Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
The Effect of Scenario-Based High Fidelity Simulation Training on Autonomy Levels, Team Collaboration and Problem Solving Ability of Last Grade Nursing and Medical Students: Experimental Study
Senaryo Temelli Yüksek Gerçeklikli Simülasyon Eğitiminin Son Sınıf Hemşirelik ve Tıp Öğrencilerinin Ekip İş Birliği, Problem Çözme Becerisi ve Otonomi Düzeyine Etkisi: Deneysel Çalışma
Şerife KARAGÖZOĞLUa , Ahmet ALTUNb , Selma AYDINc , Yusuf Kenan TEKİNd , Burcu Kübra SÜHAe , Hülya KOÇYİĞİTe , Fatma TOK YILDIZf , İlknur YILDIZg
aDepartment of Fundamentals of Nursing, Division of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
bDepartment of Pharmacology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
cDean of Medicine Education, Başkent University Faculty of Medicine, Ankara, Türkiye
dDepartment of Emergency Medicine, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
eDepartment of Fundamentals of Nursing, Division of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
fDeparment of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Türkiye
gDepartment of Medical Services and Techniques, Division of Anesthesia, Sivas Cumhuriyet University Vocational School of Health Services, Sivas, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(2):185-94
doi: 10.5336/medsci.2022-91484
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study is to determine the effect of scenario-based High-Fidelity Simulation (HFS) training on the level of team cooperation, problem solving skills and autonomy of senior nursing and medical students. Material and Methods: This research was carried out in the pre-posttest single-group experimental design model, at the Simulation Center. The sample of the study consisted of a total of 210 students studying in the last year of the faculty of health sciences, department of nursing (105) and faculty of medicine (105). Within the scope of the research, a total of 35 groups were formed in groups of 6 students. Each week, the training of a group was carried out in a total of 7 stages over 2 consecutive days. The study was carried out with a multidisciplinary team. Results: In the study, it was found that before the simulation training, the nursing students' attitude towards physician-nurse cooperation was more positive and their problem-solving skills were higher, but after the training, the positive attitudes of the medical students towards physician-nurse cooperation and their problem-solving skills increased, the autonomy level of the nursing students was lower before the simulation training, but the training It was found that thereafter it increased. After the simulation training, both nursing and medical students reported that they found the scenario applied to them sufficient and important in the training process. Conclusion: It has been concluded that with an effective scenario and a HFS training, the team cooperation, problem-solving skills and autonomy level of nursing and medical students can be increased.

Keywords: High-Fidelity Simulation training; nursing students; medical students; problem solving; professional autonomy
ÖZET
 Amaç: Bu çalışmanın amacı, senaryo temelli Yüksek Gerçeklikli Simülasyon (YGS) eğitiminin son sınıf hemşirelik ve tıp öğrencilerinin ekip iş birliği, problem çözme becerisi ve otonomi düzeyine etkisini belirlemektir. Gereç ve Yöntemler: Bu araştırma, ön-son test tek gruplu deneysel desen modelinde ve Simülasyon Merkezi'nde gerçekleştirilmiştir. Araştırmanın örneklemini, sağlık bilimleri fakültesi hemşirelik bölümü (105) ve tıp fakültesi (105) son sınıfında öğrenim gören toplam 210 öğrenci oluşturmuştur. Araştırma kapsamında, altışar kişilik gruplar hâlinde toplam 35 grup oluşturulmuştur. Her hafta bir grubun eğitimi ardışık 2 gün içinde toplam 7 aşamalı bir süreçte gerçekleştirilmiştir. Çalışma multidisipliner bir ekiple gerçekleştirilmiştir. Bulgular: Araştırmada, simülasyon eğitimi öncesinde hemşirelik öğrencilerinin hekim-hemşire iş birliği tutumunun daha pozitif ve problem çözme becerilerinin daha yüksek olduğu, ancak eğitim sonrasında tıp öğrencilerinin hekim-hemşire iş birliğine yönelik pozitif tutumlarının ve problem çözme becerilerinin arttığı, simülasyon eğitimi öncesinde hemşirelik öğrencilerinin otonomi düzeyinin daha düşük olduğu, ancak eğitim sonrasında arttığı sonucuna ulaşılmıştır. Simülasyon eğitimi sonrasında hem hemşirelik hem de tıp öğrencileri kendilerine uygulanan senaryoyu eğitim sürecinde yeterli ve önemli bulduğunu bildirmiştir. Sonuç: Etkili bir senaryo ve YGS eğitimi ile hemşirelik ve tıp öğrencilerinin ekip iş birliği, problem çözme becerisi ve otonomi düzeyinin artırılabileceği sonucuna ulaşılmıştır.

Anahtar Kelimeler: Yüksek Gerçekli Simülasyon uygulamaları; hemşirelik öğrencisi; tıp öğrencisi; problem çözme; profesyonel otonomi
REFERENCES:
  1. Basak T, Unver V, Moss J, Watts P, Gaioso V. Beginning and advanced students' perceptions of the use of low- and high-fidelity mannequins in nursing simulation. Nurse Educ Today. 2016;36:37-43. [Crossref]  [PubMed] 
  2. Pal B, Mui Tay AG, Win Thein A, Kumar MV, Vui Chong S, Kyaw Soe HH, et al. Is high-fidelity simulation based education effective in enhancing learning and performance among undergraduate medical students? European Journal of Molecular & Clinical Medicine. 2020;7(10):1631-46. [Link] 
  3. Murray M. The impact of interprofessional simulation on readiness for interprofessional learning in health professions students. Teaching and Learning in Nursing. 2021;16(3):199-204. [Crossref] 
  4. Lee W, Kim M, Kang Y, Lee YJ, Kim SM, Lee J, et al. Nursing and medical students' perceptions of an interprofessional simulation-based education: a qualitative descriptive study. Korean J Med Educ. 2020;32(4):317-27. [Crossref]  [PubMed]  [PMC] 
  5. Li YY, Au ML, Tong LK, Ng WI, Wang SC. High-fidelity simulation in undergraduate nursing education: a meta-analysis. Nurse Educ Today. 2022;111:105291. [Crossref]  [PubMed] 
  6. Habibli T, Najafi Ghezeljeh T, Haghani S. The effect of simulation-based education on nursing students' knowledge and performance of adult basic cardiopulmonary resuscitation: a randomized clinical trial. Nursing Practice Today. 2020;7(2):87-96. [Crossref] 
  7. Bailey L, Emory J. High-fidelity simulation improves confidence in nursing students. Teaching and Learning in Nursing. 2022;17(2):191-4. [Crossref] 
  8. Ann Kirkham L. Exploring the use of high-fidelity simulation training to enhance clinical skills. Nurs Stand. 2018;32(24):44-53. [Crossref]  [PubMed] 
  9. Ayed A, Khalaf IA, Fashafsheh I, Saleh A, Bawadi H, Abuidhail J, et al. Effect of high-fidelity simulation on clinical judgment among nursing students. Inquiry. 2022;59:469580221081997. [Crossref]  [PubMed]  [PMC] 
  10. Tseng H, Hill L. The impact of high-fidelity simulation on nursing students' flexible and reflective thinking in higher education. Higher Learning Research Communications. 2020;10(2):52-65. [Crossref] 
  11. Jakobsen RB, Gran SF, Grimsmo B, Arntzen K, Fosse E, Frich JC, et al. Examining participant perceptions of an interprofessional simulation-based trauma team training for medical and nursing students. J Interprof Care. 2018;32(1):80-8. [Crossref]  [PubMed] 
  12. Elsous A, Radwan M, Mohsen S. Nurses and physicians attitudes toward nurse-physician collaboration: a survey from gaza strip, palestine. Nurs Res Pract. 2017;2017:7406278. [Crossref]  [PubMed]  [PMC] 
  13. Hojat M, Veloski JJ, Louis DZ, Xu G, Ibarra D, Gottlieb JE, et al. Perceptions of medical school seniors of the current changes in the U.S. health care system. Eval Health Prof. 1999;22(2):169-83. [Crossref]  [PubMed] 
  14. Yildirim A, Ates M, Akinci F, Ross T, Selimen D, Issever H, et al. Physician-nurse attitudes toward collaboration in Istanbul's public hospitals. Int J Nurs Stud. 2005;42(4):429-37. [Crossref]  [PubMed] 
  15. Beck AT, Epstein N, Harrison RP, Emery J. Development of the Sociotropy-Autonomy Scale: A Measure of Personality Factors in Psychopathology. 1983. [Link] 
  16. Sahin N, Ulusoy M, Sahin N. Exploring the sociotropy-autonomy dimensions in a sample of Turkish psychiatric inpatients. J Clin Psychol. 1993;49(6):751-63. [Crossref]  [PubMed] 
  17. Heppner PP, Petersen C. The development and implications of a personal problem-solving inventory. Journal of Counseling Psychology. 1982;29(1):66-75. [Crossref] 
  18. Savaşır I, Şahin N. Bilişsel Davranışçı Terapilerde Değerlendirme: Sık Kullanılan Ölçekler. 1. Baskı. Ankara: Türk Psikologlar Derneği Yayınları; 1997.
  19. Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, et al. The reliability and validity of three questionnaires: The Student Satisfaction and Self-Confidence in Learning Scale, Simulation Design Scale, and Educational Practices Questionnaire. Contemp Nurse. 2017;53(1):60-74. [Crossref]  [PubMed] 
  20. Akbal Ergun Y, Akıncı F, Yıldırım Kaptanoğlu A, Wagner J. Collaboration among physicians and nurses in intensive care units: a qualitative study. Sanitas Magisterium. 2017;3:25-35. [Link] 
  21. Yu J, Lee W, Kim M, Choi S, Lee S, Kim S, et al. Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: a pre-post survey. BMC Med Educ. 2020;20(1):476. [Crossref]  [PubMed]  [PMC] 
  22. Klipfel JM, Gettman MT, Johnson KM, Olson ME, Derscheid DJ, Maxson PM, et al. Using high-fidelity simulation to develop nurse-physician teams. J Contin Educ Nurs. 2011;42(8):347-57; quiz 358-9. [Crossref]  [PubMed] 
  23. Turrentine FE, Rose KM, Hanks JB, Lorntz B, Owen JA, Brashers VL, et al. Interprofessional training enhances collaboration between nursing and medical students: a pilot study. Nurse Educ Today. 2016;40:33-8. [Crossref]  [PubMed] 
  24. Peterson KS, Mishark KJ, Knuttinen G, Hagler D, Speer TM, Stevens CJ. Honors students in the health professions: an academic-practice partnership for developing interprofessional competencies through simulation. J Prof Nurs. 2021;37(5):985-94. [Crossref]  [PubMed] 
  25. Hayes C, Power T, Forrest G, Ferguson C, Kennedy D, Freeman-Sanderson A, et al. Bouncing off each other: experiencing interprofessional collaboration through simulation. Clinical Simulation in Nursing. 2022;65:26-34. [Crossref] 
  26. Karagözoğlu Ş, Türk G, Özden D. Autonomy levels of final year baccalaureate nursing students attending different curricula: cross-sectional survey. Cumhuriyet Medical Journal. 2015;37(2):87-101. [Link] 
  27. Najjar RH, Lyman B, Miehl N. Nursing students' experiences with high-fidelity simulation. Int J Nurs Educ Scholarsh. 2015;12:/j/ijnes.2015.12.issue-1/ijnes-2015-0010/ijnes-2015-0010.xml. [Crossref]  [PubMed] 
  28. Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the effects of simulation-based and traditional teaching methods on the critical thinking abilities and self-confidence of nursing students. J Nurs Res. 2018;26(3):152-7. [Crossref]  [PubMed] 
  29. Park SN, Chu MS, Hwang YY, Kim SH, Lee SK. Effects of integrated nursing practice simulation- based training on stress, interest in learning and problem-solving ability of nursing students. Journal Korean Fundamentals Nursing. 2015;22(4):424-32. [Crossref] 
  30. Lee J, Lee Y, Lee S, Bae J. Effects of high-fidelity patient simulation led clinical reasoning course: Focused on nursing core competencies, problem solving, and academic self-efficacy. Jpn J Nurs Sci. 2016;13(1):20-8. [Crossref]  [PubMed] 
  31. Mete M, Gümüş F, Zengin L, Erkan M, Arda Sürücü H, Yiğitalp G. Investigation of the effect of simulation method applied in vocational skills laboratory on students' problem-solving skills. GOP Taksim E.A.H. JAREN. 2017;3(2):92-6. [Crossref] 
  32. Jeffries R, Dreifuerst TK, Aschenbrenner S, Adamson AK, Schram PA. Oermann MH, ed. Kurban N, translation ed. Clinical Simulations in Nursing Education: Overview, Basics and Evidence, Role of Teaching and Trainer in Nursing. 1st ed. Chapter 5. Ankara: Anı Publishing; 2015. p.107-08.

.: 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