Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Hemşirelik Bakımını Olumsuz Etkileyen Etmenler İle Hemşirelerin Stresle Başa Çıkma Yöntemleri Arasındaki İlişkinin İncelenmesi
An Examination of the Relationship between the Factors Affecting Nursing Care Negatively and Coping Methods for Stress among Nurses
Selda MERT BOĞAa, Gonca İLTERb, Aylin AYDIN SAYILANc, Özlem KERSUd, Canan BAYDEMİRe
aKocaeli Üniversitesi, Kocaeli Sağlık Hizmetleri Meslek Yüksekokulu,
bKocaeli Üniversitesi Araştırma ve Uygulama Hastanesi, Kocaeli, TÜRKİYE
cHemşirelik Bölümü, Kırklareli Üniversitesi Sağlık Yüksekokulu, Kırklareli, TÜRKİYE
dEskişehir Osmangazi Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi, Eskişehir, TÜRKİYE
eBiyoistatistik ve Tıp Bilişimi AD, Kocaeli Üniversitesi Tıp Fakültesi, Kocaeli, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2019;4(3):251-60
doi: 10.5336/healthsci.2019-65513
Article Language: TR
Full Text
ÖZET
Amaç: Hemşirelik bakımını olumsuz etkileyen etmenler ile hemşirelerin stresle başa çıkma yöntemleri arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Kesitsel-tanımlayıcı tipte yapılan araştırmanın örneklemini bir üniversite hastanesinde çalışan 184 hemşire oluşturdu. Araştırmada verileri toplamak amacıyla 'hemşire tanıtım formu' ve 'stresle başa çıkma tarzları ölçeği' kullanıldı. Sürekli değişkenler ortalama±standart sapma, medyan (25.-75. persentil), kategorik değişkenler ise sayı (yüzde) olarak ifade edildi. Gruplar arasında normal dağılım göstermeyen değişkenlerin karşılaştırılması Mann Whitney-U testi, sayısal değişkenler arasındaki ilişki ise Spearman korelasyon analizi ile değerlendirildi. Bulgular: Hemşirelerin stresli durumlarda en çok kullandığı başa çıkma yöntemlerinin boyun eğici yaklaşım (11,51±3,7) ve çaresiz yaklaşım (13,22±4,65) olduğu bulundu. Hemşirelik bakımını olumsuz etkileyen etmen olarak 'istediği serviste çalışamamayı' belirten hemşirelerin iyimser yaklaşım (p=0,020) ve sosyal destek arama puanının (p=0,047), 'bakım için yeterli zamanın olmamasını' belirtenlerin ise çaresiz yaklaşım puanının (p=0,019) anlamlı olarak daha düşük olduğu; hemşirelik bakımını olumsuz etkileyen bazı etmenlerde (sırasıyla, p=0,010; p=0,004; p=0,008) lisans ve üzeri mezunu hemşirelerin sosyal destek arama puanının anlamlı olarak daha düşük olduğu; hemşirelerin hemşirelik bakımını olumsuz etkileyen etmenlere göre sosyal destek arama puanı ile hemşirelik bakımına verdikleri puan arasında istatistiksel olarak negatif yönde anlamlı bir ilişki olduğu bulundu. Sonuç: İstediği klinikte çalışamayan, bakım için yeterli zamanı olmadığını ifade eden, lisans ve üzeri mezunu olan hemşirelerin stresle başa çıkmada etkin yöntemleri kullanmadığı, hemşirelik bakımına verilen puan arttıkça sosyal destek arama yönteminin azaldığı saptandı. Hemşirelik bakımını olumsuz etkileyen etmenleri azaltmak ve hemşirelik bakım kalitesini artırmak için, hemşirelerin stresle başa çıkmada etkin yöntemleri kullanmaları konusunda desteklenmesi gerektiği düşünüldü.

Anahtar Kelimeler: Hemşire; stres; hemşirelik bakımı; başa çıkma davranışı; başa çıkma yöntemleri
ABSTRACT
Objective: The study was planned for the purpose of examining the relationship between the factors affecting nursing care negatively and coping strategies for stress among nurses. Material and Methods: The sample of the study, which was conducted as a cross-sectional descriptive study, consisted of 184 nurses working in a university hospital. In the study, 'nurse identification form' and 'coping methods for stress scale' were used to collect data. Continuous variables were expressed as mean±standard deviation, median (25-75. percentile) and categorical variables were expressed as numbers (percentage). In the comparison of the variables that were not normally distributed between the groups, the Mann Whitney-U test was used and the correlation between the numeric variables was assessed with Spearman correlation analysis. Results: The most frequently used coping methods used by nurses in stressful situations were found as submissive approach (11.51±3.77) and desperate approach (13.22±4.65). It was found out that optimistic approach (p=0.020) and social support seeking scores (p=0.047) of nurses who indicated the condition of 'being unable to work in the preferred clinic' as a factor affecting nursing care negatively and desperate approach scores (p=0.019) of nurses who indicated the condition of 'having insufficient time for care' were significantly lower; nurses with bachelor's and higher degree had significantly lower social support seeking scores in some factors affecting nursing care negatively (respectively, p=0.010; p=0.004; p=0.008) and there was a statistically and negatively significant relationship between social support seeking scores and nursing care scores according to the factors affecting nursing care of nurses. Conclusion: It was determined that nurses who were unable to work in the preferred clinic, had insufficient time for care and had bachelor's and higher degree were unable to use effective methods for coping with stress and as the scores given to nursing care increased, social support seeking method decreased. It was thought that it would be useful to encourage nurses to use effective methods for coping with stress in order to reduce stressors affecting nursing care negatively and increase the quality of nursing care.

Keywords: Nurse; stress; nursing care; coping behavior; coping skills
REFERENCES:
  1. Amarneh BH. Social support behaviors and work stressors among nurses: a comparative study between teaching and non-teaching hospitals. Behav Sci (Basel). 2017;7(1):1-11. [Crossref]  [PubMed]  [PMC] 
  2. Khamisa N, Peltzer K, Ilic D, Oldenburg B. Effect of personal and work stress on burnout, job satisfaction and general health of hospital nurses in South Africa. Health SA Gesondheid. 2017;22:252-8. [Crossref] 
  3. Eslami Akbar R, Elahi N, Mohammadi E, Fallahi Khoshknab M. How do the nurses cope with job stress? A study with grounded theory approach. J Caring Sci. 2017;6(3):199-211. [Crossref]  [PubMed]  [PMC] 
  4. Keykaleh MS, Safarpour H, Yousefian S, Faghisolouk F, Mohammadi E, Ghomian Z. The relationship between nurse's job stress and patient safety. Open Access Maced J Med Sci. 2018;6(11):2228-32. [Crossref]  [PubMed]  [PMC] 
  5. de Gaudemaris R, Levant A, Ehlinger V, Herin F, Lepage B, Soulat JM, et al. Blood pressure and working conditions in hospital nurses and nursing assistants. The ORSOSA study. Arch Cardiovasc Dis. 2011;104(2):97-103. [Crossref] 
  6. Jordan TR, Khubchandani J, Wiblishauser M. The impact of perceived stress and coping adequacy on the health of nurses: a pilot investigation. Nurs Res Pract. 2016;2016:5843256. [Crossref]  [PubMed]  [PMC] 
  7. Ren Y, Zhou Y, Wang S, Luo T, Huang M, Zeng Y. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. Int J Nurs Sci. 2018;5 (1):57-62. [Crossref]  [PubMed]  [PMC] 
  8. Loukzadeh Z, Mazloom Bafrooi N. Association of coping style and psychological well-being in hospital nurses. J Caring Sci. 2013;2(4): 313-9.
  9. Ghiyasvandian S, Adera Gebra A. Coping work strategies and job satisfaction among Iranian nurses. Iran Red Crescent Med J. 2014;16(6):e17779. [Crossref]  [PubMed]  [PMC] 
  10. Farquharson B, Bell C, Johnston D, Jones M, Schofield P, Allan J, et al. Nursing stress and patient care: real-time investigation of the effect of nursing tasks and demands on psychological stress, physiological stress, and job performance: study protocol. J Adv Nurs. 2013;69(10):2327-35. [Crossref]  [PubMed] 
  11. Hamim N. Workload and work stress on caring behavior in nurse on nursing services. International Journal of Human Resource Studies. 2015;5(3):148-60. [Crossref] 
  12. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, et al. The impact of occupational stress on nurses' caring behaviors and their health related quality of life. BMC Nurs. 2016;15(56):1-9. [Crossref]  [PubMed]  [PMC] 
  13. Bondevik GT, Hofoss D, Husebo BS, Deilkas ECT. Patient safety culture in Norwegian nursing homes. BMC Health Serv Res. 2017;17(1): 424. [Crossref]  [PubMed]  [PMC] 
  14. Labrague LJ, McEnroe-Petitte DM, Leocadio MC, Van Bogaert P, Cummings GG. Stress and ways of coping among nurse managers: an integrative review. J Clin Nurs. 2018;27(7-8):1346-59. [Crossref]  [PubMed] 
  15. Birol L. Hemsirelik Sureci, Hemsirelik Bakiminda Sistematik Yaklasim. 6. Baski. Izmir: Etki Matbaacilik; 2007. p.630.
  16. Kosgeroglu N, Mert Boga S. [Mental disabled persons' issues according to the daily life activities model (DLAM)]. Maltepe Universitesi Hemsirelik Bilim ve Sanati Dergisi. 2011;4(1): 148-54.
  17. Sahin NH, Durak A. [A brief coping styles inventory for university students]. Turk Psikoloji Dergisi. 1995;10(34): 56-73.
  18. Folkman S, Lazarus RS. Ways of Coping Questionnaire Sampler Set: Manual, Test Booklet, Scoring Key. 1st ed. Palo Alto, CA: Consulting Psychologists Press; 1988. p35. [Crossref] 
  19. Moustaka E, Constantinidis TC. Sources and effects of work-related stress in nursing. Health Science Journal. 2010;4(4):210-6.
  20. Arslan S, Karaman Ozlu Z, Ozer N, Nazik E, Gumus K, Ozlu I. Investigating the stress level of nurses working at emergency care services: a pilot study. International Journal of Caring Sciences. 2015;8(2):421-6.
  21. Ferreira JS, Ribeiro KV, Caramuru PS, Hanzelmann RS, Velasco AR, Passos JP. Stress and coping strategies in workers of nursing of a family health unit. Revista de Pesquisa: Cuidado e Fundamental Online. 2017;9(3):818-23. [Crossref] 
  22. Kanbay Y, Ustun B. [Determination of nurse's workplace stress and coping methods in Artvin and Kars]. DEUHYO ED. 2009;2(4):155-61.
  23. Kieft RA, de Brouwer BB, Francke AL, Delnoij DM. How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Serv Res. 2014;14(249):1-10. [Crossref]  [PubMed]  [PMC] 
  24. Tel H, Karadag M, Tel H, Aydin S. [Determination the coping status of health proffesionals with the of stres experiences on workplace]. Hemsirelikte Arastirma Gelistirme Dergisi. 2003;2:13-23.
  25. Sahin S. [Work-related stres in nurses]. Journal of Strategic Research in Social Science. 2015;1(1):47-62.
  26. Simoni PS, Paterson JJ. Hardiness, coping and burnout in the nursing workplace. J Prof Nurs. 1997;13(3):178-85. [Crossref] 
  27. Mortaghy Ghasemi M, Ghahremani Z, Vahediane Azimi A, Ghorbani F. Nurse's job stress in a therapeutic educational center in Zanjan. J Gorgan Bouyeh Fac Nurs Midwifery. 2011;8(1):42-51.
  28. Tel H, Tel Aydin H, Karabey G, Vergi I, Akay D. [Status of coping with work-related tension and stres among the nurses]. Cumhuriyet Nurs J. 2012;2:47-52.
  29. Gocmen Avci G, Ozturk G, Azakli N, Turker Cekinmez S. [Determination of work-related stress levels of nurses and style of coping with stress]. Izmir Katip Celebi Universitesi Saglik Bilimleri Fakultesi Dergisi. 2018;3(1):1-7.
  30. Aydin Sayilan A, Mert Boga S. [Determination of relationshiop between job stress, job demads, job control, social support level and tendency to make medical errors of nurses]. Hemsirelikte Arastirma Gelistirme Dergisi. 2018;20(1):11-2.
  31. Azim MT, Islam MM. Social support, religious endorsement, and career commitment: a study on Saudi nurses. Behav Sci (Basel). 2018;8(1):1-8. [Crossref]  [PubMed]  [PMC] 
  32. Hamaideh SH, Mrayyan MT, Mudallal R, Faouri IG, Khasawneh NA. Jordanian nurses' job stressors and social support. Int Nurs Rev. 2008;55(1):40-7. [Crossref]  [PubMed] 
  33. Mrayyan MT. Job stressors and social support behaviors: comparing intensive care units to wards in Jordan. Contemp Nurse. 2009;31(2): 163-75. [Crossref]  [PubMed] 
  34. Woodhead EL, Northrop L, Edelstein B. Stress, social support, and burnout among long-term care nursing staff. J Appl Gerontol. 2016;35(1):84-105. [Crossref]  [PubMed] 
  35. Chen CK, Lin C, Wang SH, Hou TH. A study of job stress, stress coping strategies, and job satisfaction for nurses working in middle-level hospital operating rooms. J Nurs Res. 2009;17(3):199-211. [Crossref]  [PubMed] 
  36. Zhou H, Gong YH. Relationship between occupational stress and coping strategy among operating theatre nurses in China: a questionnaire survey. J Nurs Manag. 2015;23(1): 96-106. [Crossref]  [PubMed] 
  37. Ozgur G, Babacan Gumus A, Gurdag S. [Investigation of psychiatric symptoms in nurses working in a hospital]. Dusunen Adam Psikiyatri ve Norolojik Bilimler Dergisi. 2011;24(4): 296-305. [Crossref] 
  38. Zyga S, Mitrousi S, Alikari V, Sachlas A, Stathoulis J, Fradelos E, et al. Assessing factors that affect coping strategies among nursing personnel. Mater Sociomed. 2016;28(2): 146-50. [Crossref]  [PubMed]  [PMC] 
  39. Begat I, Ellefsen B, Severinsson E. Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experiences of well-being-a Norwegian study. J Nurs Manag. 2005;13(3):221-30. [Crossref]  [PubMed] 
  40. Jannati Y, Mohammadi R, Seyedfatemi N. Iranian clinical nurses' coping strategies for job stress. J Occup Health. 2011;53(2):123-9. [Crossref]  [PubMed] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com