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Cerrahi Ekiplerde Ekip Çalışması Tutumunun İş Doyumu ve İşten Ayrılma Niyeti Üzerine Etkisi

Year 2024, , 134 - 147, 15.01.2024
https://doi.org/10.46483/deuhfed.1127749

Abstract

Giriş: Olumlu bir ekip anlayışının, sağlık hizmeti veren ekip üyelerinin iş doyumu ve işten ayrılma niyetini etkileyen temel nedenlerden biri olarak merkezi bir öneme sahip olduğu bilinmektedir.

Amaç: Çalışma, bir üniversite hastanesindeki cerrahi ekip çalışanlarının ekip çalışması tutumunun, iş doyumu ile işten ayrılma niyeti üzerine yordayıcı etkisini belirlemek amacıyla gerçekleştirilmiştir

Yöntem: Çalışma tanımlayıcı ve kesitsel tasarımdadır. Bir üniversite hastanesinin cerrahi kliniklerinde, cerrahi yoğun bakımlarında, ameliyathanelerinde çalışan ve araştırmaya katılmayı kabul eden hekim ve hemşireler araştırma örneklemine dahil edilmiştir (n:240). Veriler Kasım- Aralık 2019 tarihleri arasında toplanmıştır. Veri toplama aracı olarak sosyo demografik ve çalışma özellikleri formu, Ekip Çalışması Tutum Ölçeği, iş doyumu ve meslekten ayrılma niyeti için tek maddeli soru kullanılmıştır. Veriler, tanımlayıcı istatistikler, Pearson Korelasyon Analizi ve Doğrusal Regresyon Analizi ile değerlendirilmiştir.

Bulgular: Cerrahi ekip çalışanlarının ekip çalışması tutumları iyi düzeyde ve iş doyumları ise orta düzeyde bulunmuştur. Katılımcıların %50.4’ü çalıştıkları birimden ayrılma niyetindeyken, %49.6’sı kurumlarından, %36.7’si mesleklerinden ayrılma niyetindedir. Ekip çalışması tutum ölçeğinin alt boyutları, iş doyumu düzeylerindeki toplam varyansın %6’sını açıklamaktadır. Ekip çalışması tutum ölçeğinin alt boyutları, birimden ayrılma niyetinin %7’sini, kurumdan ayrılma niyetinin %5’ini ve meslekten ayrılma niyetinin %9’unu açıklamaktadır.

Sonuç: Cerrahi ekiplerde ekip çalışması tutumunun iş doyumu ve işten ayrılma niyeti üzerine düşük düzeyde yordayıcı etkisi olduğu belirlenmiştir. Bu sonuçların, olumlu ekip çalışma ortamının sağlanması ile iş doyumunu artıracak ve işten ayrılma niyetini azaltacak stratejilerin bir kısmının belirlenmesinde yöneticilere yol gösterici olması beklenmektedir.

References

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  • Akyüz, F., Tengilimoğlu, D., Özkanan, A. ve Akyüz, S. (2021). An Examination of the Relationships between Nurses’ Team Work Attitudes, Conflicts with College and Job Satisfaction: An Example of a Public Hospital. Hosp Top., 1-9.
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  • Hasselhorn, H.M., Tackenberg, P. ve Müller, B.H. (2003). Work conditions and ıntent to leave the profession among nursing staff in europe. Stockholm: National Institute for working life..
  • Hermawan I.S. ve Widaningsih. (2018). Impact of transformational leadership on organizational commitment, job satisfaction and patient safety culture. IOSR Journal Of Business And Management, 20(9), 45-46.
  • Hollingsworth, J. M., Funk, R. J., Garrison, S. A., Owen- Smith, J., Kaufman, S. A., Pagani, F. D. ve Nallamothu, B. K. (2016). Association between physician teamwork and health system outcomes after coronary artery bypass grafting. Circulation. Cardiovascular Quality And Outcomes, 9(6), 641–648. https://doi.org/10.1161/ CIRCOUTCOMES.116.002714
  • Holmes, T., Vifladt, A. ve Ballangrud, R. (2019). A qualitative study of how inter-professional teamwork influences perioperative nursing. Nursing Open, 7(2), 571–580. https://doi.org/10.1002/nop2.422.
  • James-Scotter, M., Walker, C. ve Jacobs, S. (2019). An interprofessional perspective on job satisfaction in the operating room: a review of the literature. Journal Of İnterprofessional Care, 33(6), 782–794. https://doi.org/10. 1080/13561820.2019.1593118.
  • JCI Joint Commission International. (2022). Hospital National Patient Safety Goals. 06 Haziran 2022 tarihinde https://www.jointcommission.org/-/media/tjc/ documents/standards/national-patient-safety-goals/2022/ simple_2022-hap-npsg-goals-101921.pdf adresinden erişildi.
  • Kabbash, I. A., El-Sallamy, R. M., Abdo, S. A. E. ve Atalla, A. O. (2020). Job satisfaction among physicians in secondary and tertiary medical care levels. Environmental Science And Pollution Research İnternational, 27(30), 37565–37571. https://doi.org/10.1007/s11356-020-08506- 9.
  • Kaiser, J. A. ve Westers, J. B. (2018). Nursing teamwork in a health system: A multisite study. Journal Of Nursing Management, 26(5), 555–562. https://doi.org/10.1111/ jonm.12582.
  • Kaiser, S., Patras, J. ve Martinussen, M. (2018). Linking interprofessional work to outcomes for employees: A meta-analysis. Research İn Nursing & Health, 41(3), 265– 280. https://doi.org/10.1002/nur.21858.
  • Koch, P., Zilezinski, M., Schulte, K., Strametz, R., Nienhaus, A. ve Raspe, M. (2020). How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians. International Journal Of Environmental Research And Public Health, 17(8), 2714. https://doi. org/10.3390/ijerph17082714.
  • Krivanek, M. J., Dolansky, M. A., Goliat, L. ve Petty, G. (2020). Implementing TeamSTEPPS to Facilitate Workplace Civility and Nurse Retention. Journal For Nurses İn Professional Development, 36(5), 259–265. https://doi.org/10.1097/NND.0000000000000666.
  • Lu, Y., Hu, X. M., Huang, X. L., Zhuang, X. D., Guo, P., Feng, L. F., … Hao, Y. T. (2017). The relationship between job satisfaction, work stress, work-family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study. BMJ Open, 7(5), e014894. https://doi.org/10.1136/bmjopen-2016-014894.
  • Martinussen, P. E., Magnussen, J., Vrangbæk, K. ve Frich, J. C. (2020). Should I stay or should I go? The role of leadership and organisational context for hospital physicians’ intention to leave their current job. BMC Health Services Research, 20(1), 400. https://doi.org/10.1186/ s12913-020-05285-4.
  • Masum, A. K., Azad, M. A., Hoque, K. E., Beh, L. S., Wanke, P. ve Arslan, Ö. (2016). Job satisfaction and intention to quit: an empirical analysis of nurses in Turkey. PeerJ, 4, e1896. https://doi.org/10.7717/peerj.1896.
  • Mayo, A.T. (2020). Teamwork in a pandemic: insights from management research, BMJ Leader, 4, 53-56.
  • Mazzocco, K., Petitti, D. B., Fong, K. T., Bonacum, D., Brookey, J., Graham, S., … Thomas, E. J. (2009). Surgical team behaviors and patient outcomes. American Journal Of Surgery, 197(5), 678–685. https://doi.org/10.1016/j. amjsurg.2008.03.002
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Impact of Teamwork Attitude on Job Satisfaction and Intent to Leave in Surgical Teams

Year 2024, , 134 - 147, 15.01.2024
https://doi.org/10.46483/deuhfed.1127749

Abstract

Background: It is known that a positive team understanding has a central importance as one of the main reasons affecting the job satisfaction and intention to leave of the healthcare team members.

Objectives: The study was carried out to determine the predictive effect of teamwork attitude of surgical team workers in a university hospital on job satisfaction and intention to leave.

Methods: The sample of the study included physicians and nurses from the surgical unit of a university hospital (n: 240). Socio-demographic and work characteristics form, Teamwork Attitude Scale, single-item question for job satisfaction and intention to leave the profession were used as data collection tools. Data were evaluated with descriptive statistics, Pearson Correlation Analysis and Linear Regression Analysis.

Results: The teamwork attitudes of the surgical team members were found at a good level and their job satisfaction was at a moderate level. While 50.4% of the surgical team employees intend to leave their unit, 49.6% intend to leave their institutions and 36.7% to leave their profession. The sub-dimensions of the teamwork attitude scale explain 6% of the total variance in job satisfaction levels. The sub-dimensions of the teamwork attitude scale explain 7% of the intention to leave the unit, 5% of the intention to leave the organization and 9% of the intention to leave the profession.

Conclusion: It has been determined that teamwork attitude in surgical teams has a low level of predictive effect on job satisfaction and intention to leave.

References

  • Abbott, T. E. F., Ahmad, T., Phull, M. K., Fowler, A. J., Hewson, R., Biccard, B. M., … International Surgical Outcomes Study (ISOS) group. (2018). The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Br J Anaesth, 120(1), 146–155. https://doi. org/10.1016/j.bja.2017.08.002
  • Abualrub, R. F., Gharaibeh, H. F. ve Bashayreh, A. E. (2012). The relationships between safety climate, teamwork, and intent to stay at work among Jordanian hospital nurses. Nursing Forum, 47(1), 65–75. https://doi. org/10.1111/j.1744-6198.2011.00253.x
  • Abualrub, R. F., Gharaibeh, H. F. ve Bashayreh, A. E. (2012). The relationships between safety climate, teamwork, and intent to stay at work among Jordanian hospital nurses. Nursing Forum, 47(1), 65–75. https://doi. org/10.1111/j.1744-6198.2011.00253.x.
  • Akyüz, F., Tengilimoğlu, D., Özkanan, A. ve Akyüz, S. (2021). An Examination of the Relationships between Nurses’ Team Work Attitudes, Conflicts with College and Job Satisfaction: An Example of a Public Hospital. Hosp Top., 1-9.
  • Albougami, A. S., Almazan, J. U., Cruz, J. P., Alquwez, N., Alamri, M. S., Adolfo, C. A. ve Roque, M. Y. (2020). Factors affecting nurses’ intention to leave their current jobs in Saudi Arabia. International Journal Of Health Sciences, 14(3), 33–40..
  • Anderson, O., Davis, R., Hanna, G. B. ve Vincent, C. A. (2013). Surgical adverse events: a systematic review. American Journal Of Surgery, 206(2), 253–262. https://doi.org/10.1016/j.amjsurg.2012.11.009
  • Ayalew, E. ve Workineh, Y. (2020). Nurses’ intention to leave their job and associated factors in Bahir Dar, Amhara Region, Ethiopia, 2017. BMC Nursing, 19, 46. https://doi. org/10.1186/s12912-020-00439-5.
  • Ayalew, E., Workineh, Y., Semachew, A., Woldgiorgies, T., Kerie, S., Gedamu, H. ve Zeleke, B. (2021). Nurses’ intention to leave their job in sub-Saharan Africa: A systematic review and meta-analysis. Heliyon, 7(6), e07382. https://doi.org/10.1016/j.heliyon.2021.e07382.
  • Baker, D. P., Amodeo, A. M., Krokos, K. J., Slonim, A. ve Herrera, H. (2010). Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Quality & Safety İn Health Care, 19(6), e49. https://doi.org/10.1136/qshc.2009.036129.
  • Bekmez, F. ve Karagözoğlu Ş. (2021). Sağlık ekibi üyelerinin ekip çalışması tutumunun iş doyumuna etkisi: bir üniversite hastanesi örneği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 24(4), 451-460.
  • Brock, D., Abu-Rish, E., Chiu, C. R., Hammer, D., Wilson, S., Vorvick, L… Zierler, B. (2013). Interprofessional education in team communication: working together to improve patient safety. BMJ Quality & Safety, 22(5), 414– 423. https://doi.org/10.1136/bmjqs-2012-000952.
  • Dall’Ora, C., Griffiths, P., Ball, J., Simon, M. ve Aiken, L. H. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. https://doi.org/10.1136/ bmjopen-2015-008331.
  • Düzgün, F., Uzelli, Yılmaz, D., Karaman, D., Gökdere Çınar, H., Dikmen, Y. ve Yılmaz, D. (2019). Yoğun bakım hemşirelerinin ekip çalışması tutumlarının incelenmesi. Çağdaş Tıp Dergisi, 9 (1), 32-36.
  • Flinkman, M., Laine, M., Leino-Kilpi, H., Hasselhorn, H. M. ve Salanterä, S. (2008). Explaining young registered Finnish nurses’ intention to leave the profession: a questionnaire survey. International Journal Of Nursing Studies, 45(5), 727–739. https://doi.org/10.1016/j. ijnurstu.2006.12.006.
  • Gebregziabher, D., Berhanie, E., Berihu, H., Belstie, A. ve Teklay, G. (2020). The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray, Ethiopia. BMC Nursing, 19, 79. https://doi.org/10.1186/ s12912-020-00468-0.
  • Hanaysha, J. ve Tahir, P.R. (2016). Examining the effects of employee empowerment, teamwork, and employee training on job satisfaction. Procedia-Social and Behavioral Sciences, 219, 272-282.
  • Hasselhorn, H.M., Tackenberg, P. ve Müller, B.H. (2003). Work conditions and ıntent to leave the profession among nursing staff in europe. Stockholm: National Institute for working life..
  • Hermawan I.S. ve Widaningsih. (2018). Impact of transformational leadership on organizational commitment, job satisfaction and patient safety culture. IOSR Journal Of Business And Management, 20(9), 45-46.
  • Hollingsworth, J. M., Funk, R. J., Garrison, S. A., Owen- Smith, J., Kaufman, S. A., Pagani, F. D. ve Nallamothu, B. K. (2016). Association between physician teamwork and health system outcomes after coronary artery bypass grafting. Circulation. Cardiovascular Quality And Outcomes, 9(6), 641–648. https://doi.org/10.1161/ CIRCOUTCOMES.116.002714
  • Holmes, T., Vifladt, A. ve Ballangrud, R. (2019). A qualitative study of how inter-professional teamwork influences perioperative nursing. Nursing Open, 7(2), 571–580. https://doi.org/10.1002/nop2.422.
  • James-Scotter, M., Walker, C. ve Jacobs, S. (2019). An interprofessional perspective on job satisfaction in the operating room: a review of the literature. Journal Of İnterprofessional Care, 33(6), 782–794. https://doi.org/10. 1080/13561820.2019.1593118.
  • JCI Joint Commission International. (2022). Hospital National Patient Safety Goals. 06 Haziran 2022 tarihinde https://www.jointcommission.org/-/media/tjc/ documents/standards/national-patient-safety-goals/2022/ simple_2022-hap-npsg-goals-101921.pdf adresinden erişildi.
  • Kabbash, I. A., El-Sallamy, R. M., Abdo, S. A. E. ve Atalla, A. O. (2020). Job satisfaction among physicians in secondary and tertiary medical care levels. Environmental Science And Pollution Research İnternational, 27(30), 37565–37571. https://doi.org/10.1007/s11356-020-08506- 9.
  • Kaiser, J. A. ve Westers, J. B. (2018). Nursing teamwork in a health system: A multisite study. Journal Of Nursing Management, 26(5), 555–562. https://doi.org/10.1111/ jonm.12582.
  • Kaiser, S., Patras, J. ve Martinussen, M. (2018). Linking interprofessional work to outcomes for employees: A meta-analysis. Research İn Nursing & Health, 41(3), 265– 280. https://doi.org/10.1002/nur.21858.
  • Koch, P., Zilezinski, M., Schulte, K., Strametz, R., Nienhaus, A. ve Raspe, M. (2020). How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians. International Journal Of Environmental Research And Public Health, 17(8), 2714. https://doi. org/10.3390/ijerph17082714.
  • Krivanek, M. J., Dolansky, M. A., Goliat, L. ve Petty, G. (2020). Implementing TeamSTEPPS to Facilitate Workplace Civility and Nurse Retention. Journal For Nurses İn Professional Development, 36(5), 259–265. https://doi.org/10.1097/NND.0000000000000666.
  • Lu, Y., Hu, X. M., Huang, X. L., Zhuang, X. D., Guo, P., Feng, L. F., … Hao, Y. T. (2017). The relationship between job satisfaction, work stress, work-family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study. BMJ Open, 7(5), e014894. https://doi.org/10.1136/bmjopen-2016-014894.
  • Martinussen, P. E., Magnussen, J., Vrangbæk, K. ve Frich, J. C. (2020). Should I stay or should I go? The role of leadership and organisational context for hospital physicians’ intention to leave their current job. BMC Health Services Research, 20(1), 400. https://doi.org/10.1186/ s12913-020-05285-4.
  • Masum, A. K., Azad, M. A., Hoque, K. E., Beh, L. S., Wanke, P. ve Arslan, Ö. (2016). Job satisfaction and intention to quit: an empirical analysis of nurses in Turkey. PeerJ, 4, e1896. https://doi.org/10.7717/peerj.1896.
  • Mayo, A.T. (2020). Teamwork in a pandemic: insights from management research, BMJ Leader, 4, 53-56.
  • Mazzocco, K., Petitti, D. B., Fong, K. T., Bonacum, D., Brookey, J., Graham, S., … Thomas, E. J. (2009). Surgical team behaviors and patient outcomes. American Journal Of Surgery, 197(5), 678–685. https://doi.org/10.1016/j. amjsurg.2008.03.002
  • Mete, B., Nacar, E., Levent, Y., Cakmak, E., Tekin, C. ve Ozer, A. (2017). Assessment of job satisfaction and quality of life in public health assistants. Medicine Science 7(1), 77-82.
  • Piers, R. D., Versluys, K., Devoghel, J., Vyt, A. ve Van Den Noortgate, N. (2019). Interprofessional teamwork, quality of care and turnover intention in geriatric care: A cross-sectional study in 55 acute geriatric units. International Journal Of Nursing Studies, 91, 94–100. https://doi. org/10.1016/j.ijnurstu.2018.11.011.
  • Rothstein, D. H. ve Raval, M. V. (2018). Operating room efficiency. Seminars İn Pediatric Surgery, 27(2), 79–85. https://doi.org/10.1053/j.sempedsurg.2018.02.004
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There are 45 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Emre Yıldız 0000-0001-9531-6355

Şeyda Seren İntepeler 0000-0001-8615-9765

Early Pub Date January 16, 2024
Publication Date January 15, 2024
Published in Issue Year 2024

Cite

APA Yıldız, E., & Seren İntepeler, Ş. (2024). Cerrahi Ekiplerde Ekip Çalışması Tutumunun İş Doyumu ve İşten Ayrılma Niyeti Üzerine Etkisi. Etkili Hemşirelik Dergisi, 17(1), 134-147. https://doi.org/10.46483/deuhfed.1127749

Etkili Hemşirelik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ ve 18 Ocak 2022 tarihinden beri Index Copernicus, 14 Kasım 2022 tarihinden beri SCOPUS tarafından indekslenmektedir.

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