Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Pandemi Döneminde Hemşirelerin El Hijyeni Bilgi, İnanç ve Uygulamalarının Değerlendirilmesi: Tanımlayıcı Araştırma
Evaluation of Nurse's Hand Hygiene Knowledge, Belief and Practices During the Pandemic Period: Descriptive Research
Fatma BİRGİLİa, Güllü YAZKANb, Nezihe BULUT UĞURLUb
aMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları ABD, Muğla, Türkiye
bMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ruh Sağlığı ve Hastalıkları Hemşireliği ABD, Muğla, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):706-15
doi: 10.5336/nurses.2023-95405
Article Language: TR
Full Text
ÖZET
 Amaç: Pandemi sırasında hastanede çalışan hemşirelerin el hijyeni (EH) konusunda bilgi, inanç ve uygulama durumlarının değerlendirilmesidir. Gereç ve Yöntemler: Araştırma, kesitsel ve tanımlayıcı tiptedir. Araştırmanın evreni ülkemizin batısında bulunan bir eğitim ve araştırma hastanesinde çalışan 450 hemşire, örneklemini ise 437 hemşire oluşturmuştur. Araştırma, 25 Mayıs-01 Temmuz 2022 tarihleri arasında, hemşirelerin kişisel bilgi formu ile El Hijyeni Ölçeği'nden oluşan veri toplama formu kullanılarak yapılmıştır. Veriler, ''SPSS'' istatistik paket programı yardımıyla, frekans ve yüzde dağılımı, aritmetik ortalama, varyans analizi, t-test, Pearson korelasyon analizi ve regresyon modeli ile analiz edilmiştir. Bulgular: Araştırmaya katılan hemşirelerin %46,5'i dahili birimde, %38,2'si 10 yıl ve üzeri hastanede çalışmakta, %27,9'u 42-49 yaş grubunda, %64,8'inin lisans mezunu olduğu saptanmıştır. Hemşirelerin EH konusunda tamamının eğitim aldığı, %22'sinin hastanede EH konusunda ekipman eksikliği olduğu belirlenmiştir. Hemşirelerin, EH'de %62,9'unun dezenfektan kullandığı, %69,1'inin el yıkadıktan sonra cilt problemi yaşadığı saptanmıştır. Bu çalışmada; hemşirelerin yaş, hastanede çalışma yılı, mezuniyet durumu, el yıkama ekipman eksikliği ve el yıkadıktan sonra cilt sorunu yaşam durumları ile El Hijyeni Ölçeği toplam puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Sonuç: Pandemi sürecinde hemşirelerin El Hijyeni Ölçeği toplam puan ortalamalarının yüksek olduğu belirlenmiştir. Ayrıca hemşirelerin yaş, çalışma yılı, mezuniyet durumu, el yıkama ekipman eksikliği, el yıkadıktan sonra cilt sorunu yaşama durumları ile El Hijyeni Ölçeği toplam puan ortalamaları arasında istatistiksel olarak anlamlı fark belirlenmiştir. Hemşirelerin EH konusunda ekipman eksikliğinin giderilmesi, EH ürünlerine ulaşım imkânının kolaylaştırılması ve EH için kullanılan ürünlerinin güvenli olması önerilebilir.

Anahtar Kelimeler: Hemşire; el hijyeni; bilgi; uygulama; pandemi süreci
ABSTRACT
 Objective: It is the evaluation of the knowledge, belief and practice of nurses working in the hospital during the pandemic about hand hygiene (HH). Material and Methods: The research is cross-sectional and descriptive. The population of the research consisted of 450 nurses working in a training and research hospital in the west of our country, and the sample consisted of 437 nurses. The research was conducted between 25 May-01 July 2022, using the data collection form consisting of the nurses' personal information form and the Hand Hygiene Quastionnaire. The data were analyzed with the help of ''SPSS'' statistical package program, with frequency and percentage distribution, arithmetic mean, analysis of variance, t-test, Pearson correlation analysis and regression model. Results: It was determined that 46.5% of the nurses participating in the study worked in the internal unit, 38.2% worked in the hospital for 10 years or more, 27.9% were in the 42-49 age group, 64.8% had a bachelor's degree. It was determined that all of the nurses received training on HH, and 22% of them had a lack of equipment for HH in the hospital. It was determined that 62.9% of the nurses used disinfectants in HH, and 69.1% had skin problems after washing their hands. In this study; A statistically significant difference was found between the nurses' age, years of working in the hospital, graduation status, lack of handwashing equipment, and their skin problems after washing hands, and the Hand Hygiene Quastionnaire total score averages (p<0.05). Conclusion: It was determined that nurses' Hand Hygiene Quastionnaire total score averages were high during the pandemic process. In addition, a statistically significant difference was determined between the nurses' age, working year, graduation status, lack of hand washing equipment, skin problems after washing hands, and the total score averages of the Hand Hygiene Quastionnaire. It can be recommended to eliminate the lack of equipment for HH of nurses, to facilitate access to HH products, and to ensure that the products used for HH are safe.

Keywords: Nurse; hand hygiene; information; application; pandemic process
REFERENCES:
  1. Rundle CW, Presley CL, Militello M, Barber C, Powell DL, Jacob SE, et al. Hand hygiene during COVID-19: recommendations from the American Contact Dermatitis Society. J Am Acad Dermatol. 2020;83(6):1730-7. [Crossref]  [PubMed]  [PMC] 
  2. Huang GK, Stewardson AJ, Grayson ML. Back to basics: hand hygiene and isolation. Curr Opin Infect Dis. 2014;27(4):379-89. [Crossref]  [PubMed]  [PMC] 
  3. Kantor J. Behavioral considerations and impact on personal protective equipment use: early lessons from the coronavirus (COVID-19) pandemic. J Am Acad Dermatol. 2020;82(5):1087-8. [Crossref]  [PubMed]  [PMC] 
  4. Birgili F, Baybuga M, Ozkoc H, Kuru O, van de Mortel T, Tümer A. Validation of a Turkish translation of the hand hygiene questionnaire. East Mediterr Health J. 2019;25(5):299-305. [Crossref]  [PubMed] 
  5. Stevens MP, Doll M, Pryor R, Godbout E, Cooper K, Bearman G. Impact of COVID-19 on traditional healthcare-associated infection prevention efforts. Infect Control Hosp Epidemiol. 2020;41(8):946-7. Erratum in: Infect Control Hosp Epidemiol. 2020;41(10):1249. [Crossref]  [PubMed]  [PMC] 
  6. Harrington G, Watson K, Bailey M, Land G, Borrell S, Houston L, et al. Reduction in hospitalwide incidence of infection or colonization with methicillin-resistant Staphylococcus aureus with use of antimicrobial hand-hygiene gel and statistical process control charts. Infect Control Hosp Epidemiol. 2007;28(7):837-44. [Crossref]  [PubMed] 
  7. Grayson ML, Melvani S, Druce J, Barr IG, Ballard SA, Johnson PD, et al. Efficacy of soap and water and alcohol-based hand-rub preparations against live H1N1 influenza virus on the hands of human volunteers. Clin Infect Dis. 2009;48(3):285-91. [Crossref]  [PubMed] 
  8. Kleinpell RM, Munro CL, Giuliano KK. Targeting health care-associated infections: evidence-based strategies. In: RG Hughes, ed. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Vol. 2. 1st ed. Rockville, Maryland: Agency for Healthcare Research and Quality; 2008. p.577-600.
  9. Boyce JM. Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. Infect Control Hosp Epidemiol. 2011;32(10):1016-28. [Crossref]  [PubMed] 
  10. Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. [Crossref]  [PubMed]  [PMC] 
  11. Lotfinejad N, Peters A, Pittet D. Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. J Hosp Infect. 2020;105(4):776-7. [Crossref]  [PubMed]  [PMC] 
  12. Phan LT, Sweeney D, Maita D, Moritz DC, Bleasdale SC, Jones RM; CDC Prevention Epicenters Program. Respiratory viruses on personal protective equipment and bodies of healthcare workers. Infect Control Hosp Epidemiol. 2019;40(12):1356-60. [Crossref]  [PubMed] 
  13. World Health Organization. WHO guidelines on hand hygiene in health care. WHO Guidelines on Hand Hygiene in Health Care. 1st ed. Geneva: World Health Organization; 2009. p.270.
  14. Kalkancı A, Baş S, Bostan B, Bay F, Metin Ü, Özden G, et al. Management of personal protective equipment among health care workers during COVID-19 pandemic: practices of infection control committee of Gazi University Hospital. Gazi Medical Journal. 2020;31:309-15. [Crossref] 
  15. Acun A, Bayrak Kahraman B. The COVID-19 pandemic and hand hygiene. J Educ Res Nurs. 2021;18(2):202-5.
  16. Daverey A, Dutta K. COVID-19: eco-friendly hand hygiene for human and environmental safety. J Environ Chem Eng. 2021;9(2):104754. [Crossref]  [PubMed]  [PMC] 
  17. Mahmood GAH, Hashim GA. Knowledge, attitude and practice of occupational hazard among nursing staff at teaching hospitals in Kerbala City, South-Central Iraq. Executive Editor. 2018;9(8):1147-52. [Crossref] 
  18. Araghi F, Tabary M, Gheisari M, Abdollahimajd F, Dadkhahfar S. Hand hygiene among health care workers during COVID-19 pandemic: challenges and recommendations. Dermatitis. 2020;31(4):233-7. [Crossref]  [PubMed] 
  19. Gupta MK, Lipner SR. Hand hygiene in preventing COVID-19 transmission. J Am Acad Dermatol. 2020;82:1215-6. [Link] 
  20. Ibler KS, Jemec GB, Agner T. Exposures related to hand eczema: a study of healthcare workers. Contact Dermatitis. 2012;66(5):247-53. [Crossref]  [PubMed] 
  21. Moore LD, Robbins G, Quinn J, Arbogast JW. The impact of COVID-19 pandemic on hand hygiene performance in hospitals. Am J Infect Control. 2021;49(1):30-3. [Crossref]  [PubMed]  [PMC] 
  22. Wong SC, AuYeung CH, Lam GK, Leung EY, Chan VW, Yuen KY, et al. Is it possible to achieve 100 percent hand hygiene compliance during the coronavirus disease 2019 (COVID-19) pandemic? J Hosp Infect. 2020;105(4):779-81. [Crossref]  [PubMed]  [PMC] 
  23. Makhni S, Umscheid CA, Soo J, Chu V, Bartlett A, Landon E, et al. Hand hygiene compliance rate during the COVID-19 pandemic. JAMA Intern Med. 2021;181(7):1006-8. [Crossref]  [PubMed]  [PMC] 
  24. van de Mortel T. Development of a questionnaire to assess health care students' hand hygiene knowledge, beliefs and practices. Aust J Adv Nurs. 2009;26(3):9-16. [Link] 
  25. Kayri M. Araştırmalarda gruplar arası farkın belirlenmesine yönelik çoklu karşılaştırma (post-hoc) teknikleri [The multiple comparison (post-hoc) techniques to determine the difference between groups in researches]. Fırat Üniversitesi Sosyal Bilimler Dergisi. 2009;19(1):51-64. [Link] 
  26. Türken M, Köse Ş. COVID-19 bulaş yolları ve önleme [COVID-19 transmission and prevention]. Tepecik Eğit. ve Araşt. Hast. Dergisi. 2020; 30(Ek sayı):36-42. [Crossref] 
  27. Allegranzi B, Gayet-Ageron A, Damani N, Bengaly L, McLaws ML, Moro ML, et al. Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis. 2013;13(10):843-51. [Crossref]  [PubMed] 
  28. Karaoğlu MK, Akın S. Hemşirelerin el yıkama alışkanlıklarına ilişkin görüşleri ve el hijyeni uyum oranlarının değerlendirilmesi [Evaluation of nurses' views about hand washing habits and hand hygiene compliance rates]. Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16(1)33-40.
  29. Karadag M, Iseri OP, Yildirim N, Etikan I. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur Journal of Health Sciences. 2016;8(4):1-7. [Crossref] 
  30. Paudel IS, Ghosh V, Adhikari P. Knowledge, Attitude and Practice of nursing students regarding hand hygiene in Western region of Nepal. Journal of College of Medical Sciences-Nepal. 2016;12(4):169-73. [Crossref] 
  31. Çağlar S, Yılmaz ÖE, Savaşer S. Hemşirelik ve sağlık alanı dışında öğrenim gören üniversite öğrencilerinin sosyal el yıkama ile ilgili görüş ve davranışları [Opinions and behaviors of university students who learned in nursing and other fields of health science related to social handwashing]. JAREN. 2018;4(2):83-91 [Crossref] 
  32. Centers for Disease Control and Prevention [Internet]. [Cited: May 28, 2020]. Show me the sciencedhow to wash your hands. Available from: [Link] 
  33. Demir C, Yıldız H, Güven S. Vocational school of health services students' knowledge levels on hand hygiene. ODU Med J. 2022;9(1):21-8. [Link] 
  34. Girou E, Loyeau S, Legrand P, Oppein F, Brun-Buisson C. Efficacy of handrubbing with alcohol based solution versus standard handwashing with antiseptic soap: randomised clinical trial. BMJ. 2002;325(7360):362. [Crossref]  [PubMed]  [PMC] 
  35. Bilgehan T, Koç A, İnkaya B. Türkiye'de hemşirelerin el yıkama alışkanlıkları, davranış ve tutumlarının değerlendirildiği çalışmalar: sistematik derleme [Hand washing habits of nurses in Turkey, which evaluation of behavior and attitudes study: a systematic review]. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi. 2021;2(2):2-14. [Link] 

.: 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