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Öğe Emergency department visits following discharge: Implications for healthcare management(Routledge Journals, Taylor & Francis Ltd, 2021) Kaya, Sidika; Guven, Gulay Sain; Teles, Mesut; Aydan, Seda; Kar, Ahmet; Bahcecioglu, A. Begum; Senturk, Esra FiratObjective: This study aimed to reveal the frequency of emergency department (ED) visits within 7 and 30 days after discharge and to identify the factors affecting these ED visits. Methods: A total of 1570 patients discharged from the internal medicine wards of a university hospital in Turkey within 1 year were included in this prospective cohort study. Multiple logistic regression analyses were used to identify the factors affecting ED visits. Results: Of the patients, 1.3% visited the ED within the first 7 days after discharge and 5.2% within 30 days. Multivariable analyses showed that the probability of an ED visit within 30 days was 1.83 (95% CI 1.09-3.08; p = 0.023) times higher for male patients and 2.15 (95% CI 1.00-4.60; p = 0.049) times higher for patients with intensive care unit (ICU) stay before discharge. The probability of an ED visit increased by 1.25 (95% CI 1.11-1.42, p < 0.001) times for every 1-point increase in the comorbidity score. The costs of ED visits within 0-7 days were lower than the costs within 8-30 days (p = 0.001). Conclusion: Innovative approaches targeting discharge planning and postdischarge care for patients with high comorbidity scores and ICU use during index hospitalization could reduce ED visits within 30 days after discharge.Öğe Evaluating patient safety culture at a private hospital(Routledge Journals, Taylor & Francis Ltd, 2021) ozcan, Taner Hasan; Kaya, Sidika; Teles, MesutObjectives: To evaluate the patient safety culture perception of a private hospital staff in a less developed region, to compare these perceptions according to socio-demographic and professional characteristics of the staff, and to investigate the effects of these characteristics on the patient safety culture. Methods: The Turkish version of the Safety Attitudes Questionnaire (SAQ) was administered to all staff members (340 people) of a private hospital in the less developed eastern region of Turkey. Data was analysed by independent samples t-test, ANOVA, Welch statistics and multiple linear regression analyses. Results: The response rate was 76%. Among six dimensions of the SAQ (teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions), stress recognition was the dimension with the lowest average. According to multivariate analyses; being younger, having a position as a nurse or technician/technical staff, working day-night and having longer years in the current hospital have an effect on the staff's more negative safety culture perception (p < 0.05). Conclusion: This study provides important information on patient safety attitudes of a private hospital staff in the least developed region of a country. Stress recognition and safety climate dimensions are the areas that primarily need improvement.Öğe Health literacy of cardiology patients: determinants and effects on patient outcomes(Routledge Journals, Taylor & Francis Ltd, 2021) Teles, Mesut; Kaya, SidikaHealth literacy is important for the management of chronic cardiovascular diseases. Comprehensive studies related to health literacy of cardiac patients are limited. The aims of this study were to determine the determinants of health literacy and its effects on patient outcomes in cardiology patients. The European Health Literacy Survey Questionnaire (HLS-EU-Q- 47 items) was applied to 530 patients who presented to cardiology polyclinics of a university hospital in Ankara. Correlation coefficients, univariate and multi-linear regression analyses were used in the study. Determinants of health literacy were sex, education level, place of residence and perception of social status (p < .05). Although adjustments were made based on relevant control variables in multivariate analyses, health literacy was found to affect 14 of 26 patient outcomes within the scope of the study (p < .05). Higher education level and perception of social status, residing in the city center and being female were among the determinants of high health literacy. Higher health literacy was associated with more positive patient outcomes. Health literacy affected health behaviors and risks, drug use habits, health status, use of preventive health services and patient satisfaction.Öğe Relationship between authentic leadership, transformational leadership and innovative work behavior: mediating role of innovation climate(Taylor & Francis Ltd, 2023) Korku, Cahit; Kaya, SidikaObjectives. This study aimed to demonstrate the effect of transformational and authentic leadership characteristics of healthcare managers on employees' innovative work behavior and the mediating role of innovation climate. Methods. The study was conducted in 19 hospitals in Turkey and 263 managers participated. The data were collected using the transformational leadership questionnaire, the authentic leadership questionnaire, the innovative climate assessment tool and the innovative work behavior scale. Path analysis was performed to demonstrate the relationship between the variables. Results. When transformational and authentic leadership were put into the model separately through innovation climate, transformational leadership had an effect of 0.39 units (0.22 units direct, 0.17 units indirect) and authentic leadership had a 0.44-unit effect (0.29 units direct, 0.15 units indirect) on innovative work behavior. When transformational and authentic leadership were put together in the model, the total (direct and indirect) effect of them increased to 0.52 units. In this case, the effect of authentic leadership characteristics of health managers on innovative work behavior of their followers (0.42 units) was greater than the effect of transformational leadership characteristics (0.10 units). Conclusions. Although both types of leadership affect innovative work behavior, authentic leadership was more effective than transformational leadership.
