Yönetim Biliminde Sistem Yaklaşımı ve Sağlık Alanı Özelinde Bir Değerlendirme

Yönetim ve organizasyon teori ve uygulamalarında 1960’lı yıllardan itibaren önemli değişiklikler yaşanmıştır. Bu süreç ile birlikte klasik yönetim teorilerinin insanı bir makine olarak gören yaklaşımı ve neoklasik yönetim teorilerinin insan davranışlarını ön plana çıkaran yaklaşımı değişmiştir. Devam eden süreçte karmaşıklık ve bütünselliğe vurgu yapan ve sistem ve durumsallık yaklaşımından oluşan modern yönetim yaklaşımı ortaya çıkmıştır. Bu süreçte bir örgütsel alan olarak sağlık hizmetleri yönetiminde de sistem yaklaşımı benimsenmiştir. Bu çalışmanın amacı modern yönetim yaklaşımlarından birisini oluşturan sistem yaklaşımının temellerini ve bu yaklaşımın yönetim biliminde nasıl bir yer bulduğunu ortaya koymaktır. Sonuç olarak sistem yaklaşımının sağlık hizmetleri sunumuna nasıl yansıdığı ve sağlık hizmetleri yönetiminde nasıl kullanılabileceği ve elde edilebilecek kazanımlar konusunda önerilerde bulunulmuştu

Quality of Work Life and Burnout in Healthcare Workers in Turkey

WOS:000557483500001Quality of work life (QWL) is important to healthcare organisations that aim to increase patient and employee satisfaction and produce quality healthcare services. The literature lacks research investigating the relationship between QWL and burnout among in healthcare professionals. The purpose of this study is to determine healthcare workers' QWL and burnout levels and to investigate whether there is a correlation them. The research population consisted of all healthcare workers serving in a public hospital in Ankara. The study did not make a sample selection but tried to access the entire population; a total of 328 usable surveys were obtained. 'Quality of Work Life Scale' and 'Maslach Burnout Inventory' scales were used for this research. A correlation analysis was performed to determine the correlation between healthcare workers' QWL and burnout levels. The analysis results showed that healthcare workers had 'good' perceived QWL and 'moderate' level of burnout. Additionally, there was a statistically significant but weak correlation between healthcare workers' levels of QWL and burnout (rho = 0.184; p = 0.0008). Results can be used by healthcare managers to implement appropriate initiatives to improve QWL and reduce burnout of healthcare workers

Synthesis and photopolymerizations of first monomers with phosphonate and bisphosphonate or phosphonic and bisphosphonic acid functionalities for potential dental applications

The first monomers containing both phosphonate and bisphosphonate (M1) or phosphonic and bisphosphonic acid (M2) functionalities are synthesized, aiming to improve binding abilities of self‐etching adhesive systems and composites: An amine having both phosphonate and bisphosphonate functionalities is prepared via Michael addition reaction between diethyl (6‐aminohexyl)phosphonate and tetraethyl vinylidene bisphosphonate, its reaction with 2‐isocyanatoethyl methacrylate gives M1 which is converted to M2 by selective dealkylation of the phosphonate/bisphosphonate ester groups. Their copolymerization with commercial dental monomers (bisphenol A glycidyl methacrylate, triethylene glycol dimethacrylate, and 2‐hydroxyethyl methacrylate) investigated by photo‐differential scanning calorimetry shows adequate photopolymerization rate and conversion. X‐ray diffraction, Fourier transform infrared, and X‐ray photoelectron spectroscopy analyses of M2‐treated hydroxyapatite particles show formation of stable M2‐calcium salts. These monomers are assessed to be not toxic according to MTT standards by in vitro cytotoxicity studies with NIH 3T3, U2OS, and Saos‐2 cells. All these properties make these monomers potential candidates as biocompatible components for dental adhesives and composites