Examinetion of relationship between depression and job satisfaction at assistants

Bu tezin, veri tabanı üzerinden yayınlanma izni bulunmamaktadır.Yayınlanma izni olmayan tezlerin basılı kopyalarına üniversite kütüphaneniz aracılığı ile (TÜBESS üzerinden) erişebilirsiniz.YÖK Tez No: 456063Bu araştırmada iş doyumu düzeyinin; depresyon derecesine, kişisel ve çevresel faktörlere bağlı değişip değişmediği incelenmiş; oluşturulan yarı yapılandırılmış anket formunda; medeni durum, yaş, eğitim durumu, ikamet yeri ve türü, sigara kullanım durumu, alkol kullanım durumu, antidepresan ilaç kullanımı, kronik hastalık durumu, hekimlik mesleğindeki yılı-seçme nedeni, asistanlık mesleğindeki yılı-seçme nedeni, kurum-bölüm memnuniyeti, gelir durumu yeterliliği, sosyal hayat ve aileye ayrılan süre, sağlıklı yaşam –sağlık durumu ve çalıştığı yer ile ilgili sorulara verilen cevaplar ile iş doyumu düzeyleri arasındaki farklılıklar incelenmeye çalışılmıştır. Katılımcılar Düzce Üniversitesi Tıp Fakültesinde uzmanlık eğitimi alan 117 asistandan oluşmaktadır. Araştırmada Beck Depresyon Envanteri, Minnesota İş Doyum Ölçeği kullanılmış, yarı yapılandırılmış anket formu dağıtılmıştır. Uzmanlık eğitiminin zorluğu, insan fizyolojisini zorlayan iş yükü, yoğun çalışma temposu, hekim kimliğine saygının önceki dönemlere nazaran azalması ve tabiki ücretteki yetersizlik nedeniyle asistan hekimlerin (%63.2) çoğu imkanı olduğu takdirde farklı bir fakülte (farklı bir meslek dalı) tercihi yapabileceklerini belirtmiştir. Benzer sebeplerle bir çok asistanın imkanı olduğu takdirde mevcut bölümünden daha az iş yükünün ve risk faktörünün olduğu alanları tercih etme düşüncesinde olduğu belirlenmiştir.3.basamak sağlık kurumlarında hasta sayısındaki fazlalık ve performans sistemi hizmet sunumunu eğitimden öncelikli hale getirmiş olup; kurumumuzda yapılan çalışmada asistanların mevcut yada güncel yayınları yeterince takip etmeye vakit ve güç bulamadığı, alanları ile ilgili toplantı ve seminerlere yeterince katılamadıkları tespit edilmiştir. Yoğunluğun getirdiği stres çalışanlar ve kıdemliler arasında zıtlaşmalara ve mesafeli iletişime neden olmaktadır. Çalışma ortamındaki fiziki yetersizlikler, yardımcı personel azlığı, nöbet sayılarının fazlalığı, nöbette kalan asistan sayısında yetersizlik ve en önemlisi mesai sonrasında devir alınmış olan diğer günün mesaisine de devam etmeyi zorunlu kılan nöbet sonrası izinden mahrumiyet asistanların genel, iç ve dışsal iş doyumlarında azalmaya neden olduğu ancak anlaşılmayan bir şekilde depresyon düzeylerinde paralel bir azalmaya neden olmadığı tespit edilmiştir. Şu an çalıştığı kurumun işleyişinden memnuniyetsizliğin asistan-personel eksikliği nedeniyle iş yükünün ve angaryanın çok olması; düzensizlik-sistemsizlik; yönetim problemleri ve çalışanların düşüncelerinin önemsenmiyor olması ve adaletsizlikler, eğitim ve etik değerlerin olmaması olarak belirlendi. Uzmanlık eğitiminde kaliteyi yakalamak ve alanında söz sahibi uzmanlar yetiştirebilmek öncelikle uygun koşulların oluşturulması, zorlu sürecin motivasyon ve kolaylaştırıcı pratik çözümlerle zevkli hale getirilmesi, asistan merkezli bir eğitim sistemi ve anlayışının benimsenmesiyle olabileceği gerçeğini göz ardı etmemek gerekmektedir.In this research, it was studied that whether or not job satisfaction level changes depended on degree of depression or personal and environmental factors; in the formed semi-constructed questionnaire it is tried to study the differences between job satisfaction levels and answers given to the questions like marital status, age, education level, residence place and residence type, smoking, drinking alcohol, using anti-depression drugs, having chronic illnesses, year of being doctor and reason for choosing the profession of medicine, year of being assistant doctor and reason for choosing the profession of assistant doctor, department pleasure, satisfactoriness of salary, time spending for social life and family, health condition. The participants consist of 117 assistant doctors who are having medicine residency training at Düzce University Medicine Faculty. In this research, Beck Depression Scale and Minnesota Job Satisfaction Scale were used and semi-constructed questionnaire form was applied. Most of the assistant doctors joined in our research (% 63,2) implied that if they have a chance, they can prefer another faculty because of difficulty of doctorate education, heavy job responsibility threaten human physiology, high intensity of working tempo, decreasing respect on doctor identity and of course weak salary. It was pointed out that for this kind of reasons many assistants have an idea to prefer another departments that have less labor and less risk factors. Reasons like performance system and high numbers of patients in the Third Step Health Institutions make work more important than education; in the study held in our institution it was found that assistants can not find enough time and power to follow recent publications and can not join meetings and lectures enough in demanding frequency. Stress, coming out with high intensity of work, causes conflicts and weak communication between new assistant doctors and senior ones. Inadequacy of physical conditions in working area, scarcity of supportive staff, high numbers of night duties, inadequacy of night duty assistant doctors and the most important factor that makes assistant doctors work on the day after the night duty without rest cause the reduction of satisfaction level, however; surprisingly it was pointed out that this situation did not cause reduction of depression score (point). It was found that the reason of dissatisfaction about institution is the result of high intensity work because of inadequate number of assistant doctors and supportive staff, lack of organization, administration problems and ignoring staff's thoughts, injustice and inadequacy of education and ethic values. It must not be ignored that reaching high quality on assistant doctor education and training well-educated assistant doctors can be possible only with constructing suitable conditions, making this tough education more enjoyable by the help of motivation and practical solutions, adapting assistant-oriented education system

Investigation of the Relationship of Job Satisfaction and Depression Level among Medical Faculty Research Assistants

Amaç: Bu çalışmada, Düzce Üniversitesi Tıp Fakültesindeki araştırma görevlilerinde, iş doyumu düzeyi ile depresyon derecesi, kişisel ve çevresel faktörler arasındaki ilişkilerin değerlendirilmesi amaçlanmıştır. Yöntem: Bu tanımlayıcı ve kesitsel çalışmaya, 70i (%60) erkek, 47si (%40) kadın 26-34 yaş aralığında 117 araştırma görevlisi katıldı. Yüz yüze görüşme yöntemiyle yapılan yarı yapılandırılmış anket formunda açık uçlu sorular ile iki veya daha fazla seçenekli sorular yer almaktaydı. Anket formu demografik özellikler, antidepresan ilaç kullanımı, kronik hastalık durumu, çalışma koşulları, alışkanlıklar ve boş zaman uğraşısı ile ilgili sorular içermekteydi. Araştırmada yarı yapılandırılmış anket formuna Beck Depresyon Envanteri, Minnesota İş Doyum Ölçeği de eklenmiştir. Bulgular: Çalışmamızda Uzmanlık eğitiminin zorluğu, insan fizyolojisini zorlayan iş yükü, yoğun çalışma temposu, hekim kimliğine saygının önceki dönemlere nazaran azalması ve tabiî ki ücretteki yetersizlik gibi nedenlerle asistan hekimlerin çoğu (n74 kişi; %63,2) imkânı olduğu takdirde farklı bir fakülte (farklı bir meslek dalı) tercihi yapabileceklerini belirtmiştir. Çalışma ortamındaki fiziki yetersizlikler, yardımcı personel azlığı, nöbet sayılarının fazlalığı, nöbette kalan asistan sayısında yetersizlik ve en önemlisi nöbet sonrası izinden mahrumiyet asistanların genel, iç ve dışsal iş doyumlarında azalmaya neden olmaktadır. Sonuç: Araştırma görevlilerinin imkânı olduğu takdirde mevcut bölümünden daha az iş yükünün ve risk faktörünün olduğu alanları tercih etme düşüncesinde olduğu belirlenmiştir. Farklı uzmanlık dallarındaki hekimlerin içsel, dışsal ve genel iş doyum puan ortalamaları arasında anlamlı bir fark bulunamamıştır.Aim: The purpose of this study was to examine the relationships between job satisfaction level and depression degree, personal and environmental factors among assistants of Düzce University Medical Faculty. Methods: 117 physicians including 70 males (%60) and 47 females (%40), participated in this descriptive and cross-sectional survey. A questionnaire was applied by face-to-face interview, which consisted of open-ended questions and questions with two or multiple-choices. Questions were asked about demographic attributes, usage of anti-depressant medications, having chronic illnesses, working conditions, habits, and spare time activities. Beck Depression Scale and Minnesota Job Satisfaction Scale were added to the semi-structured questionnaire form. Results: Most of the assistant doctors joined this research (n74; 63.2%) implied that if they had a chance, they would prefer another faculty because of difficulty of doctorate education, heavy job responsibilities threatening human physiology, high intensity of working tempo, decreasing respect on doctor identity, and of course low salary. Inadequacy of physical conditions in working area, scarcity of supportive staff, high numbers of night duties, inadequacy of night duty assistant doctors and the most important factor that is deprivation from allowance after night duty cause reduction of internal and external work satisfaction. Conclusion: It was pointed out that many assistants have the idea to prefer another department that has less labor and less risk factor if they had the opportunity. There was no significant diversity between internal, external and general job satisfaction scores of doctors from different specialties

Association Between Patients Sociodemographic Characteristics and Their Satisfaction with Primary Health Care Services in Turkey

Ankarali, Handan Camdeviren/0000-0002-3613-0523WOS: 000327752700003Objective: To investigate the influence of patient's socio-demographic features on patient's satisfaction with primary health care (PHC) services in the Turkish population Design: Cross-sectional and population-based study Settings: Forty-five family health centers from 15 cities throughout Turkey Subjects: One thousand two hundred and ten patients were randomly selected. The self-administered study survey was applied. Main Outcome Measures: Association between patients' sociodemographic features and patient satisfaction with primary care settings Results: The mean age of subjects was 37.4 +/- 14.7 years. When mean total score for incisions of sociodemographic features was evaluated, it was observed that the patient satisfaction level was high in female than male patients, married than unmarried patients, patients with high income than low income, in employed and unemployed than officers (p = 0.028, p = 0.043, p = 0.001, and p = 0.006, respectively). The patients with high income level had significantly higher level of satisfaction than those with low income in all domains of patient satisfaction. Female patients were more satisfied with communication, medical care, and support and information domains. Married patients were more satisfied with communication and medical care. The officers were less satisfied than other status of occupation. The patients with university level of education were more satisfied than those with middle and high school level of education. Conclusion: Income level, marital and occupational status of patient's sociodemographic features had significant influence on satisfaction levels in the Turkish populatio

Effectiveness for self-monitoring of blood sugar on blood glucose control in Turkish patients with type 2 diabetes mellitus

Ankarali, Handan Camdeviren/0000-0002-3613-0523; Saritas, Ayhan/0000-0002-4302-1093; Saritas, Ayhan/0000-0002-4302-1093WOS: 000307479600006PubMed: 22926352Aim Diabetes mellitus (DM) is a chronic disease requiring continuous monitoring and treatment. Self-monitoring of blood glucose (SMBG) is frequently recommended. The purpose of the study was to evaluate effectiveness of SMBG on metabolic control in Turkish patients with type 2 DM. Methods The cross-sectional study enrolled type 2 diabetic patients without insulin regimen. The participants were assigned to three groups according to status of SMBG: group 1- regular, group 2 - irregular and group 3 - never SMBG implementation. Results A total of 349 patients were enrolled. There was no significant difference in mean fasting and post-prandial blood glucose, lipid profile values between the groups. The number of patients with high education level in group 1 was higher than groups 2 and 3 (p = 0.001). HbA1c level was higher in groups 2 and 3 than group I, but not significantly (p = 0.285). Mean spot urinary albumin-creatinine ratio (ACR) in group I is significantly lower than in groups 2 and 3 (p = 0.008 and p = 0.044, respectively), but no significant difference was observed between group 2 and 3 (p = 0.473). Conclusion The study indicated that regular use of SMBG was not superior to irregular/never use of SMBG on glycemic control, but it seemed to be good intervention for prevention of diabetic nephropathy. We suggestively offered that SMBG should be recommended for patients with a high education level to meet the goal of its use, and it should be incorporated into self-management with effective educational intervention

Evaluation of patient satisfaction with family physicians after implementation of family medicine in Turkey

Saritas, Ayhan/0000-0002-4302-1093; Saritas, Ayhan/0000-0002-4302-1093; KARA, ISMAIL HAMDI/0000-0003-2022-1882; KARA, ISMAIL HAMDI/0000-0003-2022-1882WOS: 000301754800019Patient's satisfaction is a desired out-come measure of quality of health care. It is direct feedback measurement and easy method. We aimed to evaluate level of patient's satisfaction with family physician after family medicine implementation at primary care settings in Turkey. This cross-sectional study was conducted in Turkey between January and May 2011 in 45 family medicine offices. The self-administered study survey including EURO-PEP tool was delivered with hand-out by researchers who were not family physicians to patients admitted to family health center. They were collected in closed-box. 1500 surveys were distributed. 1112 surveys were returned. Response rate was 74.13%. Of them, 54% (601) was female and 46% (511) was male. Mean age was 36.1+/-13.9 years-old. Overall rate of patient satisfaction was 70.9%. Rate for high satisfaction level (good-excellent) ranked between 53.5% and 82.4%. Item of" listening to patients" was rated by patients as highest satisfaction (82.4%). Item related with accessibility to physicians on phone was rated as lowest satisfaction (53.5%) by patients. Level of patient satisfaction with clinical behavior was considerably better than health care organization. In conclusion, the study showed that level of patient satisfaction was relatively high, especially with clinical behavior. The patients were less satisfied with health care organization, particularly with accessibility to physicians via phone and waiting time. We observed that patient satisfaction was improved, compared to before implementation of family medicine, and additionally lower than north European countries, but similar with some of the south European ones

Have the reference ranges of anemia parameters like iron, ferritin, vitamin B-12 and folate been correctly settled in Turkish adults living in western Black Sea Region?

WOS: 000314289700003Objective: Widespread causes of anemia are the deficiencies of iron, vitamin B-12 and folate. The exact diagnosis is based on the laboratory data determined according to the appropriate reference ranges along with clinical symptoms. International Federation of Clinical Chemistry (IFCC) and Clinical and Laboratory Standards Institute (CLSI) have suggested that each laboratory should determine their own reference values. In this study, we aim to determine reference intervals of anemia parameters in a large cohort of Turkish adults and to investigate whether these values confirm with data sheets of commercial kits. Methods: Healthy 1251 subjects were included in the study. Subjects were divided into six groups according to their ages. Levels of serum iron, unsaturated iron binding capacity (UIBC), ferritin, vitamin B-12 and folate, and complete blood counts of all participants were determined. Results: There were significant differences between genders in terms of serum iron, ferritin, UIBC, folate levels and mean corpuscular volume (MCV). While levels of iron, UIBC, ferritin, and MCV were higher in males, vitamin B-12 and folate levels were higher in females. MCV, folate and vitamin B-12 levels were higher in middle aged adults, and lower in the young and elderly. Conclusion: There wasn't much difference between our results and previous studies and manufacturers' ranges except the ferritin and iron levels. Therefore, reference ranges are not required to be determined again. It was concluded that, high upper limits of serum iron and ferritin levels may be caused by inflammation so that these levels is not appropriate as a reference range unless evaluated together with inflammatory markers such as CRP, but lower levels may be valuable

Evaluation of vitamin B12 level in middle-aged obese women with metabolic and nonmetabolic syndrome: case-control study

KARA, ISMAIL HAMDI/0000-0003-2022-1882; KARA, ISMAIL HAMDI/0000-0003-2022-1882; Karabulut, Ismail/0000-0002-1339-5385WOS: 000308053300009Aim: To investigate the correlation between vitamin B12 and body mass index (BMI) along with insulin resistance (IR) in middle-aged obese women. Materials and methods: The study was designed as a case-control study. The study group included middle-aged obese women and the control group included aged-matched lean women. Weight, height, and hip and waist circumferences were measured. Biochemical parameters such as fasting and postprandial glucose, vitamin B12 and folic acid levels, and lipid profiles were assayed. Results: Enrolled in the study were 116 middle-aged obese and 103 aged-matched healthy lean women. The vitamin B12 level of the obese women was significantly lower than that of the lean women (244.1 +/- 131.5 pg/mL vs. 336.2 +/- 163.1 pg/mL, P = 0.002). However, there was no significant difference in folic acid levels between the groups (P > 0.05). The vitamin B12 level was similar in the obese women with metabolic syndrome and those without (245.1 +/- 145.3 pg/mL vs. 241.2 +/- 96.5 pg/mL, P > 0.05), but the level in the control group was significantly higher than that of patients with obesity and metabolic syndrome (P = 0.010 and P = 0.020, respectively). Vitamin B12 levels correlated with BMI (r = -0.259, P = 0.003) but not with IR (r = -0.053, P > 0.05). Conclusion: The vitamin B12 concentration was low in obese patients and this level negatively correlated with BMI, but not with homeostasis model assessment-estimated IR (HOMA-IR)

The Prevalence And Risk Factors Of Consanguineous Marriages in The Centre Of County Of Yığılca Of Düzce City

Amaç: Bu çalışmada, kadınlarda akraba evliliği sıklığını, nedenlerini ve kadınların akraba evliliğinin özürlü bebek doğmasına neden olması konusundaki bilgilerini belirlemek amaçlanmıştır. Gereç ve Yöntem: Yığılca İlçe Merkezinde yaşayan 1549 yaş grubu kadın sayısı 854dür. Örneklem büyüklüğü 258 olarak hesaplanmıştır. Araştırmada sistematik örnekleme yöntemiyle her 3 evden birine gidilmiş ve 274 kadına ulaşılmıştır. Katılımcılara anket formu yüz yüze görüşme tekniği ile uygulanmıştır. Bulgular: Çalışmaya katılan ve başından evlilik geçen 220 kadından 44(%20.1)ü akraba evliliği yaptığını söylemiştir. Çalışmaya katılan kadınlar akraba evliliğinden dolayı doğacak çocukta sağlık riski olup olmayabileceği konusunda; 218(%79.6)i risk oluşturacağını, 40(%14,6)ı risk oluşturmayacağını, 16(%5.8)sı da fikirlerinin olmadığını belirtmişlerdir. Sonuç: Bu çalışma sonucu bulunan akraba evliliği sıklığı 1998 Türkiye Nüfus ve Sağlık Araştırması Kuzey Bölgesi sonuçları ile uyumludur. Çalışmaya katılan her beş kadından birinin akraba evliliği sonucu çocuklarda sakatlık olmayacağına veya bu konuda fikri olmadığını belirtmesi; bu bölgede topluma akraba evliliğinin sakıncaları konusunda eğitim verilmesinin gerekli olduğunu düşündürmektedir.Aim: To determine the prevalence of consanguineous marriages, causes of it and knowledge of women about the substance of consanguineous marriages cause disabled baby births. Methods: the number of women aged 15-49 years is 854. Sample size of the study calculated as 258. By systematic sampling method 1 of every 3 house was gone and 274 women were reached. The questionnaire of the study was applied by face to face interview. Results: Of 220 married or recently married women of the study consanguineous marriages was 44 (20.1%). Of women contributed to the study 218 (79.6) declared that consanguineous marriages might cause health risks at babies from consanguineous marriages, 40 (14.6%) might not cause health risks and 16 (5.8%) have no idea. Conclusion: The prevalence of study consanguineous marriage found in this study was concordant with the North District results of Turkey Health and Population Survey 1998. As every one of five women stated consanguineous marriage might not cause health risks in new born infants or they have no opinion on this subject, it make us to think to give education to the population in this district might be necessary