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COMPARISON OF SPINAL CURVATURES OF WOMEN HAD GIVEN MULTIPLE TIMES AND NEVER GIVEN BIRTH

Background: It is known that the amount of load loaded on the body affects the spine and spinal curvature. It was thought that the spine could be affected during each pregnancy experienced by the women. The spine measurements of women who gave birth and those who did not were compared . Material and methots: In this study, the spines of women who came to X X.X. Medical Center Gynecology and Obstetrics Poliyclinic in 2020 were examined using the Spinal Mouse device. In posture analysis, it was aimed to evaluate the results of the measurements obtained with the Spinal Mouse. A total of 100 women between the ages of 30-35, 50 from women who have never given birth and 50 from women who have had multiple births [women who have given birth at least three times ], were included in the study. T-Test was used to compare group means in terms of continuous variables. Results: As a result of the findings obtained, the average weight of women who gave birth and never gave birth was p=0.001 as a result of statistical analysis and it was found significant. There was a difference in angular values between the two groups, with LL [p=0.001 ] and SK [p=0.003 ] measurements taken in the extension position in the measurements taken in the upright position, a significant result was obtained in the TK [p=0.040 ] and LL [p=0.001 ] values. Conclusions: It is seen that every birth process experienced negatively affects the posture of women. Therefore, women who have given birth should be made aware of the necessary exercise and physical activity in order to control and protect the spine health.

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A BIBLIOMETRIC ANALYSIS OF STUDIES ON DIVERSITY MANAGEMENT

The present study seeks to perform a bibliometric examination of global publications on diversity management from 1990 to 2023. The objective is to scrutinize advancements in the field and present prospective researchers with fresh avenues for exploration. A total of 15727 records were found in the Wos database in all languages and by the topic of all types of publications in which the keywords "diversity management", "relational demography", "demographic diversity", "workforce diversity", "cultural diversity" and "workgroup diversity" were mentioned in articles published between 1990 and November 2023. Then, with the restrictions applied, 3555 articles were subjected to Citation, Bibliographic Coupling and co-citation analyses. The VOSviewer software package (Version1.6.9) was used to create bibliometric maps and networks. 2020 was the year in which the most articles were published with 277 articles. The study identified Syed Jawa as the most productive author in diversity management research, with "Equality Diversity and Inclusion" as the most productive journal, and "cultural diversity", "diversity" and "diversity management" as the most frequently used keywords. The articles by Vertovec(2007), Jehn(1999), and Harrison(1998) stand out as the three most impactful in relation to citation count. Five clusters were identified according to the citation analysis. Developed countries were found to be the most influential in diversity management research. This study adds to the existing body of literature by offering an extensive bibliometric evaluation of diversity management studies. The focus is on identifying the most productive articles, authors, journals, institutions, sponsors, and countries, while also conducting keyword analysis.

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THE EFFECT OF PATIENT EXPECTATIONS AND SATISFACTION ON REGIONAL TRUST IN HEALTH TOURISM: A PRIVATE HOSPITAL EXAMPLE

In this study, the effect of health tourists' expectations and satisfaction on their sense of trust in Turkey was examined. In line with the purpose of the research, the sample of the study consists of 178 patients whose structure was determined by the simple random sampling method among the patients in the institution in order to receive health care services. The data were analyzed with the SPSS program. 52.8% of the 178 tourists participating in the research were female and 47.2% were male. In terms of the age variable, 41.6% of the tourists were between the ages of 18-30, 36.5% were between the ages of 31-45, and 21.9% were aged 46 and over. When the educational status variable of the tourists is examined, it was determined that 42.7% of them are primary school graduates, 14.6% were high school graduates, 33.1% were university graduates, and 9.6% were master's and doctorate degrees. As a result of the analysis, it has been determined that meeting the expectations and satisfaction of the participating health tourists has a statistically significant and positive effect on the sense of trust in Turkey. In line with these results, as the expectations of the patients are met and their satisfaction increases, their confidence in Turkey increases

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A National Minimum Health Log Standard; SAMILOG

Aim: Health data is considered highly sensitive, and the protection of health data is an ethical and legal responsibility. Healthcare organizations use various security measures and techniques to adopt a secure electronic health records system, including keeping log data. HIS developers kept the log records according to their needs by making the necessary coding for the "change-delete" triggers. Therefore, the need to develop a common standard for keeping diaries in health information systems was felt. This standard was considered a guide for software developers. This standard was named SAMILOG (Minimum Log Standards in Health). In this study, the development process of SAMILOG is explained. Method: Focus group meetings were held with seven developer companies. Several scenarios of unauthorized access or data breaches in a health information system were created. The participants discussed each scenario and evaluated the best methods for keeping logs and which data should kept log in each case. Previously, a standard called VEM was developed to assist data migration, when HIS software of a hospital changes. The data field names of VEM standard were also used in this new standard. Results: In SAMILOG 1.0, it was defined which of the data elements in each VEM set should be logged, it required an update for SAMILOG as the VEM was updated. Conclusion: SAMILOG v1.0 was announced in 2016. In case of a security breach related to the past in the health data of public hospitals in Turkey, primarily the data logged within the scope of SAMILOG are examined.

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Validity and Reliability of the Nurse Manager Performance Assessment Scale

Background: The performance of nurse managers is significantly important in providing quality and safe patient care services in hospitals, as well as in retaining the nurse workforce. There are limited number of measurement instruments for which validity and reliability have been tested in order to assess nurse managers' level of performance. Objective: This study was conducted to examine the psychometric testing of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers working in a private chain hospital group in Turkey. Method: The sample of this methodological study was composed of 165 nurse managers. The data were obtained from the Hospital Information Management System, retrospectively. Results: The average score of the eight-item scale items ranged between 3.3 (0.8) and 3.7 (0.8). The Cronbach's alpha coefficient, indicating the internal consistency, was found to be 0.943, while the Spearman-Brown coefficient, indicating intraclass consistency, was found to be 0.910. The two-factor scale obtained using exploratory factor analysis was examined using confirmatory factor analysis, and the model was found to be significant. Conclusion: In this study, the results of psychometric analysis of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers, indicated that the scale is a valid and reliable instrument. It is recommended that the scale be applied in different institutions and that it be tested in practice based on pilot application results.

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THE EFFECT OF DIGITAL LITERACY LEVELS OF HEALTH MANAGERS AND EMPLOYEES ON JOB SATISFACTION: THE CASE OF SAKARYA

Increasing internet usage enables individuals to easily access the information they are searching for. This situation brings up the concept of digital literacy. Healthcare institutions are also increasingly keeping up with this internet age. In this study, it was tried to reveal the difference between the socio-demographic characteristics of healthcare managers and employees working in healthcare institutions and the lower dimensions of digital literacy and job satisfaction. This study also aims to investigate the impact of digital literacy lower dimensions on job satisfaction's lower dimensions and make suggestions. The research was carried out with the participation of health managers and employees consisting of 396 people working in Sakarya University Training and Research Hospital. The data were analyzed using the SPSS 27.0 package program. "Independent Sample T-Test" was used to reveal the differences between two groups, and "One Way ANOVA Test" was used to reveal the differences between three or more groups. Tukey Test, one of the Post-Hoc tests, was used to determine the source of the difference. Correlation Analysis was used to determine the relationship in the research, and Multiple Regression Analysis was used to reveal the effect. According to the research results, a low-level positive relationship was found between digital literacy lower dimensions and internal and external satisfaction (p0.001). In the research, it was determined that the lower dimensions of digital literacy do not differ according to gender, marital status and age, but vary according to the position in the institution. While there is a significant difference between internal satisfaction, which is a lower dimension of job satisfaction, and gender, age and position in the institution, there is a significant difference between external satisfaction and only the position in the institution. It is thought that the offered service will be provided more efficiently and effectively by eliminating the deficiencies determined as a result of the analysis in the institution where the study is conducted.

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EXAMINATION OF THE PSYCHOLOGICAL EFFECTS OF THE COVID-19 PANDEMIC ON MEDICAL PERSONNEL WORKING IN THE FILIATION TEAM: A MIXED METHOD STUDY

Objective: This study was conducted to determine the psychological effects of the Covid-19 pandemic on medical personnel working in the filtration team, and to examine the possible effects in depth. Methods: The research was conducted using the exploratory sequential mixed pattern between February 2022 and February 2023 on the medical personnel working in the filiation team in A District Health Directorate. In the quantitative stage of the research, the population consisted of 248 medical personnel working in the filiation team, and the sample consisted of 181 participants who met the inclusion criteria and agreed to participate in the study. The quantitative data of the research were collected using the “Personal Information Form” and the “Impact of Event Scale”, and the qualitative data were collected using the “Semi-Structured Interview Form”. Results: In the study, it was found that 30.4% of the medical personnel working during the filiation process were psychologically affected. In the in-depth interviews, it was determined that there were categories of fear, anxiety, loneliness, sleep problems, stigma, trauma, changes in affectivity, stress, deterioration in social relationships, fatigue and strain under the theme of psychological effects. Conclusions: The study found that about a third of the medical personnel working in the filiation process were psychologically affected by the pandemic, and they experienced psychological effects such as fear, anxiety, loneliness, sleep problems, stigma, trauma, changes in affectivity, stress, deterioration in social relationships, fatigue and strain.

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The Relationship Between Organizational Commitment and Job Satisfaction in Healthcare Professionals: A Meta-Analysis

This meta-analysis study examined the relationship between organizational commitment and job satisfaction among healthcare professionals. The YÖK Thesis Center database was searched using the keywords "job satisfaction and organizational commitment" between November 19, 2022, and February 3, 2023. The inclusion criteria were (1) being a thesis, (2) examining the relationship between job satisfaction and organizational commitment levels of healthcare professionals in Türkiye, (3) adopting a quantitative research method, and (4) having access to the full text. The literature review yielded 2,998 theses, out of which 22 theses (19 master's theses and three Ph.D. theses), with 5,547 healthcare professionals meeting the inclusion criteria. The correlation effect size was calculated, and the random effect model (p0.22) was used to calculate the joint effect size. The results showed a statistically significant correlation between job satisfaction and organizational commitment among healthcare professionals in Türkiye (M: 0.376; 95% CI: 0.286-0.460), and there was no publication bias. The fact that the results did not change when unpublished studies were included in the analysis positively affected the validity and reliability. Future studies should investigate the relationship between organizational commitment and job satisfaction based on different healthcare professional groups.

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