Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of Nursing Care Plans of Patients Monitored in the Intensive Care Unit with the Diagnosis of COVID-19:A Retrospective Study
Yoğun Bakım Ünitesinde COVID-19 Tanısı ile İzlenen Hastaların Hemşirelik Bakım Planlarının Değerlendirilmesi: Retrospektif Çalışma
Handan ERENa
aDepartment of Nursing, Yalova University Health Sciences Faculty, Yalova, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):395-402
doi: 10.5336/nurses.2022-94392
Article Language: EN
Full Text
ABSTRACT
Objective: This study aimed to examine electronic nursing care plans for patients who received treatment due to the diagnosis of coronavirus disease-2019 (COVID-19) in the intensive care units of a hospital. Material and Methods: The sample of this descriptive and retrospective study consisted of the electronic nursing care plans of 429 patients who received treatment due to the diagnosis of COVID-19 in the intensive care units of a hospital between 15 March, 2020 and 15 March, 2022. Data were collected between June and July 2022 using a descriptive characteristics form, a patient care plan evaluation form, and the quality measurement tool for nursing diagnosis, interventions, and outcomes. Results: The nurses were found to use 27 different nursing diagnoses in their care plans and they mostly preferred the nursing diagnoses of risk for infection (n=608), risk for ineffective breathing pattern (n=282), and risk for ımpaired oral mucous membrane integrity (n=233). The nurses labeled 87.66% of the nursing diagnosis correctly and identified 72.78% of the related factors and descriptive characteristics and 58.04% of the goals at an adequate level, 74.77% of the nursing interventions feasibly, and 47.26% of the evaluation at an adequate level. The mean score of the nurses for the quality measurement tool for nursing diagnosis, interventions, and outcomes was 51.82±6.89. Conclusion: It was seen that the nurses were sufficient in the electronic nursing process they prepared for the patients treated with the diagnosis of COVID-19, except for the evaluation, and the quality of the nursing process was above the average. It is recommended to provide training to nurses, especially for the evaluation stage of the nursing process.

Keywords: COVID-19; intensive care unit; nursing care planning; nursing process
ÖZET
Amaç: Bu çalışma, bir hastanenin yoğun bakım ünitesinde koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] tanısı ile tedavi görmüş hastaların elektronik hemşirelik bakım planlarının incelenmesi amacıyla yürütülmüştür. Gereç ve Yöntemler: Tanımlayıcı ve retrospektif türde yürütülen çalışmanın örneklemini, 15 Mart 2020-15 Mart 2022 tarihleri arasında yoğun bakım ünitelerinde COVID-19 tanısı ile tedavi görmüş 429 hastanın elektronik hemşirelik bakım planları oluşturdu. Veriler, tanımlayıcı özellikler formu, hasta bakım planı değerlendirme formu, hemşirelik tanıları, girişimleri ve sonuçları için kalite ölçüm aracı ile Haziran-Temmuz 2022 tarihleri arasında toplandı. Bulgular: Hemşirelerin bakım planlarında 27 farklı hemşirelik tanısı kullandıkları, en çok enfeksiyon riski (n=608), solunum fonksiyonlarında etkisizlik riski (n=282) ve oral mukoz membranda bozulma riski (n=233) hemşirelik tanılarını tercih ettikleri görüldü. Hemşirelik tanı etiketlerinin %87,66'sının doğru, ilişkili olduğu faktör ve tanımlayıcı özelliklerin %72,78'i ve hedeflerin %58,04'ünün yeterli, hemşirelik girişimlerinin %74,77'sinin uygun ve değerlendirmenin %47,26'sının yeterli olduğu belirlendi. Hemşirelik tanıları, girişimleri ve sonuçları için kalite aracı puan ortalamasının 51,82±6,89 olduğu saptandı. Sonuç: Hemşirelerin COVID-19 tanısı ile tedavi gören hastalar için hazırladıkları elektronik hemşirelik sürecinde, değerlendirme dışındaki aşamalarda yeterli oldukları ve hemşirelik süreci kalitesinin ortalamanın üzerinde olduğu görüldü. Hemşirelere, hemşirelik sürecinin özellikle değerlendirme aşamasına yönelik eğitimlerin planlanması önerilmektedir.

Anahtar Kelimeler: COVID-19; yoğun bakım üniteleri; hemşirelik bakım planı; hemşirelik süreci
REFERENCES:
  1. Berman A, Snyder SJ, Frandsen G. Kozier & Erb's Fundamentals of Nursing, Concepts, Process, and Practice. 10th ed. Harlow, Essex: Pearson; 2016.
  2. Vicdan AK, Karabacak BG, Ecevit Alpar S. Classification of 2012-2014 NANDA-I nursings using the Nursing Model Based on Activities of Living. IJHS. 2015;12(2):1626-36. [Crossref] 
  3. Pérez Rivas FJ, Martín-Iglesias S, Pacheco del Cerro JL, Minguet Arenas C, García López M, Beamud Lagos M. Effectiveness of nursing process use in primary care. Int J Nurs Knowl. 2016;27(1):43-8. [Crossref]  [PubMed] 
  4. Johnson L, Edward KL, Giandinoto JA. A systematic literature review of accuracy in nursing care plans and using standardised nursing language. Collegian. 2018;25(3):355-61. [Crossref] 
  5. Tsai CH, Eghdam A, Davoody N, Wright G, Flowerday S, Koch S. Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life (Basel). 2020;10(12):327. [Crossref]  [PubMed]  [PMC] 
  6. Häyrinen K, Lammintakanen J, Saranto K. Evaluation of electronic nursing documentation--nursing process model and standardized terminologies as keys to visible and transparent nursing. Int J Med Inform. 2010;79(8):554-64. [Crossref]  [PubMed] 
  7. McCarthy B, Fitzgerald S, O'Shea M, Condon C, Hartnett-Collins G, Clancy M, et al. Electronic nursing documentation interventions to promote or improve patient safety and quality care: a systematic review. J Nurs Manag. 2019;27(3):491-501. [Crossref]  [PubMed] 
  8. Göçmen-Baykara Z, Eyüboğlu G. Nursing care in the COVID-19 pandemic [COVID-19 pandemisinde hemşirelik bakımı]. Gazi Journal of Health Sciences. 2020;special um:9-17. [Link] 
  9. Tosun H, Tosun A, Ödül Özkaya B, Gül A. The most commonly determined nursing diagnoses according to NANDA-I taxonomy and difficulties using the nursing process in COVID-19 outbreak. Clin Nurs Res. 2022;31(3):395-403. [Crossref]  [PubMed] 
  10. Moorhead S, Macieira TGR, Lopez KD, Mantovani VM, Swanson E, Wagner C, et al. NANDA-I, NOC, and NIC linkages to SARS-Cov-2 (Covid-19): part 1. Community response. Int J Nurs Knowl. 2021;32(1):59-67. [Crossref]  [PubMed]  [PMC] 
  11. Cengiz D, Furuncu S, Çoban F, Katran HB, Çavuşlu M, Erten N, et al. COVID-19 tanısı ile kök hücre tedavisi yapılan hastaların hemşirelik bakım planlarının değerlendirilmesi [Examination of nursing care plans of intensive care patients with stem cell transplant in the COVID-19 pandemic]. Yoğun Bakım Hemşireliği Dergisi. 2021;25(3):160-8. [Link] 
  12. Barioni EMS, Nascimento CDSD, Amaral TLM, Ramalho Neto JM, Prado PRD. Clinical indicators, nursing diagnoses, and mortality risk in critically ill patients with COVID-19: a retrospective cohort. Rev Esc Enferm USP. 2022;56:e20210568. [Crossref]  [PubMed] 
  13. Tuğrul E, Denat Y, Karaçam Z, Şahbaz M. Hemşirelik tanıları, girişimleri ve sonuçları için kalite ölçüm aracının Türkçe formu: geçerlik ve güvenirlik çalışması [Turkish form of the quality measurement tool for nursing diagnosis, interventions and outcomes: validity and reliability study]. Medical Sciences. 2021;16(2):106-21. [Crossref] 
  14. Cortinhal V, Pereira A, Correia S, Deodato S. Responses presented by adult patients with COVID-19, based on the formulated nursing diagnoses: a scoping review. Int J Environ Res Public Health. 2022;19(10):6332. [Crossref]  [PubMed]  [PMC] 
  15. Struyf T, Deeks JJ, Dinnes J, Takwoingi Y, Davenport C, Leeflang MM, et al; Cochrane COVID-19 Diagnostic Test Accuracy Group. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19. Cochrane Database Syst Rev. 2022;5(5):CD013665. [Crossref]  [PubMed]  [PMC] 
  16. Allande-Cussó R, Fernández-García E, Barrientos-Trigo S, Rapela-Sánchez-Campa MÁ, Porcel-Gálvez AM. Implementing holistic care in isolated patients during COVID-19 pandemic: a case study using nursing outcomes (NOC) and interventions (NIC) classifications. Holist Nurs Pract. 2021;35(6):326-31. [Crossref]  [PubMed]  [PMC] 
  17. Sánchez-Almagro CP, Romero-Sánchez JM, White-Ríos M, González Del Pino CA, Paloma-Castro O. NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care. J Adv Nurs. 2022;78(10):3273-89. [Crossref]  [PubMed]  [PMC] 
  18. Bahramnezhad F, Asgari P. Spiritual care for COVID-19 patients: a neglected necessity. Infect Dis Clin Pract. 2021;29(1):e63. [Crossref] 
  19. Ackley BJ, Ladwig GB, Makic MBF. Nursing Diagnosis Handbook: An Evidence-Based Guide To Planning Care.11th ed. Missouri: Elsevier; 2016.
  20. Büyükyılmaz F, Kaya H. Elektronik hemşirelik kayıtlarının yapılandırılması: sistematik literatür incelemesi [Structuring electronic nursing records: systematic literature review]. Florence Nightingale J Nurs. 2016;24(2):106-17. [Link] 
  21. Çakar S, Avşar G. Determining the problems of clinical nurses about the use of nursing process. Journal of Midwifery and Health Sciences. 2020;3(3):203-13. [Link] 
  22. Taghavi Larijani T, Saatchi B. Training of NANDA-I nursing diagnoses (NDs), nursing ınterventions classification (NIC) and nursing outcomes classification (NOC), in psychiatric wards: a randomized controlled trial. Nurs Open. 2019;6(2):612-9. [Crossref]  [PubMed]  [PMC] 
  23. Demiray T, Babaoğlu E. Examination of nurses' views on care plans applied in electronic environment: a qualitative study. Journal of Nursing Science. 2021;4(1):11-7. [Link] 
  24. Saraswasta IWG, Hariyati RTS. The implementation of electronic-based nursing care documentation on quality of nursing care: a literature review. Int J Nurs Health Serv. 2018;1(2):19-31. [Crossref] 
  25. Teuly JF, Barrios CJC, Garrido M, Tallarita AD, Boyardi V, Cisneros MCE. Quality of the clinical nursing records of a neonatal-intensive care unit. Enferm Glob. 2022;21(3):476-87. [Crossref] 
  26. Benezech A, Bouvier M, Vitton V. Faecal incontinence: current knowledges and perspectives. World J Gastrointest Pathophysiol. 2016;7(1):59-71. [Crossref]  [PubMed]  [PMC] 
  27. Condon M, Mannion E, Molloy DW, O'Caoimh R. Urinary and faecal incontinence: point prevalence and predictors in a university hospital. Int J Environ Res Public Health. 2019;16(2):194. [Crossref]  [PubMed]  [PMC] 
  28. Fischer D, Snider SB, Barra ME, Sanders WR, Rapalino O, Schaefer P, et al. Disorders of consciousness associated With COVID-19: a prospective multimodal study of recovery and brain connectivity. Neurology. 2022;98(3):e315-25. [Crossref]  [PubMed]  [PMC] 
  29. Knaus ME, Ahmad H, Metzger GA, Beyene TJ, Thomas JL, Weaver LJ, et al. Outcomes of a telemedicine bowel management program during COVID-19. J Pediatr Surg. 2022;57(1):80-85. [Crossref]  [PubMed]  [PMC] 
  30. Boehme AK, Doyle K, Thakur KT, Roh D, Park S, Agarwal S, et al. Disorders of consciousness in hospitalized patients with COVID-19: the role of the systemic inflammatory response syndrome. Neurocrit Care. 2022;36(1):89-96. [Crossref]  [PubMed]  [PMC] 
  31. Lopes Jde L, de Barros AL, Michel JL. A pilot study to validate the priority nursing interventions classification interventions and nursing outcomes classification outcomes for the nursing diagnosis "excess fluid volume" in cardiac patients. Int J Nurs Terminol Classif. 2009;20(2):76-88. [Crossref]  [PubMed] 
  32. Yom YH, Chi SA, Yoo HS. Application of nursing diagnoses, interventions, and outcomes to patients undergoing abdominal surgery in Korea. Int J Nurs Terminol Classif. 2002;13(3):77-87. [Crossref]  [PubMed] 
  33. Taşdemir G, Kızılkaya M. Investigation of NANDA nursing diagnoses in the clinical practice of mental health and diseases nursing course of SYO students. International Journal of Human Sciences. 2013;10(1):246-57. [Link] 
  34. Wang N, Yu P, Hailey D. The quality of paper-based versus electronic nursing care plan in Australian aged care homes: a documentation audit study. Int J Med Inform. 2015;84(8):561-9. [Crossref]  [PubMed] 
  35. Akhu-Zaheya L, Al-Maaitah R, Bany Hani S. Quality of nursing documentation: paper-based health records versus electronic-based health records. J Clin Nurs. 2018;27(3-4):e578-89. [Crossref]  [PubMed] 

.: Up To Date

.: Process List

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