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Öğe BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNDE ÇALIŞAN SAĞLIK PERSONELİNDE İŞ STRESİNİN İŞTEN AYRILMA NİYETİNE ETKİSİ(2023) Teles, MesutBu çalışmanın amacı birinci basamak sağlık hizmetlerinde çalışan sağlık personelinde iş stresinin işten ayrılma niyetine etkisi araştırmaktır. Kesitsel türde bir araştırma olan bu çalışmada veri toplama araçları olarak Genel İş Stresi Ölçeği ve işten ayrılma niyetini ölçen iki soruluk form (örgütten ve meslekten ayrılma niyetleri için ayrı ayrı birer soru) kullanılmıştır. Bu çalışma, Niğde il merkezi ve Niğde’nin en büyük ilçesi olan Bor ilçe merkezindeki birinci basamak sağlık hizmetleri kuruluşlarında çalışan 281 sağlık çalışanı (88 aile hekimi, 164 aile sağlığı elamanı, 27 diğer) üzerinde yürütülmüştür. Çalışmada iki ortalama arasındaki farkın önemlilik testi, tek yönlü varyans analizi, Eta katsayısı, Cramer V katsayısı, Pearson korelasyon katsayısı, basit ve çoklu doğrusal regresyon analizleri uygulanmıştır. Sağlık çalışanlarının 5’li Likert üzerinden Genel İş Stresi Ölçeği ortalaması 2,29±0,93’tür ve meslekten ayrılma niyeti ortalaması (2,46±1,31) örgütten ayrılma niyeti ortalamasından (2,37±1,22) biraz daha yüksektir. Aile hekimlerinin iş stresi ortalaması (2,60±0,95), meslekten ayrılma niyeti ortalaması (2,73±1,29) ve örgütten ayrılma niyeti ortalaması (2,63±1,18) diğer sağlık çalışanlarının ortalamalarına göre daha yüksektir (p<0,05). İş stresinin meslekten ayrılma niyeti (r=0,72; p<0,05) ve örgütten ayrılma niyetiyle (r=0,66; p<0,05) ilişkileri yüksek düzeydedir. İş stresinin meslekten ayrılma niyetine (b=1,01; p<0,05) ve örgütten ayrılma niyetine (b=0,86; p<0,05) istatistiksel olarak anlamlı etkileri vardır. Hatta bu etkiler, mesleki ve sosyodemografik özelliklerin kontrol değişkeni olarak modele dahil edilmesi durumunda bile devam etmektedir (p<0,05). Sonuç olarak, iş stresinin işten ayrılma niyeti üzerinde pozitif yönlü bir etkisi olduğu değerlendirilmektedir. Lisansüstü eğitim mezunu ve haftalık çalışma saati 48 saat olan ve aile hekimi olarak görev yapan sağlık personelinin iş stresi daha yüksektir. Ayrıca 35 yaş ve altındaki, lisansüstü eğitim mezunu, mesleki deneyimi 15 yıl ve altı ile haftalık çalışma saati 48 saat olan ve aile hekimi olarak görev yapan sağlık çalışanlarının işten ayrılma niyeti daha yüksektir. İş stresinin yanı sıra yaş, eğitim düzeyi ve meslekte çalışma süresi işten ayrılma niyetinin diğer belirleyicileridir. İşten ayrılma niyetini düşürmek isteyen sağlık yöneticilerinin, çalışanların mesleki ve diğer özelliklerini de dikkate alarak iş stresiyle mücadele etmesi önerilir.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 Mediating effect of work stress in the relationship between fear of COVID-19 and nurses' organizational and professional turnover intentions(W B Saunders Co-Elsevier Inc, 2023) Ekingen, Erhan; Teles, Mesut; Yildiz, Ahmet; Yildirim, MuratNursing is one of the most stressful and high-risk professions. It is important to identify the psychological problems experienced by nurses during the COVID-19 pandemic and examine the relationship between these problems to devise measures that can properly address them. This study examined mediating effect of work stress in the relationship between fear of COVID-19 and nurses' organizational and professional turnover intentions. Using a cross-sectional research design, this study was conducted on 486 nurses working in seven hospitals in Turkey. The mean age of the participants was 35.24 +/- 6.81 and 59.9 % of them were women. The Fear of COVID-19 Scale, the General Work Stress Scale, and the Turnover Intention Scale were used to collect data. A mediation model showed that fear of COVID-19 was positively associated with work stress and organizational and pro-fessional turnover intentions. The model also revealed that work stress was positively associated with organi-zational and professional turnover intentions. Furthermore, the results demonstrated that fear of COVID-19 did not only have a direct effect on organizational and professional turnover intentions but also had an indirect effect on it via increased work stress. Findings improve our understanding of the role of work stress in the relationship between fear of COVID-19 and organizational and professional turnover intentions. The findings are fruitful for tailoring and implementing intervention programs to reduce the adverse psychological impacts of COVID-19 on nurses.Öğe The effect of fear on health information searching behavior during the pandemic: The case of COVID-19(Elsevier Ireland Ltd, 2024) Teles, MesutBackground and objectives: Fear can cause people to panic, lead to erroneous decisions, and trigger inappropriate behavior. This study aims to investigate the effects of fear of COVID-19 on the perception of the reliability and the use of health information sources. Methods: This study is both a cross-sectional and explanatory study. The participants selected by convenience sampling method were 323 students attending a state university in Turkey. The Fear of COVID-19 Scale (FCV-19S) and the Health Information Sources Survey were used as data collection tools. Descriptive statistics, correlation coefficients, and linear regression analyses were used. Results: The participants' mean FCV-19S score was 2.30 +/- 0.93 on a five-point Likert scale. In the range of 0-10, the information source with the highest reliability perception mean score was the doctor (8.05 +/- 2.54), whereas that with the highest usage was the Internet (7.98 +/- 2.77). Although the fear of COVID-19 had a negative effect on Internet use (b = -0.38; p < 0.05), the effects on the use of other health information sources were positive (b = 0.37-0.83; p < 0.05). Trust in radio (b = 0.60; p < 0.05) and newspapers/magazines (b = 0.49; p < 0.05) also increased with fear. Conclusions: These results showed that as university students' fear of COVID-19 increased, the use of the Internet for health information decreased; however, the use of doctors, nurses, pharmacists, other health workers, scientific articles, television, radio, and newspapers/journals increased. Nurses were the source of information whose use increased the most, along with increased fear. The findings can guide health policies to be followed. Not only doctor talks but also nurse talks and scientific videos should be increased on the Internet, social media, and other mass media.Öğe Validity and reliability of the Turkish version of the General Work Stress Scale(Wiley, 2021) Teles, MesutAim To test the validity and reliability of the Turkish version of the General Work Stress Scale. Background Nursing is one of the most stressful professions. The primary measure that should be taken to ensure that nurses can cope with stress is determining their stress levels. Method The General Work Stress Scale was translated into Turkish via back-translation. Its reliability and validity were analysed via item analyses, content and construct validities, exploratory and confirmatory factor analyses, Cronbach's alpha and Spearman-Brown reliability coefficients. Average and standard deviations of the scale items and the overall scale were calculated. Results The study was conducted with 276 nurses. The Cronbach's alpha of the whole scale was 0.91, and the Spearman-Brown reliability coefficient was 0.89. According to the resulting one-dimensional structure, the factor loadings of the scale items were between 0.67 and 0.82, and this structure alone explained 58.72% of the total variance. The confirmatory factor analysis revealed perfect and good-fit indices (chi(2)/SD = 1.96; RMSA = 0.06; CFI = 0.99; IFI = 0.99; GFI = 0.97; RMR = 0.04; NFI = 0.99). The mean total score was 2.55 +/- 0.87, while the items' means ranged from 2.10 +/- 1.15 to 3.33 +/- 1.13. Conclusion The Turkish version of the General Work Stress Scale is a valid and reliable tool for assessing nurses' general work stress. Nurses largely feel that their work makes them so stressed that they wish they had a different job. The items with low means suggest opportunities for improvement. Implications for practice The nurses or nursing services and units with low or high stress levels can be determined with the General Work Stress Scale. If necessary, measures aimed at eliminating or reducing the negative effects of those nurses or nursing services and units with high stress levels can be taken in a timely manner.
