The Effects of Patient-Centered Communication on Patient Engagement, Health-Related Quality of Life, Service Quality Perception and Patient Satisfaction in Patients with Cancer: A Cross-Sectional Study in Türkiye.

INTRODUCTION: Patient-centered communication is a type of communication that takes place between the provider and the patient. OBJECTIVES: It is aimed to reveal the effects of patient-centered communication on patient engagement, health-related quality of life, perception of service quality and patient satisfaction. METHOD: The study was conducted by applying multiple regression analysis to the data obtained from 312 patients with cancer treated in a training and research hospital affiliated to the Ministry of Health in Diyarbakir, Türkiye. RESULTS: More than half of the patients were female and had stage 4 cancer. Different types of cancer were detected (breast cancer, cancer of the digestive organs, lymphatic and hematopoietic cancer, cancer of the genital organs, cancer of the respiratory organs, etc.). It can be stated that the average values obtained by patients from patient-centered communication and its sub-dimensions are high. There are positive, moderate and low and significant relationships between the overall patient-centered communication and patient engagement, patient satisfaction, service quality perception and quality of life. It was statistically revealed that patient-centered communication positively affected patient engagement, health-related quality of life, service quality perception, and patient satisfaction. CONCLUSION: Patient-centered communication positively affects various short and medium-term health outcomes and this study offers suggestions for improving patient-provider communication.

Examination of the Relationships Between Change Fatigue and Perceived Organizational Culture, Burnout, Turnover Intention, and Organizational Commitment in Nurses.

Background and Purpose: This study aims to reveal the relationships between change fatigue and perceived organizational culture, burnout, organizational commitment, and turnover intention; to examine the effects of change fatigue on burnout, turnover intention, and organizational commitment; to determine whether there is any mediator effect of burnout on the relation between change fatigue, organizational commitment, and turnover intention or not; and finally, to determine the effects of organization culture on change fatigue. Methods: This cross-sectional study was conducted on 403 nurses working in a university hospital in Erzincan, Türkiye. Multiple and hierarchical regression analyses were used to determine the relationships between change fatigue, organizational culture, burnout, turnover intention, and organizational commitment. Results: As a result of the analysis, it was determined that change fatigue has a significantly positive effect on burnout and turnover intention and a negative effect on organizational commitment. In addition, it was revealed that burnout has a partial mediating effect on the relationship between change fatigue, turnover intention, and organizational commitment. Moreover, it was found that clan and adhocracy cultures, which are perceived organizational culture types, have a negative effect on change fatigue, and a hierarchical culture has a significantly positive effect. Implications for Practice: To prevent change fatigue, managers of health institutions can be advised to inform nurses about the process before each change initiative. In addition, creating a culture in the organization that adopts respect and understanding as a philosophy, is based on employee participation, and exhibits modern leadership behaviors.

Predictors of financial toxicity and its associations with health-related quality of life and treatment non-adherence in Turkish cancer patients.

PURPOSE: This study aims to determine the financial toxicity (FT) level in cancer patients, identify the risk factors associated with this level, and reveal the effect of this level on patient outcomes (health-related quality of life (HRQoL) and treatment non-adherence). METHODS: The data of 316 cancer patients, who were receiving inpatient treatment in an oncology hospital affiliated to a public university in Ankara, Turkey, were ≥ 18 years old, and were receiving chemotherapy for at least 3 months, were evaluated. The data were collected through a face-to-face interview. FT was measured with the COmprehensive Score for financial Toxicity (COST) Measure (v2), HRQoL was measured with the Functional Assessment of Cancer Therapy-General (FACT-G) Scale (v4), and treatment adherence was measured using a questionnaire created by conducting a literature review. RESULTS: Patients were found to experience FT above the moderate level (mean ± SD, 21.85 ± 12.02; median value, 24.0). Younger age, being married, low education level, low monthly household income, and receiving social/economic support for treatment were revealed to be the determinants of high FT. Moreover, as the FT score decreased (as the FT level felt increased), the HRQoL was observed to decrease, and treatment non-adherence increased. CONCLUSION: The results indicate that FT problem is also valid for cancer patients in Turkey despite the system of general health insurance. The FT was found to result from socio-economic characteristics rather than the disease and treatment-related characteristics. The significant associations revealed between FT and patient outcomes emphasize the importance of reducing the FT in cancer patients.

Socio-demographic characteristics affect health information seeking on the Internet in Turkey.

OBJECTIVE: The objective of this paper was to determine the effects of certain socio-demographic characteristics of Turkish individuals who seek health information on the Internet. METHODS: This study was granted permission to use data obtained by the Turkish Statistical Institute (TSI) in 2018 under their Household Information Technology Use (HITU) study. The original sample for this research comprised 19,389 participants. RESULTS: Age, gender, educational level, place of residence and frequency of Internet use were all found to impact the participants' health information seeking behaviour on the Internet. Health information was sought more frequently by women than men, by younger than older people and by those with higher levels of education. Also, health information searches were conducted more often in developed regions than in less-developed regions. In addition, it was also found that the habit of seeking health information was more common among those who use the Internet more frequently. CONCLUSION: Several socio-demographic characteristics of individuals affect their health information seeking behaviour on the Internet. All individuals should be granted equivalent access to reliable health information by taking sociodemographic characteristics and discrepancies into consideration.

An Evaluation of Verbal, Physical, and Sexual Violence Against Healthcare Workers in Ankara, Turkey.

BACKGROUND: Healthcare professionals work in high-stress, fast-paced settings where individuals from different professions work together and who are exposed to many types of violence. The phenomenon of violence has become a concern of utmost importance for healthcare professionals that should be addressed with due attention. OBJECTIVES: The aim of this study was to evaluate the verbal, physical, and sexual workplace violence experienced by healthcare professionals. METHODS: A survey was conducted in a public hospital in Ankara, Turkey, among 104 physicians, 93 nurses, and 150 other medical staff. RESULTS: Of the participating healthcare workers, 96.2%, 95.7%, and 80.7% of the physicians, nurses, and other medical personnel, respectively, reported having been exposed to verbal violence at least once in their professional life. Physicians were identified as a source of violence among other healthcare professionals. A logistic regression analysis was performed to determine the effects of sociodemographic features on violence. The statistically significant results showed that nurses are exposed to sexual violence more than other medical personnel are (OR = 3.11, 95% CI [1.29, 7.49]). Nurses were more exposed to verbal (OR = 5.08, 95% CI [1.54, 16.75]) and physical (OR = 3.68, 95% CI [1.15, 11.80]) violence compared with other medical personnel working in the hospital. CONCLUSIONS: This study shows that a great majority of healthcare professionals are subjected to violence ranging from verbal violence in particular to physical and sexual violence.

Paternalistic Leadership, Organizational Cynicism, and Intention to Quit One's Job in Nursing.

The aim of this study was to determine the relationship between paternalistic leadership, organizational cynicism, and the intention to quit one's job among nurses. The implementation part of the study was carried out with nurses working in a public hospital in the city of Mersin, Turkey. Data were collected in January 2018 from 215 participants and then analyzed. The analyses indicate that the dimensions of organizational cynicism and paternalistic leadership explained 41.8% of the variance for the intention to quit. In addition, there were negative and significant relationships between paternalistic leadership and dimensions of organizational cynicism. As the participants' perceptions of cognitive cynicism and behavioral cynicism increased, their intention to quit increased. In addition, as their perceptions of paternalistic leadership increased, their cognitive, affective, and behavioral cynicism decreased. This study will help managers of healthcare institutions better understand how paternalistic leadership is related to organizational cynicism and the intention to quit one's job.

The Relationship Between Authentic Leadership, Performance and Intention to Quit the Job of Nurses.

This study examines the relationships between of nurses' perception of their authentic leadership, intention to quit, and employee performance. The implementation part of the study was conducted with nurses working in a public hospital in the city of Yozgat, Turkey. The data were collected in December 2017 from 189 participants. The results of the analyses showed that relationships between authentic leadership dimensions and intention to quit were not significant. While the all dimensions of authentic leadership explained 6.8% of the variance for the employee performance; explained 3.7% of the variance for the intention to quit. According to these results, improving authentic leadership perception of nurses will improve nurse performance.

The Antecedent of Organizational Outcomes Is Psychological Capital.

Psychological capital (PsyCap), which provides a new outlook on the fields of human resources and organizational behavior, is the entirety of positive and improvable features of an individual. An employee's PsyCap can be positively or negatively affected by a social worker's perceptions and beliefs. The purpose of this study was to assess the impact of PsyCap on the job satisfaction and organizational commitment of health care personnel. Data collection was performed through a survey of 501 health care personnel at a public university hospital in Turkey. Structural equation modeling (path analysis) was conducted to test the hypotheses. As a result of the analyses, it was determined that PsyCap positively affects job satisfaction and organizational commitment. In addition, subdimensions of PsyCap-optimism and hope-positively affected job satisfaction, whereas optimism had a positive effect on organizational commitment.

Reflection of medical error highlighted on media in Turkey: A retrospective study.

OBJECTIVE: This study was performed with the aim of identifying how news on medical errors have be transmitted, and how the types, reasons, and conclusions of medical errors have been reflected to by the media in Turkey. METHODS: A content analysis method was used in the study, and in this context, the data for the study was acquired by scanning five newspapers with the top editions on the national basis between the years 2012 and 2015 for the news about medical errors. Some specific selection criteria was used for the scanning of resulted news, and 116 news items acquired as a result of all the eliminations. RESULTS: According to the results of the study; the vast majority of medical errors (40.5%) transmitted by the news resulted from the negligence of the medical staff. The medical errors were caused by physicians in the ratio of 74.1%, they most commonly occurred in state hospitals (31.9%). Another important result of the research was that medical errors resulted in either patient death to a large extent (51.7%), or permanent damage and disability to patients (25.0%). CONCLUSION: The news concerning medical errors provided information about the types, causes, and the results of these medical errors. It also reflected the media point of view on the issue. The examination of the content of the medical errors reported by the media were important which calls for appropriate interventions to avoid and minimize the occurrence of medical errors by improving the healthcare delivery system.

Rights of Cancer Patient's: a Pilot Study from Turkey.

The chief aims of this study are to examine the levels of knowledge of cancer patients who have been receiving treatment in Turkey, related to the patient's rights they have, and determine the personal factors that affect their level of knowledge. The research was conducted with 294 patients who have been receiving treatment in a university hospital in Ankara. Findings have manifested that although the patients had some level of knowledge about fundamental rights of the patients, they have never used a great deal of them and they had no knowledge of plenty of important patient's rights. It is concluded that in order for cancer patients to participate in the treatment they receive, their level knowledge of patient's rights should be enhanced and this should be provided by education.

Exploring the impacts of personal factors on self-leadership in a hospital setting.

Self-leadership may be defined as a self-effecting process that individuals experience by maintaining the motivation they require for fulfilling their roles and duties. The self-leadership process comprises three key strategies: behaviour-oriented strategies, natural reward strategies and constructive thought pattern strategies. What is intended herein is to inquire about the implementation of self-leadership within organisations and to examine the effects of such variables as age, gender, total terms of employment, marital status and education on self-leadership strategies. The primary data collection instrument was a survey distributed to 450 personnel working at a state hospital in Kirikkale, Turkey, and feedback thereto was received from 308 (68.4%) of those surveyed. As a result of the findings taken from the analyses, age, total terms of employment and receipt of education in leadership affect the use of self-leadership strategies. Although age and total terms of employment display a negative-directional correlation with the self-leadership strategies, female employees and those who receive education in leadership are more inclined towards self-leadership strategies.

The impact of managers' perceptions of learning organizations on innovation in healthcare: sample of Turkey.

Organizational learning is the process of increasing effective organizational activities through knowledge and understanding. Innovation is the creation of any product, service or process, which is new to a business unit. Significant amount of research on organizational learning place a central meaning on the fact that there is a positive relationship between organizational learning and innovation. Both organizational learning and innovation are essential for organizations to prepare for change. The aim of this study is to determine to what extent the identified learning organization dimensions are associated with innovation. The study used a quantitative non-experimental design employing statistical analysis via multiple regression and correlation methods to identify the relationships between the variables examined. Because the research was conducted in a non-experimental way, learning organization dimensions are referred to as predictor variables, and innovation is referred to as the criterion variable. Watkins and Marsick's Dimensions of the Learning Organization Questionnaire was used in the study. Questionnaires were distributed to 498 hospital managers and, 243 valid responses were used in this study. Therefore, 243 hospital managers working at 250 Ministry of Health (public) hospitals across Turkey participated in the study. Results demonstrate that there are significant and positive correlations between learning organization dimensions and innovation. Intercorrelations between learning organization dimensions and correlations between learning organization dimensions and innovation were average and high, respectively. Results further indicate that the dimensions of the learning organizations explained 66.5% of the variance for the innovation.

How responsive Turkish health care system is to its citizens: the views of hospital managers.

With this paper it was tried to give a broad perspective about the responsiveness level of Turkish health care system, and how Turkish health care system meets the expectations of its citizens. For achieving the main purpose of this study a sample of hospital managers (n = 172) was selected, and the responsiveness questionnaire developed by WHO was administered. If the responsiveness level of Turkish health care system is measured on the basis of the Turkish hospital managers' views in the sample by using the weights reported in the World Health Report 2000, responsiveness level is calculated as 6.14, and Turkey's place should be 35 rather than 93 among 191 countries. The findings showed that Turkish health care system met confidentiality expectations of Turkish citizens better than other expectations for other aspects of responsiveness. In light of the main results of this study we conclude that the economic status, demographic structure, culture, and some other regional and country-specific factors should be taken into account by calculating and especially ranking the countries according to responsiveness level of their health care systems, and each country should carry out this kind of studies by using the views of their own key informants or preferably citizens, if possible.