Research Article
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Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals

Year 2025, Volume: 8 Issue: 2, 368 - 377, 26.08.2025
https://doi.org/10.38108/ouhcd.1383973

Abstract

Objective: Globalization affects healthcare professionals’ working conditions, ways of doing business, and perspectives for the future. From this perspective, the research aims to determine the relationship between global future perception, job insecurity, and future anxiety among healthcare professionals.
Method: The research was conducted with 414 healthcare professionals. “The Perceived Global Future Scale,” “Job Insecurity Scale,” and “Dark Future Scale” were used as data collection tools.
Results: The Perceived global future scale total score average of the healthcare professionals was 2.19±0.91, the dark future scale score average was 23.31±6.44, and the job insecurity scale score average was 22.37±4.03. A weak positive relationship was observed between the perceived global future scale and the job insecurity scale. A significant relationship was observed between the perceived global future scale factors and the job insecurity scale and future anxiety scale (p < .05). A significant and positive weak relationship was observed between the job insecurity scale and the future anxiety scale (p < .05).
Conclusion: There is a significant relationship between global future perception and factors and job insecurity and future anxiety among healthcare professionals. As the perception of job insecurity increases, future anxiety also increases. At this point, it is recommended that institution managers and manager nurses at the micro level and policymakers at the macro level take initiatives to reduce job insecurity and future anxiety that are affected by globalization.

References

  • Adekiya A. (2023). Perceived job insecurity and task performance: What aspect of performance is related to which facet of job insecurity. Current Psychology, 22, 1-19. https://doi.org/10.1007/s12144-023-04408-4
  • Bakker AB, Demerouti E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273-285. https://doi.org/10.1037/ocp0000056
  • Batarfi RF, Bakhsh AMA, Alghamdi ID, Alotaibi FA. (2023). Revealing the relation between job satisfaction and workload: A cross-sectional study in the emergency department. Annals of Medicine & Surgery, 85(5), 1667-1672. https://doi.org/10.1097/MS9.0000000000000600
  • Bazzoli A, Probst TM. (2023). Vulnerable workers in insecure jobs: A critical meta-synthesis of qualitative findings. Applied Psychology, 72(1), 85-105. https://doi.org/10.1111/apps.12415
  • Bodur G, Harmanci Seren AK. (2021). Developing a valid and reliable Perceived Global Future Scale. Perspectives in Psychiatric Care, 58(4), 1348-1356. https://doi.org/10.1111/ppc.12937
  • Bodur G, Kaya H. (2017). Nurses' looking future: 2050s. Journal of Ege University Faculty of Nursing, 33(1), 27-38.
  • Burke RJ, Ng ESW, Wolpin J. (2015). Economic austerity and healthcare restructuring: Correlates and consequences of nursing job insecurity. The International Journal of Human Resource Management, 26(5), 640-656. https://doi.org/10. 1080/09585192.2014.921634
  • Cihan FG, Kutlu R, Karademirci MM. (2017). Occupational future concerns and stress management conditions of intern doctors. Journal of Academic Research in Medicine, 7, 122-127. https://doi.org/10.5152/JAREM.2017.1321
  • Clinician of The Future Reports. (2022). Clinician of the Future: a 2022 report. Retrieved from https://www.elsevier.com/connect/clinician-of-the-future.
  • Ergin E, Akin B. (2017). Globalization and its Reflections for Health and Nursing. International Journal of Caring Sciences, 10(1), 607-613. Retrieved from https://www.internationaljournalofcaringsciences. org/docs/66_ergin_review_10_1.pdf.
  • Gunalan M, Ceylan A. (2015). The mediating effect of organizational support between job insecurity and turnover intention in private hospitals. International Journal of Business and Management, 10(10), 74-86. https://doi.org/10.5539/ijbm.v10n10p74.
  • International Council of Nurses (ICN). (2021). ICN Toolkit. Retrieved from https://www.ota.org.au/ client_images/2261610.pdf.
  • International Labor Organization (ILO). (2019). World employment social Outlook Trends 2019. International Labor Office, Genova. Retrieved from https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/publ/documents/publication /wcms_670542.pdf.
  • Jarva E, Oikarinen A, Andersson J, Tuomikoski AM, Kääriäinen M, Meriläinen M, Mikkonen K. (2022). Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study. Nursing Open, 9, 1379- 1393. https://doi.org/10.1002/ nop2.1184.
  • Karasu F, Ozturk Copur E, Ayar D. (2022). The impact of COVID-19 on healthcare workers' anxiety levels. Journal of Public Health: From Theory to Practice, 30(6):1399-1409. https://doi.org/10.1007/s10389-020-01466-x.
  • Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, Wyns A. (2021). Views of health professionals on climate change and health: A multinational survey study. Lancet Planet Health, 5(5): e316-e323. https://doi.org/10.1016/S2542-5196(21)00053-X.
  • Kuloglu U, Piyal B. (2021). Health manpower and the future. Health and Society, 31(3), 205-250. Retrieved from https://ssyv.org.tr/wp-content/uploads/2021/ 10/22-Saglik-Insan-Gucu-ve-Gelecek.pdf.
  • Mahmoud F, Mahmoud B. (2023). Effect of climate change on health and critical care nurses practice. The Egyptian Journal of Hospital Medicine, 90(1), 1149-1155. https://doi.org/10.21608/ejhm.2023.280272.
  • Ministry of Health of Turkey. (2022). Beyaz reform. Retrieved from https://www.saglik.gov.tr/TR, 92424/bakan-koca-81-il-saglik-muduru-ile-beyaz-reform-gundemiyle-bir-araya-geldi.html.
  • Ministry of Health of Turkey Health Statistics Yearbook. (2019). Republic of Turkey Ministry of Health General Directorate of Health Information Systems, 2021. Retrieved from https://sbsgm.saglik.gov. tr/Eklenti/40566/0/health-statistics-yearbook-2019 pdf.
  • Prado-Gascó V, Giménez-Espert MdC, DeWitte H. (2021). Job Insecurity in Nursing: A Bibliometric Analysis. International Journal of Environmental Research and Public Health, 18(2), 663. https://doi.org/10.3390/ijerph18020663.
  • Richter A, Näswall K, Cuyper N, Sverke M, De Witte H, Hellgren J. (2013). Coping with job insecurity. Career Development International, 18(5), 484-502. https://doi.org/10.1108/CDI-06-2013-0081. Sahin CU, Kulakac N. (2022). Exploring anxiety levels in healthcare workers during COVID-19 pandemic: Turkey sample. Current Psychology, 41(2), 1057-1064. https://doi.org/10.1007/s12144-021-01730-7.
  • Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, Shohaimi S, Daneshkhah A, Eskandari S. (2020). The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: A systematic review and meta-regression. Human Resource for Health, 18:100. https://doi.org/ 10.1186/s12960-020-00544-1.
  • Salvage J, White J. (2020). Our future is global: nursing leadership and global health. Rev Lat Am Enfermagem, 28: e3339. https://doi.org/10.1590 /1518-8345.4542.3339.
  • Satria N, Kustiawan U. (2023). The role of job insecurity and high commitment work system on employee well-being. Jurnal Cafetaria, 4(1), 25-39. https://doi.org/10.51742/akuntansi.v4i1.786.
  • Sen Olgay S, Yurt S. (2023). Determination of the Reasons for migration and life satisfaction of health workers who migrated from Turkey to United Kingdom. Journal of Health and Nursing Management, 10(1), 99-107. https://doi.org/10.54304 /SHYD.2023.60565.
  • Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Munter L. (2021). Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Frontiers Public Health, 7(9), 679397. https://doi.org/10.3389/fpubh.2021.679397.
  • Sumbuloglu K, Sumbuloglu V. (2005) Klinik ve saha araştırmalarında örnekleme yöntemleri ve örneklem büyüklüğü. Hatiboglu Yayınları, Ankara.
  • Tellioglu S. (2021). The effect of job insecurity on future anxiety: Aresearch on tourism sector employees. Saffron Journal of Culture and Tourism Research, 4 (1), 4 .
  • Tunc T, Ozen Kutanis R. (2015). Underlying causes of anxiety among physicians and nurses: A sample of a university hospital. Suleyman Demirel University Visionary Journal, 6(13), 62-71.
  • Turkish Nurses Association (TNA). (2023). Hemsire Goc Egilimi Calısması Raporu. Retrieved from https://www.thder.org.tr/hemsire-goc-egitim-calismasi-raporu.
  • Yeves J, Bargsted M, Cortes L, Merino C, Cavada G. (2019). Age and perceived employability as moderators of job insecurity and job satisfaction: A moderated moderation model. Frontiers in Psychology, 10, 799. https://doi.org/10.3389/fpsyg .2019.00799.
  • Yu S, Liu S, Xu C. (2023). The effect of job insecurity on employee silence: Test an interactive model. Chinese Management Studies, 17(3), 488-509. https://doi.org/10.1108/CMS-07-2021-0301.
  • Zaleski Z, Sobol-Kwapinska M, Przepiorka A, Meisner M. (2019). Development and validation of the Dark Future scale. Time & Society, 28(1), 107-123. https://doi.org/10.1177/0961463X16678257.
  • Zeytinoglu IU, Denton M, Davies S, Baumann A, Blythe J, Boos L. (2007). Associations between work intensification, stress and job satisfaction: The case of nurses in Ontario. Relations Industrielles/Industrial Relations, 62(2), 201–222. https://doi.org/10.7202 /016086ar.

Sağlık Çalışanlarında Küresel Gelecek Algısı, İş Güvencesizliği ve Gelecek Kaygısı Arasındaki İlişkinin Belirlenmesi

Year 2025, Volume: 8 Issue: 2, 368 - 377, 26.08.2025
https://doi.org/10.38108/ouhcd.1383973

Abstract

Amaç: Küreselleşme sağlık çalışanlarının çalışma koşullarını, iş yapma biçimlerini ve geleceğe ilişkin bakış açılarını etkilemektedir. Bu bağlamda, araştırmanın amacı sağlık çalışanlarında küresel gelecek algısı, iş güvencesizliği ve gelecek kaygısı arasındaki ilişkinin belirlenmesidir.
Yöntem: Araştırma 414 sağlık çalışanı ile yürütülmüştür. Veri toplama aracı olarak “Algılanan Küresel Gelecek Ölçeği,” “İş Güvencesizliği Ölçeği,” ve “Gelecek Kaygısı Ölçeği” kullanılmıştır.
Bulgular: Sağlık çalışanlarının Algılanan küresel gelecek ölçeği toplam puan ortalaması 2.19±0.91, Gelecek kaygısı ölçeği puan ortalaması 23.31±6.44 ve iş güvencesizliği ölçeği puan ortalaması 22.37±4.03 olarak belirlendi. Algılanan küresel gelecek ölçeği ile iş güvencesizliği ölçeği arasında pozitif yönlü zayıf ilişki, Algılanan küresel gelecek ölçeği faktörleri ile iş güvencesizliği ölçeği ve gelecek kaygısı ölçeği arasında anlamlı ilişkiler gözlemlendi (p< .05). İş güvencesizliği ölçeği ile gelecek kaygısı ölçeği arasında anlamlı ve pozitif yönlü zayıf ilişki gözlemlendi (p< .05).
Sonuç: Sağlık çalışanlarında küresel gelecek algısı ve faktörleri ile iş güvencesizliği ve gelecek kaygısı arasında anlamlı ilişki vardır. İş güvencesizliği algısı arttıkça gelecek kaygısı da artmaktadır. Bu noktada mikro düzeyde kurum yöneticileri ve yönetici hemşirelerin, makro düzeyde ise politika belirleyicilerin küreselleşmenin etkilediği iş güvencesizliği ve gelecek kaygısını azaltmaya yönelik girişimlerde bulunmaları önerilir.

References

  • Adekiya A. (2023). Perceived job insecurity and task performance: What aspect of performance is related to which facet of job insecurity. Current Psychology, 22, 1-19. https://doi.org/10.1007/s12144-023-04408-4
  • Bakker AB, Demerouti E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273-285. https://doi.org/10.1037/ocp0000056
  • Batarfi RF, Bakhsh AMA, Alghamdi ID, Alotaibi FA. (2023). Revealing the relation between job satisfaction and workload: A cross-sectional study in the emergency department. Annals of Medicine & Surgery, 85(5), 1667-1672. https://doi.org/10.1097/MS9.0000000000000600
  • Bazzoli A, Probst TM. (2023). Vulnerable workers in insecure jobs: A critical meta-synthesis of qualitative findings. Applied Psychology, 72(1), 85-105. https://doi.org/10.1111/apps.12415
  • Bodur G, Harmanci Seren AK. (2021). Developing a valid and reliable Perceived Global Future Scale. Perspectives in Psychiatric Care, 58(4), 1348-1356. https://doi.org/10.1111/ppc.12937
  • Bodur G, Kaya H. (2017). Nurses' looking future: 2050s. Journal of Ege University Faculty of Nursing, 33(1), 27-38.
  • Burke RJ, Ng ESW, Wolpin J. (2015). Economic austerity and healthcare restructuring: Correlates and consequences of nursing job insecurity. The International Journal of Human Resource Management, 26(5), 640-656. https://doi.org/10. 1080/09585192.2014.921634
  • Cihan FG, Kutlu R, Karademirci MM. (2017). Occupational future concerns and stress management conditions of intern doctors. Journal of Academic Research in Medicine, 7, 122-127. https://doi.org/10.5152/JAREM.2017.1321
  • Clinician of The Future Reports. (2022). Clinician of the Future: a 2022 report. Retrieved from https://www.elsevier.com/connect/clinician-of-the-future.
  • Ergin E, Akin B. (2017). Globalization and its Reflections for Health and Nursing. International Journal of Caring Sciences, 10(1), 607-613. Retrieved from https://www.internationaljournalofcaringsciences. org/docs/66_ergin_review_10_1.pdf.
  • Gunalan M, Ceylan A. (2015). The mediating effect of organizational support between job insecurity and turnover intention in private hospitals. International Journal of Business and Management, 10(10), 74-86. https://doi.org/10.5539/ijbm.v10n10p74.
  • International Council of Nurses (ICN). (2021). ICN Toolkit. Retrieved from https://www.ota.org.au/ client_images/2261610.pdf.
  • International Labor Organization (ILO). (2019). World employment social Outlook Trends 2019. International Labor Office, Genova. Retrieved from https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/publ/documents/publication /wcms_670542.pdf.
  • Jarva E, Oikarinen A, Andersson J, Tuomikoski AM, Kääriäinen M, Meriläinen M, Mikkonen K. (2022). Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study. Nursing Open, 9, 1379- 1393. https://doi.org/10.1002/ nop2.1184.
  • Karasu F, Ozturk Copur E, Ayar D. (2022). The impact of COVID-19 on healthcare workers' anxiety levels. Journal of Public Health: From Theory to Practice, 30(6):1399-1409. https://doi.org/10.1007/s10389-020-01466-x.
  • Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, Wyns A. (2021). Views of health professionals on climate change and health: A multinational survey study. Lancet Planet Health, 5(5): e316-e323. https://doi.org/10.1016/S2542-5196(21)00053-X.
  • Kuloglu U, Piyal B. (2021). Health manpower and the future. Health and Society, 31(3), 205-250. Retrieved from https://ssyv.org.tr/wp-content/uploads/2021/ 10/22-Saglik-Insan-Gucu-ve-Gelecek.pdf.
  • Mahmoud F, Mahmoud B. (2023). Effect of climate change on health and critical care nurses practice. The Egyptian Journal of Hospital Medicine, 90(1), 1149-1155. https://doi.org/10.21608/ejhm.2023.280272.
  • Ministry of Health of Turkey. (2022). Beyaz reform. Retrieved from https://www.saglik.gov.tr/TR, 92424/bakan-koca-81-il-saglik-muduru-ile-beyaz-reform-gundemiyle-bir-araya-geldi.html.
  • Ministry of Health of Turkey Health Statistics Yearbook. (2019). Republic of Turkey Ministry of Health General Directorate of Health Information Systems, 2021. Retrieved from https://sbsgm.saglik.gov. tr/Eklenti/40566/0/health-statistics-yearbook-2019 pdf.
  • Prado-Gascó V, Giménez-Espert MdC, DeWitte H. (2021). Job Insecurity in Nursing: A Bibliometric Analysis. International Journal of Environmental Research and Public Health, 18(2), 663. https://doi.org/10.3390/ijerph18020663.
  • Richter A, Näswall K, Cuyper N, Sverke M, De Witte H, Hellgren J. (2013). Coping with job insecurity. Career Development International, 18(5), 484-502. https://doi.org/10.1108/CDI-06-2013-0081. Sahin CU, Kulakac N. (2022). Exploring anxiety levels in healthcare workers during COVID-19 pandemic: Turkey sample. Current Psychology, 41(2), 1057-1064. https://doi.org/10.1007/s12144-021-01730-7.
  • Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, Shohaimi S, Daneshkhah A, Eskandari S. (2020). The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: A systematic review and meta-regression. Human Resource for Health, 18:100. https://doi.org/ 10.1186/s12960-020-00544-1.
  • Salvage J, White J. (2020). Our future is global: nursing leadership and global health. Rev Lat Am Enfermagem, 28: e3339. https://doi.org/10.1590 /1518-8345.4542.3339.
  • Satria N, Kustiawan U. (2023). The role of job insecurity and high commitment work system on employee well-being. Jurnal Cafetaria, 4(1), 25-39. https://doi.org/10.51742/akuntansi.v4i1.786.
  • Sen Olgay S, Yurt S. (2023). Determination of the Reasons for migration and life satisfaction of health workers who migrated from Turkey to United Kingdom. Journal of Health and Nursing Management, 10(1), 99-107. https://doi.org/10.54304 /SHYD.2023.60565.
  • Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Munter L. (2021). Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Frontiers Public Health, 7(9), 679397. https://doi.org/10.3389/fpubh.2021.679397.
  • Sumbuloglu K, Sumbuloglu V. (2005) Klinik ve saha araştırmalarında örnekleme yöntemleri ve örneklem büyüklüğü. Hatiboglu Yayınları, Ankara.
  • Tellioglu S. (2021). The effect of job insecurity on future anxiety: Aresearch on tourism sector employees. Saffron Journal of Culture and Tourism Research, 4 (1), 4 .
  • Tunc T, Ozen Kutanis R. (2015). Underlying causes of anxiety among physicians and nurses: A sample of a university hospital. Suleyman Demirel University Visionary Journal, 6(13), 62-71.
  • Turkish Nurses Association (TNA). (2023). Hemsire Goc Egilimi Calısması Raporu. Retrieved from https://www.thder.org.tr/hemsire-goc-egitim-calismasi-raporu.
  • Yeves J, Bargsted M, Cortes L, Merino C, Cavada G. (2019). Age and perceived employability as moderators of job insecurity and job satisfaction: A moderated moderation model. Frontiers in Psychology, 10, 799. https://doi.org/10.3389/fpsyg .2019.00799.
  • Yu S, Liu S, Xu C. (2023). The effect of job insecurity on employee silence: Test an interactive model. Chinese Management Studies, 17(3), 488-509. https://doi.org/10.1108/CMS-07-2021-0301.
  • Zaleski Z, Sobol-Kwapinska M, Przepiorka A, Meisner M. (2019). Development and validation of the Dark Future scale. Time & Society, 28(1), 107-123. https://doi.org/10.1177/0961463X16678257.
  • Zeytinoglu IU, Denton M, Davies S, Baumann A, Blythe J, Boos L. (2007). Associations between work intensification, stress and job satisfaction: The case of nurses in Ontario. Relations Industrielles/Industrial Relations, 62(2), 201–222. https://doi.org/10.7202 /016086ar.
There are 35 citations in total.

Details

Primary Language English
Subjects Nursing Management
Journal Section Araştırma
Authors

Ayşe Karadaş 0000-0003-3955-2980

Sibel Ergün 0000-0003-1227-5856

Publication Date August 26, 2025
Submission Date October 31, 2023
Acceptance Date July 10, 2024
Published in Issue Year 2025 Volume: 8 Issue: 2

Cite

APA Karadaş, A., & Ergün, S. (2025). Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(2), 368-377. https://doi.org/10.38108/ouhcd.1383973
AMA Karadaş A, Ergün S. Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals. Ordu University J Nurs Stud. August 2025;8(2):368-377. doi:10.38108/ouhcd.1383973
Chicago Karadaş, Ayşe, and Sibel Ergün. “Determining the Relationship Between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8, no. 2 (August 2025): 368-77. https://doi.org/10.38108/ouhcd.1383973.
EndNote Karadaş A, Ergün S (August 1, 2025) Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8 2 368–377.
IEEE A. Karadaş and S. Ergün, “Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals”, Ordu University J Nurs Stud, vol. 8, no. 2, pp. 368–377, 2025, doi: 10.38108/ouhcd.1383973.
ISNAD Karadaş, Ayşe - Ergün, Sibel. “Determining the Relationship Between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8/2 (August2025), 368-377. https://doi.org/10.38108/ouhcd.1383973.
JAMA Karadaş A, Ergün S. Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals. Ordu University J Nurs Stud. 2025;8:368–377.
MLA Karadaş, Ayşe and Sibel Ergün. “Determining the Relationship Between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 8, no. 2, 2025, pp. 368-77, doi:10.38108/ouhcd.1383973.
Vancouver Karadaş A, Ergün S. Determining the Relationship between Global Future Perception, Job Insecurity and Future Anxiety in Healthcare Professionals. Ordu University J Nurs Stud. 2025;8(2):368-77.