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    Öğe
    Charismatic leadership: impulse factor for initiative-oriented health care personnel in the Turkish public hospitals
    (Drunpp-Sarajevo, 2012) Isik, Oguz; Ugurluoglu, Ozgur; Akbolat, Mahmut; Oner, Zeynep Hale; Pisapia, John
    Background and purpose: Organizations in the health care sector in Turkey parallel to the world are undergoing broad structural reforms. As with most broad reforms employee commitment and support from hospital staff members are need to successfully implement these changes. Our claim is that hospital managers who seek commitment rather compliance are required to meet these challenges. We tested this claim by studying the relationship of charismatic leadership which is thought to emerge in times of stress and crisis, and is an antecedent of follower performance-stimulation and follower initiative-oriented behaviors. Since charisma is also thought influence followers' discretionary behavior in organizations as it creates sense of self efficacy and confidence coupled with performance-stimulation we examined if employee' job autonomy and stress in the workplace enhanced followers' initiative-oriented behavior. Methodology: We sampled 402 members of medical staff (physicians, medical technicians and nurses) in four Turkish public hospitals by using a questionnaire. Structural Equation Modeling (SEM) was used to test hypothesized relationships between charismatic leadership, stress, job autonomy and initiative-oriented behavior. Results: We found a significant and positive relationship between charismatic leadership and initiative-oriented behavior. Stress produced a significant negative relationship with initiative-oriented behavior. However, the interaction between charismatic leadership and job autonomy was not significant. We concluded that charismatic leadership is the strongest predictor of initiative-oriented behavior followed by strain.
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    Öğe
    The causes of medical error from the perspective of nurses
    (Gulhane Military Medical Academy, 2012) Isik, Oguz; Akbolat, Mahmut; Çetin, Mehmet; Çimen, Mesut
    This study was conducted as a descriptive study in order to determine the medical errors in hospital services and preventive measures that could be taken to reduce these errors, from the perspective of nurses. The population of the study is composed of nurses working in 2 public hospitals in center of the province of Sakarya. We haven't selected sample and it was aimed to reach as many nurses as possible in the study. A total of 441 questionnaires were send and 324 were returned. A questionnaire as a means of data collection was prepared and used by the authors. Structural Equation Modeling, confirmatory factor analysis, descriptive statistical methods, the significance control test between compared means and ANOVA test were used in statistical analysis. Physicians, nurses, work environment and lack of communication are stated as possible causes of medical error. According to nurses, the major causes of medical errors, in order of their frequency, were inadequate number of health personnel, excessive work stress, high number of patients per nurse, the weariness due to the behavior and attitudes of superiors and the pressure to care so many patients in a very short period of time, and long time of study. Compensation of medical error is very difficult in health care. A great amount of health care is provided in hospitals and medical errors in hospital services must be prevented. In order to prevent these errors which directly affect human life, it is thought that adequate number of staff should be employed in hospitals and the attitude of superiors towards the employees should be motivating.