SAĞLIK ÇALIŞANLARININ ÖRGÜTSEL GÜVEN VE ÖRGÜTSEL DESTEK ALGILARININ İHBARCILIK EĞİLİMLERİ ÜZERİNDEKİ ETKİSİNDE ETİK KÜLTÜRÜN ARACILIK ROLÜ

Year 2024, Volume: 27 Issue: 3, 429 - 444, 26.09.2024

Mustafa Filiz , Yalçın Karagöz

https://doi.org/10.61859/hacettepesid.1424234

Abstract

Bu çalışmada, sağlık çalışanların örgütsel güven ve örgütsel destek algılarının ihbarcılık eğilimleri üzerindeki etkisinde etik kültürün aracılık rolünü ortaya konulması amaçlanmıştır. Çalışmanın evrenini, Türkiye'nin İstanbul şehrinde hizmet veren ve Joint Commission International kalite ve akreditasyon sertifikasına sahip olan 18 hastanede alışan 12.669 çalışan oluşturmaktadır. Çalışmanın örneklemini, 589 sağlık çalışanı oluşturmaktadır. Çalışma verileri çevrimiçi olarak toplanmıştır. Veriler için tanımlayıcı istatistikler, keşifsel faktör analizi, fark analizleri, doğrulayıcı faktör analizi, yol analizi ve aracılık analizleri yapılmıştır. Sağlık çalışanlarının örgütsel güven ve örgütsel destek algılarının ihbarcılığın alt boyutlarından iç ihbarcılık ve sessizlik boyutlarına etkisinde, etik kültürün aracı rolü olduğu saptanmıştır. Örgütsel güven ve örgütsel destek algısının, dış ihbarcılık algısı üzerinde etkisi olmadığı gözlemlenmiştir. Etik veya yasa dışı durumların hastane ortamında ilgili makamlara iç ihbar yoluyla raporlanmasında kuruluşun destek ve güveni önemli faktörlerken, bu ilişkide etik kültürün önemli bir belirleyici güce sahip olduğu sonucuna varılmıştır.

Keywords

Sağlık hizmetleri, örgütsel güven, örgütsel destek, etik, özel hastaneler

Supporting Institution

yok

Project Number

Tez no:805609

Thanks

Yok

MEDIATING ROLE OF ETHICAL CULTURE IN THE IMPACT OF HEALTHCARE PROFESSIONALS' PERCEPTIONS OF ORGANIZATIONAL TRUST AND ORGANIZATIONAL SUPPORT ON WHISTLEBLOWING

Abstract

In this study, it is aimed to reveal the mediating role of ethical culture in the effect of organizational support and organizational trust perceptions of healthcare professionals on their whistleblowing tendencies. The universe of the study consists of 12,669 employees working in hospitals with 18 Joint Commission International quality and accreditation certificates serving in Istanbul, Turkey. The sample of the study consists of 589 employees, who were easily reached by sampling technique. Study data were collected online. Descriptive statistics, exploratory factor analyses, difference analyses, confirmatory factor analysis, path analysis and mediation analyzes were performed for the data. It has been observed that the perception of organizational trust and organizational support of health workers has a mediating role in the effect of ethical culture on internal whistleblowing and silence tendencies. It was observed that the perception of organizational trust and organizational support did not affect the perception of external whistleblowing. While the support and trust of the organization are important factors in the whistleblowing of unethical or illegal situations in the hospital environment to the relevant authorities through internal whistleblowing, it has been concluded that the ethical culture has an important determining power in this relationship.

Keywords

Health services, organizational trust, organizational support, ethics, private hospitals

Project Number

Tez no:805609

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