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    Determining the factors affecting the technical efficiency scores of public hospitals using different regression methods
    (Emerald Group Publishing Ltd, 2021) Sahin, Bayram; Ilgun, Gulnur; Sonmez, Seda
    Purpose This study aims to identify the efficiency scores of hospitals affiliated to the Ministry of Health in Turkey between the years of 2010-2015 at provincial level and to reveal the factors that affect the efficiency scores. Design/methodology/approach The two-stage data envelopment analysis (DEA) method was used to achieve the study purpose. In the first stage, DEA method based on input-oriented Charnes-Cooper-Rhodes (CCR) model was performed to calculate the efficiency scores of public hospitals at the provincial level between 2010 and 2015, and in the second stage, Tobit regression and linear regression analyses were used to identify whether the efficiency scores of provinces are affected by the input, output and control variables. Findings Upon the analysis, the average efficiency scores of 81 provinces by years were found to vary between 0.79 and 0.89. According to both regression analyses, all of the input and output variables were found to have significant effects on the efficiency scores of provinces while only the population of province among the control variables was identified as the factor with an effect on the efficiency scores of provinces (p < 0.05). Practical implications The results of this study are thought to guide health policymakers and managers in terms of both determining efficient and inefficient hospitals at the provincial level and revealing which variables should be taken into account in order to increase efficiency. Originality/value The study differs from previous studies on the efficiency of hospitals. First, although previous studies were generally descriptive studies to determine the efficiency level of hospitals, this study is an analytical study that tries also to show the factors affecting the efficiency of hospitals. In addition, while examining the effect of input and output variables on efficiency scores, control variables were also included in the study.
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    Mediating Effect of Employee Performance on the Relationship Between Emotional Labour and Intent to Leave Among Nurses
    (Sage Publications India Pvt Ltd, 2023) Sahin, Bayram; Ilgun, Gulnur; Sonmez, Seda
    In this study, it was aimed to examine the effect of nurses' emotional labor levels on their intention to leave and to determine whether employee performance plays a mediating role in this relationship. The study is of descriptive cross-sectional type, which was conducted through a questionnaire on nurses. The surface acting has positive effect on the intent to leave among nurses, whereas deep acting has negative effect; employee performance has partial mediating role on the relationship between the surface acting and intent to leave, and the relationship between deep acting and intent to leave. The study is considered to provide significant tips in the identification of nurses with higher risk to leave the work, and in deciding managerial interventions that would be realised against such circumstances. It is suggested that it may be beneficial for nurse managers to organise training in their units, to evaluate the performance of nurses at regular intervals and thus to determine the reason for the increase and decrease, to plan activities that will reduce emotional burden.