International Journal of Health Administration and Education Congress

Transcription

International Journal of Health Administration and Education Congress (Sanitas
Magisterium)
International
Journal
of
Health
Administration
and Education
Congress
28-29 March 2015
(Sanitas
Magisterium)
Istanbul,
Turkey.
1
Green
Park
Hotel
28-29 March 2015, Istanbul, Turkey. Green Park Hotel Bostancı / İstanbul / Türkiye
Magisterium)
I-HEALTH MANAGEMENT
II -HEALTH AND SAFETY
2
III- HEALTH EDUCATION
Magisterium)
SCIENTIFIC ADVISORY BOARD:
(From A to Z according to first name)
Prof. Abdullah Dinçkol, DoğuĢ University, Istanbul / Turkey
Prof. Abdulkadir IĢık, Namık Kemal University, Tekirdağ / Turkey
Prof. Afsun Ezel Esatoglu, Ankara University, Ankara /Turkey
Prof. Amy Parsons, King‟s College, Wilkes-Barre/United States of
America
Prof. AyĢegül Yıldırım Kaptanoğlu, Trakya University, Edirne /
Turkey
Prof. Bihterin Dinçkol, Marmara University, ıstanbul / Turkey
Prof. Chryssoula V. Lemonidou, Athens University, Athens/ Greece
Prof. Cengiz Yakıncı, Ġnönü University, Malatya / Turkey
3
Prof.
Despina
Sapountzi-Krepia,
Frederick
University,
Nicosia,
Cyprus
Prof. Dilaver Tengilimoğlu, Atılım University Ankara/Turkey
Prof. Dimitar Dimitrov, Varna Free University, Varna (Chernorizets
Hrabar) / Bulgaria
Prof. Dr. Dalila Lino, Instituto Politécnico de Lisboa, Portugal
Prof. Elizabeta Popova-Ramova,
University “St. Kliment Ohridski”
Bitola, Republic of Macedonia
Prof. Halil EkĢi, Marmara University, Istanbul / Turkey
Prof. Ed Jacobs. West Virginia University / United States of America
Prof. Fevziye Çetinkaya, Erciyes University, Kayseri / Turkey
Magisterium)
Prof. Fevzi Akıncı,
King‟s College, Wilkes-Barre /United States of
America
Prof. Korkut Ersoy, Baskent University, Ankara / Turkey
Prof. Lambrini Kourkouta, Alexander Technological Educational
Institute, Thessaloniki, Greece
Prof. Metin AteĢ, Marmara University, Istanbul / Turkey
Prof. Mithat Kıyak, Okan University, Istanbul/Turkey
Prof. Nermin Ozgulbas, Baskent University, Ankara / Turkey
Prof. Stefan Terziev, Varna Free University, Varna (Chernorizets
Hrabar) / Bulgaria
Prof. Stela Georgieva, Medical University – Pleven
Prof. Sıdıka Kaya, Hacettepe University, Ankara / Turkey
Prof. Pervin Somer, Okan University, Istanbul / Turkey
4
Prof. Pavel Pavlov, Varna Free University, ( Chernorizets Hrabar)
Varna / Bulgaria
Prof. Ramazan Erdem, Suleyman Demirel University, Isparta /
Turkey
Prof. Rehat Faikoğlu, NiĢantaĢı University, Ġstanbul / Turkey
Prof. Veselin Peychev, Varna Free University, ( Chernorizets Hrabar)
Varna / Bulgaria
Prof.
Yasar
Oz,
Virginia
Commonwealth
University,Richmond/
United States of America
Assoc. Prof. Aleksndar Kirov, Varna Free University, ( Chernorizets
Hrabar) Varna / Bulgaria
Assoc. Prof. Aneta Georgieva, Varna Free University, ( Chernorizets
Magisterium)
Assoc. Prof. Esra Ġsmen Gazioğlu, Istanbul University, Istanbul /
Turkey
Assoc. Prof. Galya Todorova, Varna Free University, ( Chernorizets
Assoc.
Prof.
Gencho
Penicharov,
Varna
Free
University,
(
Chernorizets Hrabar) Varna / Bulgaria
Assoc. Prof. Isam Denna, Bingazi University, Bingazi/ Libya
Assoc. Prof. Krasimir Todorov, Varna Free University, ( Chernorizets
Assoc.
Prof.
Milena
Tencheva
Kichekova,
Varna
Free
University,(Chernorizets Hrabar )Varna /Bulgaria
Assoc. Prof. Maria Tsiligiri, Higher TechnologicaL Educational
Institute, Thessaloniki / Greece
Assoc. Prof. Müge Yukay Yüksel, Marmara University, Istanbul
/
Turkey
5
Assoc. Prof. Musa Özata, Selcuk University, University, Konya
/
Turkey
Assoc. Prof. Nadir Çeliköz, Yıldız Technical University, Istanbul /
Turkey
Assoc. Prof. Neli Trizlova, Varna Free University, ( Chernorizets
Assoc. Prof. Oğuz Özyaral, Yeni Yüzyıl University, Istanbul / Turkey
Assoc. Prof. Isam Denna, Bingazi University, Bingazi/ Libya
Assoc. Prof. Radka Kaneva, Pleven University, Pleven / Bulgaria
Assoc. Prof. Rebecca Sipirito Dalgın, Scranton University, Scranton /
United States of America
Assoc.
Prof.
Tatyana
Stoyanova,
Varna
Free
University,
Chernorizets Hrabar) Varna / Bulgaria
(
Magisterium)
Assoc. Prof. Silviya Aleksandrova-Yankulovska, Pleven University,
Pleven / Bulgaria
Assoc. Prof. Yanko Milev, Varna Free University, ( Chernorizets
Assist. Prof. Azize Nilgün Canel,
Marmara University, Istanbul /
Turkey
Assist. Prof. Ali Yılmaz, Kırıkkale University, Kırıkkale / Turkey
Assist. Prof. Cem Dikmen, Bilim University, Istanbul / Turkey
Assist. Prof. Erkut Altındağ, Beykent University, Istanbul / Turkey
Assist.
Prof.
Hengameh
M.
Hosseini,
Penn
St.
University,
Harrisburg/ United States of America
Assist. Prof. Maria Lavdaniti, Higher TechnologicaL Educational
Institute Greece
Assist. Prof. Gökhan Yılmaz, Karadeniz Technical University, Trabzon
6
/ Turkey
Assist. Prof. Murat ġentürk, Istanbul University, Istanbul / Turkey
Assist. Prof. Mustafa Otrar, Marmara University, Istanbul / Turkey
Assist. Prof. Müge Yukay Yüksel, Marmara University, Istanbul /
Turkey
Assist. Prof. Sabahattin Tekingündüz Mersin University, Mersin /
Turkey
Assist. Prof. Saffet Ocak Mugla University, Mugla / Turkey
Assist. Prof. Sedat Bostan, Gumushane University, Gumushane
/
Turkey
Assist. Prof. TaĢkın Kılıç, Gumushane University, Gumushane
/
Turkey
Assist. Prof. Yunus Emre Öztürk, Selcuk University, Konya / Turkey
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Assist. Prof. Yuksel YeĢilbağ, Istanbul Kultur University, Istanbul /
Turkey
Assist. Prof. Volkan Öngel, Beykent University, Istanbul / Turkey
Dr. Anwar Ali Khan, London School of General Practice London
/United Kingdom
Dr. Bahattin Ġlter, Public Health Director, Edirne / Turkey
Dr. Dan Sava, Former Consultant World Bank Buccharest Office /
Romania
Dr. Ebubekir Ardıç Sivas Provincial Health Deputy Director, Sivas /
Turkey
Dr. Rizvan Hasan Cambridge Judge Business School, United
Kingdom
Dr. John Spicer, London School of General Practice London/United
Kingdom
7
Dr.
Sanjiv
Ahluwalia,
London
School
of
General
Practice
London/United Kingdom
Dr. Dimitris Theofanidis, Educational Institute of Thessalonikii,
Greece.
Mirza Oruç, University of Zenica Bosna and Herzegovina,
Sezin Osman, General Practice Business Manager Chingford Area
London/United Kingdom
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Welcome Address by Congress Chairman
Dear colleagues,
Welcome to International Journal of Health Administration
and Education Congress (Sanitas Magisterium). We are
proud to be hosting this meeting in ISTANBUL.
The Sanitas Magisterium has attracted Health Scientist with
8
an interest in management, safety, education from not only the
BALKAN region but from other parts of the world as well. In
this edition, we strive to continue its dedicated vision of
providing the most conducive and productive learning and
knowledge exchange platform for participants specialising in
the field of health management, education and safety.
Themed
„Better
Management
and
Education,
Better
Outcome and Safety’, Sanitas Magisterium 2015 will enable
participants to equip themselves with updates on the latest
developments
and
practices
through
scientific
sessions,
plenary discussions, oral and poster sharing.
We have an exciting line-up of expert speakers and social
programme to make your attendance a joyful one. We
encourage you to take this excellent opportunity to share your
experiences,
latest
research
findings
and
present
your
Magisterium)
abstracts and papers at the congress. We look forward to
welcoming you and your family to ISTANBUL, a multi-cultural,
historical and cosmopolitan city, for a memorable congress.
Prof. Aysegul Yildirim Kaptanoglu, Trakya University Health
Management
A. Kaptanoglu
I-HEALTH MANAGEMENT
Public Policy Reforms and the National Health Service strategic
development agenda
Managing health change: a framework for the management of
change
9
Care pathways and the all allied health professional, health
law and malpractice issues.
Communication and the health professional
Managing staff and human resources in health care
Getting it right: the quality of health care
User involvement in services for disabled people
Corporate governance and the health professional
Organisational behaviour: understanding people in healthcare
organisations
Managing health and safety in the hospital
Managing work-related stress in health care
Nursing and Health Care Management
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Private healthcare organizations,
Culminating knowledge about differences in health service,
Management, delivery, and efficiency in health care
Self-management
of
health
and
disease
and
patient
empowerment supported by information and communications
technology and education
Use of digital technology in health care management
Diet and Weight Management,
Physiotherapy Management
Health care economics, financing, organization, and delivery
Ethics, private and public financing of health care
Clinical commissioning groups in health services in the world
10
Health equity, social inequalities -the distribution of health
services and disease control within the population.
Magisterium)
Content
COMPARING
THE
WORK
EXPERĠENCE
WITH
THE
ATTENTION DEFICIT HYPERACTIVITY LEVELS OF NURSES
WORKING AT A PRĠVATE HOSPITAL .................................... 15
EFFECTS OF CERTIFICATION TRAINING PROGRAMS IN
HEALTH WORKERS ON ORGANIZATIONIAL COMMITMENT 16
HOME HEALTH CARE SERVICES REVIEW .......................... 17
ASSESMENT OF AĠR POLLUTĠON HEALTH RĠSK FROM REK
“BĠTOLA” .............................................................................. 19
11
LEVEL OF KNOWLEDGE ABOUT THE USE OF HOSPĠTAL
ĠNFORMATĠON SYSTEMS TO HEALTH CARE PERSONNEL ĠN
HOSPĠTAL PRACTĠCE ........................................................... 20
PERCEPTĠONS AND KNOWLEDGE, REGARDĠNG BREAST
SELF-EXAMĠNATĠON OF FEMALE SOCĠAL WORK AND PREPRĠMARY EDUCATĠON STUDENTS
OF A UNĠVERSĠTY OF
CYPRUS ................................................................................ 21
VALĠDĠTY AND RELĠABĠLĠTY OF THE GREEK VERSĠON OF
THE «KUOPĠO UNĠVERSITY HOSPĠTAL TRANSFORMATIONAL
LEADERSHIP SCALE» (KUHTLS) ........................................... 23
CONCLUSIONS: THE QUESTIONNAIRE IS A RELIABLE TOOL
FOR ASSESSING THE TRANSFORMATIONAL LEADERSHIP OF
THE NURSING MANAGERS. ................................................. 24
THE RESEARCH OF MALPRACTICE IN MEDICATION
ADMINISTRATIONS OF HIGH SCHOOL LEVEL NURSING
STUDENTS ........................................................................... 25
EFFECT OF ERGONOMIC FACTORS AND JOB SATISFACTION
FEES .................................................................................... 27
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KNOWLEDGE LEVEL OF HEALTH EMPLOYEE TOWARDS
EFFECTIVE IMPLEMENTATION OF HOSPITAL INFECTION .. 28
ORGANĠZATIONAL MOBBING AND INSTITUTIONAL COPING
METHODS IN PRIVATE HEALTH CARE INSTITUTION .......... 29
LABOR PRODUCTĠVĠTY AND STRESS MANAGEMENT IN
HEALTH CARE ..................................................................... 30
PATĠENT SATĠSFACTĠON ĠN ORAL AND DENTAL HEALTH
CENTERS: A TURKĠSH PROVĠNCE EXAMPLE ....................... 32
EVALUATION OF QUALITY AND INNOVATION PERCEPTIONS
IN HEALTH MANAGERS‟ REPUTATION MANAGEMENT OF
HEALTH INSTITUIONS ......................................................... 33
PATIENT SATISFACTION INFLUENCE ON CORPORATE
IMAGE: A MEDICAL FACULTY HOSPITAL ............................ 35
TURKEY HEALTH EXPENDITURES AND ITS STATUS AMONG
OECD COUNTRIES .................................................................. 36
EXAMPLE OF LEAN MANAGEMENT ĠN THE HEALTHSECTOR;
E-PRESCRIPTION APPLĠCATĠON ........................................... 37
12
BURNOUT AMONG HEMODĠALYSĠS NURSES: THE ROLE OF
SOCĠAL SUPPORT AND COPĠNG STYLES ............................. 39
A COMPARISON OF OCCUPATIONAL ACCIDENTS AND
OCCUPATIONAL ILLNESSES OCCURRING IN HOSPITALS
ACCREDICTED AND NOT ACCREDITED BY JCI .................. 40
EVALUATION
OF
CLIMATE
SECURITY
IN
HEALTH
INSTITUTIONS FROM THE PERSPECTIVE OF FACULTY OF
HEALTH SCIENCES‟ INTERN STUDENTS ............................. 41
OPERATING ROOM PERSONNEL AT RISK OF INJURY AND
INVESTIGATION OF THE FACTORS AFFECTING IT WITH
TOOLS OF SURGERY ........................................................... 43
A PILOT STUDY ON MEDICAL WASTE MANAGEMENT:
MEDICAL WASTE ASSESSMENT OF UNITS IN AMASYA
UNIVERSITY SABUNCUOGLU SEREFEDDIN TRAINING AND
RESEARCH HOSPITAL ......................................................... 44
HEALTH SYSTEM LEAN MANAGEMENT............................... 45
AM I ALWAYS ABLE TO ACCESS MY HEALTH RECORDS? 46
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PERCEPTIONS OF NURSES THE ORGANIZATIONAL CULTURE
AND LEADERSHIP BEHAVIOR OF THEIR ADMINISTRATORS
............................................................................................. 48
QUALITY AND CUSTOMER SATISFACTION ON PHYSICAL
THERAPY AND REHABILITATION CENTERS AN APPLICATION
IN ANKARA AND AKSARAY ................................................... 50
THE RELATIONSHIP BETWEEN HEALTH INDICATORS AND
DEVELEPMENT RANKS OF PROVINCES IN TURKEY ........... 51
THE EFFECTS OF PSYCHOLOGICAL CONTRACT VIOLATIONS
IN ORGANISATIONS ON ORGANIZATIONAL TRUST AND
ALIENATION:AN APPLICATION IN THE HEALTHCARE
SECTOR ............................................................................... 53
CAPITAL STRUCTURE AND FINANCIAL PERFORMANCE OF
TURKISH PRIVATE HEALTH SECTOR .................................. 54
INVESTIGATION OF THE FACTORS AFFECTING THE
MOTIVATION OF HEALTH PERSONNEL ............................... 55
13
COMUNĠTY LEADERS‟ ROLE AND RESPONSĠBĠLĠTĠES IN
DESASTER AND DESASTER PREVENTION AWARENES
TRAĠNĠNG ............................................................................. 57
LEGAL AND CRIMINAL LIABILITIES OF PARAMEDICS AT
PREHOSPITAL EMERGENCY MEDICAL SERVICES .............. 58
COMMUNICATION IN HEALTH ............................................. 59
THOUGHTS OF HEALTH WORKERS RELATED TO THE
ORGANIZATIONAL CHANGES OF TURKISH HEALTH SYSTEM
............................................................................................. 60
PROHIBITIONS IN CIGARETTE ECONOMICS AND THE ROLE
OF GOVERNMENT: A GENERAL FRAMEWORK .................... 62
COMPARISON OF A PUBLIC HOSPITAL AND A PRIVATE
HOSPITAL IN TERMS OF PATIENT SAFETY CULTURE ......... 65
“NEW WORK STATIONS” (In Offices) ..................................... 67
QUALITY OF LIFE REVIEW OF HEALTH WORKERS ............. 69
RISKS AND THREATS OF HEALTH WORKERS WHO
THREATEN HEALTH AND SAFETY ....................................... 69
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ANXIETY LEVEL THEY POSSESS ON OCCUPATIONAL
HEALTH
WORKERS
AND
CAUSES
SERKAN
TURGUTOĞULLARI .............................................................. 71
SAFETY CLIMATE SCALE FOR MEASURING HEALTH CARE
PRACTICE ............................................................................ 72
THE EVALUATION OF THE OPINIONS OF SOCIETY RELATED TO
THE APPLIED POLICIES IN THE COVERAGE OF THE HEALTH
TRANSFORMATİON PROGRAM ............................................... 73
EXAMINING THE MOBBING FACT IN HEALTH INSTITUIONS:
BURSA PROVINCE MEMLEKET HOSPITAL FIELD STUDY .... 75
A RESEARCH ABOUT WHAT ETHĠC ĠS FOR FAMĠLY
PHYSĠCĠANS AND THEĠR OPĠNĠONS AND APPLĠCATĠONS .... 77
LEGAL RESPONSIBILITIES OF HEALTH WORKERS ............. 78
MEDĠCATION ADHERENCE AMONG TYPE 2 DIABETIC
PATIENTS IN NORTHERN GREECE ...................................... 79
WORK-RELATED STRESS MANAGEMENT ........................... 80
14
Magisterium)
Comparing the work experience with the attention
deficit hyperactivity levels of nurses working at a
private hospital
Gözde DEMĠRELLĠ, Birkan TAPAN
ABSTRACT:
The most important factor in healthcare is human. The most
crucial input in healthcare, whether for the staff in a hospital;
the doctor, the nurse, the technician or for the patient is the
human health. The purpose of this article is to prevent
malpractices resulting from inattentiveness and to incorporate
the usage of attention deficit/hyperactivity tests in the
application processes of the healthcare staff by comparing the
attention deficit/hyperactivity level and the work experiences
15
of nurses. The attention deficit/hyperactivity level of 35 nurses
working at a private hospital in Istanbul was measured with
MOXO test and compared in terms of their work experiences
with respect to this purpose. The nurses were divided into two
groups with respect to their work experiences. Those nurses
with work experiences equal to/less than 5 years (n=21) were
expected to perform better in attention, timing, impulsiveness
and hyperactivity than those nurses with work experiences
more than 5 years (n=14). As a result of this study, those
nurses with work experiences equal to/less than 5 years
(n=21) were found to perform better in attention than those
nurses with work experiences more than 5 years (n=14).
However, those nurses with work experiences more than 5
years
(n=14)
were
found
to
perform better in
timing,
impulsiveness and hyperactivity than those nurses with work
experiences equal to/less than 5 years (n=21).
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Key Words: Comparison, attention deficit hyperactivity level,
nurses, work experience.
EFFECTS OF CERTIFICATION TRAINING PROGRAMS
IN
HEALTH
WORKERS
ON
ORGANIZATIONIAL
COMMITMENT
Ebru BUĞRA
ABSTRACT:
With the advancements in the health sectors over the last
years,
change
become
inevitable
for
healthcare
organizations. In order to keep the health system in
16
function, there is a continuous need for investments on
human resources, as being one of the most important
resources due to the healthcare structure.
The existence of employees in this structure, who
internalize the goals and values of organizations; are
highly satisfied and committed to the organization,
enhances
the
organization
itself
in
the
increasing
competition.
This study examines the relationship between short-term
educational
programs
(certificate
programs)
and
organizational commitment, and illustrates the effects of
short-term educational programs (certificate programs)
on organizational commitment.
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The sample of this study is determined as employees
from healthcare organizations; particularly from Intensive
Care Services,
Emergency Services, Dialysis Units and
Transfusion Centers. As the study method, the data has
been
collected
via
questionnaire
based
on
the
Organizational Commitment Scale, developed by Allen
and Meyer .
Key Words : Health sectors, Short-term educational programs,
Organizational Commitment Scale
HOME HEALTH CARE SERVICES REVIEW
Pınar FIRAT
17
ABSTRACT
Depending on the low birth rate gradually decreases with each
passing day the world population growth rate, and this has led
to the increasingly aging population. In the near future, it is
known to constitute a major proportion of the total population
of the elderly population. Of patients in health care trend to be
treated with home care services and the necessity of increased
health care costs in all countries. Home care, the disabled, the
elderly, persons with chronic diseases or recovering from the
individuals that they can adapt to social life. Although a large
proportion of women sitting loads is limited access to the
resources they need or do not have control of these resources.
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Ensuring coordination and cooperation between vocational
elements. Elderly in home care services, physicians, nurses,
home
economists,
pharmacists,
medical
social
workers,
psychologists, physiotherapists, dieticians, takes the role of
members
of
different
professions
such
as
speech
and
occupational therapists. An attractive alternative to traditional
home health care for developing countries, low-cost and covers
a large part in the health structure of the country with
financial problems. In this paper, home health care operations
in many countries of the world, a better way to do that in
Turkey, their caregivers and increasing the quality of these
services is to provide recommendations to support both
financially and emotionally. Whereas, especially in chronic
diseases and disabilities from these data can easily be
transferred from the records of hospitals. This group living
alone who as risk-broken families and discharged from the
hospital post-op, which should be added regularly
18
Keywords: Hospital-Based Home Health Care, Home Care,
Elderly
Care
Services
Magisterium)
Assesment of air pollution health risk from REK
“Bitola”
Snežana Stoilova, Milčo Stoilov, Elizabeta Popova Ramova, Blagoja
Stoilov
ABSTRACT
Introduction: The objective of this paper is to show the
current state of air pollution from REK “Bitola” and to assess
the health risk to the population in settlements located on this
site.
Materials and methods: Materials are derived based on
measurements made by emission for pollutants from the
Mining Institute - Skopje, as well as registers of morbidity from
respiratory diseases and neoplasm from the PHI Center for
19
public health - Bitola. The data are related to the population in
Dobruševo Municipality and Novaci, located near Capari
Municipality and REK “Bitola”, beneath the magnificent peak
of Baba Mountain. It is made a retrospective analysis of data
for the period of 2009-2013 year.
Results: Based on the analysis of gas emission in REK
“Bitola”, it is concluded that SO2 exceeds the legal norms
multiple, NO2 is in the limit of allowable values, and solid
particles are above the allowable limits. In the period of
examination, most of the cases with respiratory diseases were
observed in Dobruševo Municipality and with increased
morbidity of 217.38/1000 in 2009 to 344.90/1000 in 2013. In
terms of registered malignant neoplasm overall morbidity was
significantly increased in Novaci Municipality in relation to the
others and that of 6.76/1000 in 2009 to 9.46/1000 in 2013.
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Conclusion: Based on the monitoring of harmful emissions
and
increaseing
of
respiratory
and
malignant
diseases
incidence in municipalities surrounding of REK “Bitola”,
measures for critical areas of emissions must be taken in time.
Keywords: Air Pollution, Bitola, Health Risk, REK.
Level
of
knowledge
about
the
use
of
hospital
information systems to health care personnel in
hospital practice
Blagoja Stoilov, Milčo Stoilov, Snežana Stoilova
ABSTRACT
Introduction: The objective of this paper is to compare
possibilities of level and use of knowledge of hospital
information system by staff employed in hospital gynecological
department of public health and private gynecological hospital
20
staff.
Materials and methods: For material of work, data from the
implementation of the applicative software solutions in 2
health institutions is used, which is easy to use and capable of
processing large volume of information. Prospective work
method
is
applied
with
implementing
an
anonymous
questionnaire and the research period of surveying the
respondents is from 05/01/2013 to 01/06/2013.
Results: Based on the research it is concluded that despite the
implemented specific hospital information systems in the both
institutions, there are flaws in the everyday work. In PHI
Clinical hospital “Dr. Trifun Panovski” - Bitola, there is no
access to a computer at the most of the workplaces and almost
never the Internet is used in the daily work of the health care
personnel. Also, the networking with the other departments
and taking certain data between the health care staff did not
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work at all, as well as the ability for connectivity between
institutions and data use. At Special hospital for gynecology
and obstetrics and IVF center for assisted and human
reproduction PHI Hospital “Plodnost” - Bitola, there is a better
access
to
information
and
network
connectivity
among
departments, which of course is due to the younger age
structure of the health care personnel, especially at the wider
opportunities for education and the nurses.
Conclusion: The health care system and the information
technology are closely related and in future the functioning of
the medical staff will not be possible, without continuous use
of health care information systems.
Keywords:
hospital
information
systems,
health
care
personnel.
Perceptions and Knowledge, regarding breast selfexamination
21
of female Social Work and Pre-primary
Education students
of a University of Cyprus
Ifigenia Moissi, Savvas Karasavvidis (Department of Nursing Science,
University of Eastern Finland, Kuopio, Finland), Maria Lavdaniti, Rodoula
Kyriakou, Xenia Georgiou, Stavros Parlaris, Panos Konstandinidis, Despina
Sapountzi-Krepia
Introduction: Breast self-examination is a method for the
prevention of breast cancer, which can be applied by the
women themselves at home. The female students‟ education
and training in self-breast examination, during their studies,
can play an important role in the prevention of breast cancer.
Aim: The aim of the present research was to investigate
perceptions and knowledge of the female students of Preprimary Education and Social Work of a University of Cyprus
regarding breast self-examination.
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Material and Methods: The sample consisted of
90 female
students from the Pre-primary Education and Social Work
Departments of a University of Cyprus. Data collection took
place in May 2014. As instrument of data collection the
Champion Health Belief Model Questionnaire, that it was
validated to the Greek language, was used. The response rate
was 72%. All the participants were informed about the purpose
of the study, their participation was voluntary and their
anonymity was retained. For the statistical analysis the SPSS
18 package was used.
Results: A 70% (n = 78) of the participant said that they have
not been taught breast self-examination technique,
however,
the majority (81.3%, n = 73) wants the teaching of the breast
self-examination to be part of their curriculum. Nevertheless,
the 73.8% (n = 67%) have never made a breast selfexamination, the 72.6%, (n = 66) did not declared no intention
to apply breast self-examination in the next months or in the
22
next year.
Regarding the health motivation and factors influencing the
application of the breast self-examination, subjects declared
that the fear of developing the disease 72.5%, (n = 66) is
mobilize them to apply the technique but, the ignorance of the
benefits of the technique, the ignorance of how to apply the
self-examination and the ignorance of necessity for applying
the breast self-examination reported as negative factors in
both of the students groups. The department of studies does
not influence the students‟ knowledge and attitudes about
breast self-examination (p > 0.05).
Conclusions: The emergence of the importance of breast selfexamination concept of in personal health promotion and the
teaching of its application seems to be a point for considering
the implementation of health education programs to students
in the prevention of breast cancer. Comparative studies with
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students from the Departments of Health Sciences with
respect
to
breast
self-examination
are
needed
for
the
investigation of individual motivation, knowledge and attitudes
in relation to the discipline.
Keywords: Perceptions, Knowledge, Breast Self-examination,
Students, Cyprus
Validity and Reliability of the Greek Version of the
«Kuopio
University
Hospital
Transformational
Leadership Scale» (KUHTLS)
Despina Sapountzi-Krepia,
Alexandros Petrou, Sofia Zyga, Panagiotis
Prezerakos, Maria Lavdaniti, George Charalambous
23
Introduction: The successful practice of nursing care requires
effective management of the available resources.
Aim: Translation in Greek and checking the validity reliability of the translated «Kuopio Hospital Transformational
Leadership Scale» (KUHTLS).
Material
and
anonymous
Methods:
The
self-administered,
KUHTLS
questionnaire
containing
54
is
closed
questions, with 5 point Likert scale responsive options. Data
collected from 315 nurses working in the Hospitals of Paphos
and Nicosia. Exploratory factor analysis, with principal
components analysis with Varimax rotation was performed for
checking the construct validity of the questionnaire. The test–
retest reliability and the internal consistency were also
examined. Statistical analysis performed by the use of SPSS
17.0. Statistical significance level was set at p=0.05
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Results: The questionnaire translated into Greek and twelve
factors were initially exported, which consolidated under
conceptual coherence in 7 factors, corresponding to the
original questionnaire‟s subscales. The Cronbach-α coefficient
for the questionnaire was 0.95, while for the subscales were:
Decision 0.72, Appreciation 0.73 Development 0.80, Justice
0.70, Performance 0.81, Individuality 0.83 and Administration
0.86. The ICC and Pearson r was p <0.001 for all the
questions. The final Greek version of the questionnaire
includes 48 questions. The mean age of the participants was
31.37 years.
The highest mean value was observed in the
factor "Justice » (3.75 ± 0.93). In all subscales nurses of
Nicosia hospital gave 20% higher score, indicating that
transformational leadership is higher in Nicosia hospital (p
<0.001). In all subscales, the difference between age groups
was statistically significant with nurses over the age of 28
years yielding a higher score (p <0.001) and increased job
24
experience, was associated and highest mean score (p <0.001)
in all subscales.
Conclusions: The questionnaire is a reliable tool for assessing
the Transformational Leadership of the nursing managers.
Key Words: Validity, Reliability, Transformational Leadership
Scale
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THE RESEARCH OF MALPRACTICE IN MEDICATION
ADMINISTRATIONS
OF
HIGH
SCHOOL
LEVEL
NURSING STUDENTS
Ercüment ERGĠġĠ, Cem DĠKMEN
ABSTRACT
Nursing profession group which constitutes the biggest group
of the health sector workers and plays an active role in service
25
industry of all health care foundations, is the most important
profession to find out malpractice, identify and uncovering of
malpractice, to prevent it before it damages to patients. This
study has been carried out to identify of malpractice in
medication administrations of high school level nursing
students. Questionnaire topics used in the data collection was
prepared by scanning the relevant literature. The research has
done with the students which are willing to participate in the
research, in the business skill training, 11th and 12th grades
studying at Sungurlu, Alaca and Çorum Central Anatolian
Vocational Health High Schools in 2014-2015 educational
year. The research has conducted with a total of 325 students,
questionnaire has carried out with 275 of them and the
participation
rate
is 84.6%. Students that participate in
questionnaire have answered all of the questions. In the
evaluation of the data the percentage distribution was used.
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A total of 30 questionnaire questions made in the reliability
analysis of SPSS, Cronbach alpha test result is 75,4%. Written
permission with approval authority has received from instution
to make this research.
Taken data from students who
participated in the study results of frequency analysis shows
64% of them are 11th graders and 36% are 12th graders.
34.5% of them are man and 65,5% are woman students.
Percentage distribution by age shows 3,6% of them are 16
years and younger, 92% are 17 years, 4,4% are 18 years and
older. The questinnaire is based on the statement are the
limitations of the research.
The percentage of medical errors which is student nurses
witnessed during the medication administrations shows that;
61.1% of them are 11th grade students, 19.3% are 12th grade
students, 8.7% are high school graduated nurses, 6.9% are
university graduated nurses, 4.0% are doctors. 48% of them
26
are side effects in the patients, 21,1% are incorrect assessment
of the symptoms, 13.5% are applying the wrong medicine in
interventional treatment, 12.7% are not to have enough
knowledge and ability in medicational administrations, 4.7%
are not to tell enough information during the discharge from
the hospital causes the errors.
Key Words: Malpractice, Medical Error, Student Nurse
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EFFECT
OF
ERGONOMIC
FACTORS
AND
JOB
SATISFACTION FEES
Fatma Oflaz
ABSTRACT
The development of our country and the world in recent years,
especially in business life as well as technology changes
occurring, increase job satisfaction and ergonomics are also
important in the development. Specifically, technology changes
occurring in the business world have provided the progress of
work and labor compliance was seen as an effective element to
be taken more into account. However, given the importance of
27
ergonomics to have contributed to the development of
occupational health and safety. Go Go satisfaction of workers
have gained importance in the study of the costs and other
factors,
has
been
a
pioneer
in
the
examination
and
consideration. Physiologically and psychologically gratifying
riding a career man is the natural right of workers. Be
satisfactory value of the material gained in the labor provision
is the most natural right of employees. Ensuring the welfare
and comfort of the worker the employer is also required.
However, adequate recruitment opportunities for employers to
have high unemployment rates, qualified personnel need to be
heeded adversely affect the wages factor. Of employers to
ensure the full realization of job satisfaction should stand on
this issue. Because ergonomic factors and charges and
thought directly affects job satisfaction more.
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In this study, the effect of ergonomic factors to job satisfaction
and fees factors were examined. However, the factors affecting
the required level of job satisfaction and job satisfaction
measures can be taken to ensure been investigated. Workplace
environment, the business environment, objects and the
regulation of systemic factors, taking into account the
importance of wage elements are expected to reach the desired
level of job satisfaction.
Keywords; Job Satisfaction, Fee, Ergonomics
Knowledge level of health employee towards effective
implementation of hospital infection
Gülnur Üçpunar Mert
ABSTRACT
28
The hospital is not only a place where sick people recover from
their illnesses, but also where the illnesses at times get
complicated and healthy people get infected Whenever clinical
procedures are performed, everybody in the hospital are at risk
of infection during and after the clinical procedure. Healthcare
workers
(HCWs)
are
constantly
exposed
to
potentially
infectious materials.
Healthcare services are sometimes provided to client in a
limited
space
resulting
in
overcrowding.
Extraordinary
changes occurring in technology affect work life of health
professionals. To meet the needs of health care workers
through these changes can be heard all over the world powers
have increased.
Through the use of human-oriented systems work health
institutions have been forced to act according to the new world
order to get rid of the old traditional ways of working.
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Especially midwives of effective measures for the prevention of
hospital infections, should be known by nurses and medical
officers.
It aims to raise awareness of the health care sector level
projects should be developed. Research on this subject has
been found to be made regarding nosocomial infections when
examined in many studies. Surveillance is important manual
data assessment and entry in order to assess preventative
actions such as isolation of patients with an infectious disease.
According to literature, effective hospital management will
facilitate hospital staff to maintain safe to infections practices.
Organized seminars in hospital with staff and educational
programmes are best strategies. Hospital bill, length of
hospital stay, loss of working hours and the possibility of
litigation will be reduced to the minimum.
29
Key words: Knowlegde, Hospital Infection, Health Staff
Organizational
Mobbing
and
Institutional
Coping
Methods in Private Health Care Institution
Hulya Bahat
Aim: The aim of the study was to determine health staff
exposure to mobbing to explore the causes of the mobbing.
Methods: This research was a literature rewiev involving all
scientific survey and focus group interviews done in Turkey.
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More than 52 literatures have detected. Findings: According to
the mobbing literature to health staff, 15 % of the nurses had
been exposed to mobbing, but according to their own
sensations, 38 % had been exposed. Some of the medical staff
such as female physicians and nurses who expressed that they
had been exposed to mobbing reported that the executor of
mobbing was the head nurse and head physicians. The reason
for mobbing was mostly „communication problems‟. According
to literature, nurses and physicians that are under 30 years of
age and those who work in intensive care units are apparently
exposed to mobbing more frequently than others (p < 0.05).
Conclusions: It is suggested that head health staff‟ mobbing
behaviours should be determined and they should be educated
about management and organisation.
Especially female health staff should be educated about
assertiveness to prevent mobbing. The necessary measures
30
should be adopted to solve the „communication problems‟,
which are shown as a major reason for mobbing. Female
health staff in our study reported being exposed to mobbing,
and this behaviour was applied mostly by medical directors
such as nurse and physicians. Mobbing reduces working
performance
and
negatively
affects
health
management
functions. Health employees change their jobs because of
mobbing and health care instutions get ruined.
Keywords: Female Health Staff, Mobbing, Nurse, Turkey,
Workplace
Labor Productivity and Stress Management In Health
Care
Hulya Bahat
Magisterium)
The purpose of the study was to determine the relationship
between stress management and health workforce productivity
in private hospitals. All articles with stress management and
health workforce productivity questionnaires that have been
done in Turkey were carefully detected. Descriptive and
inferential statistics were used. The results of analyzing the
Sub Hypotheses of the research demonstrated that there was a
positive and significant correlation between respectful and
responsible managers (P=0.000).
Managing and communicating existing and future work
(P=0.000). Managing the individual within the team (P=0.01),
Reasoning/managing
difficult
situations,
(P=0.004)
and
workforce productivity in this research.
As for analyzing the Main Hypotheses of the research, the
results demonstrated that there was a positive and significant
correlation between stress management and health workforce
31
productivity in this research. The results also demonstrated
that there was no significant difference between the opinions
of male and female managers about the level of workforce
productivity and stress management being put in health
practice in private hospitals.
Literature rewiev results indicate that the level of health
workforce productivity and stress management being put in
health practice in the before mentioned Private Hospitals is not
under the influence of any of individual characteristics of
managers such as age, gender, education, profession, status,
job title, employment background.
Key words: Labor Productivity, Stress Management, Health
Care
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Patient
Satisfaction
in
Oral
and
Dental
Health
Centers: A Turkish Province Example
Huseyin Topcuoglu, Aygul Yanik
Introduction: The study was conducted in order to determine
patient satisfaction in Oral and Dental Health Centers (ODHC)
and to investigate the effects of sociodemographic variables on
patient satisfaction.
Methods: This descriptive and cross-sectional study was
conducted in the year 2013 with patients who administered to
the ODHC‟s which were affiliated with the Turkish Ministry of
Health and which were located in the Kırklareli province.
Permission to carry out the study was taken from ODHC
managements. Using the random sampling method, 320
patients were selected and the patients were informed about
32
the purpose of the study. The questionnaire method was
applied to patients who accepted to participate in the study. A
total of 300 patients who answered the questionnaire were
evaluated. Data analysis was performed using the SPSS
software and the MS-Excel 2010 program.
Results: Patients were found to be highly satisfied with
services; dissatisfaction was low and dissatisfaction with the
physical
environment
was
at
medium
levels.
Patient
satisfaction factors showed significant differences according to
gender, education, employment status, type of social security,
cost of dental treatment, reasons for choosing the ODHC, readministration, and recommending. It was determined that
men were satisfied with more services compared to women. It
was found that university graduates, patients with high
monthly incomes, and patients who find dental treatment
cheap were more dissatisfied with services, while those who
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find it expensive were more dissatisfied with the physical
environment. It was also determined that the majority of
patients chose ODHC‟s due to social security and that they will
re-administer to the center if necessary and will recommend it
to others.
Discussion: It was determined that patient satisfaction in
ODHC‟s is affected by sociodemographic variables. The study
will contribute to health politicians‟ and health managers‟‟
efforts to promote patient satisfaction and improve services in
ODHC‟s.
Key Words: Dental Service, Center, Patient, Satisfaction
33
Evaluation of Quality and Innovation Perceptions in
Health Managers’ Reputation Management of Health
Institutions
Nezaat Kesici, Aygul Yanik
Introduction: The study was conducted in order to determine
health managers‟ perceptions of quality and innovation in the
reputation management of health institutions and the effect of
sociodemographic variables on these perceptions.
Methods: This descriptive and cross-sectional study was
conducted with 14 managers of hospitals that are located in
the Thracian region of Turkey. Permission to carry out the
study was taken from Provincial Health Directories. The
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questionnaire method was used. The managers were informed
about
the
purpose
of
the
study.
Questionnaires
were
administered to managers who accepted to participate in the
study.
After
excluding
invalid
questionnaires,
313
questionnaires were evaluated. Data analysis was performed
using the SPSS software. A confidence interval of 95% was
taken into consideration.
Results:
Among
the
reputation
management
factors,
organizational reputation was high, TQM was very high, and
innovation,
TQM-innovation,
management
was
high.
and
Reputation
general
reputation
management
factors
showed significant differences according to marital status,
status, age, education, vocational experience, organizational
property, number of employees, and organization age. It was
found that public hospital managers, single managers, and
hierarchical
34
managers
management
than
had
private
higher
levels
hospital
of
reputation
managers,
married
managers, and quality managers; while managers of hospitals
with 200-400 employees had higher levels of reputation
management
than
others.
It
was
determined
that
organizational reputation was higher in managers aged 30
years or less. Innovation was higher in managers of 20-40 year
old hospitals, while TQM-Innovation and general reputation
management of managers of hospitals that has a organization
age of <20 years compared to others.
Discussion: Health managers‟ perceptions of quality and
innovation
in
the
reputation
management
of
health
institutions are affected by sociodemographic variables. The
study will support health managers‟ reputation management
policies and decisions.
Key Words: Healthcare, Reputation Management, Innovation,
Quality .
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PATIENT SATISFACTION INFLUENCE ON CORPORATE
IMAGE: A MEDICAL FACULTY HOSPITAL
Yunus Emre ÖZTÜRK, Özgün ÜNAL
ABSTRACT
Introduction: Today, the concept of quality which increasingly
becomes more important on medical services and the
satisfaction of patient take place an important role upon
evaluating these services. To be peoples free selections
provision at increasingly fiercer competition, hospitals are
forced to work regarding differentiate itself from competitors
and come to the fore for to be preferred. One of the most
important of these studies is "corporate image" studies. It
becomes difficult to measure the quality of medical services
since they cannot be stored and are consumed at the moment
of production.
35
Due to the aim of a response of people who are free with their
choices in the severe competition environment,forces hospitals
to make studies in order to differentiate into their rivals, come
into prominence and be the preferred. The most important one
of these studies is "corporate image" study.
Method: It is used questionnaire as data collection tool,
frequency analysis, factor analysis, and correlation analysis
are used for solving the collected data in this research.
Findings: According to the one-way ANOVA test and the
results of t test, p rates for corporate image with
gender,educational status, marital status,social security and
the number of hospital visits for treatment are in order 0,167,
0,680, 0,880, 0,339, 0, 247 and isn‟t found a significiant
difference among them.
Results: According to the results of the survey it is understood
that there isn‟t a significant matter upon patient satisfaction
and corporate image among the patients who are treated in
medical faculty hospitals in terms of their gender, educational
status,marital status, social security, and the number of
hospital visits.
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KeyWords: Image; Corporate image;
Satisfaction; Hospital Preference.
Satisfaction;
Patient
TURKEY HEALTH EXPENDITURES AND ITS STATUS
AMONG OECD COUNTRIES
Yunus Emre ÖZTÜRK, Halil TÜRKTEMİZ
ABSTRACT
36
Introduction: Health expenditures, are among the expenditures that
allocated share of the budget of countries. Health spending indicators
of countries which depending on their economic, social and cultural
structures are different. The aim of the study is to analyse the health
expenditures of Turkey and to reveal the state of its position in OECD
countries health expeditures.
Method: Present study was prepared base on side sources and
literature. The study is important in terms of revealing the state of
Turkey's health expenditures in OECD countries.
Results: Health expenditures of Turkey have reached to 84.390
million TL in 2013 while it was 8.249 million TL in 2000. OECD
countries' average health expenditures in GDP is %9.2whileit's %5.4
in Turkey. The ratio of out-of-pocket health expenditures to total
amount of health expenditures in OECD countries is %19.3whileit's
%15.4 in Turkey.
Conclusion: Turkey is below the average of OECD countries
considering OECD countries' percentage cut of total health
expenditures in GDP and theratio of out-of-pocket health expenditures
to total amount of health expenditures. Hence, starting with preventive
health services, the cut of health expenditures should be increased in
accordance with the economic growth.
KeyWords: Turkey, Per Capita Health
expenditure, health expenditure efficiency
Expenditure,
health
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Example of Lean Management in theHealthSector; EPrescription Application
TaĢkın KILIÇ
Sedat BOSTAN
Goncagül ġAHĠN
Introduction : In 2013, Ministry of Health
application of „e-prescription‟
carried out the
within the scope of Lean
Management. Measuring the knowledge level of using this
application among doctors, pharmacists and citizens and
determining the risks and the benefits of the system are the
purposes of this study. In this context, the theoretical part of
the study is comprised of literature review andthe field
research is done with a survey applied to 150 people
comprising doctors, pharmacists and the people using e37
prescription method.
Sample:150 people in total consisting 50 pharmacist ,50
doctors and 50 from other occupations that are chosen
randomly in two provinces(GümüĢhane- Trabzon) form the
sample of the study.
Scale: Survey method is preferred as a means of input
collection. In order to measure the service providers‟ and
service users‟ perception level, benefits and risks of the system
,a survey comprised of 22 statements and three dimensions
(knowledge level, benefits and risks of e-prescribing ) is
conducted.
Results : when the system is not working, service providers
and recipients have difficulty (%60), they do not need to worry
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about the security the system provides (% 63,3) and they find
the system reliable (%75,3).
Conclusion : Thanks to e-prescribing nonpreciousactivities
such as time-wasting, paper wastage, need for achieve for
storage, slow workflow, workload are replaced by value forming
activities.
In places like hospitals, pharmacistsemployee
satisfaction has increased and the process has gained speed
due to e-prescribing.
Key Words : Lean Management, HealthSector, E-Prescription
Application
Musa Özata, Ali Yılmaz, Çetin Bebe, Hilal Akman
ABSTRACT
The aim of current study is to conduct the thought of the
workers in hospital about the union of the public hospital
38
system.
The sample of this study is determined as 333 workers whose
working in Konya Numune and Beyhekim hospitals which
operate inside of the general secretary of Konya union of the
public hospitals. The researchers conducted a questionary
which is including 22 questions.
The data is analyzed by descriptive statistical method by using
SPSS programme. The Cronbach Alpha coefficient is calculated
as 0,949 in developed questionary. The result of the research
the participant indicated that the system of the union of the
public hospital is increased officialism, it is not promoted the
productivity, there is no any positive development in the
personal right orpositive change in organizational structure
and there is no emphasis on the qualification in the
management appointments.
Magisterium)
KeyWords:Ministry of Health, Union of Public Hospitals,
Hospital Staff, Satisfaction levels
Burnout among hemodialysis nurses: the role of
social support and coping styles
Ahmet Yasin ġenyurt, Adem Sezen, Ahmet Cenk Dikmen,Erengül
Sezen
Nurses are one of the important professionals of health care
services. Therefore nurse experience much psychological,
social and organizational problems. One of the main problem
that
they
face
is
burnout.
Burn
out
is
defined
as
counsumption of psychological, physical and social resources
to deal with occupational situations.
Research showed that
nurses, especially emergency nurses experince burn out due
to; exposure to traumatic events, occupational issues and
individual characteristics. Of the nurses, dialyses nurses have
39
high workloads, high demands and responsibility, and they
experience traumatic events such as death of a patient who
was observed by a nurse for several months. The first aim of
the present study is to investigate
whether dialysis nurses
(DS) experience more burnout than other nurses. The second
aim is to investigate the effect of demographic characteristics,
and social support on burnout. To achieve these goals; Social
Support
Questionnaire,
Burnout
Questionnaire
and
a
demographic survey was applied to 75 dialyses nurse and 75
nurses from different departments(emergency nurses not
included). The results showed that dialyses nurses experience
more burnout than other nurses. However, no relationship
found between burnout and social support. A follow-up study
was also conducted to investigate the relationship between
coping styles and burn out. Both studies will be discussed in
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the light of literature and possible ways of to deal with burn
out will be discussed.
Keywords: Burnout, coping, hemodialysis, nurses, health
service
A COMPARISON OF OCCUPATIONAL ACCIDENTS AND
OCCUPATIONAL
ILLNESSES
OCCURRING
INHOSPITALS ACCREDICTED AND NOT ACCREDITED
BY JCI
Ramazan KIRAÇ, Adem BĠLGĠN
ABSTRACT
PURPOSE:The study was conducted to determine whether
accreditation of a hospital by JCIprevents occupational
40
accidents and occupational illnesses or not. The effectsof
supervision
accidents
by
JCI
on
the
andoccupational
occurrence
illnesses
in
of
occupational
hospitals
were
evaluated.
METHOD: Adescriptive study was conducted in two public
hospitals and three privatehospitals holding JCI certificates
located within the borders of the centraldistrict of the province
of Ankara to determine to what extent their employeeswere
exposed to occupational accidents and occupational illnesses.
To
this
end,
EVALUATION
“A
OF
QUESTIONNAIRE
THE
ATTITUDES
FORM
OF
FOR
THE
EMPOYEES
TOWARDSDEVELOPING OCCUPATIONAL ILLNESSES AND
EXPOSITION TO OCCUPATIONAL ACCIDENTS”,which was
developed by AKKAYA was used. The data that were obtained
were analyzedusing the SPSS 20 software program.
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FINDINGS: The study found that there was not a significant
correlation between employees‟having occupational accidents
and developing occupational illnesses and theirhospitals‟
having or not having JCI certificates (p˃0.05).
CONCLUSION: It was found that employees working in
hospitals with JCI certificates hadfewer occupational accidents
and occupational illnesses than employees workingin hospitals
without JCI certificates.
Key Words:Occupational Accidents, Occupational Accidents in
hospitals, Hospital, Accredited Hospitals
Evaluation of Climate Security in Health Institutions
From The Perspective of Faculty of Health Sciences’
Intern Students
Yunus Emre ÖZTÜRK, Hilal AKMAN, Ramazan KIRAÇ
41
ABSTRACT
Objective: Evaluation of Climate Security in health
institutions
with
dimensions
of
managements
and
healthcare staff in the light of faculty of Health sciences‟
intern student‟s perspective.
Materials and Methods: This study was implemented
with random sample method on 204 students who were
interns in Selçuk University Health Sciences Faculty. 204
questionnaires were given to students but, 200 of these
were
included
in
the
study.
In
the
beginning,
participants were asked to provide their demographic
information. After that, the scale of So, Fang and Lingard
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(2009) which was developed
for climate security
measurements adapted –into Turkish- form was given to
participants.
evaluation
There
of
were
health
14
security
questions
oriented
about
to
view
the
of
healthcare staff. These questions were 5-point likert
(strongly
Disagree:1
Disagree:2,
Neutral:3
Agree:4,strongly Agree:5).For this study, the reliability of
the scale was tested 95 % in the program package
SPSS20,0.
According
to
reliability
analysis;
for
management, security climate‟s Cronbah Alpha value is
0.88; for healthcare staff, safety climate‟s Cronbah Alpha
value is 0.76% . Also, in general, the scale reliability is
calculated for Cronbah Alpha value of 0.89%.
Findings: A significant difference was found between
Gender and general safety climate scores(p<0.05). As a
42
result of the statistical analyses, women -compared to
men- have more positive safety climate perceptions in the
workplace. Also, there is any significant result was found
between the points average of participants‟ marital status
with the general safety climate perception (p>0.05). The
participants are mainly expressing their thoughts on an
unstable attitude about safety climate. When general
safety climate perception evaluated, significant difference
is observed (p<0.05). While nursing has negative attitude
in the direction of the idea of safety climate; students
from health management, social work and midwifery
department have an unstable attitude.
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Results: The vast majority of the participants of the
security climate questionnaire are “unstable” that affect
participants surveyed have no idea about the prostate.
Keywords: Safety culture, Safety Climate, Occupational
Health and Safety
OPERATING ROOM PERSONNEL AT RISK OF INJURY
AND INVESTIGATION OF THE FACTORS AFFECTING
IT WITH TOOLS OF SURGERY
Yunus Emre ÖZTÜRK, Yavuz Kaan ÇELĠK
Selcuk University, Faculty of Health Sciences Health Management
Department, Konya, TURKEY
ABSTRACT
43
Objective: Health professionals who work in the operating
room in surgical tools, the frequency of injury, the factors
that cause injury, healthcare workers and preventing injury
after injury applications is to determine the knowledge, skills
and practices.
Materials
and
Methods:
Research,
Konya
trainingandresearchhospital, has been applied to run in the
operating room. Developedby KUTLU a collection of research
data, participants ' demographics, personal habits, physical
conditions of their operating rooms, professional practice
with injuries during their surgical tools if they're alive, and
they take measures that queries a data collection form used
in coaching questions, 37. In the analysis of the arithmetic
mean
of
the
data
and
frequency
analysis,
Chi-
squarewasused in the comparison of groups. Errorlevel is set
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at α = 0.05.
Findings:63 of the 106 peoplewhoparticipated in thestudy
(59.4%) at least once during their professional life surgical
instruments has survived with injuries. Then, cleaning staff
nurses of 25.5% and 80% of hepatitis vaccine has giventhe
wrong answer to the virus protect. The doctors then 55,2%
87.5% nurses‟s, cleaning personnel, 50% of the injury has
not reported.
Result: Employeestatusreportshould be developedand a form
for
employees
to
24-hour
access
to
medical
and
psychological help, a unitshould be created. Identifying risk
factors, injury cases, employees record, measures to be
taken should be given relevant training.
Key
44
Words:
Operating
room,
operatingroomemployees,
Surgical Instruments Injury
A PILOT STUDY ON MEDICAL WASTE MANAGEMENT:
MEDICAL WASTE ASSESSMENT OF UNITS IN AMASYA
UNIVERSITY SABUNCUOGLU SEREFEDDIN TRAINING
AND RESEARCH HOSPITAL
Murat ĠskenderAKTAġ,Sadi ERGĠN,Rasime ACAR AKTAġ
The significance of health service offers increases every day
with developing technologies. With the fast increase in population
and industrialization, medical wastes take an important place in
health facilities with each passing day and they reach dangerous
levels. Disposal of medical wastes appropriately, timely and under
conditions suitable for the environment is very important in terms of
both health workers and environmental health.
Magisterium)
A 45-day-long pilot study was made in order to determine the
levels
of
medical
waste
in
the
units
of
Amasya
University
Sabuncuoğluġerefeddin Training and Research Hospital, a member
of Amasya State Hospitals Union, and in order to take precautions
against these medical wastes. During our study, medical wastes from
all clinics were collected and weighed twice a day, once in the
morning and once in the afternoon. Medical wastes were recorded
daily and the data was analyzed by SPSS program. With the
analyses, the distribution of medical wastes among units were
examined and compared and the distribution of the amounts of
medical wastes as to days was examined by graphics.
The results of the study showed that the units which had the
most
medical
waste
were
the
intensive
cares,
laboratories,
emergencies, operating rooms and dialysis services, respectively. In
terms of the departments of intensive cares, general intensive was
the service that had the most medical waste.
As a conclusion, in order to decrease the amount of medical
45
wastes; first of all the knowledge level of health staff working in these
units should be increased and the use of single use medical
consumable materials should be minimized. Decreasing the number
of unnecessary laboratory tests and the number of patients
hospitalized without indications in intensive cares and activating the
green
zone
practice
in
patients
coming
to
emergencies
are
recommended.
Key Words: Medical Waste Management, State Hospitals,Amasya
University Sabuncuoğlu Training and research Hospital
Health System Lean Management
Songül Yiğit
Abstract:
Magisterium)
Healthcare, thequality of human life is priority are at and
present
the diversity and characteristics in terms of
management that are directly due to related. The high of world
wide health care cots, the majority of the waste, the longer the
delay, the intensity of the procedure, the presence of the most
important of the defect sand errors were heard running and
need to lean management philosophy have not enough
attention given to the customer. Increasing costs and reducing
waste in the health,quality and increase customer and
employee satisfaction, but is provided with lean management
principles. Because lean management, while not creating nonvalue added activities, allows the reduction of time spent on
value-added processing. The way to achieve success in lean
management; create awareness, ergonomics, emplovee, with
an analysis of possible perspectives on the patient and the
46
system. Authority; better quality of service required
faster
and
more
accurately.
Engine
of
growth
to offer
capital
constraints and the cost is high in our country should increase
productivity. Efficiency password to lean, lean thinking is
simple to produce and educate people. This way our country
we both win.
KeyWords:
Lean,
Leanmanagement,
Health
Care,
Leanmanagementtools
AM I ALWAYS ABLE TO ACCESS
MY
RECORDS?
Dilek TAġDEMĠR
ABSTRACT
HEALTH
Magisterium)
ENTRY-AIMS: By allowing the patient to access their personal
health records at any moment through auto-control, it shall
result in the avoidance of false billing and for the patient to
observe their own treatment.
TOOLS-METHODOLOGY: The Medula system was introduced
to the study. The aim was for the same system used in
Internet Banking to be joined up with the Medula System. It
was determined that their is a possibility to access Personal
details at any time and for these to be stored on this system
for a lifetime. Furthermore, the purposes of the aims of our
research, face to face meetings were conducted with users of
the Medula system.
FINDINGS: The findings by users of the Medula system and
those surveying the system could also be independently
47
detected by the patient.
RESULTS:
By confirming the validity of the medical
information the State can be correctly invoiced, examinations
and treatments and the observance of the period of the use of
medicine is of course an important factor for patients. For
these records to be available to be viewed at anytime shall also
allow for greater transparency. It is suggested that this system
is brought into operation as it will allow for the improvement of
the patient and health issues.
KEY
WORDS:
Health
information
,Medula,
Health
institutions, The Socıal Securıty Admınıstratıon, Medula Users
Magisterium)
Perceptions of Nurses The Organizational Culture and
Leadership Behavior of Their Administrators
A.Kelez Yayık, Y.Ergün
The research has been planned as descriptive with the
purpose
to
determine
the
relationship
between
the
organizational culture perception of the nurses and the
leadership behavioral of their administrators and it was
actualized with 308 nurses in four hospitals in three different
statuses serving in the province of Istanbul. Information form,
Denison‟s
Organizational
Culture
Scale
and
Leadership
Behavior Scale have been used as data collection tools and the
reliability co-efficient of Denison‟s Culture Scale was found as
0.94 as to the reliability co-efficient of the leadership behavior
scale which was found as 0.97. Data has been evaluated in a
computer environment by using descriptive statistical methods
and parametric tests.
48
In our research findings, it has been
seen that nurses perceive the characteristics concerning to the
mission extent of the organizational culture predominantly as
to perceiving the characteristics concerning the consistency
extent at lower level.
Significant difference has been
statistically found between the fundamental dimensions of the
organizational culture and age group, level of education,
institution worked in, occupational experience, satisfaction
received from the institution, style of administration perceived,
sufficiency of the educational and social activities, openness to
change of the institution of the nurses.
It has been
determined that nurses perceived the job focused leadership
behaviors in their administrators at high level and significant
difference has been statistically found between the perceived
leadership behavior and age group, institution worked in,
satisfaction
received
for
the
institution,
perceived
administration style, sufficiency of the educational and social
Magisterium)
activities and openness to change of the institution of the
nurses.
A linear relationship has been found between the
perceived organizational culture and leadership behavior of
their
administrators
in
positive
way
and
it
has
been
determined that the highest relationship of the organizational
culture has been shown with the change focused leadership
behavior.
In connection to these results, it has been
recommended of the administrative nurses to improve all their
leadership
behaviors, starting
with
the
change
focused
leadership behavior.
Key
Words:
Leadership,
Nursing,
Organizational
Culture
49
Magisterium)
QUALITY
PHYSICAL
CENTERS
AND
CUSTOMER
THERAPY
AN
SATISFACTION
AND
APPLICATION
ON
REHABILITATION
IN
ANKARA
AND
AKSARAY
Asena Tuğba EVREN SUBAġI, Mustafa AKSOY
SUMMARY
Today, the reason of preference of institutions which are
presenting more effective, efficient and quality service to
peoples as a result of the rapid development of science and
technology. The Ministry of Health in terms of increasing the
efficiency and quality of service in Health; has prepared a
regulation on the development and evaluation of health care
quality. In this context, the purpose of the private and public
health institutions is to provide patients with the highest
benefit from high quality healthcare services. Institutions to
achieve this, by meeting the patient's request, need to find new
and dynamic management techniques to enable them to
provide quality products and service applications. Institutions
and organizations to realize this, it can be provided by the
management philosophy of total quality management. Total
quality management in healthcare complete understanding of
the expectations and needs of clients in quality, to meet
continuous and immediate needs is important. In this study, a
survey was made in order to increase both the quality and the
satisfaction of the services provided to the patient in terms of
both institutions. Patients in the Physical Medicine and
Rehabilitation Centers, which has become a huge profit sector
with rapidly growing in the world. In this study, the patients
50
Magisterium)
who is getting treatment from Pusat Sağlık Hizmetleri Ticaret
LTD. ġTĠ. KuruluĢu Özel Çayyolu YaĢam Tıp Merkezi ve Özel
Aksaray YaĢam FTR merkez is with 100 patients or relatives of
patients collected and analyzed survey was conducted. The
services offered by service providers on staff, specialization in
physical therapy technicians and physiotherapists, dieticians
and other medical disciplines to carry the bodies of the centers
is beneficial. Analysis of quality and customer satisfaction
measurements, In our research to differentiate between sectors
showed parallelism with the association.
Keywords: Health Care Quality, Patient Satisfaction, TKY,
Physical Therapy and Rehabilitation
THE RELATIONSHIP BETWEEN HEALTH INDICATORS
51
AND
DEVELEPMENT
RANKS
OF
PROVINCES
IN
TURKEY
Serap TAŞKAYA, Bayram ŞAHİN, Mustafa DEMİRKIRAN, Mehmet
YORULMAZ, Pınar YALÇIN BALÇIK
ABSTRACT
It is known that health has a significant positive effect
on the rate of economic development and growth in a country.
However current researches rarely permit to understand the
more important indicators which used to determine the level of
development among countries, regions or provinces. The aim of
this study was to assess the relationship between health
indicators and development levels of provinces.
Magisterium)
The data on the development level of the provinces were
obtained from " Socio-Economic Development Ranking of
Provinces and Regions ", published in 2013 by the Ministry of
the Republic of Turkey Development. The number of health
workers per ten thousand, hospital, hospital bed and infant
mortality rate by provinces were obtained from the web site of
TSI (Turkey Statistical Institute) and the numbers of health
personnel per ten thousand were found by dividing the
population of the cities in the same source. In order to be
comparable, 2010 data were used.
At the end of the multiple regression analyses, it was
found out that develepment ranks of provinces were affected
by the number of pharmacist per ten thousand and number of
hospitals. According to these findings, the human resources
for health, especially the number of pharmacists per ten
thousand and number of hospital could be taken into account
52
to the research on the development ranking and these
indicators could be used as substitution variables of the
development levels.
Key
Words:
Development
Ranks
of
Provincies,
Human
Resources for Health, Number of Hospital, Hospital Bed,
Infant Mortality Rate.
Magisterium)
THE
EFFECTS
OF
VIOLATIONS
PSYCHOLOGICAL
IN
ORGANIZATIONAL
CONTRACT
ORGANISATIONS
TRUST
AND
ON
ALIENATION:AN
APPLICATION IN THE HEALTHCARE SECTOR
Mustafa DEMĠRKIRAN
Serap TAġKAYA
Mehmet YORULMAZ
53
ABSTRACT
Concepts
such
psychological
contract,
trust
and
alienation are of great importance for organizations today. Due
to unique characteristics of healthcare services in particular,
healthcare employees are adversely affected by such concepts,
which may result in a heavier burden.
The objective of this research was to determine the
effects of healthcare employees‟ perceptions of psychological
contract violation on their organizational trust and alienation
levels. For this purpose, a survey was conducted on 110
employees of a public hospital in the province of Konya.
According to the findings of the study, trust in the
organization decreased and alienation from the organization
increased with increasing perceptions of psychological contract
Magisterium)
violation, while alienation from the organization decreased
with increasing trust in the manager and colleagues.
Keywords:
Psychological
Contract,
Organizational
Trust,
Alienation
CAPITAL
PERFORMANCE
STRUCTURE
of
TURKISH
and
FINANCIAL
PRIVATE
HEALTH
SECTOR
Nermin Ozgulbas ,Ali Serhan Koyuncugil., Ezgi Unal, Cigdem Baskici
Capital structure that has direct impact on financial
risk of the companies is one of the most critical areas for
54
evaluating financial performance. It has always been an area
for interest for researchers to understand the relationship
between capital structure and financial risk of the company.
This study aims to determine the relationship between capital
structure and financial performance of Turkish private heath
sector firms.
Study was covered medical device firms, pharmaceutical
companies and private hospitals. Financial data of firms were
used between the years 2002 and 2011 and data was obtained
from Turkish Central Bank (TCB) without sampling. Therefore
the study covered 526 firms.
According to the results of the study, it was determined
Turkish private heath sector was capitalized mostly with
equity, 43.6% (299 firms) of the firms' capital structure
operated with high risk, and 26.6% (140 firms) have high
financial
performance.
When
the
firms
are
analyzed
Magisterium)
individually, it was found that this relation is statically valid
for the private hospitals and medical firms.
Key Words: Capital Structure, Financial Risk, Financial
Performance, Private Health Sector
Investigation Of The Factors Affecting The Motivation
Of Health Personnel
Seda HAKYEMEZ, ġükriye TURGUT
INTRODUCTION-AIM:
investigate
the
In
factors
this
research, it is
effecting
the
aimed to
motivation
of
midwifes,nurses and health officers work in a hospital and to
exhibit which motivation factors are more effective in the work
environment.
55
EQUIPMENTS AND METHODS: The universe of this research
is comprised of 356 health personnel (midwives, nurses,
health officers) in a hospital in Samsun City. A survey, created
by using demographics and by utilizing scales previously used
in scientific studies, is applied to 136 health personel selected
with random sampling method. Results are evaluated by
transferring to IBM SPSS Statics Program and using OneWay
ANNOVA-Turkey Test.
FINDINGS:
The sample‟s 86,8%
is famale, 80,1% are
married, 83.1% is in the age of 25-44,
48,5% has been
working in health sector for 11-20 years, 55,1% has been
workin for 0-5years in the hospital in which the research
carried out, 73,5% is graduated from university or collage,
30,1% takes charge above 2700 tl and 11,8% is takes charge
between 1500tl and 1899 tl.
Magisterium)
According to answers given to the questionare, it increases the
motivation to distribute responsibility and authority to the
people
equally
94,9%
,
to
have
self-confidence
while
performing the profession (94,1% ), to communicate with
colleagues, cooperate between departments and have selfdevelopment opportunities( 93,4%) , to have opportunities to
complain – to find fair solutions to the problems they have – to
be able to discuss the issues with their supervisors – to have
social insurance such as retirement and insurance(91,9) ,to
create
an
appropriate
working
environment
wee-air
conditioning, heating and lighting (91,2%)
A significant relationship was observed between the wages of
health
personnel
and
the
averages
of
bussines
and
managerial factors (p=0,016,p=0,018,p<0,05). A relationship
was observed between sex and the avarage of individual
factors (p=0,046,p<0,05). A significant relation was observed
56
between work-related factors and material status of medical
staff
(p=0,024,p<0,05).
A
considerable
relationship
was
observed between the work-related factors and the age of
medical staff.
RESULT: According to the survey performed, distributing the
authority
and
responsibility
equally
is
an
considerable
motivating factor. Highly paid, famales, singles and 25-34 age
group are effected from these motivating effects more. When
comparing the motivation factors suc as good relation with
supervisors(85,3%) , interest and praise (79,4) and so on with
the factor of a well charge, a considerable reduce was observed
(interest-praise(34,5%), relationship with supervisor(35,3%) ).
KEYWORDS: Motivation, incentive, perseverance work, health
personnel
Magisterium)
Comunity Leaders’ Role And Responsibilities In
Desaster And Desaster Preventıon Awarenes Training
Seda HAKYEMEZ, ġükriye TURGUT
INTRODUCTION-AIM: This study is an training program
about the role of the community leaders and the awareness of
protection from disaster to teahcers, chaplains and village
headmen in a town. We defined as comunity leaders and this
training study is evaluated with pre-training and post-training
surveys which show the impact of these trainings.
57
EQUIPMENTS-METHODS: From 499, we have reached 200
teachers, chaplains and village headmen. The total 16-hour
training program in 4 sessions each lasted 4 hours was
organized about the subjects of the role of community leaders
and awareness of protection from disaster. Pre- and posttraining evaluation questionnaire was administered to 70
participant who agreed to fill in our survey. The results were
interpreted by using Mcnemar Bowker Test Analysis in SPSS
17,0.
FINDINGS: A sigificant difference was observed between preand post-trainig evaluations about the issues of community
leaders‟
voluntary
support
to
work
in
disaster
preparedness(p<0,05) and their encouraging people to disaster
preparedness(p<0,001). There was not a significant difference
about
their
cooperation
with
the
public(p>0,05).
It
is
determined that an important part of our community leaders
know the simple applications that should be applied (turning
Magisterium)
on-off
water
valve(92,5%),gas
valve(80,3%),
electrical
fuse(98,5%)) ; but they are inadequate to keep necessary
materials (working flashlights(48,5%), replacement battery for
flashlights(19,7%)
kit(30,8%),copies
handheld
of
radio(16,9%),first
importand
extinguisher(17,5%),emergency
call
aid
documents(20,6%),fire
list(36,7%)).
When
evaluated the issue of how imtortand community leader see
their own duties, the rate of seeing their duty importand and
very important were significantly higher. (chaplains 89,5% ,
teachers 98,7% , headman 100%). But no significant difference
have been reached between pre- and post training according to
Mcnemar-Bowker Test Analysis.
CONCLUSION: Even teachers, chaplains, village headman
seen as exemplary to community are not sufficiently prepared
for disasters. This training program is insufficient for a society
which is totaly ready for disasters even though it is effective in
58
increasing awareness and knowledge.
KEYWORDS: Disaster, preparedness, risk, community leader,
disaster management.
LEGAL AND CRIMINAL LIABILITIES OF PARAMEDICS
AT PREHOSPITAL EMERGENCY MEDICAL SERVICES
Temel KILINÇLI, AyĢegül YILDIRIM KAPTANOĞLU
SUMMARY
“Paramedics” have been described as the members
of team that has the authority of emergency medical
intervention. This authority is responsible the emergency
treatment process until to the hospital. Prehospital
Emergency Medical Services, because of the limit on
medical authority and responsibility and bureaucratic
Magisterium)
obstacles have some legal problems. During emergency
medical
intervention
and
their
legal
and
criminal
liabilities, the timely and appropriate intervention to the
patients have been affected negatively.
There is a strong possibility about having paramedics‟
responsibility on criminal events which are caused any
faulty
behaviors
of
prehospital
emergency
medical
services presenters due to the importance of human
health. Emergency medical services which are formed
dynamical processes but not statics cannot be planned
before. Applying the rapid and exact treatment is
considerably important in terms of protecting and
sustaining a holy value like human health and life.
Criminal and legal liabilities of paramedics who have the
59
rights on physical integrity of patients and their right to
life
on
occasions
that
need
emergency
medical
intervention should be examined and argued their
deficient aspects and offers about them should be
presented.
Key words: Prehospital Medical Services, Criminal and
Legal Liabilities, Paramedic.
Communication in Health
ABSTRACT
Türkan GEÇER, Cem DĠKMEN
Magisterium)
This study focuses on communication in health, which is
also a popular subject in scientific research recently.
For this purpose it is aimed to investigate health,
sickness, and definition and purpose of communication
regarding
to
approaches,
the
three
facilitating
basic
and
criteria
of
complicating
health,
factors,
communication in health.
Communication of medical staff with the patients,
barriers to healthy communication on mentioned parties,
rights and wrongs of communication with patients,
communication with patients‟ relatives, and reasons that
pit patients against medical staff.
Key words : Communication, communication in health,
60
Staff, Patient
THOUGHTS OF HEALTH WORKERS RELATED TO THE
ORGANIZATIONAL CHANGES OF TURKISH HEALTH
SYSTEM
Nuriye Çelmece, Yasemin Ayyıldız, Abdullah IĢıklar
ABSTRACT
OBJECTIVE
Magisterium)
Thetarget
of
thisstudy
theorganiztionalchanges
perceived
by
nurses,
of
is
toexamine
Turkish
laborants,
how
Health
System
are
radiology
experts
and
secreteries according to their seniorities.
METHOD
Thisstudy
is
investigatedbymeans
of
RelationalScreening
Model. In this research, Accidental Sampling Model is used.
Thestudyreached 170 health workers from different jobs who
worked
in
Tokat
State
Hospital
and
totally
150
peoplewereincluded in 2014.
The data of there search was counted via two parted
questionnaire. First questionnaire is formed with genre,
occupational satisfaction, and job category. And the second on
econsists
Multi-Likert
Testimony
which
is
formed
with
questions (never agreed, disagreed, indecisive, agreed, totally
61
agreed) aboutthehealthorganizationalchanges.
RESULTS
Up to the results of theresearch, there is not a mean in full
difference between the health workers‟ genre and their
thoughts of organizational changes. There is not a meaningful
difference
between
the
health
workers‟
occupational
satisfaction and their thoughts about the health organizational
changes. On the other hand, it is foundthatthere is a
meaningful difference between the health workers‟ seniority
and their thoughts about the health organizational changes
and the specification and planning. And, there is a meaninful
difference between the health workers‟ job types and the need
for
organizational
system
change,
planning,
practising,
evaluatingamdphilosophy of nurses.
CONCLUSION
Magisterium)
It
can
be
saidthat
in
general,
there
is
a
positive
approachtowards the change. According to the findings of this
study there is a meaningful difference between planning and
the needs of senior health workers when all sub-findings of
nurses‟ perception about the organiztional change of health
workers are examined.
KEY
WORDS:
Change,
organization,
healthsystem,
organizational change, change in the health system
PROHIBITIONS IN CIGARETTE ECONOMICS AND THE
ROLE OF GOVERNMENT: A GENERAL FRAMEWORK
Emel BAŞOL, Abdülkadir IŞIK
Abstract: As of its discovery and manufacturing; in other words,
62
since the agriculture revolution, tobacco has caused an
addiction for people due to its pleasure-inducing feature. The
mostly commonly consumed tobacco substance in the world is
cigarette. The damages of cigarette which had been used for
long years without any control and conscious were decisively
determined at the beginning of 20th century and health
organizations started to raise awareness for consumers.
Tobacco addiction which is defined as one of the biggest
epidemics of our day by international health institutions is
considered as the primary reason of severe diseases, mainly
cancer and thousands of people lose their lives every year due
to cigarette.
Both international health and non-governmental organizations
conduct awareness-raising activities related to the damages of
cigarette being a remarkable threat for the health of people
and society, and they make effort to put an end to cigarette
consumption. These efforts based on voluntariness and mostly
remaining on discourse level do not seem to yield any efficient
Magisterium)
result. This study discusses whether an efficient limitation is
possible on the consumption of cigarette and other tobacco
products taking stand from the regulatory role of state.
Key Words: Cigarette, Cigarette economics, Regulation
63
II -HEALTH AND SAFETY
Occupational Safety and Health, Job Safety Analysis
Information
and
Knowledge
Health Chemical
Sharing
Safety
and
Environment, Alcohol, Asbestos, Building
Design, Communicating
Across
Spaces, Consultation, Workplace
Occupational
And
the
Structure
Languages, Confined
Amenities
And
First
Aid, Workplace Bullying, Young Workers
Hazardous Work Workplace health promotion and well
being, Controlling OHS Hazards And Risks, Cranes And
Magisterium)
Lifting
Equipment, Dangerous
Goods, Explosives, Falls
Prevention, Fatigue,Forklifts, Hazardous
Substances, Traffic
Management
-
Roadside
Worksites, Waste And Recycling, Working Alone
Education in
Fire
Safety
Engineering, Deliver
fire
safety consultancy
Health Inspection
o Incident
Notification, Infectious
Diseases, Labour
Hire, Lead,Maintenance And Repair
Economic
Aspects
of
Health Occupational
Management
Occupational
Safety
Violence, Office
Systems, Plant
and
Work, OHS
(Machinery
and
Equipment), Stress, Sun Protection
64
Gender and Occupational Safety and Health Managers
And Supervisors, Manual Handling,Material Safety Data
Sheets, Nanotechnology, No Go Zones, Noise, Occupational
Health & Safety Act 2004
Work,
Obesity, Professional
OHS
Advice, Public
Safety, Safe Work Method Statements,SafetyMAP (Safety
Management
Achievement
Program), Slips
Trips
Falls, Smoking
And
Magisterium)
Comparison of a Public Hospital and a Private
Hospital In terms of Patient Safety Culture
Birkan TAPAN, Albena GAYEF
INTRODUCTION
65
Patient Safety is the comprehensive set of practices aimed to
prevent and eliminate simple errors that may potentially occur
in the processes before such errors have an impact on the
patient. Building a patient safety culture is crucial to ensure
patient safety in healthcare institutions. Patient safety culture
is defined as the transparency in event reporting, the
systematic approach and integrity in prevention of medical
errors. This study aims to identify the Patient Safety Culture
perception
of
healthcare
professionals
in
two
different
hospitals, one public and one private foundation, and to
examine the factors that affect patient safety culture.
METHOD
Magisterium)
The
study
was
conducted
on
healthcare
professionals
employed by one public hospital and one private hospital in
Istanbul (n=80) in 2014. "Hospital Survey on Patient Safety
Culture" and "Sociodemographic Survey" were used in the
study. "Hospital Survey on Patient Safety Culture" was
developed in 2004, in the United States by the Agency for
Healthcare Research and Quality to assess patient safety
culture in hospitals. The validity and reliability of the survey in
our country was verified by the study of Filiz and Bodur.
Patient Safety Culture Hospital Survey consists of 42 items
and 12 sub-dimensions (Overall perceptions of patient safety,
Frequency of events reported, Teamwork across hospital units,
change management, Supervisor/manager expectations and
actions
promoting
continuous
66
Organizational
improvement,
Communication
about
safety,
errors,
openness,
Teamwork
Feedback
non-punitive
response
and
to
Learning
within
and
units,
communication
error,
Staffing,
Management support for patient safety). In the evaluation of
the data, frequency, percentage, arithmetic mean independent
samples t test, one-way analysis of variance (ANOVA) and
Tukey HSD test were employed. The data was evaluated using
SPSS 21.0 statistical software. Significance is accepted as
p<0,05.
RESULTS AND DISCUSSION
The score for support provided by the hospital management for
patient safety were determined to be significantly higher in
women
than
communication
in
men
about
(p
=
0,017).
errors”
scores
“Feedback
of
and
healthcare
professionals with post-graduate degrees were significantly
higher than that of healthcare professionals with associate
Magisterium)
degrees (p=0,011), “Feedback and communication about
errors” scores of healthcare professionals with post-graduate
degrees were significantly higher than that of healthcare
professionals with graduate degrees (p=0,015) as well, “change
management” scores of healthcare professionals with graduate
degrees were significantly higher than that of healthcare
professionals with associate degrees (p=0,014). The physicians'
“Feedback and communication about errors ” scores were
significantly higher than nurses (p=0,005). "Keeping open
communication" score of healthcare professionals working in
private hospital was found to be significantly higher than that
of healthcare professionals working in the public hospital (p =
0,001).
CONCLUSION
67
It is recommended to build a culture of patient safety in all
healthcare professionals employed by healthcare institutions,
to develop and implement an effective system for reporting
errors, and to deliver training in order to ensure the
persistence and improvement of patient safety culture.
KEY WORDS: Patient, Hospital, Quality, Health Management,
Patient Safety Culture
“NEW WORK STATIONS” (In Offices)
Esin TÜMER
Magisterium)
Many researches showed that sitting while working is the
biggest danger to the health after smoking. In 2012 alone,
1,300
peer-reviewed
studies
were
published
linking
sedentariness with heart disease, obesity, diabetes, high blood
pressure and other negative health effects. Most sufferers of
sitting disease also have poor ergonomic setups when they are
at their computers. Poor desk ergonomics cause shoulder
pain, lower back pain, carpal tunnel, neck strain, headaches.
On the other hand excessive sitting genesises heart disease,
obesity, diabetes, reduced blood flow etc. Sitting while working
for long hours lowers the productivity & focus. While the
number of the emplooyeess who are working on a computer
increase on one hand, the computer aided games & habits
grab the body of human beings from their childhood.
68
So,
siting on a screen is becoming a public health problem.
European Countries have their own safety regulations for office
employees.
Denmark made the option to be standing still for officers while
working compulsory. General Electric in their center office in
Groby town in London, Porche factory in Leipzing city in
Germany, Google in their London office presented some
precautions and interior design suggestions for their workers
to be able to stand up while working. For our country though,
the subject is still new. The purpose of this work is to discuss
the ergonomic necessities with examples and the possibilities
for walking while working. Not only standing up position but
also the way of walking while working will be discussed.
Key Words: Office, Sitting & Standing Working Positions,
Screens, Ergonomics
Magisterium)
Quality of Life Review of Health Workers
Bilsen Onat Öztürk
ABSTRACT
Extraordinary changes occurring in technology affect work life
of health professionals. Quality of life of these changes through
health care workers can be heard all over the world has
increased.
The pervasive atmosphere in health organizations, morale,
good intentions between the members of the organization, the
power of the sense of belonging that enhances the quality of
life of health, occupational health services.
69
Healthcare organizations work to get rid of the old traditional
way, they have to improve the quality of life of its employees.
This paper before starting the work of health workers age,
marital status, education and number of children that offers
effective quality of life.
Keywords: Health, Health Care Provider, Hospital, Quality of
Life
.
RISKS AND THREATS OF HEALTH WORKERS WHO
THREATEN HEALTH AND SAFETY
Oguz Cetin
ABSTRACT
Magisterium)
Technology has made the transition to industrialized societies
primitive people living with life. The most important feature of
the
industrialized
society
is
intense
production
and
consumption activities. The impact of industrialization and
technology to increase the working life has brought about
many dangers and risks. Extraordinary changes occurring in
technology has affected people's lives. The birth of scientific
thought and technology has developed activities in the
manufacturing and service sectors with industrialization.
These developments have been found to be easily implemented
in the health sector environment. Thanks to health care
workers of occupational health and safety risks and threats to
the determination of threat of technology took place more
smoothly, the health authorities were forced to act according
to the new world order to get rid of the old traditional ways of
working. People in the new world order, which is necessary for
70
their survival physical, psychological, economic, social and
cultural needs, continue to meet the physical and mental
activities as a result of the production of goods and services
they perform.
The need for security, which is another requirement is among
the basic needs of the people. Security, indispensable to
mankind, met are mandatory and very valuable. The work, in
ensuring the protection of health and safety, has become a
subject dealt with in the world. This statement on the health of
the sex of the worker health and safety risks and threats that
threaten the offers are active.
Keywords: Health, Safety, Health organizations, Occupational
health and safety
Magisterium)
ANXIETY LEVEL THEY POSSESS ON OCCUPATIONAL
HEALTH
WORKERS
AND
CAUSES
SERKAN TURGUTOĞULLARI
ABSTRACT
Health
care
workers
due
to
frequent
encounters
with
individuals who have lost their health more influenced by
negative factors remain. As a result of this anxiety syndrome
consists affected. In literature, it is stated that an emotional
response of anxiety.
If this emotional reaction to threatening human self is
understood to be caused by vision in unsafe and dangerous
conditions. This is a normal adaptation methods in humans.
Anxiety, cognitive, also includes psychological and behavioral
71
response systems related.
Accordingly concern; 'for the basic values and the presence of
individuals' threatening 'or' dangerous 'as it detects that the
condition or conditions against cognitive, normally containing
three different reaction components, including psychological
and behavioral, adaptive, but unpleasant feelings' as it is
possible to define.
To meet human needs of health professionals working in the
health sector thanks to the changes that occur in health
facilities increased power. In contrast, health-care workers
who are concerned about their situation with regard to
vocational encounter probability has increased.
Anxiety impairs the mental faculties towards reasoning and
abstract thinking and also prevents to establish proper
communication.
To
recognize
their
own
feelings
of
an
important function of health care workers in health services, to
Magisterium)
know the dynamics of the interaction with the service and it is
necessary to learn to understand their feelings. In this report,
health workers to develop the self-confidence and sense of
courage for the profession, New developments on events from
an event that can be held accountable and the negative
consequences that follow are concerned about the profession
offers.
Keywords
:
Health
care
workers,
Occupatinal
health,
Psychological and behavioral response
Safety Climate Scale For Measuring Health Care
Practice
Oğuz Özyaral & Aysegul Yildirim Kaptanoğlu
Background: In health care setting, physicians and nurses
72
perceptions regarding their organization‟s safety climate is
important. The adoption and maintenance of safe health work
practices and workplace injury rates are being detected by this
research.
This study was to develop a practical tool to measure hospital
safety climate
(1) Health care staff‟s compliance with safe work practices
(2) Incidents of workplace exposure to blood and other body
fluids of health care staff.
Methods: A questionnaire, which included 34 safety climate
items, was developed and tested on a sample of 1045 health
care workers at risk for bloodborne pathogen exposure
incidents. This health care safety climate scale subfactored
into 3 different organizational dimensions:
Magisterium)
(1) Management of safety programs, (2) Safe work practices, (3)
Cleanliness and orderliness of the work site
Results: After field testing on health care staff, 14-item health
care safety climate scale with 3 subscale was extracted
through validity, reliability, confirmatory factor analysis. The
Kaiser-Meyer-Olkin (KMO) measure of sampling have enough
in common to justify conducting a factor analysis range from 0
to 1, with desirable values closer to 1. The KMO measure of
sampling adequacy was 0.87.
Conclusions: The safety climate scale was found satisfactory
in interpreting healthcare worker safety perceptions for
targeting safety needs. This would be strengthened through a
systematic collection of similar benchmarking data in different
health care settings.
73
Keywords : Scale, Health care setting, safety climate
The Evaluation Of The Opinions Of Society Related To The
Applıed Polıcies In The Coverage Of The Health Transformation
Program
Kadir YILDIRIM, Mehmet KARATAŞ, Bahattin İLTER, Ebubekir
ARDIÇ
Abstract
Magisterium)
In Turkey which is a social state of law It had been carried out
significant changes and progresses in the health services, in the past
decade. In addition to this, as one of the requirements of this approach
and also a concrete example of change that it had been taken a step
under the name of the Health Transformation Program in the year of
2003. And it had been defined as in the Health Transformation
Program by radical innovations and changes which were made. The
aim expected from the program: It has been determined that as to
benefit everyone more effective and equally in delivery of health
service.
In our studying
the efectiveness of program has been
evaluated according to the requirements of providing and quality of
the services offered, through the needs to be easily accessible and
74
widely ; with idea of those who supply the health services and those
who demand them will be depended on theirs mutual harmony . It has
been worked to determining people’s
service delivery and their perceptions
evaluation of the health
related to the Health
Transformation Program applications, and in the same time whether
these perceptions showed or not significant difference according to
some variances and a correlation of difference.
It has been searched that
how the Health Transformation
Program and innovations occurring in the health care system were
perceived by society besides people’s satisfaction levels . Also this
carried out with randomly selected 1233 people by having an
interwiev face to face in Sivas and its 16 districts.
Magisterium)
As a result , the authorized personnel who evaluated the
innovations within the system of the Health Ministry were found to be
satisfied by the Health
Transformation Program and changes it
brought generally. It has been concluded that the new system are
positive reflections.
Key Words: The Health Transformation Program, The Health Service
Delivery, The Health Policies, The Health Research, Satisfaction with
Health.
75
EXAMINING
INSTITUIONS:
THE
MOBBING
BURSA
FACT
PROVINCE
IN
HEALTH
MEMLEKET
HOSPITAL FIELD STUDY
Arzu TÜRKMEN
Abstract
Objective: This study is initiated for the purpose of
determining the mobbing behaviours frequently encountered
Magisterium)
by the employees of Bursa Province Memleket Hospital and
presenting the behaviour they exhibited against such negative
situation they have encountered.
Method: Questionnaire method is utilized by conducting face
to face discussions as a data gathering technique since the
subject is sensitive and abstract notion and such method is
applied to 270 health personnel and institution employees
working under the institution. Reliability of the items of
mobbing scale is tested with cronbach alpha (cronbach alpha
value is 0.876). Obtained data is evaluated on the SPSS
Clementine 12.0 package program. Variance analysis and Data
Mining – Decision Trees analysis were utilized for the analysis
of the data.
76
Finding: It is determined that the mobbing behaviours they
frequently encounter after the research as; 29.5% is
humiliation, 4.22% is communication obstacle, 5% is
discrimination. Behaviours they exhibit against such negative
situation they encounter is that; 32% of males and 50% of
females verbally forward this negative situation that
discomforts them to their department supervisor. Behaviours
they exhibit to the mobbing person; rate of the employees that
are rarely willing to leave the institution is 30%, rate of the
employees that are rarely willing to change their departments
is 15 and rate of the employees that are thinking of applying to
jurisdiction is 8%.
Conclusion: There is average level of mobbing behaviour
against the employees of Bursa Province Memleket Hospital
institution. As the age of the employees in health sector
increases, it is indicated that the rate of problem solving
through face to face discussions decreases. Widow and
divorced individuals accept the situation as it is without taking
any action against unfair behaviour they encounter.
Individuals, who are not willing to change their departments
within the institution, are not willing to leave institution as
well.
Magisterium)
Keywords: Mobbing Fact, Health Institutions, Healthcare
Employees, Bursa Province Memleket Hospital
A
Research
About
What
Ethic
is
For
Family
Physicians and Their Opinions and Applications
Abstract: On 25 May 2004 "Public Official‟s Ethics Committee"
was
established.
By
materializing
this
committee
determination and observation of application of ethical
principles such as transparency, impartiality, integrity,
accountability, protecting public interest which bind the public
officials, are being aimed.
77
Healthcare is a sensitive field where everybody has to fully
surrender their lives willingly or unwillingly. Regulating this
field only with the laws cannot be expected. It is expected that
healthcare workers shall internalize these ethical behaviors.
Therefore, social and psychological aspects of the subject need
to be investigated.
On the subject of the moral sentiment of our society developed
over centuries and ethics which is the reflection of this on
professional field legal regulations has been put into practice.
The aim of the study is to analyze the awareness and examples
of implementation of current moral sentiment and ethical
approach determined by legal regulations.
For that purpose, among the physicians who deal with the
patients directly and have prolonged contacts with the
patients, the “family physicians” has been identified as the
target group. The knowledge of the target group on ethics,
their thoughts, their adaptations and their own unique
applications, and the impact of their general and specific
applications on current work load have been examined.
For the study, face to face interviews were carried out with the
designated physicians, by asking predetermined questions,
within the frame of predetermined subjects information were
collected.
Magisterium)
As a result, the impact of ethical approach on to physician
profession, development and change trends, impacts on
patient satisfaction and interaction with the patients has been
examined and revealed.
Keywords : ethic, health, family physicians
LEGAL RESPONSIBILITIES OF HEALTH WORKERS
Ummugulsum Oflaz
ABSTRACT
78
Developments occurring in the field of health, especially in
recent years, Turkey has been influential in the development of
the health care law. Changes occurring in the communications
sector in particular, the advancement of technology has been
reflected in the health field, has contributed significantly to the
delivery of health services. However, today has changed the
presentation of the health care organization with experience
breakthrough understanding, patient satisfaction, patient
rights, patient safety, has made an important point in terms of
medical malpractice.
In this study, the legal incidents or may occur, which
consists of bringing health workers perform their tasks in
health care delivery person and of society and post-treatment
process is made explanations of what the legal responsibility of
employees pursuant to it. However, the existing legislation
with legislation today who are focused on the problems arising
from legal practice.
With criticism of the legal regulations covering health care has
been evaluated in terms of health care workers with
descriptions legislation. Effective health care law that the state
of the structure, the level of meeting the problems that
occurred in the sector is related to the degree of solving
problems more clearly.
Key Words; Medical Malpractice, Patient Rights, Legal Liability
Magisterium)
Medication
Adherence
among
Type
2
Diabetic
patients in Northern Greece
Zioga Efrosini, Koutras Christos, Marmara Kalliopi, Marmara
Eleni-Efrosini, Lavdaniti Maria
Introduction: Diabetes Mellitus has emerged as a major
health care in Greece. Adherence rates for patients withtype 2
diabetes range from 65–85% for oral agents and 60–80% for
insulin.
Purpose: The study was conducted to assess the medication
adherence of diabetes patients in one province of Northern
Greece. The association between demographic characteristics
and adherence levels was also investigated.
79
Methods: The sample of this study was108 patients. The
patients were hospitalized in the medical Department or were
outpatientsin the provincial hospitalin Northern Greece.
Adherence to treatment was assessed by a specific
questionnaire. Also, the questionnaire included demographic
data and clinical characteristics.
Results: The majority of the sample consisted of women
(52.8%) with mean age 66,7 ± 10,9 years. The increased
adherence observed on the diet and blood tests control blood
sugar. The lowest adherence observed in exercise and foot
care. The results show that demographic factors such as age,
sex, marital status, education level, type of treatment
correlated with the subscales of adherence (P <0,5).
Discussion: The sample of the survey shows good levels of
adherence in the treatment daily and in physician‟s advice.
There is a need for further research in order to generalize the
results of the present study in Northern Greece.
Magisterium)
Key Words: Medication Adherence, Type 2 Diabetic, Patients
Northern Greece
Work-Related Stress Management
AyĢe Hatinoğlu
Abstract
Recently, stress has been the center of a global attention of
organizations. The cause of this situation is the negative
effects of stress on human health and business lives. As a
result it may cause increasing tendency of alcohol usage,
health problems and certain problems in business life.
80
Nowadays stress has become an inseparable part of a life.
According to the studies of some researchers, stress may
disappear only when life is stopped, in other words when one
is dead. People are facing stress intensively due to the rapid
development and changeable social and business parts of their
lives while they work. Exceeding stress has become the reason
of workers having troubles with health and showing worse
results at workplace: having lower performance in
organizations‟ activities and as a result having worse
productivity, which affects also the financial side extremely
negatively. However, the medium level of stress is needed to
get one‟s performance and motivation to their highest levels.
Despite the facts that at present organizations spend huge
sums to overcome the stress, they still have to face the
problem of labor loss. These serious results caused by stress
harm people dramatically as individuals. Therefore, people and
companies must find a way to manage the stress and keep an
acceptable measure of stress sources, as it has become the
disease of the century, and must be controlled.
Magisterium)
In this study, a different perspective of management with
the work related to stress is being developed.
Keywords: Stress, Work Stress, Management of Stress
81

International Journal of Health Administration and Education Congress

Transcription

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