Yoğun bakımdaki başarının sırrı: Fedakârlık

Hastanelerde yoğun bakım ünitesi sayısı arttı. Diğer servislerden hemşireler yoğun bakımda hizmet vermeye başladı. Deneyimli hemşire oranı yüzde 25’e düştü. Deneyimli hemşireler, zamanı unuttu. Yoğun bakım hemşireleri meslektaşlarına rehberlik için çalışma saatlerinin ötesine geçti.

Covid-19 salgınında pandemi hastaneleri, mevcut yoğun bakım ünitelerine yenilerini ekledi. Mevcut sağlık personeli yetersiz kalınca diğer servislerden yoğun bakım ünitelerine takviye yapıldı. Türk Yoğun Bakım Hemşireleri Derneği’nin raporuna göre, yoğun bakımlardaki deneyimli yoğun bakım hemşiresi oranı yüzde 25’e düştü. Derneğin başkanı Ebru Kıraner, deneyimli hemşirelerin rehberlik etmek için mesai saatlerini uzattıklarını belirterek, "Türkiye'nin yoğun bakımdaki başarısında sağlık personelinin üstün gayretinin payı var. Deneyimli hemşireler, hastalarını yalnız bırakmamak için mesai saatinin dışında da saatlerce çalışıyor" dedi. 

HEMŞİRELERİN YARISININ YOĞUN BAKIM EĞİTİMİ YOK

Yoğun bakım, hastanelerin en hassas alanı. Yoğun bakım hemşireleri, temel hemşirelik eğitiminin yanı sıra bir de yoğun bakım hemşireliği için eğitim alıyorlar. Bu eğitimi almak da yetmiyor. Yoğun bakım hemşireliği deneyim gerektiriyor. Pek çok ülke yoğun bakım hemşiresi sıfatını beş yıllık deneyimin ardından veriyor. Yoğun Bakım Hemşireleri Derneği’nin raporunda salgın döneminde deneyimli yoğun bakım hemşirelerinin ünitedeki oranının yüzde 25’e düştüğü belirtildi. Dernek Başkanı Ebru Kıraner, yoğun bakım hemşirelerinin çok özel bir eğitimden geçtiğini anlattı: “Lisans mezunları yoğun bakımlarda çalışmak için Sağlık Bakanlığı’nın sertifika programına katılıyor. Yoğun bakımlarda çalışan hemşirelerin yaklaşık yarısının sertifikası yok. Dünyada bu eğitimle ilgili öneri bin 200 saatin altına düşmemesi. Türkiye’deki koşullarda bu eğitim 240 saat. Eğitime katılanlar bir sınava giriyorlar ve kazanmaları halinde sertifika hakkı elde ediyorlar. Sağlık Bakanlığı 2019 bitmeden bütün hemşirelerin bu sertifikaya sahip olmasını hedefledi ancak bu hedef gerçekleşmedi. Hemşireler bu programda, yoğun bakımda kullanılan solunum cihazı, karaciğer destek, böbrek destek cihazlarıyla ilgili ve normal hastane servislerinde olmayan yüksek riskli ilaçların kullanımıyla ilgili eğitim alırlar. Kendini hiç ifade edemeyen, bütün ihtiyaçlarının hemşireler tarafından karşılandığı hastalardan söz ediyoruz. Sonuç olarak temel hemşirelik eğitiminin üstüne kritik hastaya nasıl bakılır eğitimi de yoğun bakım için gerekiyor.”

TEMEL İHTİYAÇLAR İÇİN BİLE ZAMAN YOK

Salgın döneminde hemşireler, eğitim almaksızın yoğun bakım ünitelerinde görevlendirildi. Ebru Kıraner, bu hemşirelerin desteğe ihtiyacı olduğunu söyledi. “Yetkin hemşireler, diğer servislerden yoğun bakıma gelen meslektaşları için de çaba harcamak zorunda. 8 hastalı bir ünitede bir tek deneyimli hemşire var. Bu hemşire, yemek, tuvalet gibi insani ihtiyaçlarını karşılayamayacak durumda. Çünkü, yoğun bakım şartlarında her an ani ve acil bir durum gelişebilir. Deneyimsiz hemşire, cihazdan alarm sesi geldiğinde doğru olanı yaptığını sanarak aslında hata yapabilir.”

'TEMELİMİZ SAĞLAM'

Deneyimli yoğun bakım hemşireleri çözüm için fedakarlığa hazır. Derneğin raporunda “Başka kliniklerden görevlendirilen hemşirelerin en az 40 saatlik süre ile yoğun bakım ünitelerine oryantasyonları sağlandıktan sonra, ‘ünitede yeterli sayıda deneyimli/rehber hemşire varsa’ deneyimli/rehber yoğun bakım hemşirelerine esnek mesai uygulamasının yapılmasını öneriyoruz” ifadesi yer aldı. Ebru Kıraner, yoğun bakım hemşireliğinin temelinde fedakarlık kültürünün olduğuna dikkat çekti. “Yıllardır böyle ciddi sorunlarla bu mesleği sürdürüyoruz. İhtiyacı olan insanların iyileştiğini görmekten başka maddi ve manevi hiçbir getirisi yok. 15-20 yıldır bu yalnızca bu motivasyonla çalışan hemşireler var. O temel çok sağlam. Esnek çalışma sadece hemşireler için değil hasta güvenliği açısından da riskleri daha aza indirebilir. Ama bu kadar sınırlı sayıda deneyimli hemşire ile bunun çok da mümkün olamayacağını biliyoruz. Dünya Yoğun Bakım Hemşireleri Federasyonu’nun hazırladığı rehberde onların da aynı sorumları yaşadığını gördük.”

'SAAT KAVRAMI YOK'

Kıraner’e “Yoğun bakımlarda bunca sorun Türkiye’nin başarısının nereden kaynaklanıyor?” diye sorduk. “Bu sonuç deneyimli yoğun bakım hemşirelerinin üstün gayretiyle alınıyor. Haftada 40 saat çalışması gereken deneyimli hemşireler 48 saat, 56 saat çalıştılar. Yoğun bakım bir ekip işi. Bugüne kadar da bütün yokluklara, sıkıntılara rağmen dünyadaki pek çok ülkeden iyi iş çıkarıyorduk. İnsanlar aynı kültüre sahip çıktılar. Başka kliniklerden gelen hemşirelere de rehberlik için büyük gayret gösterdiler. Saat kavramı yok oldu.”

ÖZLEM KONUR USTA/ AYDINLIK

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WilliamBob (doğrulanmamış) Cu, 26/09/2025 - 03:03

The Justice Department on Friday released the long-awaited transcripts of a weeks-old interview it conducted with convicted Jeffrey Epstein associate Ghislaine Maxwell.

The Maxwell interview was one of two steps the White House took to try and quell outrage over its handling of the Epstein files, which has rocked the administration for weeks and caused even many supporters of President Donald Trump to balk.
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Attorney General Pam Bondi and other officials had built up anticipation for the Epstein documents before pulling back on promises to release them. Trump has also made a series of false and misleading claims that have caused Epstein’s victims to suggest a cover-up.

The administration’s other big move – asking to unseal grand jury testimony – hasn’t amounted to much. In fact, two judges have suggested it was a “diversion” intended to look transparent without actually being so.
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The Maxwell interview conducted by Deputy Attorney General Todd Blanche, likewise, doesn’t add much to the public knowledge of Epstein. But there are some key points worth running through – particularly in the broader context of the administration’s botched handling of the matter.

Here’s what to know from the transcript:

Maxwell isn’t coming clean, which undercut the exercise
The Maxwell interview is the administration’s first significant release of information since its effort to close the matter blew up in its face last month.

(Also on Friday, it sent Epstein documents to a House committee that had demanded them, but those aren’t public yet.)

But it was always a weird choice, given Maxwell is a convicted sex offender and her appeals are ongoing. The Justice Department in Trump’s first term also labeled her a brazen liar. What could she possibly add of value?

Not a whole lot, it seems.

Related article
This undated trial evidence image obtained December 8, 2021, from the US District Court for the Southern District of New York shows British socialite Ghislaine Maxwell, right, and US financier Jeffrey Epstein, left.
READ: Transcript of the Justice Department’s interview with Ghislaine Maxwell

The big headlines are that Maxwell doesn’t implicate anybody – including Trump – in any wrongdoing and says Epstein didn’t have a client list. But those statements might carry more weight if Maxwell came clean about her and Epstein’s own misdeeds.

She clearly didn’t do that. In fact, she repeatedly cast doubt on them, too.

She denied that Epstein paid her millions of dollars to recruit young women for him. She denied witnessing any nonconsensual sex acts. And she denied seeing anything “inappropriate” from “any man” – seemingly including Epstein.

“I never, ever saw any man doing something inappropriate with a woman of any age,” Maxwell said. “I never saw inappropriate habits.”

Some other Maxwell responses also call her credibility into question.

In another instance, Maxwell claimed Epstein didn’t have “inappropriate” cameras inside his New York, Caribbean, New Mexico and Paris residences. Cameras in his Palm Beach, Florida, house were used because money was being stolen. But Epstein’s seven-story townhouse in Manhattan was outfitted with cameras, the New York Times reported earlier this month. Several of Epstein’s victims have cited a network of hidden cameras.

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• The attack is the first publicly acknowledged strike on a Gulf state by Israel. Qatar’s prime minister was visibly angry and said his country’s tradition of diplomacy “won’t be deterred.”
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• The attack is the first publicly acknowledged strike on a Gulf state by Israel. Qatar’s prime minister was visibly angry and said his country’s tradition of diplomacy “won’t be deterred.”
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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.

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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>
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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’

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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.

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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.

Related video
<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
7:02
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.”

Brandonapani (doğrulanmamış) Cu, 26/09/2025 - 11:26

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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• The attack is the first publicly acknowledged strike on a Gulf state by Israel. Qatar’s prime minister was visibly angry and said his country’s tradition of diplomacy “won’t be deterred.”
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Israel’s attack in Doha was not entirely surprising, given Israel’s vow to eliminate Hamas — but some aspects of it are still shocking.
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Israel claimed credit immediately – in contrast to the last time the Israelis targeted a Hamas leader outside Gaza.
The US and Israel had asked Qatar to host Hamas leaders. Hamas’ location was not a secret. There was an unstated understanding that while Israel could assassinate the leaders, they would not do so, given Qatar’s mediation role.
The strike makes a hostage deal less likely, since any agreement requires negotiating with Hamas leadership in Doha.
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