Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Acil Sağlık Hizmetleri Personelinin Adli Vakalara Yaklaşım Tarzının Değerlendirilmesi: Kesitsel Araştırma
Evaluation of Emergency Health Services Personnel's Approach to Forensic Cases: Cross-Sectional Study
Yakup GÜLEKÇİa , Eda Nur AYb , Harun ŞENERa , Fatma Ebru YÜKSEKa
aKütahya Sağlık Bilimleri Üniversitesi Mühendislik ve Doğa Bilimleri Fakültesi, Adli Bilimler AD, Kütahya, Türkiye
bKütahya Sağlık Bilimleri Üniversitesi Lisansüstü Eğitim Enstitüsü, Adli Bilimler AD, Kütahya, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2024;21(3):139-49
doi: 10.5336/forensic.2024-103780
Article Language: TR
Full Text
ÖZET
 Amaç: Olay yeri, hem olayın çözümüne katkıda bulunacak delillerin olduğu hem de tıbbi müdahaleye ihtiyacı bulunan yaralıların bulunduğu dinamik bir alandır. Acil sağlık hizmetleri personelleri, yaralıya müdahale ederken delilleri bozabilir ve yerini değiştirebilir. Hatta sağlık hizmeti verirken olay mahalinde bıraktığı materyallerin delil olarak algılanmasına sebebiyet verebilir. Yaptığımız çalışma öğrenci ve sağlık çalışanlarının adli vakalara yaklaşım ve delil dinamikleri konusundaki farkındalığını ölçmeyi amaçlar. Gereç ve Yöntemler: Kesitsel tipteki çalışma evrenini 178 Kütahya Sağlık Bilimleri Üniversitesi Gediz Sağlık Hizmetleri Meslek Yüksekokulu öğrencileri ile 210 Kütahya Sağlık Bilimleri Üniversitesi, Evliya Çelebi Eğitim ve Araştırma Hastanesinde çalışan acil sağlık hizmet personelleri (hemşire, doktor, acil tıp teknisyeni, paramedik, anestezi teknikeri, toplum sağlığı teknikeri, şoför) oluşturmaktadır. Çevrim içi ortamda hazırlanan anket formunda katılımcıların demografik özellikleri ile adli vakalara yaklaşım, delil tanımlama, olay yeri güvenliği ve yasal sorumluluklar gibi konularda toplam 54 soru bulunmaktadır. Çalışan personel ile öğrencilerin anket sorularına verdiği cevaplar karşılaştırmalı olarak analiz edilip anlamlılık düzeyleri incelenmiştir. Bulgular: Adli vakalara yaklaşım tarzı ile ilgili hizmet içi ve/veya okul yıllarında eğitim alma, çağrının adli olay olduğunu kabul eden birim, adli olgularda kanuni yetki ve sorumlulukları bilme, güvenlik şeridiyle çevrilmiş olay yerinde acil sağlık ekibinin önceliği mevzularında öğrenci ve çalışan personel arasında anlamlı fark bulunmaktadır. Sonuç: Her iki grubun da gereken düzeyde eğitim seviyesine sahip olmadığı görülmektedir. Çalışan personelin bilgi kapasitesinin daha yüksek oluşu uygulamalı eğitimlerin önemini vurgulamaktadır. Yaptığımız çalışma eğitim eksikliğinden kaynaklanan eksikliklerin altını çizmiştir.

Anahtar Kelimeler: Acil sağlık hizmetleri; suç; adli bilimler; olay yeri
ABSTRACT
 Objective: The crime scene is a dynamic area where there is both evidence that will contribute to the solution of the incident and injured people in need of medical attention. Emergency medical services personnel may disturb with and relocate evidence while responding to the injured person. It may even cause the materials left at the scene while providing health care to be perceived as evidence. Our study aims to measure the awareness of students and health professionals about the approach to forensic cases and the dynamics of evidence. Material and Methods: The population of the cross-sectional study consisted of students of 178 Kütahya Health Sciences University Gediz Vocational School of Health Services and emergency health service personnel (nurse, doctor, emergency medical technician, paramedic, anesthesia technician, community health technician, driver) working in 210 Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital. The online questionnaire form includes a total of 54 questions on demographic characteristics of the participants, approach to forensic cases, identification of evidence, crime scene security and legal responsibilities. The responses of the staff and students to the survey questions were analyzed comparatively and the significance levels were examined. Results: There is a significant difference between students and staff in terms of receiving in-service and/or school training on the approach to forensic cases, the unit accepting the call as a forensic case, knowing the legal authorities and responsibilities in forensic cases, and the priority of the emergency medical team at the scene surrounded by a security strip. Conclusion: It is seen that both groups do not have the required level of education. The fact that the knowledge capacity of the working staff is higher emphasizes the importance of practical trainings. Our study underlines the deficiencies arising from lack of education.

Keywords: Emergency health services; crime; forensic sciences; crime scene
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