Salgında yönetici hemşirelerin rolü ne olmalı?

Dünyada ve ülkemizde krize neden olan COVID-19 salgınına karşı yürütülen mücadelede “bilgi gücü” hemşire yöneticiler için de büyük önem taşımaktadır. Ulusal ve uluslararası birçok veri tabanının herkesin erişimine açılması, kurumsal ve bireysel düzeyde yararlı olabilecek her türlü bilgi ve deneyim paylaşımını artırmakla birlikte, bilgi kirliliğinin oluşmasına da yol açmıştır.

Yönetici hemşireler, bu bilgi kirliliği içinde çalışanlarının yararlanabileceği en doğru ve en güncel bilgiyi elde ederek paylaşmalı ve bu bilginin hizmet verdikleri tüm alanlarda süreçlere yansıtıldığından emin olmalıdır.

Salgınla mücadelede en büyük gücü oluşturan sağlık insan gücünden en üst düzeyde yararlanılabilmesi için çalışan odaklı liderlik yaklaşımına gereksinim vardır. 

Yöneticiler, daha akılcı ve çalışan odaklı planlamalar yapmak için öncelikle çalışanların bu süreçten duygusal olarak etkilendiklerini göz önünde tutmalı, onların istek ve gereksinimlerine daha fazla önem vermeli, olabildiğince çalışanların sorunlarına çözüm üretmeye çalışmalıdır.

Ayrıca hemşireleri sosyal açıdan desteklemeli, ailesi ve çocuklarıyla ilgili sorunlarına çözüm üretmeli, kurum içi dinlenme ortamları ve iyi beslenme olanağı sağlamalı, konaklama ve ulaşım gibi gereksinimlerini karşılamaya çaba göstermelidir.

Yönetici hemşireler, çalışanlar için olabildiğince olumlu çalışma ortamı yaratmalıdır.

Salgın sürecinde ön saflarda görev yapan hemşire ve diğer sağlık ekibi üyelerinin istek, cesaret, moral ve motivasyonunu sağlamada ve onlara yön vermede sağduyulu ve güçlü lider/yöneticilere gereksinim duyulmaktadır. Bu kriz ortamında yönetici hemşirelerin doğru ve tutarlı kararlar alabilmeleri ve kendilerine düşen rol, görev ve sorumluluklarını etkili biçimde yerine getirebilmeleri için bireysel ve örgütsel açıdan güçlü olmaları gerekmektedir.

Yönetici hemşireler, bireysel açıdan fiziksel ve ruhsal olarak sağlıklı olmalı, duygularını etkili yönetmeli, sağduyulu, sakin ve sabırlı tutum ve davranışlar sergilemeli ve enerjik olmalıdır.

Örgütsel açıdan “Kriz Yönetim Ekibi” içinde yönetici hemşireler aktif yer almalı, kendi kriz yönetimi ekip üyelerini oluşturmalı ve eylem planını yapmalı, kriz ekibinin görev ve sorumluluklarını belirlemeli, üyeler arasında etkili bir iletişim ağı oluşturmalı, yönetsel ve bakıma ilişkin süreçleri tanımlayarak prosedürleri oluşturmalı, insan gücü ve malzeme-donanım vb. destek kaynakları sağlamalı ve kriz durumundaki olası değişimlere uyum sağlayacak hazırlıkları yapmalıdır.

Yönetici hemşireler, sağlığına dikkat etmeli, duygularını etkili yönetmeli ve kriz yönetim süreçlerinde proaktif yaklaşımları kullanmalıdır.

Kriz sürecinde özellikle doğrudan COVID 19 hastalarının bakımında görev alan tüm hemşirelerin ve destek personelin yararlanması amacıyla, araştırma sonuçları, ulusal ve uluslararası rehberlerden yararlanılarak, bu hastaların tedavi ve bakımına ilişkin prosedürler, algoritmalar ve ortak bakım planları oluşturulmalıdır.

Hasta bakımına yönelik alınan tüm kararlar ve bakım süreçleri bu hastaların bakımında görev alan tüm hemşirelere ve diğer yardımcı personele zamanında, açık ve doğru bir şekilde aktarılarak, tam olarak uygulanmasına ortam sağlamalıdır.

COVID - 19 tanısıyla yatan hastalar hastane içinde, yakınları ise hastane dışında büyük bir endişe ve korku yaşamakta olup yönetici hemşireler, hem hastaları hem de dışarıdaki yakınlarını bilgilendirmeye yönelik yöntemler geliştirmeli ve etkin şekilde kullanılmasını sağlamalıdır. Hastalara bakım verilirken sürekli iletişim kurularak, yapılan tüm girişimlerin açık ve onların anlayacağı bir dille anlatılmasına önem verilmeli, hastaların kendilerini yalnız hissetmelerinin önüne geçilmelidir. Ayrıca bu süreçte hastanın yakınlarından alınan bilgilerin hastalarla paylaşılarak, onların endişe ve korkularının azaltılmasına da çalışmalıdır.

Hemşireler, hastanın hastaneye kabulünden eve gönderilmesi aşamasına kadar tüm süreçte hasta gereksinimlerine odaklı ve hasta yakınlarını da destekleyen bir yaklaşım (hastanın fiziksel ve psikolojik gereksinimlerini dikkate alma, hasta yakınlarıyla bilgi akışını sağlama vb.) sergilemelidir.

Yönetici hemşireler, bu kriz sürecinde hasta odaklı bakım sunumunu ve olabildiğince hasta ile yakınlarının etkileşimini sürdürücü önlemler almalıdır.  

Yönetici hemşireler, uzaktan eğitim yöntemi kullanılarak oluşturulan eğitim materyallerini tüm çalışanlarla paylaşmalı ve güncellendiği durumda bu yeni bilgiye de ulaşarak eğitim içeriklerini yenilemeli ve tüm çalışanlara iletmelidir. Bu eğitimlerin etkinliğinin sağlanmasında eğitim hemşirelerinin sorumluluğunda, enfeksiyon kontrol hemşireleri, yoğun bakım hemşireleri, vb. den de yararlanmalıdır.

Yönetici hemşireler, virüsten etkilenmemiş, çalışabilir durumdaki sağlıklı hemşireleri ve diğer çalışanları belirlemeli,  özellikle yetkin oldukları birimlerde görevlendirmeye dikkat etmelidir. Farklı bölümlerde görevlendirilecek hemşirelerin yaşayabileceği olası riskleri öngörerek kısa süreli de olsa bir uyum eğitimi yaparak, onların stresini azaltılmaya ve olası hataları önlenmeye çalışmalıdır.

Yönetici hemşireler, özellikle farklı birimlerde ya da kurumlarda görevlendirilen hemşireler ile işe yeni başlayan hemşirelerin uyum/oryantasyon eğitimi almalarını sağlamalı ve deneyimsiz hemşireleri güçlendirmelidir.

Kısaca COVID 19 salgınının yarattığı kriz sürecinin yönetiminde; yönetici hemşirelerin bilgi kirliliğini önleyecek şekilde doğru ve güncel bilgiyi çalışanlarına ileterek bilgi gücünü kullanmaları, çalışanların iş ve sosyal yaşamlarına ilişkin istek, beklenti ve sorunlarını dikkate alan çalışan odaklı liderlik yaklaşımı sergileyerek, olumlu çalışma ortamı yaratmaları, deneyimsiz veya yeni mezun hemşirelerin uyumunu sağlayarak güçlendirmeleri bu hastaların bakımının yönetimine ve yakınlarının desteklenmesine ayrı bir önem vermeleri gerekmektedir. Bu kriz sürecinin aşılmasında yöneticilerin öncelikle kendi duygularını yöneten, güçlü, sağduyulu, güven veren, proaktif ve sorun çözücü yaklaşım sergilemelerinin çalışanlarının direncini, gayretini ve performansını doğrudan etkileyeceği unutulmamalıdır.

Yönetici Hemşireler Derneği (YÖHED)

Yönetim Kurulu Başkanı

Prof. Dr. Ülkü Baykal

*Bu metin Yönetici Hemşireler Derneğinin ‘COVİD  19 SALGINI YÖNETİCİ HEMŞİRELER İÇİN REHBER’ çalışmasından yararlanılarak hazırlanmıştır.

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RichardEnlag (doğrulanmamış) Ct, 27/09/2025 - 02:12

Watch out, Orlando, a new world theme park capital is rising in the Arabian desert
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For decades, Orlando has reigned as the global capital of theme parks — a place where Disney, Universal, SeaWorld and countless other attractions have drawn millions of visitors.

But a challenger for the crown has emerged from an unlikely place: the deserts of the Arabian Gulf. In a destination once known more for oil wealth and camel racing than roller coasters, Abu Dhabi is building an adrenaline-charged playground that could give Orlando a run for its money.

And it just landed the ultimate weapon: Disney.
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In May 2025, when Disney announced its first new theme park in 15 years, it chose Abu Dhabi over other key theme park destinations in California, Japan and even Orlando.

There was “no question,” says Josh D’Amaro, chairman of Disney Experiences. The UAE capital, already home to Ferrari World, with the world’s fastest roller coaster; Warner Bros. World (built under license by CNN’s parent company, Warner Brothers Discovery); Yas Waterworld, an epic network of slides and pools; and more recently, SeaWorld Yas Island Abu Dhabi. It’s clear the emirate is emerging as the most serious challenger Orlando has ever faced.

Ferrari World Abu Dhabi is home to the world's fastest rollercoaster and the highest loop ride.
Ferrari World Abu Dhabi is home to the world's fastest rollercoaster and the highest loop ride. Leisa Tyler/LightRocket/Getty Images
Disneyland Abu Dhabi, expected to open on Yas Island in the early 2030s, will be the company’s most technologically advanced park ever. Renderings show a shimmering, futuristic tower at its center — more closely resembling Abu Dhabi’s gleaming skyline than a traditional European castle. It will be the first Disney resort set on an accessible shoreline, located just 20 minutes from downtown Abu Dhabi.

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<p>What began as a shared passion between two friends has grown into the "Abu Dhabi House Movement" — a fast-growing community redefining the city’s music scene. Co-founder Tom Worton takes us inside this grassroots world, where music lovers, DJs, and cultural spaces collide. </p>
video
House beats and hidden venues: A new sound is emerging in Abu Dhabi

The theme park will be developed, built and operated by Miral, the Abu Dhabi company behind Yas Island’s roster of other attractions. Disney Imagineers will handle creative design and operational oversight, making sure the new park is in keeping with Disney’s brand.

Miral’s CEO, Mohamed Abdalla Al Zaabi, says demand already exists: 2024 saw a 20% rise in theme park attendance on Yas Island. And expansion is already in the works — a Harry Potter–themed land at Warner Bros. World, more record-breaking rides at Ferrari World, new themed hotels, and even two beaches along Yas Bay Waterfront.

‘This isn’t about building another theme park’

disney 3.jpg
Why Disney chose Abu Dhabi for their next theme park location
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Abu Dhabi’s location, a medium-haul flight away from both Europe and Asia, and relatively short hop away from India, means millions of potential visitors are within relatively easy reach.

“This isn’t about building another theme park,” Saleh Mohamed Al Geziry, Abu Dhabi’s director general of tourism, told CNN. “It’s about defining Abu Dhabi as a global destination where culture, entertainment and luxury intersect.”

WalterWoona (doğrulanmamış) Ct, 27/09/2025 - 03:38

Don Mueang International Airport, Thailand (DMK)
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Are you an avgeek with a mean handicap? Then it’s time to tee off in Bangkok, where Don Mueang International Airport has an 18-hole golf course between its two runways. If you’re nervous from a safety point of view, don’t be — players at the Kantarat course must go through airport-style security before they hit the grass. Oh, you meant safety on the course? Just beware of those flying balls, because there are no barriers between the course and the runways. Players are, at least, shown a red light when a plane is coming in to land so don’t get too distracted by the game.
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Although Suvarnabhumi (BKK) is Bangkok’s main airport these days — it opened in 2006 —Don Mueang, which started out as a Royal Thai Air Force base in 1914, remains Bangkok’s budget airline hub, with brands including Thai Air Asia and Thai Lion Air using it as their base. Although you’re more likely to see narrowbodies these days, you may just get lucky — in 2022, an Emirates A380 made an emergency landing here. Imagine the views from the course that day.

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Sumburgh Airport, Scotland (LSI)
The road south from Lerwick cuts across the runway of Sumburgh Airport on Shetland.
The road south from Lerwick cuts across the runway of Sumburgh Airport on Shetland. Alan Morris/iStock Editorial/Getty Images
Planning a trip to Jarlshof, the extraordinarily well-preserved Bronze Age settlement towards the southern tip of Shetland? You may need to build in some extra time. The ancient and Viking-era ruins, called one of the UK’s greatest archaeological sites, sit just beyond one of the runways of Sumburgh, Shetland’s main airport — and reaching them means driving, cycling or walking across the runway itself.

There’s only one road heading due south from the capital, Lerwick; and while it ducks around most of the airport’s perimeter, skirting the two runways, the road cuts directly across the western end of one of them. A staff member occupies a roadside hut, and before take-offs and landings, comes out to lower a barrier across the road. Once the plane is where it needs to be, up come the barriers and waiting drivers get a friendly thumbs up.

Amata Kabua International Airport, Marshall Islands (MAJ)
Fly into Majuro and you'll skim across the Pacific and land on the runway that's just about as wide as the sandbar-like island itself.
Fly into Majuro and you'll skim across the Pacific and land on the runway that's just about as wide as the sandbar-like island itself. mtcurado/iStockphoto/Getty Images
Imagine flying into Majuro, the capital of the Marshall Islands in Micronesia. You’re descending down, down, and further down towards the Pacific, no land in sight. Then you’re suddenly above a pencil-thin atoll — can you really be about to land here? Yes you are, with cars racing past the runway no less, matching you for speed.

Majuro’s Amata Kabua International Airport gives a whole new meaning to the phrase “water landing”. Its single runway, just shy of 8,000ft, is a slim strip of asphalt over the sandbar that’s barely any wider than the atoll itself — and the island is so remote that when the runway was resurfaced, materials had to be transported from the Philippines, Hong Kong and Korea, according to the constructors. “Lagoon Road” — the 30-mile road that runs from top to toe on Majuro — skims alongside the runway.
Don’t think about pulling over, though — there’s only sand and sea on one side, and that runway the other.

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Barra Airport, Scotland
At Scotland’s beach airport, the runway disappears at high tide

JamesFew (doğrulanmamış) Ct, 27/09/2025 - 04:40

From beaches to golf courses: The world’s most unusual airport runways
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When it comes to travel, wherever you are in the world, some things never change. McDonald’s is always McDonald’s. A hotel lobby is always a hotel lobby. An inflight safety demonstration is always a safety demonstration, and an airport runway is an airport runway: a long, clean-lined strip of asphalt free of all external interference; a sterile environment that could be anywhere on the planet.

Or maybe not. Because when it comes to airport runways, once the safety side is taken care of, in a few parts of the world, things get a little inventive. Maybe you’ll land on a manmade island in the middle of the sea. Maybe you’ll wave at golfers on the 18-hole course between the two runways. Or maybe you’ll hit the beach faster than expected — by stepping off the airplane onto the sand.
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From runways you can drive across to weird and wonderful airport locations, here are 12 of our favorite out-there runways.

Barra Airport, Scotland (BRR)
If nothing comes between you and your beach break, then Barra, in Scotland’s Outer Hebrides, is your kind of airport. This is the only place in the world where the runway is on the beach itself.

Just one flight route operates here: Loganair’s 140-mile connection with Glasgow, using 19-seater de Havilland Canada DHC-6 Twin Otter aircraft. Pilots heading to Barra — an island just eight miles long — must line up and touch down on Traigh Mhor, a wide bay in the north of the island (if Barra is shaped like a turtle, Traigh Mhor is its neck), landing straight onto the sand. Flights must be timed with the tides to allow as much space to land and take off as possible.

Passengers walk across the beach to the terminal on the other side of the dunes, then get a last bit of sand underfoot as they board the aircraft for the flight back to the mainland. With these conditions, it’s little wonder that flights are canceled with a fair amount of regularity — so you may want to build in extra time before planning onward connections.

But even a delayed return is worth it for avgeeks. On this tiny plane, passengers experience the flight in close proximity to the pilots — when CNN took a spin on the flight in 2019, they could even see the pilot’s GPS instruments from their seat.

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Hong Kong International Airport (HKG)
In Hong Kong, the islet of Chek Lap Kok was massively extended to create an island big enough to house a major international airport.
In Hong Kong, the islet of Chek Lap Kok was massively extended to create an island big enough to house a major international airport. d3sign/Moment RF/Getty Images
For the busiest cargo airport in the world, you need space. Luckily, Hong Kong created an entire island for its airport which, when it opened, had the world’s largest passenger terminal, too. Built to replace its predecessor (a single runway in crowded Kowloon, which was notorious for its violent turns on take-off and landing), HKG sits over the original islet of Chek Lap Kok, which was quadrupled in size with reclaimed land to house the two-runway airport. President Bill Clinton was among the first foreigners to touch down after the airport opened in 1998.

Located next to Lantau Island, the airport has views for days — the sides of the terminals are largely glass, built to shatter (and therefore preserve the building) during potential typhoons. Even getting there is a treat — the 1.4-mile Tsing Ma bridge, which connects HKG to Ma Wan island, heading towards the city, debuted as the longest road-and-rail suspension bridge in the world.

Arturosoink (doğrulanmamış) Ct, 27/09/2025 - 04:51

From beaches to golf courses: The world’s most unusual airport runways
<a href=https://trip-scan44.co>tripskan</a&gt;
When it comes to travel, wherever you are in the world, some things never change. McDonald’s is always McDonald’s. A hotel lobby is always a hotel lobby. An inflight safety demonstration is always a safety demonstration, and an airport runway is an airport runway: a long, clean-lined strip of asphalt free of all external interference; a sterile environment that could be anywhere on the planet.

Or maybe not. Because when it comes to airport runways, once the safety side is taken care of, in a few parts of the world, things get a little inventive. Maybe you’ll land on a manmade island in the middle of the sea. Maybe you’ll wave at golfers on the 18-hole course between the two runways. Or maybe you’ll hit the beach faster than expected — by stepping off the airplane onto the sand.
https://trip-scan44.co
trip scan
From runways you can drive across to weird and wonderful airport locations, here are 12 of our favorite out-there runways.

Barra Airport, Scotland (BRR)
If nothing comes between you and your beach break, then Barra, in Scotland’s Outer Hebrides, is your kind of airport. This is the only place in the world where the runway is on the beach itself.

Just one flight route operates here: Loganair’s 140-mile connection with Glasgow, using 19-seater de Havilland Canada DHC-6 Twin Otter aircraft. Pilots heading to Barra — an island just eight miles long — must line up and touch down on Traigh Mhor, a wide bay in the north of the island (if Barra is shaped like a turtle, Traigh Mhor is its neck), landing straight onto the sand. Flights must be timed with the tides to allow as much space to land and take off as possible.

Passengers walk across the beach to the terminal on the other side of the dunes, then get a last bit of sand underfoot as they board the aircraft for the flight back to the mainland. With these conditions, it’s little wonder that flights are canceled with a fair amount of regularity — so you may want to build in extra time before planning onward connections.

But even a delayed return is worth it for avgeeks. On this tiny plane, passengers experience the flight in close proximity to the pilots — when CNN took a spin on the flight in 2019, they could even see the pilot’s GPS instruments from their seat.

Related article
A lead photo of various travel products that can help pass time in airports
CNN Underscored: Flight delayed? These 14 products will help you pass the time at the airport

Hong Kong International Airport (HKG)
In Hong Kong, the islet of Chek Lap Kok was massively extended to create an island big enough to house a major international airport.
In Hong Kong, the islet of Chek Lap Kok was massively extended to create an island big enough to house a major international airport. d3sign/Moment RF/Getty Images
For the busiest cargo airport in the world, you need space. Luckily, Hong Kong created an entire island for its airport which, when it opened, had the world’s largest passenger terminal, too. Built to replace its predecessor (a single runway in crowded Kowloon, which was notorious for its violent turns on take-off and landing), HKG sits over the original islet of Chek Lap Kok, which was quadrupled in size with reclaimed land to house the two-runway airport. President Bill Clinton was among the first foreigners to touch down after the airport opened in 1998.

Located next to Lantau Island, the airport has views for days — the sides of the terminals are largely glass, built to shatter (and therefore preserve the building) during potential typhoons. Even getting there is a treat — the 1.4-mile Tsing Ma bridge, which connects HKG to Ma Wan island, heading towards the city, debuted as the longest road-and-rail suspension bridge in the world.

Brandonapani (doğrulanmamış) Ct, 27/09/2025 - 07:49

It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.

But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.

The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.

Massapequa’s Chiefs logo — an American Indian wearing a yellow feathered headdress — is expected to still be prominently displayed when the fall sports season kicks off soon, putting the quiet Long Island hamlet at the center of a political firestorm.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.

The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.

The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.

“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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