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    Breast self-examination, mammography and Pap test among Turkish women: Role of healthcare professionals in Sivas
    (European Publishing, 2020) Yurtsal, Z. Burcu; Bekar, Mine; Guler, Handan; Cetin, Perihan; Cesur, Busra
    INTRODUCTION The aim of the present study is to determine how often women perform breast self-examination (BSE) and undergo mammography and Pap test, and how healthcare professionals affect them to do so. METHODS This descriptive study was carried out with 1025 women, aged 20-82 years and living in the central district of Sivas, who presented to the Gynecology and Obstetrics Outpatient Clinics of Hospitals between January and December 2010, and who volunteered to participate in the study and gave their verbal agreement to the researchers. RESULTS Out of the participants, 46.9% lacked mammogram knowledge, 13.2% received advice from healthcare professionals, and 20.1% thought that they were healthy and thus did not need mammography. Out of the participants, 45.9% lacked knowledge about the Pap test, 11.8% received advice from healthcare professionals, and 18.9% thought that they were healthy and thus did not need a 'Pap test'. CONCLUSIONS While one-fourth of the participants stated that they performed BSE and underwent mammography at least once, more than half reported that they did not have a Pap test. In preventive healthcare services, periodic health examinations and screenings for the most common types of women cancers should be increased; midwives should give education and counseling, and the importance of practices aimed at raising social awareness should be emphasized.
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    Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students
    (ELSEVIER SCI LTD, 2018) Guler, Handan; Cetin, Perihan; Yurtsal, Zeliha Burcu; Cesur, Busra; Bekar, Mine; Ucar, Tuba; Evcili, Funda; Cetin, Ali
    This study assesses the efficacy of simulation-based episiotomy training (SBET) with beef tongue and sponge models in terms of the self confidence of midwifery students while performing episiotomy. Third-year midwifery students from Cumhuriyet University in the fall semesters of 2011 and 2012 were enrolled in the sponge and beef tongue model groups (n = 36 and n = 37, respectively). A checklist was prepared on the required skills for performing episiotomy which can be broken into three main parts, namely preparation, cutting and repairing and completion. According to the checklist, a Liken type questionnaire was developed including 5 items for preparation, 11 items for cutting and repairing, and 6 items for completion. After SBET with the sponge and beef tongue models in our laboratories of Midwifery Department, the students performed episiotomy steps in laboring women in Sivas State Hospital and then they filled in the questionnaire to indicate whether they gained self-confidence in performing episiotomy or not. Although, participants of both groups have successfully completed all the steps of episiotomy, overall, beef tongue model was found to be more successful regarding their self-confidence (p < 0.05), including the skills in performing local anesthesia; choosing needle holder, suture material and scissor for cutting; identifying apex, hymen and skin; using needle holder properly while penetrating into the skin, suturing vaginal mucosa until hymen, knotting, and suturing perineal muscles and skin. Our results suggest that while SBET with both models are applicable for episiotomy training of midwifery students in the laboratory setting, SBET with beef tongue model provides an additional increase in their self-confidence in the clinical settings.