Person: ALPER, ZÜLEYHA
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ALPER
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ZÜLEYHA
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Publication Distance education perception scale for medical students: A validity and reliability study(Bmc, 2021-07-26) Özkaya, Güven; Aydın, Mevlüt Okan; Alper, Züleyha; ÖZKAYA, GÜVEN; AYDİN, MEVLÜT OKAN; ALPER, ZÜLEYHA; Tıp Fakültesi; Tıp Eğitimi Ana Bilim Dalı; 0000-0002-8060-8803; 0000-0002-8349-9868; AAI-3331-2021; ABE-2261-2020; JJW-0446-2023Background There are major changes in education strategies as higher education institutions urgently need to adopt distance education tools and practices due to the Covid-19 pandemic. Medical education is also trying to get out of this emergency using distance education. In this study, we aimed to develop a reliable and valid scale in order to evaluate the perceptions of medical students towards distance education. Methods The students taking part in the study were in the first five academic years of the medical faculty in Bursa in Turkey. At first, 57 items were determined to evaluate students' perceptions. Content validity was examined according to the assessment of the expert team. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Also, Cronbach's alpha coefficients were calculated for reliability analysis. The medical students' responses were scored using a five-point Likert scale. Results When the content validity was examined, the number of items was determined to be 38 items. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Because of the exploratory factor analysis performed on the responses of 429 medical students, 22 items were included in four factors. This four-factor model was applied to 286 medical students and validated by confirmatory factor analysis. Also, Cronbach's alpha coefficients were calculated for reliability analysis and values were between 0.713 and 0.930. Conclusions This study demonstrated validation and reliability of perceptions of distance education for medical students. We suggest a 22-item model with a four-factorial scale.Publication Hopelessness among medical students caused due to covid-19 pandemic linked educational hiatus: A case study of Bursa Uludag University, Türkiye(MDPI, 2023-02-01) Aydın, Mevlüt Okan; Özkaya, Güven; Kafa, İlker Mustafa; Haque, Shafiul; Alper, Züleyha; AYDİN, MEVLÜT OKAN; ÖZKAYA, GÜVEN; KAFA, İLKER MUSTAFA; ALPER, ZÜLEYHA; Tıp Fakültesi; Tıp Eğitimi Ana Bilim Dalı; 0000-0002-8060-8803; 0000-0003-0297-846X; 0000-0001-8309-0934; A-4421-2016; ABE-2261-2020; AAI-3331-2021; AAG-7125-2021The COVID-19 pandemic has caused disruptions in medical education, leading to feelings of hopelessness among students regarding their medical careers. However, effective institutional crisis-response approaches can mitigate these feelings of hopelessness. This study evaluated changes in the levels of hopelessness among Turkish medical students due to interruptions in their education caused by the pandemic between March and July 2020, using the Beck Hopelessness Scale in three selected periods. A statistical survey was conducted with a total of 3580 participants in three different periods to study the impact of various contributing factors, such as socio-economic status, family problems, health problems, and lack of working environment, on the levels of hopelessness in conjunction with active COVID-19 cases and the effect of institutional interventions for the continuation of medical education during the pandemic. The analysis revealed a direct relationship between contributing factors and hopelessness scores at the end of the selected three periods. Additionally, active COVID-19 cases and institutional crisis-response strategies were found to be indirectly associated with students' hopelessness. An increase in students' hopelessness was found to be related to an increase in active COVID-19 cases in the country, a lack of continuing education practices, and the role of contributing factors. Conversely, a decrease in hopelessness was associated with effective institutional crisis-response strategies. These findings suggest that educational settings dealing with practical subjects should prioritize preparedness for crisis situations.Publication First course in biostatistics at medical faculties: Explaining the importance of biostatistics(Pushpa Publishing House, 2017-06-01) Ercan, İlker; Sığırlı, Deniz; Can, Fatma Ezgi; Özkaya, Güven; Alper, Züleyha; ERCAN, İLKER; SIĞIRLI, DENİZ; Can, Fatma Ezgi; ÖZKAYA, GÜVEN; ALPER, ZÜLEYHA; Tıp Fakültesi; Tıp Eğitimi Bölümü; 0000-0002-2382-290X; 0000-0003-0297-846X; AAB-1694-2021; AAA-7472-2021; A-4421-2016; JSL-7718-2023; ABE-2261-2020; ABF-2367-2020Statistics is a mandatory course in health sciences and in the fields of science and social sciences in Bachelor's Degree curricula. The aim of our study is: (i) to evaluate the effect of explaining the importance of Biostatistics to medical students with the support of visual materials, sample events and, detailed information from clinicians about the place they put Biostatistics in their professional lives, to arouse the interest and curiosity of students about Biostatistics, (ii) to evaluate students first predictions about Biostatistics, and (iii) to ensure to give the importance it deserves by the implementation of new compelling educational techniques. Three methods are performed to explain the importance of Biostatistics to three different student groups in the first class in medicine faculty, to see the impact of visual material, detailed information and sample events. One week later, three questions with a five-point Likert scale are administered to the students of each group. The applied scale's Cronbach alpha reliability coefficient was 0.648. The reliability level of the applied scale may be expressed as intermediate level. Significant result was found between three groups. Educators must put 'experiences and practices' to the centre of learning in lessons and should improve their techniques to show students the importance of the subject. As the educational content is enhanced, so is the importance placed on Biostatistics.Publication Peer-assisted skills learning in structured undergraduate medical curriculum: An experiential perspective of tutors and tutees(Wolters Kluwer Medknow Publications, 2022-05) Aydin, Mevlüt Okan; Kafa, İlker Mustafa; Özkaya, Güven; Alper, Züleyha; Haque, Shafiul; AYDİN, MEVLÜT OKAN; KAFA, İLKER MUSTAFA; ALPER, ZÜLEYHA; ÖZKAYA, GÜVEN; 0000-0002-8060-8803; 0000-0001-8309-0934; 0000-0002-8349-9868; AAI-3331-2021; AAG-7125-2021; ABE-2261-2020; FQT-8976-2022Background and Aims: This study aims to evaluate the implication of peer-assisted learning model adopted in students' clinical skills training from the perspective of tutees and tutors at the end of a peer-tutored clinical skills program and peer tutors themselves. Subjects and Methods: This cross-sectional study was conducted in the Faculty of Medicine, Bursa Uludag in between January and March 2018. Following the clinical skills training, a questionnaire designed to assess the views of tutees and peer tutors was filled out on a voluntary basis by 159 tutees and 43 tutors. The statistical analysis of the collected and processed data was analyzed by using IBM SPSS 23.0 statistical program. The statistical significance level was maintained as alpha = 0.05. Results: According to the Likert scale, satisfaction with the tutors and the educational environment was high in general. The 2nd term tutees provided more negative feedback compared to other terms. Among all the terms, the most positive answers were provided by the 3rd term students. Although the tutors found themselves fully skilled in communication with colleagues, there were striking differences between the tutors in the 5th and 6th terms of providing a good role model for pre-clinical terms students. Conclusion: Considering peer assisted learning (PAL)'s positive responses from this study, the adoption of PAL has been started to be used as a supplementary teaching method for the clinical skills training at the Faculty of Medicine, Bursa Uludag University. PAL is considered a successful education model since it is cost-efficient for undergraduate medical training and improves the professional skills of both teacher and learner students. It can be availed of as an alternative method in medical faculties where especially the number of academic members is insufficient.Publication Getting better or worse?: General health status of 9th grade students in Orhangazi, Bursa, Turkey(Hindawi Publishing Corporation, 2008-01-01) Alper, Züleyha; Özdemir, Hakan; Uncu, Yeşim; Özçakır, Alis; Sadıkoğlu, Ganime; Bayram, Nuran; ALPER, ZÜLEYHA; Özdemir, Hakan; UNCU, YEŞİM; ÖZÇAKIR, ALİS; Sadıkoğlu, Ganime; BAYRAM ARLI, NURAN; İktisadi ve İdari Bilimler Fakültesi; Ekonometri Bölümü; 0000-0002-1719-4265; AAP-9210-2020; D-9597-2016; AAB-1694-2021; JFK-4021-2023; AAG-8209-2021; ABE-2261-2020Adolescence is a transition phase from childhood to adulthood. In this period, rapid changes and development in their physical, biological, psychological, and social lives take place. While adolescents have to acquire many qualifications, they are faced with many problems, especially those that risk their health. In Turkey, one of the most important issues contributing to risky behaviors is the 1(st) Phase Nationwide High School Exam. Students must pass this phase in order to be in good high schools and to then pass the 2(nd) Phase University Exam. Most of their time is spent studying in school or in private teaching institutions, and less time is spent with their families or participating in social activities. In order to examine the effects on 9(th) grade students after the 1(st) Phase exams, we conducted this study with 1192 students in Bursa, Orhangazi. Data to evaluate students by socioeconomic status, body mass index (BMI), dietary, smoking, and physical activity behaviors and psychological status were collected via classroom questionnaires. We aimed to determine and evaluate the general characteristics and physical examination findings, to some extent, in a nationally representative sample of 9(th) grade students a year following the Nationwide High School Exam.Publication The knowledge of "facts for life"(Wolters Kluwer Medknow Publications, 2005-07-01) Alper, Züleyha; Özdemir, Hakan; Bilgel, Nazan; ALPER, ZÜLEYHA; Özdemir, Hakan; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-1719-4265; 0000-0002-4539-5849; ABE-2261-2020; JJP-3484-2023; FZS-6356-2022Objective: "Facts for Life" is an essential tool for saving the lives of children. In this study we wanted to evaluate the knowledge of "Facts for Life" among Turkish women.Design: This is a cross-sectional field study. We used 25 indicator questions to evaluate the knowledge of women in the following main subjects: safe motherhood, childhood immunization, childhood diarrhoea, children's acute respiratory diseases, and household hygiene. We filled out printed questionnaires during face-to-face interviews. For each correct answer we gave 4 points, and the sum of the points was accepted as the knowledge score.Setting: Bursa metropolitan area in Turkey.Subjects: Married women between 15-44 years of age. We selected 1000 of them from the household cards of the health centers that were located at the Bursa metropolitan area by using a random selection method.Results: Mean knowledge score was 72.0 +/- 0.3. About 3/5 had moderate, 1/5 good + very good, and 1/5 bad knowledge scores. Childhood diarrhoea was better known than acute respiratory diseases. The very well known "Facts for Life" were those concerning food and household hygiene.Conclusion: Women's knowledge about "Facts for Life" was at a moderate level. The knowledge level of older women was better than the younger. Some false beliefs still existed. Knowledge about AR1 and diarrhoeal disesases in childhood were the least known facts.Publication Algorithm for increasing patient satisfaction related with non-technical dimension of services in Turkey(Modestum, 2006-01-01) Ercan, İlker; Özkaya, Güven; Alper, Züleyha; Ediz, Bülent; Bayman, Emine Özgür; Kan, İsmet; Bilgel, Nazan; ERCAN, İLKER; ÖZKAYA, GÜVEN; ALPER, ZÜLEYHA; Ediz, Bülent; Kan, İsmet; Bilgel, Nazan; Tıp Fakültesi; Biyostat Bölümü; 0000-0002-2382-290X; 0000-0003-0297-846X; 0000-0002-4539-5849; A-4421-2016; AAB-1694-2021; ABE-2261-2020; AFK-5089-2022; EXB-2757-2022; FCI-0480-2022; FZS-6356-2022Aim: In this study, a guiding algorithm aiming to increase patient satisfaction related with nontechnical dimension of services at not gain-aimed secondary health care-services in developing countries like Turkey is searched.Methods: The scale was applied to measure non-technical dimension of service satisfaction from services provided by a secondary health-care unit. Factor analysis was performed to form groups of unrelated items by gathering related items in the scale and to rank factors affecting satisfaction by their importance.Results: We suggest an eight-staged algorithm in studies aiming to increase patient satisfaction. General contents of matters that have to be dealed up in an order are: Matters that have to be dealed up include mostly outpatient clinic and clinic conditions in first stage (most important matters), time in second stage, again time related with laboratory, radiology services and bureaucratic procedures in third stage, cafeteria-services in fourth stage, finding competent in order to get information, visiting patients and quality of foods in the clinic in fifth stage, behaviours of staff in sixth stage, results of radiological and laboratory services in seventh stage and toilets and security of the hospital in the last stage.Conclusion: We present an algorithm to system managers of not gain-aimed secondary health care services in Turkey that will be useful in their studies aiming to increase patient satisfaction related with non-technical dimension of services. If conditions different from community features and present health care systems exist, there will be changes in importance sequence of components affecting patient satisfaction.Publication General Practitioners' intention to prescribe and prescribing patterns in selected European settings: The OTCSOCIOMED project(Elsevier Ireland, 2015-06-26) Tsiantou, Vasiliki; Moschandreas, Joanna; Bertsias, Antonis; Papadakaki, Maria; Saridaki, Aristoula; Agius, Dominic; Alper, Züleyha; Faresjo, Tomas; Klimkova, Martina; Martinez, Luc; Samoutis, George; Vlcek, Jiri; Lionis, Christos; ALPER, ZÜLEYHA; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-8349-9868; ABE-2261-2020The aim of this paper is to explore general practitioners' (GPs) prescribing intentions and patterns across different European regions using the Theory of Planned Behavior (TPB).A cross-sectional study was undertaken in selected geographically defined Primary Health Care areas in Cyprus, Czech Republic (CZ), France, Greece, Malta, Sweden and Turkey. Face-to-face interviews were conducted using a TPB-based questionnaire. The number of GP participants ranged from 39 to 145 per country. Possible associations between TPB direct measures (attitudes, subjective norms (SN) and perceived behavioral control (PBC)) and intention to prescribe were assessed by country.On average, GPs thought positively of, and claimed to be in control of, prescribing. Correlations between TPB explanatory measures and prescribing intention were weak, with TPB direct measures explaining about 25% of the variance in intention to prescribe in Malta and CZ but only between 3% and 5% in Greece, Sweden and Turkey. SN appeared influential in GPs from Malta; attitude and PBC were statistically significant in GPs from CZ. GPs' prescribing intentions and patterns differed across participating countries, indicating that country-specific interventions are likely to be appropriate. Irrational prescribing behaviors were more apparent in the countries where an integrated primary care system has still not been fully developed and policies promoting the rational use of medicines are lacking. Demand-side measures aimed at modifying GPs prescribing behavior are deemed necessary.