Cinsel Tacizin Hemşirelerin İş Yaşam Kalitesi ve İşten Ayrılma Niyetleri Üzerindeki Etkisi : Ankara İli Örneği

Year 2020, Volume: 16 Issue: 29, 1613 - 1627, 30.09.2020

Mehmet Kırlıoğlu , Şükrü Anıl Toygar

https://doi.org/10.26466/opus.775992

Cited By: 1

Abstract

Bu çalışmada, cinsel tacizin hemşirelerin iş yaşam kaliteleri (İYK) ve işten ayrılma niyetleri üzerindeki etkisi araştırılmıştır. Çalışma, Ankara, Türkiye'deki çeşitli hastanelerde çalışan 571 hemşire üzerinde yürütülmüştür. Cinsel taciz, Turgut (2007) tarafından geliştirilen 22 madde ve "Tahrik Edici Davranış”, “Normal Flörtleşmeler” ve “Önemsiz Konu" şeklinde 3 boyut kullanılarak ölçülmüştür. İş yaşam kalitesi ise Sirgy ve ark. Tarafından geliştirilen 16 madde ve 7 boyut kullanılarak ölçülmüştür. (2001). İşten ayrılma niyeti, Bozeman ve Perrewe (2001) 'in çalışmalarına dayanarak 5 maddelik bir ölçek kullanılarak ölçülmüştür. Çalışmanın sonuçları hemşirelerin cinsel taciz puanlarının iş yaşam kaliteleri ve işten ayrılma niyetlerine yönelik puanları anlamlı bir biçimde öngördüğü göstermiştir. Ayrıca, hemşirelerin işle ilgili yaşam kalitesi puanları, işten ayrılma niyetlerine ilişkin puanlarıyla önemli ölçüde doğru orantılıdır. Çalışma bulgularının hem teorik hem de pratik sonuçları bulunmaktadır. Teorik açıdan bakıldığında, bu çalışma hemşirelerin cinsel tacize ilişkin puanlarının iş yaşam kalitesi ve işten ayrılma niyetlerine ilişkin puanlarını hakkında önemli ölçüde öngörü sağlamıştır. Ayrıca, hemşirelerin iş yaşam kalitesi puanları, işten ayrılma niyetlerine ilişkin puanlarıyla önemli ölçüde doğru orantılıdır. Yöneticiler cinsel taciz vakalarının kayıt dışılığını ortadan kaldırmak; cezasızlık ve sindirme gibi genel sosyal tutumlara karşı savaşarak hemşirelerin cinsel taciz nedeniyle işlerini bırakmalarını önleyici tedbirler almalıdır.

Keywords

cinsel taciz, iş yaşam kalitesi, işten ayrılma niyetleri, sağlık kuruluşları, hemşirelik

The Effects of Sexual Harassment on Quality of Nurses’ Work Life and Turnover Intentions: A Sample of Ankara Province

Abstract

This study investigated the effect of sexual harassment on nurses’ quality of work life (QWL) and turnover intentions. The study was conducted among 571 nurses working in several hospitals in Ankara, Turkey. Sexual harassment was measured using the scale with 22 items in 3 dimensions developed by Turgut (2007): “Provocative Behavior”, “Normal Flirtations”, and “Trivial Matter”. Quality of work life, on the other hand, was measured using 16 items and seven dimensions developed by Sirgy et al. (2001). Turnover intention was measured using a 5 items scale based on the study of Bozeman and Perrewe (2001). The results of the study showed that nurses’ sexual harressment scores significantly predicted their scores of work-related quality of life and turnover intentions in a negative direction. Moreover, nurses’ work-related quality of life scores significantly predicted their scores of turnover intentions in a positive direction. The study findings have both theoretical and practical implications. From a theoretical perspective, this study found that nurses’ sexual harassment scores significantly predicted their scores of work-related quality of life and turnover intentions in a negative direction. Moreover, nurses’ work-related quality of life scores significantly predicted their scores of turnover intentions in a positive direction. Managers should take measures to eliminate the informality of sexual harassment cases and prevent the nurses from leaving their jobs due to sexual harassment by fighting against general social attitudes such as impunity and suppression

Keywords

sexual harassment, quality of work life, turnover intentions, healthcare organizations, nursing

References

• Adams, E. A., Darj, E., Wijewardene, K. and Infanti, J. J. (2019). Perceptions on the sexual harassment of female nurses in a state hospital in Sri Lanka: a qualitative study. Global Health Action, 12(1), 1560587.
• Aile ve Sosyal Politikalar Bakanlığı [Family and Social Policies Ministry], (2014). Türkiye’de kadına yönelik aile içi şiddet.
• Almalki, M. J., Fitzgerald, G., and Clark, M. (2012). The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Services Research, 12(1), 1-11.
• Australian Human Rights Commission. (2008). Effectively preventing and responding to sexual harassment: A Code of Practice for Employers. 4th Edition
• Ayyıldız, H., and Cengiz, E. (2006). A conceptual investigation of structural equation models (SEM) on testing marketing models. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi, 11 (1), 63-84.
• Boomsma, A. (2000). Reporting analyses of covariance structures. Structural Equation Modeling, 7(3), 461- 483.
• Bozeman, D. P. and Perrewe, P.L. (2001). The effect of item content overlap on organizational commitment questionnaire-turnover cognitions relationships. Journal of Applied Psychology, 86(1), 161-173.
• Brooks, B. A., Storfjell, J., Omoike, O., Ohlson, S., Stemler, I., Shaver, J., Brown, A. (2007). Assessing the quality of nursing work life. Nurs Admin Q, 31(2), 152–157.
• Currie, E. J. and Carr Hill, R. A. (2012). What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remedies. International Journal of Nursing Studies, 49, 1180–1189.
• Chan, K., and Wyatt, T. (2007). Quality of work life: a study of nurses in Shanghai, China. Asia Pacific Business Review, 13(4), 501-517.
• Chang, H. E., Cho, S-H. (2016). Workplace violence and job outcomes of newly licensed nurses. Asian Nursing Research, 10, 271-276.
• Clarke, P. N., and Brooks, B. (2010). Quality of nursing worklife: Conceptual clarity for the future. Nursing Science Quarterly, 23(4), 301–305.
• Çelik Y. and Çelik S.Ş. (2007) Sexual harassment against nurses in Turkey. Journal of Nursing Scholarship, 39(2), 200–206.
• Çokluk, Ö., Şekercioğlu, G., and Büyüköztürk, Ş. (2012). Sosyal bilimler için çok değişkenli istatistik: SPSS ve LISREL uygulamaları. Ankara: Pegem Akademi.
• Daouk-Öyry, L., Anouze, A. L., Otaki, F., Dumit, N. Y., and Osman, I. (2014). The JOINT model of nurse absenteeism and turnover: A systematic review. International Journal of Nursing Studies, 51, 93–110
• Edison Research. (2018). Sexual harassment in the workplace: A marketplace survey.
• Fitzgerald, L., Drasgow, F., Hulin, C. L., Gelfand, M. J., and Magley, V. J. (1997). Antecedents and consequence of sexual harassment in organizations: A test of an integrated model. Journal of Applied Psychology, 82(4), 578-589.
• Gutek, B. A., and Koss, M. P. (1993). Changed women and changed organizations: Consequences of and coping with sexual harassment. Journal of Vocational Behaivor, 42, 28-48.
• Hatipoglu Aydin, D., and Aydin, M. B. (2016). The gender of justice system: Women's access to justice in Turkey. International Journal of Law, Crime and Justice, 47, 71–84.
• Hayduk, L., Cummings, G., Boadu, K., Pazderka-Robinson, H., and Boulianne, S. (2007). Testing! testing! one, two, three–Testing the theory in structural equation models! Personality and Individual Differences, 42(5), 841-850.
• Hooper, D., Coughlan, J., and Mullen, M. (2008). Structural equation modelling: guidelines for determining model fit. The Electronic Journal of Business Research Methods, 6(1), 53-60.
• Hu, L. T., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55.
• İlhan, M., and Çetin, B. (2014). Comparing the analysis results of the structural equation models (SEM) conducted using LISREL and AMOS. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Dergisi, 5(2), 26-42.
• Kaddourah, B., Abu-Shaheen, A. K. and Al-Tannir, M. (2018). Quality of nursing work life and turnover intention among nurses of tertiary care hospitals in Riyadh: a cross-sectional survey. BMC Nursing, 17(43).
• Kalaycı-Kırlıoğlu, H.İ., Kırlıoğlu, M. and Başer, D. (2016a). Construction of hegemonic masculinity through graffiti. Journal of Selcuk University Vocational School of Social Sciences, 19(1), 221-237.
• Kalaycı-Kırlıoğlu, H.İ., Akarçay, D., and Kırlıoğlu M. (2016b). Traces of violence against women in proverbs and idioms: A qualitative study. Journal of Munzur University Social Sciences, 8 (4), 101-122.
• Kalaycı-Kırlıoğlu, H.İ., Kırlıoğlu M., Akpınar, B., Şenel, D., and Demirel, R. (2016c). Traces of violence against women in song: A qualitative study. Journal of Munzur University Social Sciences, 4 (8), 6-30.
• Khan, N., Begum, S., and Shaheen, A. (2015). Sexual harassment against staff and student nurses in tertiary care Hospitals Peshawar KP Pakistan. International Journal of Innovative Research and Development, 4(1), 285-292.
• Krejcie, R.V., and Morgan, D.W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610
• Kim, H. and Lee, S. H. (2009) Supervisory Communication, burnout, and turnover intention among social workers in health care settings. Social Work in Health Care, 48(4), 364-385.
• Kisa, A. and Dziegielewski, S. F. (1996). Sexual harassment of female nurses in a hospital in Turkey. Health Services Management Research, 9, 243-253.
• Kisa, A., Dziegielewski, S. F. and Ates, M. (2002). Sexual harassment and its consequences. Journal of Health & Social Policy, 15 (1), 77-94.
• Laband, D. N. and Lentz, B. F. (1998). The effects of sexual harassment on job satisfaction, earnings, and turnover among female lawyer. Industrial and LaborRelations Review, 51(4), 594-607.
• Lee Y.-W., Dai Y.-T. and McCreary L.L. (2015). Quality of work life as a predictor of nurses’ intention to quit units, organisations and the profession. Journal of Nursing Management, 23, 521–531.
• Leineweber, C., Chungkham, H. S., Lindqvist, R., Westerlund, H., Runesdotter, S., Alenius, L. S., and Tishelman, C. (2016). Nurses’ practice environment and satisfaction with Schedule flexibility is related to intention to quit due to dissatisfaction: A multi-country, multilevel study International Journal of Nursing Studies 58, 47–58.
• Madison, J. (1997). Australian registered nurses describe the health care workplace and its responsiveness to sexual harassment: An empirical study. Aust Health Rev., 20(2), 102-15.
• McDonald, R. P., and Ho, M.-H. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7(1), 64-82.
• McGillis Hall, L., and Kiesners, D. (2005). A narrative approach to understanding the nursing work environment in Canada. Social Science & Medicine, 61, 2482-2491.
• Merecz, D., Rymaszewska, J. and Moscicka, A. (2006) Violence at the workplace: A questionnaire survey of nurses. European Psychiatry, 21(7), 442–450.
• Merkin, R. S. (2008). The impact of sexual harassment on turnover intentions, absenteeism, and job satisfaction: Findings from Argentina, Brazil and Chile. Journal of International Women's Studies, 10(2), 73-91.
• Munro, B. H. (2005). Statistical methods for health care research. Lippincott Williams & Wilkins, Philadelphia.
• Nowak, P., Holmes, G. and Murrow, J. (2010) A model for reducing health care employee turnover, Journal of Hospital Marketing & Public Relations, 20(1), 14-25, DOI:10.1080/15390940903450925
• Rai, G. S. (2013). Improving quality of working life among nursing home staff: Is it really needed? International Journal of Caring Sciences, 6(3), 380-391.
• Robbins, I., Bender, M.P. and Finnis S.J. (1997). Sexual harassment in nursing. Journal of Advanced Nursing, 25, 163–169
• Sandrick, K.(2003).Putting the emphasis on employees as an award.Winning employer,Baptist health care has distant memories of the workforce shortage, trustee.January. 6-10.
• Saraji, G. N., and Dargahi, H. (2006). Study of Quality of Work Life. Iranian J Publ Health, 35(4), 8-14.
• Schneider, K. T., Swan, S., and Fitzgerald, L. F. (1997). Job-related and psychological effects of sexual harassment in the workplace: Empirical evidence from two organizations. Journal of Applied Psychology, 82(3), 401-415.
• Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., and King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99(6), 323-338.
• Shader, K., Broome, M. E., Broome, C. D., West, M. E., and Nash, M. (2001). Factors influencing satisfaction and anticipated turnover for nurses in an academic medical center. Journal of Nursing Administration, 31(4), 210-216.
• Sirgy, M., Efraty, D., Siegel, P., and Lee, D. (2001). A new measure of quality of work life (QWL) based on need satisfaction and spillover theories. Social Indicators Research, 55(3), 241-302.
• Şimşek, Ö. F. (2007). Yapısal eşitlik modellemesine giriş: Temel ilkeler ve lisrel uygulamaları. Ankara: Ekinoks Yayınları.
• Smith, H.L., and Mitry, N.W. (1983). Nurses’ quality of working life. Nursing Management, 14(1), 14-18.
• Spector PE, Zhou ZE, and Che XX. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. Int J Nurs Stud, 51(1), 72-84.
• Tekin, H. H., Sevinc, I. (2017). Assessment of mobbing exposure of nurses and their stresses in the context of social work profession. Akademik Sosyal Araştırmalar Dergisi, 5(56), 522-534.
• Turgut, S. (2007). Predictors of attitudes toward sexual harrassment: Ambivalent sexism, ambivalence toward men, and gender differences. Unpublished Master’s Thesis, Middle East Technical University, Ankara- Turkey.
• Türkiye Istatistik Kurumu (.t.y). Sağlık istatistikleri. http://tuik.gov.tr/PreTablo.do?alt_id=1095 accessed on 15.07.2019
• Vagharseyyedin, S. A., Vanaki, Z., and Mohammadi, E. (2011). The nature nursing quality of work life: An integrative review of literature. Western Journal of Nursing Research, 33(6), 786–804.
• Valente, S. M., and Bullough, V. (2004). Sexual harassment of nurses in the workplace. J Nurs Care Qual, 19(3), 234–241.
• Yılmaz, V. (2009). Lisrel ile yapısal eşitlik modellemesi-I: Temel kavramlar, uygulamalar, proglamlama: Pegem Akademi, Ankara.
• Wagner, C. M. (2009). The Value of a nonlinear model in predicting nursing turnover. Journal of Nursing Administration, 39(5), 200-203.
• Wagner, C. M., and Huber, D. L. (2003). Catastrophe and nursing turnover- nonlinear models. Journal of Nursing Administration, 33 (9), 486-492.
• Williams, M. F. (1996). Violence and sexual harassment: Impact on registered nurses in the workplace. Journal of American Association of Occupational Health Nursing, 44(2), 73-77.
• Zeng, L. N., Zong, Q-Q., Zhang, J.-W., Lu, L., An, F. R., Ng, C. H., Ungvari, G. S., Yang, F.Y., Cheung, T., Chen, L., and Xiang, Y. T. (2019). Prevalence of sexual harassment of nurses and nursing students in China: a meta- analysis of observational studies. International Journal of Biological Sciences, 15(4), 749-756.