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DEĞİŞİM YORGUNLUĞUNUN İŞ MOTİVASYONUNA ETKİSİ: SAĞLIK ÇALIŞANLARI ÜZERİNE BİR ARAŞTIRMA

Year 2022, , 57 - 85, 30.04.2022
https://doi.org/10.22139/jobs.1059519

Abstract

Amaç: Bu araştırmada sağlık çalışanlarının yaşadığı değişim yorgunluğunun iş motivasyonuna etkisini araştırmak amaçlanmıştır.
Yöntem: Nicel yöntem ile tasarlanan araştırmanın örneklemi 430 sağlık çalışanından oluşmaktadır. Araştırmanın verileri “Değişim Yorgunluğu Ölçeği” ve “Motivasyon Ölçeği” kullanılarak anket yöntemi ile toplanmıştır. Veriler normal dağılım gösterdiği için bağımsız gruplarda t testi, basit doğrusal regresyon analizi ve tek yönlü varyans analizi kullanılmıştır.
Bulgular: Katılımcıların %51,2’si kadın; ortalama yaş 38,78±8,33 olarak tespit edilirken; %38,6’sı 35 yaş altındadır. Ortalama geliri 6119,40±5802,24 TL tespit edilirken; ortalama çalışma süresi ise 12,53±7,73 olarak bulunmuştur. Katılımcıların %58,8’si sağlık hizmetlerinde, %62,8’si gündüz mesaisinde görev yapmaktadır.
Sonuç: Sağlık çalışanlarının değişim yorgunluğu düzeyi; yaş, cinsiyet ve çalışma şekline bağlı olarak değişmektedir. İş motivasyonu düzeyi ise yaş, meslek, çalışma şekli ve çalışma süresine göre değişkenlik göstermektedir. Sağlık çalışanlarının değişim yorgunluğu arttıkça motivasyonları azalmaktadır.

References

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  • Amarantou, V., Kazakopoulou, S., Chatzoudes, D. & Chatzoglou, P. (2018). Resistance to Change: an Empirical İnvestigation of its Antecedents. Journal of Organizational Change Management, 31 (2), 426-450.
  • Ankomah, S.E., Kumah, E. & Karikari, A.K. (2016). Health Worker Motivation in Ghana: the Role of Non-Financial İncentives. A Case Study of Accident and Emergency Department of Komfo Anokye Teaching Hospital. International Journal of Biosciences Healthcare Technology and Management, 6(4), 34-49.
  • Appelbaum, S.H., Degbe, M.C., MacDonald, O. & Nguyen-quang, T.S. (2015). Organizational Outcomes of Leadership Style and Resistance to Change (Part One). Industrial and Commercial Training, 47 (2), 73-80.
  • Arık, Ö., & Aydoğdu, A. (2021). Sağlık Bakanlığı Tarafından Yapılan Covid-19 Ek Ödemesi Hakkında Sağlık Personeli Görüşlerinin İncelenmesi. Journal of Academic Value Studies, 7(2), 231-242.
  • Baljoon, R.A., Banjar, H.E. & Banakhar, M.A. (2018). Nurses’ work motivation and the factors affecting It: A scoping review. International Journal of Nursing & Clinical Practices, 5: 277.
  • Bernerth, J.B., Walker, H.J., & Harris, S.G. (2011). Change fatigue: Development and Initial Validation of a New Measure. Work & Stress, 25(4), 321–337.
  • Bhatnagar, A., Scott, K., Govende, V., & George, A. (2018). Pushing the Boundaries of Research on Human Resources for Health: Fresh Approaches to Understanding Health Worker Motivation. WHO South-East Asia Journal of Public Health, 7(1), 13-17.
  • Björklund, C., Jensen, I., & Lohela-Karlsson, M. (2013). Is a Change in Work Motivation Related to a Change in Mental Well-Being?. Journal of Vocational Behavior, 83(3), 571-580.
  • Bonenberger, M., Aikins, M., Akweongo, P., & Wyss, K. (2014). The Effects of Health Worker Motivation and Job Satisfaction on Turnover İntention in Ghana: a Cross-Sectional Study. Human Resources for Health, 12(1), 1-12.
  • Brown, M., Kulik, C.T., Cregan, C. & Metz, I. (2017). Understanding the Change–Cynicism Cycle: The Role of HR. Human Resource Management, 56(1), 5-24.
  • Brown R., Wey H. & Foland K. (2018). The Relationship Among Change Fatigue, Resilience, and Job Satisfaction Of Hospital Staff Nurses. Journal of Nursing Scholarship, 50(3), 306-313.
  • Camilleri, J., Cope, V. & Murray, M. (2019). Change Fatigue: The Frontline Nursing Experience of Large‐Scale Organisational Change and the İnfluence of Teamwork. Journal of Nursing Management, 27(3), 655-660.
  • Daneshkohan, A., Zarei, E., Mansouri, T, Maajani, K., Ghasemi, M.S. & Rezaeian, M. (2014). Factors Affecting Job Motivation Among Health Workers: a Study From Iran. Global Journal of Health Science, 7(3), 153–160.
  • de Vries, M.S.E. & de Vries, M.S. (2021). Repetitive Reorganizations, Uncertainty and Change Fatigue. Public Money & Management, 1-10.
  • Dilkes, J., Cunningham, C. & Gray, J. (2014). The New Australian Curriculum, Teachers and Change Fatigue. Australian Journal of Teacher Education, 39(11), 45-64.
  • Dool, R. (2009). Change Fatigue TM: The İmpact of Enervative Change on Job Satisfaction. Revue Sciences de gestion, (70), 21-40.
  • Ead, H. (2015). Change Fatigue in Health Care Professionals—An İssue of Workload or Human Factors Engineering? American Society of PeriAnesthesia Nurses, 30(6), 504– 515.
  • Ekingen, E., & Yıldız, A. (2021). Değişim Yorgunluğu Ölçeği Türkçe Versiyonunun Geçerlilik ve Güvenirlik Çalışması: Sağlık Çalışanları Örneği. Osmangazi Tıp Dergisi, 43 (6), 572-581.
  • Elving, W.J., Hansma, L.D. & Boer, M.G. (2011). Bohica; Bend Over Here it Comes Again. The construction and Application of a Measurement of Change Fatigue. Teorıja In Praksa, 48(6), 1628-1647.
  • Franco, L.M., Bennett, S., & Kanfer, R., (2002). Health Sector Reform and Public Sector Health Worker Motivation: a Conceptual Framework. Social Science & Medicine, 54(8), 1255–1266.
  • Franco, L.M., Bennett, S., Kanfer, R. & Stubblebine, P. (2004). Determinants and Consequences of Health Worker Motivation in Hospitals in Jordan and Georgia. Social Science & Medicine, 58(2), 343-355.
  • Gezer, S. (2019). Çalışanların Motivasyon Düzeylerinin, Bilgi Paylaşımı ve Yenilikçi Davranışa Etkisi: Gıda Sektörü Çalışanları Üzerinde Bir Araştırma. Yüksek Lisans Tezi, Hasan Kalyoncu Üniversitesi Sosyal Bilimler Enstitüsü, Gaziantep.
  • Hansson, A.S., Vingård, E., Arnetz, B.B. & Anderzén, I. (2008). Organizational Change, Health, and Sick Leave Among Health Care Employees: A Longitudinal Study Measuring Stress Markers, İndividual, and Work Site Factors. Work & Stress, 22(1), 69-80.
  • Hotchkiss, D.R., Banteyerga, H. & Tharaney, M. (2015). Job Satisfaction and Motivation Among Public Sector Health Workers: Evidence From Ethiopia. Human Resources for Health, 13(1), 1-12.
  • İleri, Y.Y. & Arık, O. (2018). Investigation of Resistance, Perception and Attitudes of Employees Against Change in Information Systems Using Change Management Approach: A Study in a University Hospital. Journal of Information & Knowledge Management, 17(4), 1850038.
  • İsmail, A. & Abd Razak, M.R. (2016). A Study on Job Satisfaction as a Determinant of Job Motivation. Editura Universitară Danubius, 12(3), 30-44.
  • Johnson, K.J. (2016). The Dimensions and Effects of Excessive Change, Journal of Organizational Change Management, 29 (3), 445-459.
  • Kalaycı, Ş. (2010). SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri. Ankara: Asil Yayınevi.
  • Keskin, H. (2004). İşletmelerde Değişimin Motivasyon Üzerindeki Etkilerinin İncelenmesi ve Bir Uygulama. Yüksek Lisans Tezi, Kocaeli Universitesi Sosyal Bilimler Enstitüsü, Kocaeli.
  • Kuokkanen, L., Suominen, T., Härkönen, E., Kukkurainen, M.L. & Doran, D. (2009). Effects of Organizational Change on Work-Related Empowerment, Employee Satisfaction, and Motivation. Nursing Administration Quarterly, 33(2), 116-124.
  • Lawrence, G.A. & Frater, T.G. (2017). Change Management in Healthcare: Managing Paradigmatic Change in the Australian National Cervical Screening Programme. New Zealand Journal of Medical Laboratory Science, 71(2), 31–39.
  • Limon, I. (2020). Turkish Adaptation of Change Fatigue Scale: A Study of Reliability and Validity. Sakarya University Journal of Education, 10(2), 292-311.
  • Limon, İ. & Sezgin Nartgün, Ş. (2020). Investigation of Teachers’ Change Fatigue Level: Comparison by Demographics. Kuram ve Uygulamada Eğitim Yönetimi, 26(2), 401-448.
  • Limon, İ. (2019). Eğitim Örgütlerinde Değişim Yorgunluğu, Eğitim Politikaları Bağlamında Moral Yitimi Ve İş Performansı Arasındaki İlişki. Yayımlanmamış Doktora Tezi. Bolu Abant İzzet Baysal Üniversitesi Eğitim Bilimleri Enstitüsü, Bolu.
  • Limon, İ., Dilekçi, Ü. & Sipahioğlu, M. (2021). The Relationship Between Change Fatigue and Job Satisfaction of Teachers: Gender and Experience as Moderators. İ.e.: inquiry in education, 13(2), 5.
  • Lindsay, J., Perkins, C.A. & Karanjikar, M. (2009). Conquering İnnovation Fatigue: Overcoming the Barriers to Personal and Corporate Success. John Wiley & Sons.
  • Lingard, B., Mills, M. & Hayes, D. (2000). Teachers, School Reform and Social Justice: Challenging Research and Practice. The Australian Educational Researcher, 27(3), 101-115.
  • McMillan, K. & Perron, A. (2013). Nurses Amidst Change: The Concept of Change Fatigue Offers an Alternative Perspective on Organizational Change. Policy, Politics, & Nursing Practice, 14(1), 26–32.
  • McMillan, K. & Perron, A. (2020). Change Fatigue in Nurses: A Qualitative Study. Journal of Advanced Nursing, 76(10), 2627-2636.
  • Mutale, W., Ayles, H., Bond, V., Mwanamwenge, M.T. & Balabanova, D. (2013). Measuring Health Workers’ Motivation in Rural Health Facilities: Baseline Results From Three Study Districts in Zambia. Human Resources for Health, 11(1), 1-8.
  • Montenegro, E., & Jankowski, N.A. (2015). Focused on What Matters: Assessment of Student Learning Outcomes at Minority-Serving Institutions. Urbana, IL: University of Illinois and Indiana University, National Institute for Learning Outcomes Assessment (NILOA).
  • Mutlu, S. (2018). Hastane Personelinin İş Tatmini ve Kurumsal Güvenin Motivasyon Üzerine Etkisi; Bir Özel Hastane Örneği. Yayınlanmamış Yüksek Lisans Tezi, Gazi Üniversitesi Sosyal Bilimler Enstitüsü, Ankara.
  • Okello, D.R. & Gilson, L. (2015). Exploring the İnfluence of Trust Relationships on Motivation in the Health Sector: a Systematic Review. Human Resources for Health, 13(1), 1-18.
  • Orhaner, E. & Mutlu, S. (2018). Sağlık Personelinin İş Tatmininin Motivasyon Üzerine Etkisi. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 4 (1), 74-93.
  • Perel, C. (2015). Examining the relationship between organizational culture and change fatigue. Doctoral Dissertation, Middle Tennessee State University, ABD.
  • Storseth, F. (2004). Maintaining Work Motivation During Organisational Change. International Journal of Human Resources Development and Management, 4(3), 267-287.
  • Şahin, Ç. (2021). Öğretmen Algılarına Göre Değişim Yorgunluğunun Çeşitli Değişkenler Açısından İncelenmesi (Akçakoca Örneği). Yüksek Lisans Tezi, Düzce Üniversitesi Lisansüstü Eğitim Enstitüsü, Düzce.
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THE EFFECT OF CHANGE FATIGUE ON WORK MOTIVATION: A RESEARCH ON HEALTHCARE WORKERS

Year 2022, , 57 - 85, 30.04.2022
https://doi.org/10.22139/jobs.1059519

Abstract

Aim: This study aimed to investigate the effect of change fatigue experienced by health workers on work motivation.
Method: The research sample designed with the quantitative method consists of 430 healthcare workers. The study data were collected by questionnaire method using the “Exchange Fatigue Scale” and “Motivation Scale.” Since the data showed normal distribution, t-test, simple linear regression analysis, and one-way analysis of variance were used in independent groups.
Findings: 51.2% of the participants were women; the mean age was 38.78±8.33; 38.6% were under the age of 35. While the average income was determined as 6119.40±5802.24 TL, the mean working time was found to be 12.53±7.73. 58.8% of the participants work in health services, and 62.8% in daytime work.
Results: Change fatigue level of health workers; varies depending on age, gender, and working style. The story of work motivation goes according to age, profession, working style, and working time. As change fatigue of healthcare workers increases, their motivation decreases.

References

  • Altunışık, R., Coşkun, R., Bayraktaroğlu, S. & Yıldırım E. (2012). Sosyal Bilimlerde Araştırma Yöntemleri., Sakarya: Sakarya Yayıncılık.
  • Amarantou, V., Kazakopoulou, S., Chatzoudes, D. & Chatzoglou, P. (2018). Resistance to Change: an Empirical İnvestigation of its Antecedents. Journal of Organizational Change Management, 31 (2), 426-450.
  • Ankomah, S.E., Kumah, E. & Karikari, A.K. (2016). Health Worker Motivation in Ghana: the Role of Non-Financial İncentives. A Case Study of Accident and Emergency Department of Komfo Anokye Teaching Hospital. International Journal of Biosciences Healthcare Technology and Management, 6(4), 34-49.
  • Appelbaum, S.H., Degbe, M.C., MacDonald, O. & Nguyen-quang, T.S. (2015). Organizational Outcomes of Leadership Style and Resistance to Change (Part One). Industrial and Commercial Training, 47 (2), 73-80.
  • Arık, Ö., & Aydoğdu, A. (2021). Sağlık Bakanlığı Tarafından Yapılan Covid-19 Ek Ödemesi Hakkında Sağlık Personeli Görüşlerinin İncelenmesi. Journal of Academic Value Studies, 7(2), 231-242.
  • Baljoon, R.A., Banjar, H.E. & Banakhar, M.A. (2018). Nurses’ work motivation and the factors affecting It: A scoping review. International Journal of Nursing & Clinical Practices, 5: 277.
  • Bernerth, J.B., Walker, H.J., & Harris, S.G. (2011). Change fatigue: Development and Initial Validation of a New Measure. Work & Stress, 25(4), 321–337.
  • Bhatnagar, A., Scott, K., Govende, V., & George, A. (2018). Pushing the Boundaries of Research on Human Resources for Health: Fresh Approaches to Understanding Health Worker Motivation. WHO South-East Asia Journal of Public Health, 7(1), 13-17.
  • Björklund, C., Jensen, I., & Lohela-Karlsson, M. (2013). Is a Change in Work Motivation Related to a Change in Mental Well-Being?. Journal of Vocational Behavior, 83(3), 571-580.
  • Bonenberger, M., Aikins, M., Akweongo, P., & Wyss, K. (2014). The Effects of Health Worker Motivation and Job Satisfaction on Turnover İntention in Ghana: a Cross-Sectional Study. Human Resources for Health, 12(1), 1-12.
  • Brown, M., Kulik, C.T., Cregan, C. & Metz, I. (2017). Understanding the Change–Cynicism Cycle: The Role of HR. Human Resource Management, 56(1), 5-24.
  • Brown R., Wey H. & Foland K. (2018). The Relationship Among Change Fatigue, Resilience, and Job Satisfaction Of Hospital Staff Nurses. Journal of Nursing Scholarship, 50(3), 306-313.
  • Camilleri, J., Cope, V. & Murray, M. (2019). Change Fatigue: The Frontline Nursing Experience of Large‐Scale Organisational Change and the İnfluence of Teamwork. Journal of Nursing Management, 27(3), 655-660.
  • Daneshkohan, A., Zarei, E., Mansouri, T, Maajani, K., Ghasemi, M.S. & Rezaeian, M. (2014). Factors Affecting Job Motivation Among Health Workers: a Study From Iran. Global Journal of Health Science, 7(3), 153–160.
  • de Vries, M.S.E. & de Vries, M.S. (2021). Repetitive Reorganizations, Uncertainty and Change Fatigue. Public Money & Management, 1-10.
  • Dilkes, J., Cunningham, C. & Gray, J. (2014). The New Australian Curriculum, Teachers and Change Fatigue. Australian Journal of Teacher Education, 39(11), 45-64.
  • Dool, R. (2009). Change Fatigue TM: The İmpact of Enervative Change on Job Satisfaction. Revue Sciences de gestion, (70), 21-40.
  • Ead, H. (2015). Change Fatigue in Health Care Professionals—An İssue of Workload or Human Factors Engineering? American Society of PeriAnesthesia Nurses, 30(6), 504– 515.
  • Ekingen, E., & Yıldız, A. (2021). Değişim Yorgunluğu Ölçeği Türkçe Versiyonunun Geçerlilik ve Güvenirlik Çalışması: Sağlık Çalışanları Örneği. Osmangazi Tıp Dergisi, 43 (6), 572-581.
  • Elving, W.J., Hansma, L.D. & Boer, M.G. (2011). Bohica; Bend Over Here it Comes Again. The construction and Application of a Measurement of Change Fatigue. Teorıja In Praksa, 48(6), 1628-1647.
  • Franco, L.M., Bennett, S., & Kanfer, R., (2002). Health Sector Reform and Public Sector Health Worker Motivation: a Conceptual Framework. Social Science & Medicine, 54(8), 1255–1266.
  • Franco, L.M., Bennett, S., Kanfer, R. & Stubblebine, P. (2004). Determinants and Consequences of Health Worker Motivation in Hospitals in Jordan and Georgia. Social Science & Medicine, 58(2), 343-355.
  • Gezer, S. (2019). Çalışanların Motivasyon Düzeylerinin, Bilgi Paylaşımı ve Yenilikçi Davranışa Etkisi: Gıda Sektörü Çalışanları Üzerinde Bir Araştırma. Yüksek Lisans Tezi, Hasan Kalyoncu Üniversitesi Sosyal Bilimler Enstitüsü, Gaziantep.
  • Hansson, A.S., Vingård, E., Arnetz, B.B. & Anderzén, I. (2008). Organizational Change, Health, and Sick Leave Among Health Care Employees: A Longitudinal Study Measuring Stress Markers, İndividual, and Work Site Factors. Work & Stress, 22(1), 69-80.
  • Hotchkiss, D.R., Banteyerga, H. & Tharaney, M. (2015). Job Satisfaction and Motivation Among Public Sector Health Workers: Evidence From Ethiopia. Human Resources for Health, 13(1), 1-12.
  • İleri, Y.Y. & Arık, O. (2018). Investigation of Resistance, Perception and Attitudes of Employees Against Change in Information Systems Using Change Management Approach: A Study in a University Hospital. Journal of Information & Knowledge Management, 17(4), 1850038.
  • İsmail, A. & Abd Razak, M.R. (2016). A Study on Job Satisfaction as a Determinant of Job Motivation. Editura Universitară Danubius, 12(3), 30-44.
  • Johnson, K.J. (2016). The Dimensions and Effects of Excessive Change, Journal of Organizational Change Management, 29 (3), 445-459.
  • Kalaycı, Ş. (2010). SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri. Ankara: Asil Yayınevi.
  • Keskin, H. (2004). İşletmelerde Değişimin Motivasyon Üzerindeki Etkilerinin İncelenmesi ve Bir Uygulama. Yüksek Lisans Tezi, Kocaeli Universitesi Sosyal Bilimler Enstitüsü, Kocaeli.
  • Kuokkanen, L., Suominen, T., Härkönen, E., Kukkurainen, M.L. & Doran, D. (2009). Effects of Organizational Change on Work-Related Empowerment, Employee Satisfaction, and Motivation. Nursing Administration Quarterly, 33(2), 116-124.
  • Lawrence, G.A. & Frater, T.G. (2017). Change Management in Healthcare: Managing Paradigmatic Change in the Australian National Cervical Screening Programme. New Zealand Journal of Medical Laboratory Science, 71(2), 31–39.
  • Limon, I. (2020). Turkish Adaptation of Change Fatigue Scale: A Study of Reliability and Validity. Sakarya University Journal of Education, 10(2), 292-311.
  • Limon, İ. & Sezgin Nartgün, Ş. (2020). Investigation of Teachers’ Change Fatigue Level: Comparison by Demographics. Kuram ve Uygulamada Eğitim Yönetimi, 26(2), 401-448.
  • Limon, İ. (2019). Eğitim Örgütlerinde Değişim Yorgunluğu, Eğitim Politikaları Bağlamında Moral Yitimi Ve İş Performansı Arasındaki İlişki. Yayımlanmamış Doktora Tezi. Bolu Abant İzzet Baysal Üniversitesi Eğitim Bilimleri Enstitüsü, Bolu.
  • Limon, İ., Dilekçi, Ü. & Sipahioğlu, M. (2021). The Relationship Between Change Fatigue and Job Satisfaction of Teachers: Gender and Experience as Moderators. İ.e.: inquiry in education, 13(2), 5.
  • Lindsay, J., Perkins, C.A. & Karanjikar, M. (2009). Conquering İnnovation Fatigue: Overcoming the Barriers to Personal and Corporate Success. John Wiley & Sons.
  • Lingard, B., Mills, M. & Hayes, D. (2000). Teachers, School Reform and Social Justice: Challenging Research and Practice. The Australian Educational Researcher, 27(3), 101-115.
  • McMillan, K. & Perron, A. (2013). Nurses Amidst Change: The Concept of Change Fatigue Offers an Alternative Perspective on Organizational Change. Policy, Politics, & Nursing Practice, 14(1), 26–32.
  • McMillan, K. & Perron, A. (2020). Change Fatigue in Nurses: A Qualitative Study. Journal of Advanced Nursing, 76(10), 2627-2636.
  • Mutale, W., Ayles, H., Bond, V., Mwanamwenge, M.T. & Balabanova, D. (2013). Measuring Health Workers’ Motivation in Rural Health Facilities: Baseline Results From Three Study Districts in Zambia. Human Resources for Health, 11(1), 1-8.
  • Montenegro, E., & Jankowski, N.A. (2015). Focused on What Matters: Assessment of Student Learning Outcomes at Minority-Serving Institutions. Urbana, IL: University of Illinois and Indiana University, National Institute for Learning Outcomes Assessment (NILOA).
  • Mutlu, S. (2018). Hastane Personelinin İş Tatmini ve Kurumsal Güvenin Motivasyon Üzerine Etkisi; Bir Özel Hastane Örneği. Yayınlanmamış Yüksek Lisans Tezi, Gazi Üniversitesi Sosyal Bilimler Enstitüsü, Ankara.
  • Okello, D.R. & Gilson, L. (2015). Exploring the İnfluence of Trust Relationships on Motivation in the Health Sector: a Systematic Review. Human Resources for Health, 13(1), 1-18.
  • Orhaner, E. & Mutlu, S. (2018). Sağlık Personelinin İş Tatmininin Motivasyon Üzerine Etkisi. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 4 (1), 74-93.
  • Perel, C. (2015). Examining the relationship between organizational culture and change fatigue. Doctoral Dissertation, Middle Tennessee State University, ABD.
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Articles
Authors

Özer Arık 0000-0002-6783-3117

Yunus Emre Öztürk 0000-0002-6178-6129

Müjdat Yeşildal 0000-0003-1286-903X

Publication Date April 30, 2022
Submission Date January 18, 2022
Acceptance Date February 22, 2022
Published in Issue Year 2022

Cite

APA Arık, Ö., Öztürk, Y. E., & Yeşildal, M. (2022). DEĞİŞİM YORGUNLUĞUNUN İŞ MOTİVASYONUNA ETKİSİ: SAĞLIK ÇALIŞANLARI ÜZERİNE BİR ARAŞTIRMA. İşletme Bilimi Dergisi, 10(1), 57-85. https://doi.org/10.22139/jobs.1059519