genel tıp derg Genel Tıp Dergisi 2602-3741 Selçuk Üniversitesi 10.54005/geneltip.1620723 Clinical Sciences (Other) Klinik Tıp Bilimleri (Diğer) Medical students' view on violence in health and its effect on their specialty preferences Sağlıkta şiddete tıp fakültesi öğrencilerinin bakışı ve uzmanlık tercihlerine etkisi https://orcid.org/0000-0003-0455-0627 Durduran Yasemin NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. https://orcid.org/0000-0001-6091-3205 Yücel Mehtap NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. https://orcid.org/0000-0002-9442-4706 Okka Berrin NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. https://orcid.org/0000-0002-3954-7471 Uyar Mehmet NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. https://orcid.org/0000-0002-8022-3962 Demir Lütfi Saltuk NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. https://orcid.org/0000-0003-0281-772X Cüce Mermer Bilge Nur NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR. 04 08 2026 36 2026 1 6 01 16 2025 11 28 2025 Copyright © 1990, Genel Tıp Dergisi 1990 Genel Tıp Dergisi

Aim: This study aimed to determine the views and perspectives of medical students regarding violence in healthcare and to examine how their perceptions of violence influence their specialty preferences.Materials and Methods: This cross-sectional study was conducted between June and July 2022 with 514 medical students (269 first-year and 245 sixth-year) who participated voluntarily. Data were collected through face-to-face interviews using a 32-item questionnaire developed based on a literature review. The data were analyzed using IBM SPSS Statistics version 27.0, and a Type I error level of 5% was considered statistically significant.Results: Overall, 45.9% of the students reported having been exposed to or having witnessed violence in healthcare settings. Logistic regression analysis showed that students who felt hopeless about the realization of their professional expectations were 7.296 times more likely to be unwilling to pursue residency training. In contrast, students who identified inadequate criminal sanctions (OR = 3.165) and decreased respect for physicians and healthcare professionals (OR = 2.819) as the main causes of violence in healthcare were less likely to express unwillingness to pursue residency training.Conclusions: Nearly half of the participants had been exposed to or had witnessed violence in healthcare. Students’ perceptions of the causes of violence were significantly associated with their intention to pursue residency training. These findings highlight the impact of professional dissatisfaction and perceptions of workplace violence on medical career planning.

Amaç: Bu çalışma, tıp fakültesi öğrencilerinin sağlıkta şiddete ilişkin görüş ve bakış açılarını belirlemek ve sağlıkta şiddete yönelik algılarının uzmanlık alanı tercihlerine etkisini incelemek amacıyla yapılmıştır.Gereç ve Yöntemler: Kesitsel tipteki bu araştırma, Haziran–Temmuz 2022 tarihleri arasında 269 birinci sınıf ve 245 altıncı sınıf olmak üzere toplam 514 gönüllü tıp fakültesi öğrencisiyle yürütülmüştür. Veriler, literatür taraması sonucunda geliştirilen 32 soruluk bir veri toplama formu kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Verilerin analizi IBM SPSS Statistics 27.0 paket programı ile yapılmış, istatistiksel anlamlılık düzeyi %5 (p<0,05) olarak kabul edilmiştir.Bulgular: Öğrencilerin %45,9’u sağlık alanında şiddete maruz kaldığını veya şiddete tanık olduğunu bildirmiştir. Lojistik regresyon analizine göre, mesleki beklentilerinin gerçekleşeceğine dair umudu olmayan öğrencilerin uzmanlık eğitimi almak istememe olasılığı 7,296 kat daha yüksek bulunmuştur. Buna karşılık, sağlıkta şiddetin en önemli nedeninin yetersiz cezai yaptırımlar (OR = 3,165) ve hekimlere ve sağlık çalışanlarına duyulan saygının azalması (OR = 2,819) olduğunu belirten öğrencilerde, uzmanlık eğitimi almak istememe olasılığı daha düşük saptanmıştır.Sonuçlar: Katılımcıların yaklaşık yarısı, sağlık alanında şiddete maruz kaldığını veya şiddete tanık olduğunu belirtmiştir. Öğrencilerin sağlıkta şiddetin nedenlerine ilişkin algıları, uzmanlık eğitimi alma niyetleri üzerinde anlamlı bir etkiye sahiptir. Bu bulgular, mesleki memnuniyetsizlik ve sağlıkta şiddet algısının tıp öğrencilerinin kariyer planlaması üzerindeki etkisini ortaya koymaktadır.

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