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International Journal of Health Administration and Education Congress (Sanitas

Magisterium)

International

Journal of

Health

Administration

and Education

Congress

(Sanitas

Magisterium)

Istanbul,

Turkey.

Green Park 1

Hotel

28-29 March 2015

28-29 March 2015, Istanbul, Turkey. Green Park Hotel Bostancı / İstanbul / Türkiye


Magisterium)

I-HEALTH MANAGEMENT

II -HEALTH AND SAFETY

2

III- HEALTH EDUCATION



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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



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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




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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



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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



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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.



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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

LEVEL OF KNOWLEDGE ABOUT THE USE OF HOSPĠTAL

11 ĠNFORMATĠON SYSTEMS TO HEALTH CARE PERSONNEL ĠN

HOSPĠTAL PRACTĠCE ........................................................... 20

PERCEPTĠONS AND KNOWLEDGE, REGARDĠNG BREAST

SELF-EXAMĠNATĠON OF FEMALE SOCĠAL WORK AND PRE-

PRĠMARY 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

COMUNĠTY LEADERS‟ ROLE AND RESPONSĠBĠLĠTĠES IN

DESASTER AND DESASTER PREVENTION AWARENES

13 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



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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



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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 self-

examination of female Social Work and Pre-primary 21

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 Pre-

primary 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 self-

examination, 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 self-

examination 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 Methods: The KUHTLS questionnaire is

anonymous self-administered, containing 54 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

are side effects in the patients, 21,1% are incorrect assessment 26

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

The hospital is not only a place where sick people recover from 28

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.

Key words: Knowlegde, Hospital Infection, Health Staff 29

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

should be adopted to solve the „communication problems‟, 30

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



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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, re-

administration, 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, and general reputation

management was high. 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 managers had higher levels of reputation

management than private hospital managers, married 34

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; Patient

Satisfaction; Hospital Preference.

TURKEY HEALTH EXPENDITURES AND ITS STATUS

AMONG OECD COUNTRIES

Yunus Emre ÖZTÜRK, Halil TÜRKTEMİZ

ABSTRACT

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. 36

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, health expenditure efficiency



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Example of Lean Management in theHealthSector; E-

Prescription Application

TaĢkın KILIÇ

Sedat BOSTAN

Goncagül ġAHĠN

Introduction : In 2013, Ministry of Health carried out the

application of „e-prescription‟ 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 e-

37 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

system. 38

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.



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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

accidents and occupational illnesses or not. The effectsof 40

supervision by JCI on the occurrence of occupational

accidents andoccupational illnesses in 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, “A QUESTIONNAIRE FORM FOR THE

EVALUATION OF THE ATTITUDES OF 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. There were 14 questions about the

evaluation of health security oriented to view 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 Words: Operating room, operatingroomemployees,

44 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.



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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

wastes; first of all the knowledge level of health staff working in these

45 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:



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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 non-

value 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

system. Authority; better quality of service required to offer 46

faster and more accurately. Engine of growth 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 HEALTH

RECORDS?

Dilek TAġDEMĠR

ABSTRACT



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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

detected by the patient. 47

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



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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. In our research findings, it has been

48 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



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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



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QUALITY AND CUSTOMER SATISFACTION ON PHYSICAL

THERAPY AND REHABILITATION CENTERS AN

APPLICATION 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 28-29 March 2015, Istanbul, Turkey. Green Park Hotel Bostancı / İstanbul / Türkiye

51


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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

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.



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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.



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THE EFFECTS OF PSYCHOLOGICAL CONTRACT

VIOLATIONS IN ORGANISATIONS ON ORGANIZATIONAL

TRUST AND 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



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violation, while alienation from the organization decreased

with increasing trust in the manager and colleagues.

Keywords: Psychological Contract, Organizational Trust,

Alienation

CAPITAL STRUCTURE and FINANCIAL

PERFORMANCE of TURKISH 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



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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: In this research, it is aimed to

investigate the factors effecting the 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.



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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 self-

development 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



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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.

EQUIPMENTS-METHODS: From 499, we have reached 200

57 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 post-

training 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 pre-

and 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



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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%) handheld radio(16,9%),first aid

kit(30,8%),copies of importand documents(20,6%),fire

extinguisher(17,5%),emergency call 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*, İdil Yıldırım**, Ayşegül

YILDIRIM KAPTANOĞLU**

*İstanbul Health Authority

Trakya University Balkan Campus Health Management

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


59


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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

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



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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 the three basic criteria of health,

approaches, facilitating and complicating 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,

Staff, Patient

60

THOUGHTS OF HEALTH WORKERS RELATED TO THE

ORGANIZATIONAL CHANGES OF TURKISH HEALTH

SYSTEM

Nuriye Çelmece, Yasemin Ayyıldız, Abdullah IĢıklar

ABSTRACT

OBJECTIVE



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Thetarget of thisstudy is toexamine how

theorganiztionalchanges of Turkish Health System are

perceived by nurses, laborants, 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



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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



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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 Sharing Occupational

Health Chemical Safety and the

Environment, Alcohol, Asbestos, Building And Structure

Design, Communicating Across Languages, Confined

Spaces, Consultation, Workplace Amenities And First

Aid, Workplace Bullying, Young Workers

Hazardous Work Workplace health promotion and well

being, Controlling OHS Hazards And Risks, Cranes And


http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/alcohol

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/alcohol

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/building-and-structure-design

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/communicating-across-languages

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/communicating-across-languages

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/confined-spaces

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/consultation

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/consultation

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/workplace-amenities-and-first-aid

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/controlling-ohs-hazards-and-risks


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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 Occupational Safety and

Health Occupational Violence, Office Work, OHS

Management Systems, Plant (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 And

Falls, Smoking


http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/cranes-and-lifting-equipment

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/dangerous-goods

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/explosives

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/falls-prevention

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/hazardous-substances

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/traffic-management-roadside-worksites

http://www.see.ed.ac.uk/fire/teaching.html

http://www.see.ed.ac.uk/fire/consultancy.html

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/incident-notification

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/infectious-diseases

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/labour-hire

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/labour-hire

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/occupational-violence

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/occupational-violence

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/plant

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/plant

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/sun-protection

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/managers-and-supervisors

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/managers-and-supervisors

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/material-safety-data-sheets

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/nanotechnology

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/publications

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/professional-ohs-advice

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/professional-ohs-advice

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/public-safety

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/public-safety

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/safetymap-safety-management-achievement-program

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/safetymap-safety-management-achievement-program

http://www.vwa.vic.gov.au/safety-and-prevention/health-and-safety-topics/slips-trips-and-falls


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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



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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 safety, Organizational Learning and

continuous improvement, Teamwork within units,

Communication openness, Feedback and communication

about errors, non-punitive response to error, Staffing,

66 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 in men (p = 0,017). “Feedback and

communication about errors” scores of healthcare

professionals with post-graduate degrees were significantly

higher than that of healthcare professionals with associate



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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



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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. So,

siting on a screen is becoming a public health problem.

68 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



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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



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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



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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

response systems related.

71 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



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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

perceptions regarding their organization‟s safety climate is

72 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:



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(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



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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

widely ; with idea of those who supply the health services and those

74 who demand them will be depended on theirs mutual harmony . It has

been worked to determining people’s evaluation of the health

service delivery and their perceptions 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.



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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 THE MOBBING FACT IN HEALTH

INSTITUIONS: BURSA PROVINCE MEMLEKET HOSPITAL

FIELD STUDY

Arzu TÜRKMEN

Abstract

Objective: This study is initiated for the purpose of

determining the mobbing behaviours frequently encountered


76


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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.

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.



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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.

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

77 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.


78


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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

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


79


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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.

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.



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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.

Nowadays stress has become an inseparable part of a life.

According to the studies of some researchers, stress may

80 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.



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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


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