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Bir İlçe Hastanesinde Çalışan Hemşirelerin İş Güvenliği Düzeyi ve İlişkili Faktörler

Year 2025, Volume: 14 Issue: 3, 671 - 679, 31.10.2025

Abstract

Amaç: Tanımlayıcı nitelikte planlanan bu çalışma, hemşirelerin iş güvenliği algı düzeylerini ve ilişkili faktörleri belirlemeyi amaçlamaktadır. Gereç ve Yöntem: Veri toplama araçları olarak; Bireysel Bilgi Formu ve Hastanede Çalışan Sağlık Personeli İçin İş Güvenliği Ölçeği kullanılmıştır. Verilerin analizi IBM SPSS 22 istatistik paket programı ile yapılmıştır. Bulgular: Hemşirelerin ölçek puan ortalaması 3.58±0.61 olarak hesaplanmıştır. Özellikle “Sağlık Taraması ve Kayıt Sistemleri” alt boyutunda en yüksek puanlar, “Mesleki Hastalıklar ve Şikâyetler” alt boyutunda en düşük puanlar elde edilmiştir. Ölçek toplam puanı ve alt boyutları ile yaş, cinsiyet, çalışılan ünite, iş güvenliği eğitimi alma durumu ve iş kazası sıklığı arasında anlamlı istatistiksel farklılıklar (p<0.05) bulunurken, diğer değişkenler açısından anlamlı bir fark tespit edilmemiştir (p>0.05). Sonuç: Araştırma bulguları hastanede görev yapan hemşirelerin iş güvenliği algılarının bazı alanlarda güçlü, bazı alanlarda ise eksik olduğunu ortaya koymaktadır. İş güvenliği eğitimlerine katılan hemşirelerin güvenlik algılarının daha yüksek olduğu, buna karşın iş kazası geçiren hemşirelerde bu algının belirgin şekilde düştüğü tespit edilmiştir. Sağlık kurumlarında iş güvenliği kültürünü güçlendirecek güncel politikaların uygulanması ve tüm çalışanların bu sürece aktif katılımı sağlanmalıdır.

References

  • Aghaei, H., Sadat Asadi, Z., Mirzaei Aliabadi, M., & Ahmadinia, H. (2020). The relationships among occupational safety climate, patient safety climate, and safety performance based on structural equation modeling. Journal of Preventive Medicine and Public Health = Yebang Uihakhoe chi, 53(6), 447-454. https://doi.org/10.3961/jpmph.20.350
  • Alsharari, A. S., & Kerari, A. (2024). Factors ınfluencing occupational health and safety among nursing students in their clinical placements: A Cross-Sectional Study. Healthcare (Basel, Switzerland), 12(9), 884. https://doi.org/10.3390/healthcare12090884
  • Brešan, M., Erčulj, V., Lajovic, J., Ravljen, M., Sermeus, W., & Grosek, Š. (2021). The relationship between the nurses' work environment and the quality and safe nursing care: Slovenian study using the RN4CAST questionnaire. PloS One, 16(12), e0261466. https://doi.org/10.1371/journal.pone.0261466
  • Burke, M. J., Sarpy, S. A., Smith-Crowe, K., Chan-Serafin, S., Salvador, R. O., & Islam, G. (2006). Relative effectiveness of worker safety and health training methods. American Journal Of Public Health, 96(2), 315-324. https://doi.org/10.2105/AJPH.2004.059840
  • Cebeci, H. (2013). Hastanelerde iş kazaları ve çalışan güvenliği: karabük şehir merkezi örneği. Business and Management Studies: An International Journal , 1(1), 62 - 82.
  • Elendu, C., Amaechi, D. C., Okatta, A. U., Amaechi, E. C., Elendu, T. C., Ezeh, C. P., & Elendu, I. D. (2024). The impact of simulation-based training in medical education: A review. Medicine, 103(27), e38813. https://doi.org/10.1097/MD.0000000000038813
  • Elewa, A. H., & El Banan, S. H. (2016). Occupational hazards as perceived by nursing interns and protective measures. Journal of Nursing and Health Science, 5(6), 107-18.
  • Hou, M., Wei, W., Wang, S., Hu, J., & Chen, Y. (2024). Challenge‐hindrance stressors and novice nurses' safety behaviour: the mediating role of regulatory focus and the moderating role of workplace spirituality. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16723
  • Janghorban, A., et al. (2025). Understanding the relationship between care quality and patient safety culture: A study among nurses. Open Nursing Journal, 19, 18744346365452. https://doi.org/10.2174/0118744346365452250115050117
  • Kakemam, E., Albelbeisi, A. H., Rouzbahani, M., Gharakhani, M., Zahedi, H., & Taheri, R. (2024). Nurses’ perceptions of patient safety competency: a cross-sectional study of relationships with occurrence and reporting of adverse events. Plos One, 19(1), e0297185.
  • Kaya, B., & Yapar, K. (2024). Hemşirelerin iş sağlığı ve güvenliği yeterlilik algısının çalışma ortamı kaynaklı risklere karşı tutumuna etkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 252-262. https://doi.org/10.37989/gumussagbil.1366920
  • Khairallah, G. M., Al-Hajj, S., Mowafi, H., Rahme, D. V., & Sakr, C. J. (2025). Occupational injury severity among healthcare workers: a retrospective study. BMC Public Health, 25(1), 1-9. https://doi.org/10.1186/s12889-025-22727-y
  • Kyriakeli, G., Georgiadou, A., Symeonidou, A., Tsimtsiou, Z., Dardavesis, T., & Kotsis, V. (2025). Patient safety culture among nurses in hospital settings worldwide: A Systematic Review and Meta-Analysis. Joint Commission Journal on Quality and Patient Safety, 51(5), 350-360. https://doi.org/10.1016/j.jcjq.2025.01.007
  • Kyung, M., Kim, H., & Kim, J. H. (2025). Factors associated with nursing students’ satisfaction with simulation-based assessments: interaction between psychological safety and gender in a cross-sectional study. BMC Medical Education, 25(1), 1051. https://doi.org/10.1186/s12909-025-07648-z
  • Medeni, İ., Alagüney, M. E., & Medeni, V. (2024). Occupational injuries among healthcare workers: a nationwide study in Turkey. Frontiers in Public Health, 12, 1505331. https://doi.org/10.3389/fpubh.2024.1505331
  • Nyberg, A., Olofsson, B., Fagerdahl, A., Haney, M., & Otten, V. (2024). Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. BMJ Open Quality, 13(1), e002182. https://doi.org/10.1136/bmjoq-2022-002182
  • Orhan, Z., Kayış, A., Sönmez, M., İnal, Ş., Kaya, E. & Aral, M. (2021). Hemşirelerin mesleki riskleri ve hastane enfeksiyonları ile ilgili bilgi düzeyleri ve uygulamaları. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 4(1), 18-30. https://doi.org/10.51536/tusbad.819684
  • Öztürk, H., & Babacan, E. (2012). Bir ölçek geliştirme çalışması: hastanede çalışan sağlık personeli için iş güvenliği ölçeği. Hemşirelikte Eğitim ve Araştırma, 9(1), 36 - 42.
  • Öztürk, H., Babacan, E., & Anahar, E. Ö. (2012). Hastanede çalışan sağlık personelinin iş güvenliği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 1(4), 252-268.
  • Park, H. H., & Kim, S. (2019). A structural equation model of nurses' patient safety management activities. Journal of Korean Academy of Nursing Administration, 25(2), 63-72. DOI: https://doi.org/10.11111/jkana.2019.25.2.63
  • Prasetio, D. B., Alim, M. R. S., Prachaiboon, T., Suyanto, J., Arti, D. W. K., Sahiroh, E., Putri, A. N., Pramestil, S. D. S. & Setyaningsih, Y. (2023). Awareness among healthcare workers regarding physical hazards in dental and oral hospitals of semarang, ındonesia. The Open Public Health Journal, 16(1). https://doi.org/10.2174/0118749445248110230921073329
  • Rainbow, J. G., Dudding, K. M., Bethel, C., Norton, A., Platt, C., Vyas, P. K., & Slebodnik, M. (2024). Work-related health conditions among american nurses: A scoping review. SAGE Open Nursing, 10, 23779608241257026. https://doi.org/10.1177/23779608241257026
  • Shoukr, E. M. M., Hassen, H. A. M., Mohammed, A. A. R., Khedr, M. A., Eweida, R. S., Nashwan, A. J., & Abdallah, H. M. M. (2025). The feasibility of a safety culture training package on the improvement of geriatric patients' safety among nurses in the intensive care unit: A randomized controlled study. Geriatric Nursing (New York, N.Y.), 64, 103436. https://doi.org/10.1016/j.gerinurse.2025.103436
  • Tai, C., Chen, D., Zhang, Y., Teng, Y., Li, X., & Ma, C. (2024). Exploring the influencing factors of patient safety competency of clinical nurses: a cross-sectional study based on latent profile analysis. BMC Nursing, 23(1), 154. https://doi.org/10.1186/s12912-024-01817-z
  • Ulutaşdemir, N., Balsak, H., Berhuni, Ö., Özdemir, E., & Ataşalan, E. (2015). The impacts of occupational risks and their effects on work stress levels of health professional (The sample from the Southeast region of Turkey). Environmental Health and Preventive Medicine, 20(6), 410–421. https://doi.org/10.1007/s12199-015-0481-3
  • Wang, X., Liu, M., Xu, T., Wang, K., Huang, L., & Zhang, X. (2024). New nurses’ practice environment, job stress, and patient safety attitudes: a cross-sectional study based on the job demands-resources model. BMC Nursing, 23(1), 473. https://doi.org/10.1186/s12912-024-02135-0Aktaş, A., Aştı, T. A., Bakanoğlu, E., & Çelebioğlu, M. (2010). Determination of the body image perception of a nursing college students. Florence Nightingale Nursing Journal, 18(2), 63-71. https://doi.org/10.17672/fnhd.20903.
  • World Health Organization (WHO). (2022). Protecting health workers: Preventing and managing occupational risks in health care. World Health Organization.
  • Xu, Y., Liu, W. J., Wang, X., & Yang, Q. M. (2023). Occupational protection behavior and its influencing factors of newly recruited nurses. BMC Medical Education, 23(1), 797. https://doi.org/10.1186/s12909-023-04780-6
  • Zeren, F., & Köşgeroğlu, N. (2020). Toplumsal cinsiyet eşitsizliğinin hemşirelik mesleğine yansımaları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(3), 293-299. https://doi.org/10.37989/gumussagbil.734808
  • Zhang, Y., Yu, X., Lu, X., Tang, Y., Jiang, W., Wei, Q., & Wei, L. (2023). Safety behavior and transition shock among newly graduated nurses: The mediating role of feedback‐seeking behavior. Journal of Nursing Management, 2023(1), 9699240. https://doi.org/10.1155/2023/9699240

Occupational Safety Level of Nurses Working in a District Hospital and Associated Factors

Year 2025, Volume: 14 Issue: 3, 671 - 679, 31.10.2025

Abstract

Objective: This descriptive study is designed to determine nurses' perceptions of occupational safety and the associated factors. Materials and Methods: The Personal Information Form and the Occupational Safety Scale for Hospital Healthcare Workers were used as data collection tools. Data analysis was conducted using the IBM SPSS 22 statistical package program. Results: The nurses' mean scale score was calculated as 3.58 ±0.61. The highest scores were obtained in the "Health Screening and Registration Systems" sub-dimension, and the lowest in the "Occupational Diseases and Complaints" sub-dimension. Significant statistical differences (p<0.05) were found between the total scale score and its subscales with age, gender, the unit worked in, participation in occupational safety training, and frequency of work accidents, while no significant difference was observed for other variables (p>0.05). Conclusion: Research findings reveal that the job security perceptions of nurses working in hospitals are strong in some areas and lacking in others. It has been found that nurses who participate in occupational safety training have a higher perception of safety, while this perception decreases significantly among nurses who have experienced a workplace accident. Up-to-date policies should be implemented to strengthen the occupational safety culture in healthcare institutions, and all employees should be actively involved in this process.

References

  • Aghaei, H., Sadat Asadi, Z., Mirzaei Aliabadi, M., & Ahmadinia, H. (2020). The relationships among occupational safety climate, patient safety climate, and safety performance based on structural equation modeling. Journal of Preventive Medicine and Public Health = Yebang Uihakhoe chi, 53(6), 447-454. https://doi.org/10.3961/jpmph.20.350
  • Alsharari, A. S., & Kerari, A. (2024). Factors ınfluencing occupational health and safety among nursing students in their clinical placements: A Cross-Sectional Study. Healthcare (Basel, Switzerland), 12(9), 884. https://doi.org/10.3390/healthcare12090884
  • Brešan, M., Erčulj, V., Lajovic, J., Ravljen, M., Sermeus, W., & Grosek, Š. (2021). The relationship between the nurses' work environment and the quality and safe nursing care: Slovenian study using the RN4CAST questionnaire. PloS One, 16(12), e0261466. https://doi.org/10.1371/journal.pone.0261466
  • Burke, M. J., Sarpy, S. A., Smith-Crowe, K., Chan-Serafin, S., Salvador, R. O., & Islam, G. (2006). Relative effectiveness of worker safety and health training methods. American Journal Of Public Health, 96(2), 315-324. https://doi.org/10.2105/AJPH.2004.059840
  • Cebeci, H. (2013). Hastanelerde iş kazaları ve çalışan güvenliği: karabük şehir merkezi örneği. Business and Management Studies: An International Journal , 1(1), 62 - 82.
  • Elendu, C., Amaechi, D. C., Okatta, A. U., Amaechi, E. C., Elendu, T. C., Ezeh, C. P., & Elendu, I. D. (2024). The impact of simulation-based training in medical education: A review. Medicine, 103(27), e38813. https://doi.org/10.1097/MD.0000000000038813
  • Elewa, A. H., & El Banan, S. H. (2016). Occupational hazards as perceived by nursing interns and protective measures. Journal of Nursing and Health Science, 5(6), 107-18.
  • Hou, M., Wei, W., Wang, S., Hu, J., & Chen, Y. (2024). Challenge‐hindrance stressors and novice nurses' safety behaviour: the mediating role of regulatory focus and the moderating role of workplace spirituality. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16723
  • Janghorban, A., et al. (2025). Understanding the relationship between care quality and patient safety culture: A study among nurses. Open Nursing Journal, 19, 18744346365452. https://doi.org/10.2174/0118744346365452250115050117
  • Kakemam, E., Albelbeisi, A. H., Rouzbahani, M., Gharakhani, M., Zahedi, H., & Taheri, R. (2024). Nurses’ perceptions of patient safety competency: a cross-sectional study of relationships with occurrence and reporting of adverse events. Plos One, 19(1), e0297185.
  • Kaya, B., & Yapar, K. (2024). Hemşirelerin iş sağlığı ve güvenliği yeterlilik algısının çalışma ortamı kaynaklı risklere karşı tutumuna etkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 252-262. https://doi.org/10.37989/gumussagbil.1366920
  • Khairallah, G. M., Al-Hajj, S., Mowafi, H., Rahme, D. V., & Sakr, C. J. (2025). Occupational injury severity among healthcare workers: a retrospective study. BMC Public Health, 25(1), 1-9. https://doi.org/10.1186/s12889-025-22727-y
  • Kyriakeli, G., Georgiadou, A., Symeonidou, A., Tsimtsiou, Z., Dardavesis, T., & Kotsis, V. (2025). Patient safety culture among nurses in hospital settings worldwide: A Systematic Review and Meta-Analysis. Joint Commission Journal on Quality and Patient Safety, 51(5), 350-360. https://doi.org/10.1016/j.jcjq.2025.01.007
  • Kyung, M., Kim, H., & Kim, J. H. (2025). Factors associated with nursing students’ satisfaction with simulation-based assessments: interaction between psychological safety and gender in a cross-sectional study. BMC Medical Education, 25(1), 1051. https://doi.org/10.1186/s12909-025-07648-z
  • Medeni, İ., Alagüney, M. E., & Medeni, V. (2024). Occupational injuries among healthcare workers: a nationwide study in Turkey. Frontiers in Public Health, 12, 1505331. https://doi.org/10.3389/fpubh.2024.1505331
  • Nyberg, A., Olofsson, B., Fagerdahl, A., Haney, M., & Otten, V. (2024). Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. BMJ Open Quality, 13(1), e002182. https://doi.org/10.1136/bmjoq-2022-002182
  • Orhan, Z., Kayış, A., Sönmez, M., İnal, Ş., Kaya, E. & Aral, M. (2021). Hemşirelerin mesleki riskleri ve hastane enfeksiyonları ile ilgili bilgi düzeyleri ve uygulamaları. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 4(1), 18-30. https://doi.org/10.51536/tusbad.819684
  • Öztürk, H., & Babacan, E. (2012). Bir ölçek geliştirme çalışması: hastanede çalışan sağlık personeli için iş güvenliği ölçeği. Hemşirelikte Eğitim ve Araştırma, 9(1), 36 - 42.
  • Öztürk, H., Babacan, E., & Anahar, E. Ö. (2012). Hastanede çalışan sağlık personelinin iş güvenliği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 1(4), 252-268.
  • Park, H. H., & Kim, S. (2019). A structural equation model of nurses' patient safety management activities. Journal of Korean Academy of Nursing Administration, 25(2), 63-72. DOI: https://doi.org/10.11111/jkana.2019.25.2.63
  • Prasetio, D. B., Alim, M. R. S., Prachaiboon, T., Suyanto, J., Arti, D. W. K., Sahiroh, E., Putri, A. N., Pramestil, S. D. S. & Setyaningsih, Y. (2023). Awareness among healthcare workers regarding physical hazards in dental and oral hospitals of semarang, ındonesia. The Open Public Health Journal, 16(1). https://doi.org/10.2174/0118749445248110230921073329
  • Rainbow, J. G., Dudding, K. M., Bethel, C., Norton, A., Platt, C., Vyas, P. K., & Slebodnik, M. (2024). Work-related health conditions among american nurses: A scoping review. SAGE Open Nursing, 10, 23779608241257026. https://doi.org/10.1177/23779608241257026
  • Shoukr, E. M. M., Hassen, H. A. M., Mohammed, A. A. R., Khedr, M. A., Eweida, R. S., Nashwan, A. J., & Abdallah, H. M. M. (2025). The feasibility of a safety culture training package on the improvement of geriatric patients' safety among nurses in the intensive care unit: A randomized controlled study. Geriatric Nursing (New York, N.Y.), 64, 103436. https://doi.org/10.1016/j.gerinurse.2025.103436
  • Tai, C., Chen, D., Zhang, Y., Teng, Y., Li, X., & Ma, C. (2024). Exploring the influencing factors of patient safety competency of clinical nurses: a cross-sectional study based on latent profile analysis. BMC Nursing, 23(1), 154. https://doi.org/10.1186/s12912-024-01817-z
  • Ulutaşdemir, N., Balsak, H., Berhuni, Ö., Özdemir, E., & Ataşalan, E. (2015). The impacts of occupational risks and their effects on work stress levels of health professional (The sample from the Southeast region of Turkey). Environmental Health and Preventive Medicine, 20(6), 410–421. https://doi.org/10.1007/s12199-015-0481-3
  • Wang, X., Liu, M., Xu, T., Wang, K., Huang, L., & Zhang, X. (2024). New nurses’ practice environment, job stress, and patient safety attitudes: a cross-sectional study based on the job demands-resources model. BMC Nursing, 23(1), 473. https://doi.org/10.1186/s12912-024-02135-0Aktaş, A., Aştı, T. A., Bakanoğlu, E., & Çelebioğlu, M. (2010). Determination of the body image perception of a nursing college students. Florence Nightingale Nursing Journal, 18(2), 63-71. https://doi.org/10.17672/fnhd.20903.
  • World Health Organization (WHO). (2022). Protecting health workers: Preventing and managing occupational risks in health care. World Health Organization.
  • Xu, Y., Liu, W. J., Wang, X., & Yang, Q. M. (2023). Occupational protection behavior and its influencing factors of newly recruited nurses. BMC Medical Education, 23(1), 797. https://doi.org/10.1186/s12909-023-04780-6
  • Zeren, F., & Köşgeroğlu, N. (2020). Toplumsal cinsiyet eşitsizliğinin hemşirelik mesleğine yansımaları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(3), 293-299. https://doi.org/10.37989/gumussagbil.734808
  • Zhang, Y., Yu, X., Lu, X., Tang, Y., Jiang, W., Wei, Q., & Wei, L. (2023). Safety behavior and transition shock among newly graduated nurses: The mediating role of feedback‐seeking behavior. Journal of Nursing Management, 2023(1), 9699240. https://doi.org/10.1155/2023/9699240
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Details

Primary Language English
Subjects Public Health Nursing, Nursing (Other)
Journal Section Research Article
Authors

Barış Kaya 0000-0001-8469-4641

Kürşad Yapar 0000-0003-0287-4521

Submission Date September 16, 2025
Acceptance Date October 16, 2025
Publication Date October 31, 2025
Published in Issue Year 2025 Volume: 14 Issue: 3

Cite

APA Kaya, B., & Yapar, K. (2025). Occupational Safety Level of Nurses Working in a District Hospital and Associated Factors. Balıkesir Sağlık Bilimleri Dergisi, 14(3), 671-679. https://doi.org/10.53424/balikesirsbd.1784941

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