Mehmet Top | Hacettepe University (original) (raw)

Papers by Mehmet Top

Research paper thumbnail of Tarcan M, Top M, Hikmet N, Tarcan G. (2014). Evolutıon of Nationwide Central Hospıtal Appointment System (CHAS) implementatıon: A Country Study. Journal of Health Informatics in Developing Countries. (Accepted – forthcoming) (ALAN İNDEKSİ)

Research paper thumbnail of Akdere M, Top, M, Dikmetas E, & Ergin G. (2014). “An Analysis of Resident Physician Occupational Burnout in Turkey: Implications for Organizational Culture”. European Journal of Cross-Cultural Competence and Management. (Accepted – forthcoming) (ALAN İNDEKSİ)

Research paper thumbnail of Mehmet Top _Özgeçmiş 2014

Research paper thumbnail of Organizational Variables on Nurses' Job Performance in Turkey: Nurssing Assessments

Background: The purpose of this study was to describe the influence of organizational variables o... more Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence. Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1-Never effective, 5-Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis. Results: The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance. Conclusion: Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude.

Research paper thumbnail of Sağlık Kurumlarında Maliyet Yönetimi

Research paper thumbnail of Organizational variables on nurses' job performance in Turkey: nursing assessments

Iranian journal of public health, 2013

The purpose of this study was to describe the influence of organizational variables on hospital s... more The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence. The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis. The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technol...

Research paper thumbnail of Hastane Endüstrisinde Değişen Sınırlar: Avrupa Ülkelerinde Yaşanan Son Yirmi Yıllık Süreç

Hacettepe Saglık Idaresi Dergisi, 2004

Son yirmi yılda sağlık sistemlerinde önemli değişimler yaşanmıştır. Sağlık sistemlerindeki değişi... more Son yirmi yılda sağlık sistemlerinde önemli değişimler yaşanmıştır. Sağlık sistemlerindeki değişimler sağlık hizmetleri arz ve talep modellerini değiştirmiştir ve hastanelerin rolleri bundan etkilenmiştir. Günümüzde hastaneler yataklı sağlık hizmetlerinin verildiği kurumlar olmaktan çıkarak, ileri düzeyde özellik arz eden teşhis ve tedavi hizmetlerinin verildiği kurumlar haline gelmiştir. Sonuçta, modern hastanelerin asıl rolü artık yatan hasta bakımı olmaktan çıkmıştır. Hastaneler gittikçe kısa süreli yatış gerektiren uzmanlaşmış teşhis ve tedavi hizmetlerinin verildiği merkezler haline gelmektedir. Dünyanın her yerinde hastane reform çalışmaları; yönetim otonomilerini artırmayı (autonomization), kamu örgütlerini işletmelere dönüştürmeyi (corporatization), kamu sektöründeki örgütlerin mülkiyetle birlikte özel sektöre devrini (privatization) içermektedir. Bu nedenle dünya genelinde hastane reformları sağlık sektöründe liberalleşmeyi öngören düzenlemeler olarak nitelendirilmektedir. Hastane örgütlerinde performansı artırmak için bazı reform stratejileri kullanılmaktadır. Bu stratejiler optimum klinik performansı sağlayıcı özendiricileri, ödeme yöntemlerinin değiştirilmesini ve örgütsel çevrede yapılan değişiklikleri içermektedir.

Research paper thumbnail of Top M. (2014). “Examining transformational leadership, job satisfaction, organizational commitment, organizational trust in Turkish hospitals: Public servants versus private sector employees”. International Journal of Human Resource Management. (SSCI)

Research paper thumbnail of Quality of Life and Attitudes Toward Aging Among Older Women in Turkey

Affilia

This quantitative and descriptive study investigated the quality of life (QOL) and attitudes towa... more This quantitative and descriptive study investigated the quality of life (QOL) and attitudes toward aging of 270 older women in Sanliurfa Province, Turkey. The Turkish versions of the World Health Organization Quality of Life Instrument—Older Adults Module and the World Health Organization—Attitudes Toward Aging Questionnaire were administered to the participants. The results indicated that there was significant relationship between the women’s QOL and attitudes toward aging. Two dimensions of attitudes toward aging (physical change and psychological growth) were significant predictors of QOL in the women. It was also found that literacy and happiness affected some dimensions of the women’s QOL and some subscales of attitudes toward aging.

Research paper thumbnail of An examination of mobbing and burnout of residents

Türk psikiyatri dergisi = Turkish journal of psychiatry, 2011

Mobbing and burnout in human resources management are important topics in labor psychology. It is... more Mobbing and burnout in human resources management are important topics in labor psychology. It is important to research the levels of mobbing and burnout of human resources in the health sector, primarily in doctors. Although there have been some studies on the mobbing and burnout of doctors, there has been a limited number of studies on the relationship between mobbing and burnout in the health sector. This study aims to examine the relationship between mobbing and burnout (emotional exhaustion, depersonalization, personal accomplishment) levels of resident doctors at a public university research and training hospital in Turkey and to investigate whether mobbing and burnout levels vary significantly according to gender, marital status, medical branch and age. This study was conducted on resident doctors at the Ondokuz Mayıs University Research and Training Hospital between 01.04.2009 and 30.06.2009. Legal permission for the study was received from the Rector's Office of Ondokuz...

Research paper thumbnail of An analysis of relationship between burnout and job satisfaction among emergency health professionals

Total Quality Management & Business Excellence, 2016

Research paper thumbnail of T�rkiye Saglik Harcamalarina Kamu Ekseninde Bir Bakis: 2001-2003 D�nemi Degerlendirilmesi

Iktisat Islet Finans, 2005

Research paper thumbnail of Effect of organisational trust, job satisfaction, individual variables on the organisational commitment in healthcare services

Total Quality Management & Business Excellence, 2015

Research paper thumbnail of Hastane Sektöründe Kaynak Akişi: Hastane Ödeme Yöntemleri (MEKANİZMALARI)1

Öz: Bu çalişmada hastane alternatif ödeme yöntemleri ve bunlarin değişen çevre şartlarina göre sü... more Öz: Bu çalişmada hastane alternatif ödeme yöntemleri ve bunlarin değişen çevre şartlarina göre sürdürülebilirliği ve etkileri üzerinde durulmaktadir. Bütün ödeme yöntemleri kendine göre sağlik hizmetleri verimliliğini, üretim miktarini, hizmet karmasini, kaliteyi etkileyebilen değişik olumlu ve olumsuz yönlere sahiptir. Alternatif ödeme yöntemlerinin tüm yönetsel maliyetlerini kesin olarak ölçmek oldukça zordur. Sağlik hizmeti sunucularina yapilan ödemeden; hükümet ve üçüncü taraf ödeyicilerin (sigorta şirketleri, sosyal güvenlik kurumlari, yardim sandiklari vb.) kurumsal hizmet sunuculara yaptiği ödemeler kastedilmektedir. Bütün ödeme yöntemleri kendine göre sağlik hizmetleri verimliliğini, üretim miktarini, hizmet karmasini, kaliteyi etkileyebilen değişik olumlu ve olumsuz yönlere sahiptir. Alternatif ödeme yöntemlerinin tüm yönetsel maliyetlerini kesin olarak ölçmek oldukça zordur. Ancak sağlik hizmeti sunucularina daha çok özendirici sunan ödeme yöntemlerinin diğerlerine göre da...

Research paper thumbnail of Patient Safety Culture in a Turkish Public Hospital: A Study of Nurses’ Perceptions About Patient Safety

Systemic Practice and Action Research, 2014

The objective of this study was to investigate nurses' perceptions about the culture of patient s... more The objective of this study was to investigate nurses' perceptions about the culture of patient safety in a Turkish public hospital. The study adopted a cross-sectional research design and utilized the hospital survey of patient safety culture. The population studied consisted of approximately 300 nurses from which 200 nurses were surveyed. The response rate was 66.6 % of the population. Nurses responded most positively to two dimensions, hospital management support for patient safety (80 %) and supervisor/manager expectations and actions promoting patient safety (79 %). Four dimensions with a positive response rate of\50 % (

Research paper thumbnail of Nurses’ Views on Electronic Medical Records (EMR) in Turkey: An Analysis According to Use, Quality and User Satisfaction

Journal of Medical Systems

Electronic medical records are generally used by nurses in hospitals. However, studies investigat... more Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses’ views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field. The...

Research paper thumbnail of Validation of a Nurses’ Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System

Journal of Medical Systems, 2015

Using of EMR in health services and organizations is steadily increasing for quality improvement,... more Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses' views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. Kanai-Pak, K. Naitoh's questionnaire about Use, Quality and User Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92%. Cronbach's alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ2 statistic indicated significant result (p < 0.001) and model fit was acceptable according to relative χ2 statistic (χ2/df = 2.8 < 5). Further validation of the instrument could yield positive results in health systems in the different countries. Also further validation and reliability studies could be planned on physicians and other health professionals.

Research paper thumbnail of Evaluation of Electronic Prescription Implications in Turkey: An Investigation of the Perceptions of Physicians

Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing, Jan 14, 2015

Electronic prescribing (e-prescribing) is an evolving area of healthcare information technology t... more Electronic prescribing (e-prescribing) is an evolving area of healthcare information technology that aims to support physician decision-making by capturing, reviewing, and issuing medical prescriptions with high potential for improving the quality and safety of the process. To describe physician perception of e-prescription use in healthcare organizations that work with social security and to evaluate their infrastructures for MEDULA (an information system for billing and other health informatics) in healthcare organizations in Turkey. A cross-sectional survey design was used for this study. A convenience sample of physicians in eight general hospitals and in two oral and dental health centers of the Ministry of Health in Turkey were surveyed. Survey response rate was 47% (248/425). The majority of physicians (62%) support e-prescribing but have not used an electronic signature for prescriptions (78.2%). Almost half of them believe that e-prescriptions would positively contribute to...

Research paper thumbnail of Perceptions of Physicians About Knowledge Sharing Barriers in Turkish Health Care System

Journal of Medical Systems, 2015

This study was based on knowledge sharing barriers about attitudes of physicians in Turkish healt... more This study was based on knowledge sharing barriers about attitudes of physicians in Turkish health care system. The present study aims to determine whether the knowledge sharing barriers about attitudes of physicians vary depending on gender, position, departments at hospitals, and hospital ownership status. This study was planned and conducted on physicians at one public hospital, one university hospital, and one private hospital in Turkey. 209 physicians were reached for data collection. The study was conducted in June-September 2014. The questionnaire (developed by A. Riege, (J. Knowl. Manag. 9(3):18-35, 2005)), five point Likert-type scale including 39 items having the potential of the physicians' knowledge-sharing attitudes and behaviors, was used in the study for data collection. Descriptive statistics, reliability analysis, student t test and ANOVA were used for data analysis. According to results of this study, there was medium level of knowledge sharing barriers within hospitals. In general, physicians had perceptions about the lowest level individual barriers, intermediate level organizational barriers and the highest level technological barriers perceptions, respectively. This study revealed that some knowledge sharing barriers about attitudes of physicians were significantly difference according to hospital ownership status, gender, position and departments. Most evidence medical decisions and evidence based practice depend on experience and knowledge of existing options and knowledge sharing in health care organizations. Physicians are knowledge and informationintensive and principal professional group in health care context.

Research paper thumbnail of Computer Anxiety in Nursing: An Investigation from Turkish Nurses

Journal of Medical Systems, 2014

The purpose of this study was to determine and analyze levels of computer anxiety in nurses at a ... more The purpose of this study was to determine and analyze levels of computer anxiety in nurses at a public university hospital in Turkey. This study investigated the dimensions of computer anxiety in terms of computer literacy, self-efficacy, physical arousal, affective feelings, positive beliefs, and negative beliefs. Moreover in this study it was aimed to analyze relationships among computer anxiety and some characteristics of nurses (age, gender etc.). This study based on Beckers and Schmidt's computer anxiety model. The Beckers and Schmidt's Computer Anxiety Scale (BSCAS) was used for data collection. BSCAS comprises six factors: computer literacy, self-efficacy, physical arousal in the presence of computers, affective feelings towards computers, positive beliefs, and negative beliefs. At the end of the data collection period, 175 nurses were received from the population. The response rate was 43.75%. This study showed that a majority of nurses had medium levels of computer anxiety. Overall computer anxiety means score was 12.11±1.72. Computer anxiety has significant relationship with age (r=-.153; p<.05), personal computer ownership (r=.171; p<.05). The highest correlation was between overall computer anxiety and self efficacy (r=-.859), the lowest correlation was between overall computer and negative beliefs (r=-.653). Multiple regression analysis revealed that computer anxiety of nurses was predicted significantly by self efficacy, affective feelings, physical arousal, computer literacy, positive beliefs, and negative beliefs, respectively.

Research paper thumbnail of Tarcan M, Top M, Hikmet N, Tarcan G. (2014). Evolutıon of Nationwide Central Hospıtal Appointment System (CHAS) implementatıon: A Country Study. Journal of Health Informatics in Developing Countries. (Accepted – forthcoming) (ALAN İNDEKSİ)

Research paper thumbnail of Akdere M, Top, M, Dikmetas E, & Ergin G. (2014). “An Analysis of Resident Physician Occupational Burnout in Turkey: Implications for Organizational Culture”. European Journal of Cross-Cultural Competence and Management. (Accepted – forthcoming) (ALAN İNDEKSİ)

Research paper thumbnail of Mehmet Top _Özgeçmiş 2014

Research paper thumbnail of Organizational Variables on Nurses' Job Performance in Turkey: Nurssing Assessments

Background: The purpose of this study was to describe the influence of organizational variables o... more Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence. Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1-Never effective, 5-Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis. Results: The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance. Conclusion: Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude.

Research paper thumbnail of Sağlık Kurumlarında Maliyet Yönetimi

Research paper thumbnail of Organizational variables on nurses' job performance in Turkey: nursing assessments

Iranian journal of public health, 2013

The purpose of this study was to describe the influence of organizational variables on hospital s... more The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence. The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis. The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technol...

Research paper thumbnail of Hastane Endüstrisinde Değişen Sınırlar: Avrupa Ülkelerinde Yaşanan Son Yirmi Yıllık Süreç

Hacettepe Saglık Idaresi Dergisi, 2004

Son yirmi yılda sağlık sistemlerinde önemli değişimler yaşanmıştır. Sağlık sistemlerindeki değişi... more Son yirmi yılda sağlık sistemlerinde önemli değişimler yaşanmıştır. Sağlık sistemlerindeki değişimler sağlık hizmetleri arz ve talep modellerini değiştirmiştir ve hastanelerin rolleri bundan etkilenmiştir. Günümüzde hastaneler yataklı sağlık hizmetlerinin verildiği kurumlar olmaktan çıkarak, ileri düzeyde özellik arz eden teşhis ve tedavi hizmetlerinin verildiği kurumlar haline gelmiştir. Sonuçta, modern hastanelerin asıl rolü artık yatan hasta bakımı olmaktan çıkmıştır. Hastaneler gittikçe kısa süreli yatış gerektiren uzmanlaşmış teşhis ve tedavi hizmetlerinin verildiği merkezler haline gelmektedir. Dünyanın her yerinde hastane reform çalışmaları; yönetim otonomilerini artırmayı (autonomization), kamu örgütlerini işletmelere dönüştürmeyi (corporatization), kamu sektöründeki örgütlerin mülkiyetle birlikte özel sektöre devrini (privatization) içermektedir. Bu nedenle dünya genelinde hastane reformları sağlık sektöründe liberalleşmeyi öngören düzenlemeler olarak nitelendirilmektedir. Hastane örgütlerinde performansı artırmak için bazı reform stratejileri kullanılmaktadır. Bu stratejiler optimum klinik performansı sağlayıcı özendiricileri, ödeme yöntemlerinin değiştirilmesini ve örgütsel çevrede yapılan değişiklikleri içermektedir.

Research paper thumbnail of Top M. (2014). “Examining transformational leadership, job satisfaction, organizational commitment, organizational trust in Turkish hospitals: Public servants versus private sector employees”. International Journal of Human Resource Management. (SSCI)

Research paper thumbnail of Quality of Life and Attitudes Toward Aging Among Older Women in Turkey

Affilia

This quantitative and descriptive study investigated the quality of life (QOL) and attitudes towa... more This quantitative and descriptive study investigated the quality of life (QOL) and attitudes toward aging of 270 older women in Sanliurfa Province, Turkey. The Turkish versions of the World Health Organization Quality of Life Instrument—Older Adults Module and the World Health Organization—Attitudes Toward Aging Questionnaire were administered to the participants. The results indicated that there was significant relationship between the women’s QOL and attitudes toward aging. Two dimensions of attitudes toward aging (physical change and psychological growth) were significant predictors of QOL in the women. It was also found that literacy and happiness affected some dimensions of the women’s QOL and some subscales of attitudes toward aging.

Research paper thumbnail of An examination of mobbing and burnout of residents

Türk psikiyatri dergisi = Turkish journal of psychiatry, 2011

Mobbing and burnout in human resources management are important topics in labor psychology. It is... more Mobbing and burnout in human resources management are important topics in labor psychology. It is important to research the levels of mobbing and burnout of human resources in the health sector, primarily in doctors. Although there have been some studies on the mobbing and burnout of doctors, there has been a limited number of studies on the relationship between mobbing and burnout in the health sector. This study aims to examine the relationship between mobbing and burnout (emotional exhaustion, depersonalization, personal accomplishment) levels of resident doctors at a public university research and training hospital in Turkey and to investigate whether mobbing and burnout levels vary significantly according to gender, marital status, medical branch and age. This study was conducted on resident doctors at the Ondokuz Mayıs University Research and Training Hospital between 01.04.2009 and 30.06.2009. Legal permission for the study was received from the Rector's Office of Ondokuz...

Research paper thumbnail of An analysis of relationship between burnout and job satisfaction among emergency health professionals

Total Quality Management & Business Excellence, 2016

Research paper thumbnail of T�rkiye Saglik Harcamalarina Kamu Ekseninde Bir Bakis: 2001-2003 D�nemi Degerlendirilmesi

Iktisat Islet Finans, 2005

Research paper thumbnail of Effect of organisational trust, job satisfaction, individual variables on the organisational commitment in healthcare services

Total Quality Management & Business Excellence, 2015

Research paper thumbnail of Hastane Sektöründe Kaynak Akişi: Hastane Ödeme Yöntemleri (MEKANİZMALARI)1

Öz: Bu çalişmada hastane alternatif ödeme yöntemleri ve bunlarin değişen çevre şartlarina göre sü... more Öz: Bu çalişmada hastane alternatif ödeme yöntemleri ve bunlarin değişen çevre şartlarina göre sürdürülebilirliği ve etkileri üzerinde durulmaktadir. Bütün ödeme yöntemleri kendine göre sağlik hizmetleri verimliliğini, üretim miktarini, hizmet karmasini, kaliteyi etkileyebilen değişik olumlu ve olumsuz yönlere sahiptir. Alternatif ödeme yöntemlerinin tüm yönetsel maliyetlerini kesin olarak ölçmek oldukça zordur. Sağlik hizmeti sunucularina yapilan ödemeden; hükümet ve üçüncü taraf ödeyicilerin (sigorta şirketleri, sosyal güvenlik kurumlari, yardim sandiklari vb.) kurumsal hizmet sunuculara yaptiği ödemeler kastedilmektedir. Bütün ödeme yöntemleri kendine göre sağlik hizmetleri verimliliğini, üretim miktarini, hizmet karmasini, kaliteyi etkileyebilen değişik olumlu ve olumsuz yönlere sahiptir. Alternatif ödeme yöntemlerinin tüm yönetsel maliyetlerini kesin olarak ölçmek oldukça zordur. Ancak sağlik hizmeti sunucularina daha çok özendirici sunan ödeme yöntemlerinin diğerlerine göre da...

Research paper thumbnail of Patient Safety Culture in a Turkish Public Hospital: A Study of Nurses’ Perceptions About Patient Safety

Systemic Practice and Action Research, 2014

The objective of this study was to investigate nurses' perceptions about the culture of patient s... more The objective of this study was to investigate nurses' perceptions about the culture of patient safety in a Turkish public hospital. The study adopted a cross-sectional research design and utilized the hospital survey of patient safety culture. The population studied consisted of approximately 300 nurses from which 200 nurses were surveyed. The response rate was 66.6 % of the population. Nurses responded most positively to two dimensions, hospital management support for patient safety (80 %) and supervisor/manager expectations and actions promoting patient safety (79 %). Four dimensions with a positive response rate of\50 % (

Research paper thumbnail of Nurses’ Views on Electronic Medical Records (EMR) in Turkey: An Analysis According to Use, Quality and User Satisfaction

Journal of Medical Systems

Electronic medical records are generally used by nurses in hospitals. However, studies investigat... more Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses’ views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field. The...

Research paper thumbnail of Validation of a Nurses’ Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System

Journal of Medical Systems, 2015

Using of EMR in health services and organizations is steadily increasing for quality improvement,... more Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses' views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. Kanai-Pak, K. Naitoh's questionnaire about Use, Quality and User Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92%. Cronbach's alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ2 statistic indicated significant result (p < 0.001) and model fit was acceptable according to relative χ2 statistic (χ2/df = 2.8 < 5). Further validation of the instrument could yield positive results in health systems in the different countries. Also further validation and reliability studies could be planned on physicians and other health professionals.

Research paper thumbnail of Evaluation of Electronic Prescription Implications in Turkey: An Investigation of the Perceptions of Physicians

Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing, Jan 14, 2015

Electronic prescribing (e-prescribing) is an evolving area of healthcare information technology t... more Electronic prescribing (e-prescribing) is an evolving area of healthcare information technology that aims to support physician decision-making by capturing, reviewing, and issuing medical prescriptions with high potential for improving the quality and safety of the process. To describe physician perception of e-prescription use in healthcare organizations that work with social security and to evaluate their infrastructures for MEDULA (an information system for billing and other health informatics) in healthcare organizations in Turkey. A cross-sectional survey design was used for this study. A convenience sample of physicians in eight general hospitals and in two oral and dental health centers of the Ministry of Health in Turkey were surveyed. Survey response rate was 47% (248/425). The majority of physicians (62%) support e-prescribing but have not used an electronic signature for prescriptions (78.2%). Almost half of them believe that e-prescriptions would positively contribute to...

Research paper thumbnail of Perceptions of Physicians About Knowledge Sharing Barriers in Turkish Health Care System

Journal of Medical Systems, 2015

This study was based on knowledge sharing barriers about attitudes of physicians in Turkish healt... more This study was based on knowledge sharing barriers about attitudes of physicians in Turkish health care system. The present study aims to determine whether the knowledge sharing barriers about attitudes of physicians vary depending on gender, position, departments at hospitals, and hospital ownership status. This study was planned and conducted on physicians at one public hospital, one university hospital, and one private hospital in Turkey. 209 physicians were reached for data collection. The study was conducted in June-September 2014. The questionnaire (developed by A. Riege, (J. Knowl. Manag. 9(3):18-35, 2005)), five point Likert-type scale including 39 items having the potential of the physicians' knowledge-sharing attitudes and behaviors, was used in the study for data collection. Descriptive statistics, reliability analysis, student t test and ANOVA were used for data analysis. According to results of this study, there was medium level of knowledge sharing barriers within hospitals. In general, physicians had perceptions about the lowest level individual barriers, intermediate level organizational barriers and the highest level technological barriers perceptions, respectively. This study revealed that some knowledge sharing barriers about attitudes of physicians were significantly difference according to hospital ownership status, gender, position and departments. Most evidence medical decisions and evidence based practice depend on experience and knowledge of existing options and knowledge sharing in health care organizations. Physicians are knowledge and informationintensive and principal professional group in health care context.

Research paper thumbnail of Computer Anxiety in Nursing: An Investigation from Turkish Nurses

Journal of Medical Systems, 2014

The purpose of this study was to determine and analyze levels of computer anxiety in nurses at a ... more The purpose of this study was to determine and analyze levels of computer anxiety in nurses at a public university hospital in Turkey. This study investigated the dimensions of computer anxiety in terms of computer literacy, self-efficacy, physical arousal, affective feelings, positive beliefs, and negative beliefs. Moreover in this study it was aimed to analyze relationships among computer anxiety and some characteristics of nurses (age, gender etc.). This study based on Beckers and Schmidt's computer anxiety model. The Beckers and Schmidt's Computer Anxiety Scale (BSCAS) was used for data collection. BSCAS comprises six factors: computer literacy, self-efficacy, physical arousal in the presence of computers, affective feelings towards computers, positive beliefs, and negative beliefs. At the end of the data collection period, 175 nurses were received from the population. The response rate was 43.75%. This study showed that a majority of nurses had medium levels of computer anxiety. Overall computer anxiety means score was 12.11±1.72. Computer anxiety has significant relationship with age (r=-.153; p<.05), personal computer ownership (r=.171; p<.05). The highest correlation was between overall computer anxiety and self efficacy (r=-.859), the lowest correlation was between overall computer and negative beliefs (r=-.653). Multiple regression analysis revealed that computer anxiety of nurses was predicted significantly by self efficacy, affective feelings, physical arousal, computer literacy, positive beliefs, and negative beliefs, respectively.