Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Nurses' Experiences in Using Personal Protective Equipment: A Qualitative Study
Hemşirelerin Kişisel Koruyucu Ekipman Kullanma Deneyimleri: Nitel Bir Çalışma
Yadigar ORDUa, Sakine YILMAZb
aDepartment of Health Care Services, Çankırı Karatekin University Eldivan Vocational School of Health Services, Çankırı, Türkiye
bDepartment of Midwifery, Çankırı Karatekin University Faculty of Health Sciences, Çankırı, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):779-87
doi: 10.5336/nurses.2021-87657
Article Language: EN
Full Text
ABSTRACT
Objective: Our study was conducted with the purpose of determining the usage experiences of nurses differing in terms of protective equipment within the context of the coronavirus disease-2019 epidemic. Material and Methods: Twenty nurses who were working in pandemic units participated in our study which used the methods of the phenomenological pattern of Collazzi and purposeful sampling; and conducted between June-July 2020. 'Semi-Structured Interview Forms' were used with regards to data collection. The collected data were analyzed through the method of content analysis. Results: Depending on the use of protective equipment; it was ascertained that physiological and psychological experiences, dehydration, dermatological problems, changes in the patterns of nursing care, concerns within the processes of group communication, difficulties when communicating with patients arise and that patients had an approach towards nurses which was characterized by the fear of infection. It was found that while the men frequently went through processes of psychological experiences, dermatological problems, dehydration and changes in the patterns of nursing care, the women have gone through processes of physiological experiences, dehydration, dermatological problems, changes in nursing care and time management. Conclusion: Nurses should receive training and education with regards to the correct usage of equipment and they should also receive psychological and dermatological support; a safe working environment, a complete set of required equipment and solutions should be developed towards the experienced problems. Furthermore, patients should be provided with training in terms of methods for coping with stress originating from the pandemic.

Keywords: COVID-19; nurse; personal protective equipment
ÖZET
Amaç: Çalışmamız, koronavirüs hastalığı-2019 salgınında hemşirelerin koruyucu ekipman açısından farklılık gösteren deneyimlerinin belirlenmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Collazzi'nin fenomenolojik deseni ve amaçlı örnekleme yöntemiyle Haziran-Temmuz 2020 tarihinde gerçekleştirilen araştırmamıza pandemi birimlerinde çalışan 20 hemşire katılmıştır. Verilerin toplanmasında, 'Yarı Yapılandırılmış Görüşme Formu' kullanılmıştır. Veriler içerik analizi yöntemiyle analiz edilmiştir. Bulgular: Koruyucu ekipman kullanımına bağlı; fizyolojik ve psikolojik deneyimler, sıvı kaybı, dermatolojik sorunlar, hemşirelik bakım modellerinde değişimler, ekip iletişimde endişeler, hastayla iletişimde engeller yaşandığı ve hastaların hemşirelere bulaş endişesiyle yaklaştığı saptanmıştır. Erkekler sıklıkla psikolojik deneyimler, dermatolojik sorunlar, sıvı kaybı ve hemşirelik bakım modelinde değişimler, kadınlar ise fizyolojik deneyimler, sıvı kaybı, dermatolojik sorunlar, zaman yönetiminde ve hemşirelik bakımında farklılıklar yaşamıştır. Sonuç: Hemşirelere ekipmanların doğru kullanımıyla ilgili eğitimler düzenlenmeli, psikolojik ve dermatolojik destek verilmeli, güvenli çalışma ortamı sağlanmalı, eksik ekipmanlar temin edilmeli, yaşanan sorunlara yönelik çözümler geliştirilmelidir. Hastalara da salgın stresiyle başa çıkma yöntemleri konusunda eğitim verilmelidir.

Anahtar Kelimeler: COVID-19; hemşire; kişisel koruyucu ekipman
REFERENCES:
  1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al; China Novel Coronavirus Investigating and Research Team. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. [Crossref]  [PubMed]  [PMC] 
  2. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. Erratum in: Lancet. 2020. [Crossref]  [PubMed]  [PMC] 
  3. Dogu O, Tiryaki O. Yoğun bakım hemşirelerinin izolasyon uyumu ve eldiven kullanma tutumlarının iş doyumuyla ilişkisi [Job satisfaction relationship between use of gloves attitude and compliance with isolation precautions of nurses intensive care]. Journal of Intensive Care Nursing. 2017;21(1):16-21. [Link] 
  4. Huang L, Xu F, Liu H. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. MedRxiv. 2020. [Crossref] 
  5. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic-a narrative review. Anaesthesia. 2020;75(7):920-7. [Crossref]  [PubMed] 
  6. Guo ZD, Wang ZY, Zhang SF, Li X, Li L, Li C, et al. Aerosol and surface distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards, Wuhan, China, 2020. Emerg Infect Dis. 2020;26(7):1583-91. [Crossref]  [PubMed]  [PMC] 
  7. Maben J, Bridges J. Covid-19: supporting nurses' psychological and mental health. J Clin Nurs. 2020;29(15-16):2742-50. [Crossref]  [PubMed]  [PMC] 
  8. Asan A. Personal protective equipment used in coronavirus pandemic. Turk J Int Med. 2020;2(2):33-4. [Crossref] 
  9. Bayır O, Toptas G, Oner MC, Cadallı Tatar E, Saylam G, Korkmaz MH. COVID-19 tanısı için örnek alma alanları ve orofaringeal-nazofaringeal sürüntü örneği alma işlemi [Sample collection areas and oraofharyngeal-nasopharyngeal swab procedure for COVID-19 diagnosis]. Journal of Ear Nose Throat and Head Neck Surgery. 2020. [Crossref] 
  10. Beser A, Topcu S. Sağlık alanında kişisel koruyucu ekipman kullanımı [Use of personal protective equipment in healthcare]. Dokuz Eylul University School of Nursing Electronic Journal. 2013;6(1):241-7. [Link] 
  11. Calıskan H. Factors affecting the behavior of using personal protective equipment in health services. Hacettepe Journal of Health Administration. 2017;20(3):313-28. [Link] 
  12. Craven R, Hirnle C, Jensen S, eds. Uysal N, Cakırcalı E, çeviri editörleri. Hemşirelik Esasları: İnsan Sağlığı ve Fonksiyonları. 7. Baskı. Ankara: Palme Yayıncılık; 2015. p.372-5.
  13. Fischer WA 2nd, Hynes NA, Perl TM. Protecting health care workers from Ebola: personal protective equipment is critical but is not enough. Ann Intern Med. 2014;161(10):753-4. [Crossref]  [PubMed] 
  14. Çelebi C. Covid-19 tanılı hastalarda hemşirelik bakımı [Nursing care in patients with Covid-19]. Ege Klin Medical Journal. 2020;58(1):35-40. [Link] 
  15. Kackin O, Ciydem E, Aci OS, Kutlu FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: a qualitative study. Int J Soc Psychiatry. 2021;67(2):158-67. [Crossref]  [PubMed] 
  16. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020;8(6):e790-e8. [Crossref]  [PubMed]  [PMC] 
  17. Aydın M, Ozen Bekar E, Yılmaz Goren S, Sungur M. Hemşirelik öğrencilerinin toplumsal cinsiyet rollerine ilişkin tutumları [Attitudes of nursing students regarding to gender roles]. AİBÜ Journal of the Institute of Social Sciences. 2016;16:223-42. [Crossref] 
  18. Swift A, Banks L, Baleswaran A, Cooke N, Little C, McGrath L, et al. COVID-19 and student nurses: a view from England. J Clin Nurs. 2020;29(17-18):3111-4. [Crossref]  [PubMed]  [PMC] 
  19. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, eds. Existential-Phenomenological Alternatives for Psychology. 1st ed. New York, NY: Oxford University Press; 1978. p.48-71.
  20. Hignett S, Welsh R, Banerjee J. Human factors issues of working in personal protective equipment during the COVID-19 pandemic. Anaesthesia. 2021;76(1):134-5. [Crossref]  [PubMed]  [PMC] 
  21. Ong JJY, Bharatendu C, Goh Y, Tang JZY, Sooi KWX, Tan YL, et al. Headaches associated with personal protective equipment-a cross-sectional study among frontline healthcare workers during COVID-19. Headache. 2020;60(5):864-77. [Crossref]  [PubMed] 
  22. Phan LT, Maita D, Mortiz DC, Weber R, Fritzen-Pedicini C, Bleasdale SC, et al; CDC Prevention Epicenters Program. Personal protective equipment doffing practices of healthcare workers. J Occup Environ Hyg. 2019;16(8):575-81. [Crossref]  [PubMed]  [PMC] 
  23. Zellmer C, Van Hoof S, Safdar N. Variation in health care worker removal of personal protective equipment. Am J Infect Control. 2015;43(7):750-1. [Crossref]  [PubMed]  [PMC] 
  24. Kızıltepe Z. İçerik analizi. Seggie F, Bayyurt Y, editörler. Nitel Araştırma Yöntem, Teknik, Analiz ve Yaklaşımları. 2. Baskı. Ankara: Anı Yayıncılık; 2017. p.253-63.
  25. Kahraman AB, Ozansoy Tunçdemir N, Özcan A. Toplumsal cinsiyet bağlamında hemşirelik bölümünde öğrenim gören erkek öğrencilerin mesleğe yönelik algıları [Profession perseption of male students who study nursery in context of social gender]. JSR. 2015;18(2):108-44. [Link] 
  26. Dursun R, Temiz SA. COVID-19 ve dermatoloji poliklinikleri. Dursun R, editör. Dermatoloji ve COVID-19. 1. Baskı. Ankara: Türkiye Klinikleri; 2020. p.1-8. [Link] 
  27. Foo CC, Goon AT, Leow YH, Goh CL. Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome--a descriptive study in Singapore. Contact Dermatitis. 2006;55(5):291-4. [Crossref]  [PubMed]  [PMC] 
  28. Arslan C, Ceviz D. Evaluation of obesity prevalence and healthy lifestyle behaviors of housewives and working women. F. Ü. Journal of Health Sciences 2007;21(5):211-20. [Link] 
  29. Polat O, Coskun F. COVID-19 salgınında sağlık çalışanlarının kişisel koruyucu ekipman kullanımları ile depresyon, anksiyete, stres düzeyleri arasındaki ilişkinin belirlenmesi [Determining the relationship between personal protective equipment uses of medical healthcare workers and depresion, anxiety and stress levels in the COVID-19 pandemic]. Med J West Black Sea. 2020;4(2):51-8. [Link] 
  30. Leung GM, Lam TH, Ho LM, Ho SY, Chan BH, Wong IO, et al. The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health. 2003;57(11):857-63. Erratum in: J Epidemiol Community Health. 2003;57(12):995. [Crossref]  [PubMed]  [PMC] 
  31. Ayakdas Daglı D, Buyukbayram A, Baysan Arabacı LA. COVID-19 tanısı alan hasta ve ailesine psikososyal yaklaşım [Psychosocial approach on patients diagnosed with COVID-19 and their families]. Izmir Kâtip Celebi University Journal of Health Sciences Faculty. 2020;5(2):191-5. [Link] 
  32. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37-e8. [Crossref]  [PubMed]  [PMC] 

.: Up To Date

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