Private Hospital In Istanbul Research Articles

A Research on Sorts and Reasons of Medical Errors Made in Hospitals: Suggestions for solutions and A Questionnaire Study in A Private Hospital in Istanbul

Quality of healthcare has become one of the leading subjects in the world. Human being are the one who are served in the healthcare sector and as a result of mistakes in this sector; death, being handicapped or delayed treatment can be observed. Patients are harmed due to insufficient or ignorant applications or approaches. Lack of experience, lack of knowledge, inability to use technology properly may result in patients’ unnecessarily longer hospital stays, detoriated health and even loss of life. The frequent observance of these possibilities demonstrate the importance of the subject. In the present study, reasons of medical mistakes, types of mistakes and frequencies are evaluated at the investigated hospital.

An integrated supplier selection methodology incorporating QFD and DEA with imprecise data

Supplier evaluation and selection is an important group decision making problem that involves not only quantitative criteria but also qualitative factors incorporating vagueness and imprecision. This paper proposes a novel fuzzy multi-criteria group decision making framework for supplier selection integrating quality function deployment (QFD) and data envelopment analysis (DEA). The proposed methodology allows for considering the impacts of inner dependence among supplier assessment criteria through constructing a house of quality (HOQ). The lower and upper bounds of the weights of supplier assessment criteria are identified by adopting fuzzy weighted average (FWA) method that enables the fusion of imprecise and subjective information expressed as linguistic variables. An imprecise DEA methodology is implemented for supplier selection, which employs the weights of supplier assessment criteria computed by FWA utilizing the data from the HOQ and the supplier ratings with respect to supplier assessment criteria. The application of the proposed framework is demonstrated through a case study in a private hospital in Istanbul.

Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress

To assess: (1) the prenatal distress level in Turkish pregnant women and (2) to examine the association between prenatal maternal distress and personal and pregnancy-specific factors. Pregnant women experience stress originating from a variety of pregnancy-specific issues, including physical symptoms and changes, changes in body image, physiological, social and emotional changes, parenting concerns, changes in relationships with significant others, medical problems, anxiety about labour and delivery, concerns about birth and the baby's health. A descriptive cross-sectional study. This study was conducted at a gynaecology clinic of a private hospital in Istanbul, Turkey within a 12-month period. The study sample comprised 522 pregnant women continuing their regular visits for prenatal care. Pregnancy Description Form and Turkish Version of Revised Version of Prenatal Distress Questionnaire [(NUPDQ)-17 Item Version] were used for data collection. Study sample was moderately distressed. Turkish pregnant women were mostly distressed and concerned about premature delivery, having an unhealthy baby, labour and delivery, feeling tired and having low energy during pregnancy. Prenatal distress in Turkish pregnant women was associated with personal and pregnancy-related characteristics. This study found that pregnant women need to be supported emotionally, physically and socially. A better understanding of prenatal maternal distress could assist in informing healthcare professionals about the provision of physically, emotionally, socially and behaviourally appropriate support for achieving a healthy pregnancy. It is crucial for pregnant women to be regularly assessed and educated for dealing successfully with concerns and fears about prenatal period, birth and postnatal period and about difficulties that women may encounter during their pregnancy.

The Effects of Internal Relationship Marketing on Superior Customer Relations as Competitive Performance: Evidence from Healthcare Industry

Strategies and strategic steps to create a competitive organization have been important parts of market success. Internal customers represent one of the leading elements in building competitiveness due to their direct roles in organizations’ market practices. Understanding the motivations of internal customers to deliver competitive performance in favor of organizational strategies is important for both executives and marketing scholars. The aim of this study is to explore the effects of internal relationship marketing (RM) on employees’ competitive performance through some psychological factors such as internal customer satisfaction, attitudes towards the organization, and emotional labor. This study is based on a survey conducted in Turkey in two seperate hospital chains. The data were collected from 169 doctors in 8 private hospitals in Istanbul and Bursa. A research model is proposed with nine postulated hypotheses and verified by empirical data.

Career Goals of a Private Hospital Nurses and Career Opportunities Offered to Them

Nurses’ career goals align with career aims of the organization is extremely important. And also it is very important to prepare for career changes to achieve their career goals. Career progress of nurses and increasing the satisfactions levels of their profession provide retention skilled personnel and a high in service quality of the organization. The aim of the study was to determine career goals of nurses and career opportunities offered to them. This descriptive study was carried out between December 2008 and January 2009. Population of the study consisted of a total of 187 voluntary nurses working in a private hospital in Istanbul. Data was collected using questionnaire form. Descriptive statistical methods, parametric and non-parametric tests were used for evaluation of data. Statistically significant differences found between the defines such as having career goals and age, education, being single and being childless of nurses. It was found that the nurses had career goals; they needed training in terms of career planning; the organization they worked offered managerial arrangements for career development, however these managerial and organizational supports were not adequately shared with the employees. Many proposals which will guide career planning are improved by these outcome.

The attitudes of women toward mode delivery after childbirth

The aim of this study was to determine the attitudes of the women toward mode of delivery during postpartum period. The descriptive study was conducted in 600 puerpera women at a private hospital in Istanbul, Turkey. We collected data with “attitudes toward mode of delivery” (ATMOD) form during face to face interview. The researchers prepared the ATMOD form according to the literature. The ATMOD was14 attitude statements. Participants answered statements as agree (1), or disagree (2). We evaluated data using the SPSS program. Average age was higher in cesarean deliveries (CD) than vaginal deliveries (VD). 28.1% of women had an elective CD; 71.8% stated that they would advise other potential mothers to opt for a CD; and 82.3% would choose CD in case of another delivery. In the study, women’s overwhelmingly favored VD and regarded CD as an appropriate procedure for abnormal pregnancies. Nevertheless, it was found that participants opted for CD as they think it is easier and less painful. The prenatal training programs aim at assisting couples in choosing VD by attracting their attention on delivery and correct breathing and relaxation techniques and by helping them in feeling less pain. Key words: Attitudes, childbirth methods, cesarean delivery, prenatal training program, postpartum vaginal delivery, women

Work Alienation as a Mediator of the Relationship between Organizational Injustice and Organizational Commitment: Implications for Healthcare Professionals

Organizational justice is an important predictor of several job attitudes and behaviors such as trust, turnoverintention, job satisfaction, job stress, organizational commitment, sabotage in workplace. This study examinesthe relationship between two dimensions of organizational injustice and organizational commitment, andwhether work alienation has mediating effects in this relationship. It was hypothesized that distributive andprocedural injustice would cause organizational commitment, and dimensions of work alienation would serve asmediators in this relationship. These relationships were tested in a sample of 383 healthcare professionals (nursesand physicians) from public and private hospitals in Istanbul. The results revealed that both distributive injusticeand procedural injustice were associated with organizational commitment, and each of the work alienationdimensions partially mediated this relationship. The theoretical and practical implications of this results werediscussed below.

Work Alienation as a Mediator of the Relationship of Procedural Injustice to Job Stress

Work Alienation as a Mediator of the Relationship of Procedural Injustice to Job StressProcedural justice, which refers to the perceived fairness of decision-making procedures, is accepted as an important antecedent of several job attitudes and behaviors such as turnover intention, organizational commitment, trust, and stress in organizational justice literature.This study examined the relationship of procedural injustice to job stress, and whether work alienation, which has not been referred to in justice literature before, serves as a mediator in this relationship. Two dimensions of work alienation (powerlessness and social isolation) were addressed for this study. It was hypothesized that procedural injustice causes job stress, and work alienation serves as a mediator in this relationship. These relationships were tested in a sample of 383 health care professionals (doctors and nurses) from public and private hospitals in Istanbul. The results revealed that procedural injustice was associated with job stress and each of the work alienation dimensions partially mediated this relationship. The theoretical and practical implications of this results are discussed below.

Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: An observational study using the LATCH breastfeeding charting system

Background Breastfeeding has many advantages for both mothers and infants. Several factors related to the mother and the baby, however, have a negative effect on the initiation of breastfeeding. Mode of delivery is one of these factors. When delivery takes place by cesarean section, the mother becomes a surgical patient with all the inherent risks and problems. Cesarean delivery under general anesthesia rates are currently rising our country, but the effects of this factor on the initiation and duration of breastfeeding are unclear. Objective The purpose of this study was to assess and compare the breastfeeding process in mothers who had cesarean deliveries (CD) with those who delivered vaginally (VD). Design This study is an observational and comparative study. Setting The environment of the research was the private hospital in Istanbul. Participants The samples in the research were volunteer participant mothers who were delivered of healthy neonates. There were 118 incidents of CD under general anesthesia and 82 of VD chosen for the study. Methods Data was obtained using an “Introductory Information Form” which was prepared as suggested by related literature, and by using the “(LATCH) Breastfeeding Charting System.” Results According to the LATCH Scoring System, the average score for the first breastfeeding was 6.27 and 8.81 for the third in CD mothers and 7.46 for the first breastfeeding and 9.70 for the third in VD mothers. Statistically meaningful differences were defined between the first ( t = 10.48 ; p < . 001 ), second ( t = 7.82 ; p < . 001 ), and third ( t = 7.12 ; p < . 001 ) breastfeeding sessions in both CD and VD mothers. Conclusions It was found that the pattern of delivery affects breastfeeding and that CD mothers need more support and help as compared to VD mothers. CD mothers were seen to need more support, particularly in positioning their babies for breastfeeding.