promotion and to promote the rational choice of medicines is described. According to the World Health Organization, rational use of medicine is the most effective, safe, applicable/suitable, and, lastly, the most cost effective option. A national network that will gather drug information by compiling evidence-based knowledge Grid taking rational use of medicine measures into account should be established. It should transmit information to oil healthcare workers in a fast, equal, up to date, easily accessible, and free way. The network should also support institutional regulations that aim to limit the promotional activities of pharmaceutical companies.Publication Which journal indicator to consider when submitting a paper on public health area?(Oxford Univ Press, 2023-10-01) Taneri, Petek; Devane, Declan; Civaner, M. Murat; CİVANER, MUSTAFA MURAT; Tıp Fakültesi; Tıp Tarihi Ve Etik Ana Bilim Dalı; 0000-0002-0399-3584; 0000-0001-5376-3499; 0000-0002-9393-7075; 0000-0001-5376-3499; AAH-5264-2019; B-8357-2008; S-4188-2019