Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelerin Hasta Bakımında Nütrisyona İlişkin Bilgi, Tutum ve Algıları: Tanımlayıcı Araştırma
Nurses' Knowledge, Attitudes and Perceptions on Nutrition in Patient Care: A Descriptive Research
Betül ALİŞa , Gülten KARAHAN OKUROĞLUb
aMarmara Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Bölümü, Hemşirelik Esasları AD, Doktora Programı, İstanbul, Türkiye
bMarmara Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü Hemşirelik Esasları AD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):117-25
doi: 10.5336/nurses.2024-104313
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemşirelerin nütrisyonel değerlendirmenin önemine ilişkin görüşlerini, hasta bakımında nütrisyona ilişkin bilgi düzeylerini ve hasta bakımında nütrisyona ilişkin bakımın kalitesine yönelik algılarını değerlendirmek amacıyla uygulandı. Gereç ve Yöntemler: Tanımlayıcı desende uygulanan bu araştırma; İstanbul'da bir kamu üniversite hastanesinde Mayıs-Eylül 2021 tarihleri arasında yürütüldü. Araştırmanın evrenini, hastanede çalışmakta olan 1000 hemşire oluşturdu. Örneklem sayısı, evreni bilinen örneklem formülü ile en az 278 katılımcı hemşire olarak hesaplandı. Araştırma 18 yaş üstü, en az 6 ay mesleki deneyimi olan 283 gönüllü hemşire ile gerçekleştirildi. Verilerin toplanmasında araştırmacılar tarafından oluşturulan bilgi formu ve Hemşirelerde Nütrisyonel Değerlendirmenin Önemini, Nütrisyonel Bakıma İlişkin Bilgi Düzeyini ve Algılanan Nütrisyonel Bakım Kalitesini Değerlendirme Ölçeği kullanıldı ve veriler yüz yüze görüşme tekniği kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler, Kruskal-Wallis ve Mann-Whitney U testleri uygulandı. Bulgular: Hemşirelerin yaş ortalaması 27,02, çoğunluğu (%88) kadındı. Daha önce nütrisyon eğitimi alan katılımcıların oranı %77'ydi. Katılımcıların çoğunluğu (%72,8) lisans mezunuydu ve (37,3) cerrahi birimde çalışmaktaydı. Katılımcıların ölçeğin birinci alt boyutu olan ''Nütrisyonel Değerlendirmenin Önemi'' bölümünde tutum puan ortalamalarının 24,14 (SS=3,13); ikinci alt boyutu ''Nütrisyonel Bakıma İlişkin Bilgi Düzeyi'' bölümünde bilgi puan ortalamalarının 24,96 (SS=5,67) ve üçüncü alt boyut olan ''Nütrisyonel Bakıma İlişkin Algılanan Bakım Kalitesi'' bölümünde algı puan ortalamalarının 24,18 (SS=3,20) olduğu tespit edildi. Sonuç: Hemşirelerin beslenme bakımına ilişkin tutum düzeylerinin yüksek; bilgi düzeylerinin orta seviyede olduğu, kliniklerinde verilen nütrisyonel bakımın kalitesini ise orta düzeyin altında algıladıkları belirlendi.

Anahtar Kelimeler: Bilgi; enteral beslenme; hemşirelik bakımı; parenteral beslenme; tutum
ABSTRACT
 Objective: This research was conducted to evaluate nurses' views on the importance of nutritional assessment, level of knowledge about nutritional care, and perceptions of the quality of nutritional care. Material and Methods: This research was implemented descriptive design; was conducted a public university hospital in Istanbul between May-September 2021. The population of the research consisted 1000 nurses working in the hospital. 283 volunteer nurses who were over 18 years age and had least 6 months of professional experience were included in the study, whose sample size was calculated with known sampling formula and n=278. The Participant Information Form created by the researchers and the Scale for Evaluation of the Importance of Nutritional Evaluation in Nurses, Level of Knowledge of Nutritional Care and Perceived Nutritional Care Quality were used to collect the data and were collected by the researchers using face-to-face interview technique. Descriptive statistics, Kruskal-Wallis and MannWhitney U tests were used to analyze the data. Results: The average age of the participants was 27.02, the majority (88%) were women. The rate of participants who had previously received nutrition training was 77%. The majority of the participants (72.8%) were undergraduate graduates, (37.3%) were working in the surgical unit. It was determined that the participants' attitude score average in the first sub-dimension of the scale, ''Importance of Nutritional Assessment'', was 24.14 (SD=3.13); their knowledge score average in the second sub-dimension, ''Knowledge Level Regarding Nutritional Care'', was 24.96 (SD=5.67) and their perception score average in the third sub-dimension, ''Perceived Quality of Care Regarding Nutritional Care'', was 24.18 (SD=3.20). Conclusion: Nurses' attitude nutrition care is high; their level of knowledge is medium level; it was determined they perceived the quality of nutritional care provided in their clinics to be below the average level.

Keywords: Knowledge; enteral nutrition; nursing care; parenteral nutrition; attitude
REFERENCES:
  1. Akar M, Özçiftçi S. Yoğun bakım ünitelerinde nütrisyon desteğinin önemi. Ortadoğu Tıp Dergisi. 2015;7(1):27-33. [Link] 
  2. Koçhan E, Akın S. Hemşirelerin enteral ve parenteral beslenme uygulamalarına ilişkin bilgi düzeylerinin değerlendirilmesi [Evaluation of knowledge levels of nurses about enteral and parenteral nutrition practices]. JAREN. 2018;4(1):1-14. [Link] 
  3. Özbaş N, Göçmen Baykara Z. Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi [The determination of the level of knowledge of nurses on enteral tube feding]. International Journal of Human Sciences. 2018;15(1):359-67. [Crossref] 
  4. Sánchez-Sánchez E, Ramírez-Vargas G, Peinado-Canas A, Martín-Estrada F, Díaz-Jimenez J, Ordonez FJ. Nurse and nursing students' opinions and perceptions of enteral nutrition by nasogastric tube in palliative care. Nutrients. 2021;13(2):402. [Crossref]  [PubMed]  [PMC] 
  5. Sivrikaya Karaca S, Eryılmaz A. Nütrisyonel destek ekibinde hemşirelik [Nutritional supplement in the team nursing]. Samsun Sağlık Bilimleri Dergisi. 2018;3(2):33-7. [Link] 
  6. Avelino-Silva TJ, Jaluul O. Malnutrition in hospitalized older patients: management strategies to improve patient care and clinical outcomes. Int J Gerontol. 2017;11(2): 56-61. [Crossref] 
  7. Gramlich L, Hurt RT, Jin J, Mundi MS. Home enteral nutrition: towards a standard of care. Nutrients. 2018;10(8):1020. [Crossref]  [PubMed]  [PMC] 
  8. Agarwal E, Ferguson M, Banks M, Batterham M, Bauer J, Capra S, et al. Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010. Clin Nutr. 2013;32(5):737-45. [Crossref]  [PubMed] 
  9. Calleja Fernández A, Vidal Casariego A, Cano Rodríguez I, Ballesteros Pomar MD. Malnutrition in hospitalized patients receiving nutritionally complete menus: prevalence and outcomes. Nutr Hosp. 2014;30(6):1344-9. [PubMed] 
  10. Kang MC, Kim JH, Ryu SW, Moon JY, Park JH, Park JK, et al; Korean Society for Parenteral and Enteral Nutrition (KSPEN) Clinical Research Groups. Prevalence of malnutrition in hospitalized patients: a multicenter cross-sectional study. J Korean Med Sci. 2018;33(2):e10. [Crossref]  [PubMed]  [PMC] 
  11. Selçuk H. Malnütrisyon ve önemi. Güncel Gastroenteroloji. 2012;16(2):158-62. [Link] 
  12. Valentini A, Federici M, Cianfarani MA, Tarantino U, Bertoli A. Frailty and nutritional status in older people: the Mini Nutritional Assessment as a screening tool for the identification of frail subjects. Clin Interv Aging. 2018;13:1237-44. Erratum in: Clin Interv Aging. 2018;13:1631. [Crossref]  [PubMed]  [PMC] 
  13. Abraham S, Noriega BR, Shin JY. College students eating habits and knowledge of nutritional requirements. J Nut Health. 2018;2(1):13-7. [Crossref] 
  14. Theilla MCJ, Cohen J, Singer P, Liebman C, Kagan I. The assessment, knowledge and perceived quality of nutrition care amongst nurses. Journal of Nutritional Medicine and Diet Care. 2016;2(1):2-5. [Link] 
  15. Demirel U, Bahçecioğlu, İH. Enteral ve parenteral beslenmeye klinik yaklaşım. Güncel Gastroenteroloji. 2010;14(3):149-54. [Link] 
  16. Yentür E. Beslenme durumunun değerlendirilmesi. Klinik Gelişim. 2011;24:1-4. [Link] 
  17. Mete R, Emeksiz GK. Nutrisyon [Nutrition]. Namık Kemal Tıp Dergisi. 2017;5(2):92-9. [Link] 
  18. Aydoğan ZG, Çelik M, Sağıroğlu AE, Koltka EN, Şen B, Budakçı T, et al. Kritik hastada enteral ve kombine enteral-parenteral nütrisyon tedavisi [Enteral and combined enteral-parenteral nutrition therapy in intensive care patients]. Göztepe Tıp Dergisi. 2010;25(1):13-9. [Link] 
  19. Agarwal E, Ferguson M, Banks M, Bauer J, Capra S, Isenring E. Nutritional status and dietary intake of acute care patients: results from the Nutrition Care Day Survey 2010. Clin Nutr. 2012;31(1):41-7. [Crossref]  [PubMed] 
  20. Sun H, Zhang L, Zhang P, Yu J, Kang W, Guo S, et al. A comprehensive nutritional survey of hospitalized patients: Results from nutritionDay 2016 in China. PLoS One. 2018;13(3):e0194312. [Crossref]  [PubMed]  [PMC] 
  21. Curtis LJ, Bernier P, Jeejeebhoy K, Allard J, Duerksen D, Gramlich L, et al. Costs of hospital malnutrition. Clin Nutr. 2017;36(5):1391-6. [Crossref]  [PubMed] 
  22. Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr. 2012;31(3):345-50. [Crossref]  [PubMed] 
  23. Gürlek Kısacık Ö, Çoşğun T, Taştekin A. Hemşirelerde nütrisyonel değerlendirmenin önemini, nütrisyonel bakıma ilişkin bilgi düzeyini ve algılanan nütrisyonel bakım kalitesini değerlendirme ölçeği Türkçe formunun psikometrik özellikleri [The psychometric properties of the Turkish version of the assessment questionnaire of the importance of nutritional assessment, the level of knowledge and perceived quality of nutritional care for nurses]. EGE HFD 2019;35(3):123-35. [Link] 
  24. Boeykens K, Van Hecke A. Advanced practice nursing: Nutrition Nurse Specialist role and function. Clin Nutr ESPEN. 2018;26:72-6. [Crossref]  [PubMed] 
  25. Yalçın N, Cihan A, Gündogdu H, Ocakci A. Nutrition knowledge level of nurses. Health Science Journal. 2013;7(1):99-108. [Link] 
  26. Resmî Gazete (19.5.2011, Sayı: 27910) sayılı Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik; 2011.
  27. Bachrach-Lindström M, Jensen S, Lundin R, Christensson L. Attitudes of nursing staff working with older people towards nutritional nursing care. J Clin Nurs. 2007;16(11):2007-14. [Crossref]  [PubMed] 
  28. Özşaker E, Karasu M. Hemşirelerin cerrahi hastasının beslenmesi konusunda bilgi, tutum ve uygulamalarının incelenmesi [An examination of the knowledge, attitudes and practice of nurses regarding the nutrition of surgery patients]. Adıyaman Üni. Sağlık Bilimleri Derg, 2019;5(1);1191-205. [Crossref] 
  29. Er Döngel H, Öztoprak Kol E, Gönderen K. Attitudes, knowledge, and evaluations of nurses working in training and research hospital regarding nutritional care. Clinical Science of Nutrition. 2022;4(3):80-7. [Crossref] 
  30. Bonetti L, Terzoni S, Lusignani M, Negri M, Froldi M, Destrebecq A. Nutritional care of older people: Investigating nurses' attitudes in medical and surgical units. Contemp Nurse. 2021;57(3-4):159-71. [Crossref]  [PubMed] 
  31. Khatony A, Mazaherpur S, Pasdar Y, Najafi F, Abdi A. Evaluation of clinical nutritional knowledge in Iranian critical care nurses. Research Journal of Pharmaceutical, Biological and Chemical Sciences. 2016;7(4):684-8.
  32. Çoşğun T, Kısacık Gürler Ö. Hemşirelerde nütrisyonel değerlendirmeye ilişkin tutumun, nütrisyonel bakıma ilişkin bilgi düzeyi ve algılanan bakım kalitesinin belirlenmesi [Determination the attitude toward the nutritional assessment, the level of knowledge of nutritional care and the perceived quality of care among nurses]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2021;8(2):204-17. [Crossref] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

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