Background: Individualized care is closely related to the fulfillment of nurses’ ethical responsibilities regarding the provision of healthcare as well as having a strong foundation in the philosophy of nursing. Objective: This study aimed to determine the association of job satisfaction and burnout with individualized care perceptions in nurses working at a university hospital located in the Central Black Sea region of northern Turkey. Research design: A cross-sectional correlational survey design. Participants and research context: The study was conducted between 15 (...) February 2017 and 15 August 2017 with 419 nurses working at a public university hospital located in Samsun. Data were collected using an information form, the Individualized Care Scale-Nurse Version, the Minnesota Job Satisfaction Scale, and the Maslach Burnout Inventory. The Mann–Whitney U test, Kruskal–Wallis test and Spearman Correlation were used. Ethical considerations: Ethical approval for the study was obtained from the Ondokuz Mayıs University Clinical Studies Board of Ethics. Oral informed consent was taken from the participants. Findings: There was a significant positive relationship between the total Individualized Care Scale-A Nurse Version score and the General Satisfaction subscale score of the Minnesota Job Satisfaction Scale (r = 0.121, p < 0.05). The total Individualized Care Scale-A Nurse Version score increased as the General Satisfaction subscale score of the Minnesota Job Satisfaction Scale increased. There was a significant negative relationship between the total Individualized Care Scale-B Nurse Version score and the Desensitization (r = –0.143, p < 0.01) and Personal Achievement subscale scores of the Maslach Burnout Inventory (r = –0.182, p < 0.01). The Desensitization and Personal Achievement subscale scores of the Maslach Burnout Inventory increased as the total Individualized Care Scale-B Nurse Version score decreased. Discussion: Factors associated with the individualized care perceptions of nurses, such as job satisfaction and burnout levels and factors related to personal life and worklife should be taken into consideration. Also in order to increase job satisfaction and motivation in nurses, personal preferences regarding the service they want to work at should be taken into account. Conclusion: Nurses with lower burnout and higher job satisfaction were found to have higher individualized care perceptions and to support the individuality of patients in care applications. It is important to consider work-related factors associated with individualized care perceptions, job satisfaction, and burnout in nurses. (shrink)

Bu çalışmanın temel amacı, üniversite öğrencilerinin tevbe kavramına ilişkin sahip oldukları algıları metaforlar aracılığıyla ortaya çıkarmaktır. Araştırmada nitel araştırma desenlerinden olgubilim (fenomenoloji) modeli kullanılmıştır. Araştırmanın çalışma grubunu 2023-2024 eğitim-öğretim yılı güz döneminde Bursa Uludağ Üniversitesi ve Bursa Teknik Üniversitesi’nin çeşitli fakültelerinde öğrenim gören toplam 196 öğrenci oluşturmaktadır. Araştırmada veriler Google Form aracılığı ile toplanmıştır. Veri toplama aracı olarak çalışmada kişisel bilgi formu ve “Tevbe....(metafor)…benzer, çünkü....(metafor sebebi)” cümlelerinin kullanıldığı yarı yapılandırılmış bir anket formu kullanılmıştır. Verilerin analizi ve yorumlanmasında içerik analizi tekniğinden (...) yararlanılmıştır. Araştırma sonunda 196 üniversite öğrencisi tarafından 70 farklı metafor üretildiği bulgulanmıştır. Araştırmada tevbe kavramına ilişkin üretilen metaforlarla ilgili tevbenin dinî işlevi ve tevbenin psikolojik işlevi olmak üzere 2 tema oluşturulmuştur. Tevbenin dinî işlevi temasına (%60,2) ait 3 kod oluşturulmuştur: Manevî arınma yolu, kutsalla buluşma ve iyi davranışlarda kararlılık. Tevbenin psikolojik işlevi temasına (%39,8) ait olarak da 3 kod oluşturulmuştur. Bu kodlar; psikolojik rahatlama, yeni bir başlangıç ve kendisiyle yüzleşmedir. Araştırma sonuçlarına göre metaforların manevî arınma yolu, kendisiyle yüzleşme ve yeni bir başlangıç kodlarında yoğunlaştığı tespit edilmiştir. (shrink)

In the period that began with the death of the Prophet Hz Muhammad, the martyrdom of Hz. Othmān and the Battles of Camel and Siffin which took place during the caliphate of Hz. Ali, caused Muslims to have confronted each other. The debates that started after these incidents had been carried out within the frame of killing a Muslim in particular and the issue of predestionation in general. The personal opinions that emerged in the first period became the doctrines of (...) the parties/sects over time. These parties/sects have criticized each other on this subject as well as all other subjects and they have written refutations to one another. This deep-rooted and complicated issue has been handled in the Ottoman period in both Arabic and Turkish works as either a chapter or a separate risālah (epistles). Khalil Shukru’s risālah on qaḍā and qadar is one of those risālahs that we have discussed in this article. In his separately written risālah, he tried to refuse the opinions of some parties regarding qaḍā, and qadar by explaining his own opinions with examples. This study is based on Khalil Shukru Afandī's risālah qaḍā and qadar. A brief information about the author's life and scientific personality was given based on archive documents and then the epistle was analyzed. The author has handled the subject in a unique way, interpreting the situations ordained by Allah and human acts as a separate qadar. Khalil Shukru Afandī examines human acts in two different groups as acquisition (kasb) and creation (khalq), qaḍā and makzī, and analyzes the actions in terms of agency. Khalil Shukru Afandī did not use any subtitles in his risālah. However, in the analysis of the treatise, sub-headings have been included in the relevant places in order to make the subject easier to understand by us. The epistle tackles the issues qaḍā and qadar, God’s action and human acts, responses to the Jabriyya and Muètazilite. The author offers his views on the issues of hidāyat (guidance) and misguidance, justice, and cruelty, which is discussed under the heading of qadar and makes interesting points about human accountability for their actions. Khalil Shukru Afandī argues that human will (irādah) and accountability are separate things, which are independent of one another. In other words, according to Khalil Shukru Afandī, who stated that there will be no belief or disbelief because it is an offer, the offer has no binding on human will (irādah) or choices at this point. Accordingly, it can be said that Khalil Shukru Afandī was in close agreement with the views of Abū Mansur Māturīdī regarding human will (irādah). (shrink)

Bu makalede, öncelikle, “Darvinci evrim” ile başlayan, “modern sentez” (genetik) ile zirvesine ulaşan, son otuz yıldır “genişletilmiş evrimsel sentez” (epigenetik) ile yenilenen modern biyolojinin yolculuğunun şey metafiziğinden ziyade süreç metafiziğinin kabullerini gerektirdiği ve metafizikteki bu değişimin epistemolojik kabulleri de etkilediği iddia edilecektir. İkinci olarak, genişletilmiş evrimsel sentezin gen anlayışına göre süreç metafiziğine dayalı bağıntısal bilgi kavramının daha yüksek bir çözüm değeri taşıyabileceği ortaya konacaktır. Son olarak, epistemolojideki bu değişimin pratik yansıma alanlarından biri olarak da öngörücü genetik analizlerin vermesi beklenen tavsiyenin (...) epistemik geçerliliği sorgulanacaktır. (shrink)

Estimating the effect of a randomized treatment and the effect that is transmitted through a mediator is often complicated by treatment noncompliance. In literature, an instrumental variable (IV)-based method has been developed to study causal mediation effects in the presence of treatment noncompliance. Existing studies based on the IV-based method focus on identifying the mediated portion of the intention-to-treat effect, which relies on several identification assumptions. However, little attention has been given to assessing the sensitivity of the identification assumptions or (...) mitigating the impact of violating these assumptions. This study proposes a two-stage joint modeling method for conducting causal mediation analysis in the presence of treatment noncompliance, in which modeling assumptions can be employed to decrease the sensitivity to violation of some identification assumptions. The use of a joint modeling method is also conducive to conducting sensitivity analyses to the violation of identification assumptions. We demonstrate our approach using the Jobs II data, in which the effect of job training on job seekers’ mental health is examined. (shrink)

The swift advancement of intensive care medicine, coupled with technological possibilities, has prompted numerous ethical inquiries regarding decision-making processes concerning the withholding or withdrawal of treatment due to medical futility. This study seeks to delineate the decision-making approaches employed by intensive care physicians in Türkiye when faced with medical futility at the end of life, along with an ethical evaluation of these practices. Grounded theory, a qualitative analysis method was employed, conducting semi-structured, in-depth interviews with eleven intensive care physicians in (...) Türkiye. The subsequent text analysis was carried out using MAXQDA software. Participants assert that the decisions made by Turkish physicians determine whether treatment is futile, rely on medical consensus, and lack a standardized decision-making process. The decisions are influenced by legal and social pressures, resource constraints, and occasional conflicts of interest. The significance of professional hierarchy is notable, with limited consideration given to the opinions of nurses and other staff. The unstructured medical consensus processes are shaped by normative concepts such as benefit, age, justice, and conscience. Furthermore, it was observed that the conscientious opinions of physicians carry more weight than adherence to ethical principles and guidelines. To create optimal conditions for doctors to make ethically justifiable decisions, the dynamics within the treatment team should be improved, emphasizing the minimization of hierarchy, and ensuring the active participation of all team members in the decision-making process. Additionally, efforts should be directed toward narrowing the gap between the conscience of the individual doctor and established ethical principles. A potential solution lies in the nationwide implementation of clinical ethics committees and the establishing of clinical ethics guidelines, aiming to address, and overcome the identified challenges. (shrink)

With financial liberalization processes which started during the 1980’s, Turkey and the other emerging market economies have experienced many financial volatilities. From past to present, the most severe of these for Turkey is certainly the banking and currency crisis experienced in the period of 2000-2001. In tis study, the Turkish 2000-2001 Crisis, which takes special attention in academic literature in terms of their results and the economic damages, are analyzed under the asymmetric information theory; the factors which are thought to (...) trigger in crises such as financial liberalization, negative macro-economic indicators, deposit insurance, moral hazard problem and deterioration in the banking sector balance-sheets are evaluated and the consistency of this severe crisis with the theory is investigated. (shrink)

Aristoteles’in pratik akıl yürütme/bilgelik (phronesis) üzerine olan açıklamaları eylem (praksis) ile ilgili açıklamasıyla yakından bağlantılıdır. Pratik akıl yürütme söz konusu olduğunda onun Aristoteles tarafından düşünme ve karakter erdemleri olarak ikiye ayrılan erdemlerle ilişkisi son derece önemlidir. Bu ilişkiyi daha açık kılmak adına öncelikle pratik düşünmenin teorik düşünmeyle dolayısıyla düşünme erdemleriyle olan bağı sorgulanmıştır. Örneğin pratik akıl yürütmedeki akılsal çıkarımın, teorik çıkarım gibi mi iş gördüğü, yoksa farklı bir şekilde mi ilerlediği anlaşılmaya çalışılmıştır. Bunun yanında pratik düşünmenin temel ve yan öncülleri (...) üzerinden istek, arzu ve sezgisel akıl ile olan ilişkisi ve bu ilişkin kişinin eylemiyle olan bağı sorgulanmıştır. Biz de bu tartışmamızda, Aristoteles’te pratik akıl yürütmenin nasıl gerçekleştiğini, sözünü edeceğimiz yorumlar içerisinde yani pratik ve teorik düşünmenin ilerleyiş şekli, ele aldıkları öncüller ve sonuçları, amaçları bağlamında anlamaya çalışacağız. (shrink)

As one of the tools used to express feelings and thoughts, music has been utilised by people in many fields throughout history. Music is seen as a means of expressing religious feelings, being used as an educational tool, as a way for military bands to invoke heroic feelings in soldiers, and as way of expressing emotions in joyful and melancholic days. Music was especially born and shaped by rituals of religious origin. With the spread of the religion of Islam, music (...) became an issue that paved the way for many religious discussions. It should be clearly noted that while many verses in the Qur'an are cited as a source for these discussions, it is very difficult to deduce from these verses whether music is halal (permissible) or haram (prohibited). Additionally, many permissible matters in Islam become prohibited when used maliciously or out of their intended purpose, however, if everything that has a possibility of being used maliciously or outside of its intended purpose is considered haram, this will lead to a path of denying many blessings that Allah has bestowed upon people in this world. Restricting issues out of the possibility of their wrongful misuse and depriving others of this blessings cannot be just. Nevertheless, although the discussion of music as permissible or prohibited has largely existed within the religion of Islam, those involved with Tasawwuf (Islamic Mysticism), also known as Sufis, have generally perceived music as nutrient for the soul. Consequently, Sufis have incorporated music into their worship in order to invoke religious feelings over the centuries. Religious music is divided into two; the first is Mosque Recitations, and the second is Tekke music (also known as Tasawwuf Music). Mosque Recitation is that which is performed without instrumentals using only vocals and an improvised approach. On the other hand, Tekke music is performed with an instrument and a composed written piece. Within the Mosque Recitation is the Qur’an recitation, which when read in accordance with its rules has a natural phonetic style, meaning that when the Qur’an is recited according to the Maqam (Melodic modes of recitation) requirements, it evokes spiritual feelings to the listeners. Accordingly, there is a connection between the recitation of the Qur'an and the scientific understanding of music. When a connection between the Qur’an and disciplined recitation is established, this causes an artistic sensation to the listener, which experts in the field have name “Fem-i Muhsin”.Hafız (a title used for a person who has memorised the Qur’an in its entirety) Bekir Sıdkı Sezgin is one of the important musicians to have left his mark on Turkish music, where a discipline was formed after him. He has a very high status due to the value he gave to Turkish music as he became one of the leading names in Turkish music, especially considering the large yet unknown number of students that he personally trained. Hafız Bekir states in interviews that he especially owed his success in the science of music to the Qur'an education he received at a young age, and he emphasises that those who are on the way to becoming good musicians must receive a Qur'an education; additionally, because classical Turkish music lyrics are Arabic and Persian, he argues that the way to correctly pronounce these lyrics is to also know Ottoman Turkish to a high degree. Hafız Bekir was also able to recite the Qur'an to a degree of perfection and was proud of being a Hafız, where he believed that the Qur'an harmonised between his memory and excellent musical knowledge. Hafız Bekir recited the Qur’an according to the suitable Istanbul Maqam of reading, and by using the Maqam befitting the Qur’an recitation, Hafız Bekir was able to take the listeners on a spiritual journey.A survey of the works produced about Hafız Bekir shows that although there have been many theses, articles, and interviews published about him, there is no specific study on his Qur’an recitation according to the Istanbul Maqam style. In this study, Hafız Bekir’s dual identity as both a musician and Qur’an Hafız is underlined as a way to contribute to the field by revealing this side of Hafız Bekir, and also examining the Qur'an education that he recommends to his students. The recitation of verses 189-194 of the chapter Âli İmrân, which Hafız Bekir recited in the Istanbul Maqam style, is notated with the Mus notation system, and analysed according to the Maqam reading style. The notation is formed based on a sensory evaluation with assistance from experts in the field. This study, as a musical analysis, was produced to reveal the importance of this subject to interested parties. (shrink)

From earliest times, Homer was regarded as an authority in education, and in shaping social and political life. For Homer in Iliad and Odyssey describes the dominant values, moral virtues of the Greek culture via its heroes. In fact, this narration has opened the way for him to be regarded as the first teacher of the Greeks. His most famous students are Achilles and Telemachus. He talks about Achilles’ education in Iliad, Telemachus’ in Odyssey through his teachers. But the education (...) of these two heroes is both similar and different in some ways. From the moment Achilles was born, he knows the values of the class he belongs to, who he is. On the contrary, Telemachus as a child without a father does not know who he is. Yet, their education which is centered around not only words but also deeds, makes these two heroes know what to say and what to do. In the end, they gain the honor of becoming a Homeric hero. So the aim of this paper is to elaborate both different and similar educations of these heroes. (shrink)

Medical paternalism has long been a common medical practice. However, patient autonomy in healthcare has been recently adopted by doctors and patients alike. This study explored whether doctors and patients in a tertiary care hospital in Saudi Arabia preferred autonomy or paternalism in shared decision‐making. A total of 118 participants (51 patients requiring total knee replacement, owing to stages 3–4 of osteoarthritis, and 67 doctors) from the Eastern province, Saudi Arabia. responded to a 17‐question category‐based questionnaire involving four scales of (...) autonomy. Descriptive statistics and chi‐square test results revealed that in this hospital, patients preferred a paternalistic approach toward their medical care along with a full disclosure of the risks related to surgical procedures. We recommend health education regarding the specific autonomy subscales (doctor knows best, patient should decide, right to non‐participation, and obligatory risk information), and the implementation of protocols that protect patients' rights and enhance personal autonomy. (shrink)

Background: Promoting patients’ rights is essential for defining the standards of clinical services within a country. Given their responsibilities, nurses can be the primary target for research to investigate the issue of patients’ rights within a healthcare system. As such, assessing the knowledge of nurses about patients’ rights is an essential step toward improving the quality of healthcare in limited resource settings like Sudan. Objectives: We aimed to assess the level of knowledge about patients’ rights among the nursing staff at (...) Friendship Teaching Hospital in Sudan. Methods: This hospital-based cross-sectional study was carried out at the Friendship Teaching Hospital in Sudan. We surveyed the totality of nurses (95) at the hospital using an amended survey. The data were analyzed in SPSS software using descriptive and inferential statistics. Ethical consideration: The study was approved by the Research Unit of Khartoum Ministry of Health and the Hospital administration. All respondents gave verbal consent prior to participating in the study. Results: Only 48.4% of the participants knew about the existence of the Sudanese Charter of patients’ rights. Nonetheless, our analysis found that 65.8% of nurses had acceptable level of knowledge (scored more than 75% of the total knowledge score) of patients’ rights, and none of the participant scored less than 50% of the total knowledge score. Finally, we found no statistical association between the knowledge score and demographic data, educational level, whether the participant knows about the existence of the Charter or not and a number of other factors. Conclusion: Nurses’ lack of knowledge about the existence of the Sudanese Charter of patients’ rights adopted in 2009 rights confirms the need for further efforts by Ministry of Health to promote the document. Furthermore, further research is needed to investigate the disconnect between nurses’ lack of knowledge about the existence of the charter and their awareness of the rights within the charter as well as the actual implementation of rights. (shrink)

This report summarises a study examining preservice elementary teachers? geometry content knowledge with a focus on parallelogram. It was a descriptive study examining 45 preservice teachers? reasoning in the process of determining which quadrilateral can be classified as a parallelogram. Findings have revealed that these elementary teachers do not possess sound understanding of parallelogram and class inclusion between parallelogram and trapezoid at the expected level.

Increasingly complex working environments of school principals inevitably led them to face moral dilemmas in daily life. The aim of this research is to reveal which kinds of moral dilemmas principals fall into mostly, how principals follow the road to making decisions in the moral dilemmas, and if the nature of management affects the decision-making process of their moral dilemmas or not. For data collection process snowball sampling was used. Semi-structured interviews and vignettes which were designed by researchers were used (...) for data collection. According to results, principals in Turkey have experienced moral dilemmas based on self-interests instead of ethic of critique which is experienced by Canadian principals. Moreover, taking into consideration the decision-making process, although principals in Canada follow the same procedure as the Turkish principals, they have two extra steps: “considering the students’ benefit” and “considering teachers’ and parents’ needs.” Lastly, it is seen that the Turkish and Canadian principals’ natures which affect the moral dilemma decision-making process are totally different. The possible reasons for these differences and suggestions were discussed within this context. (shrink)