Farklı Yönleriyle Absenteizm ve Sağlık Çalışanlarındaki Önemi

Yıl 2022, Cilt: 3 Sayı: 2, 71 - 92, 24.12.2022

Salim Yılmaz , Selma Söyük

Öz

Devamsızlık, "absenteeism" kelimesinden gelen ve mesai saatleri içinde işte olmamaktan dolayı her türlü devamsızlığı ifade eden bir kavramdır. Kavram bazı yazarlar için sadece çalışan tarafından, bazı yazarlar için ise sadece işveren tarafından değerlendirilmektedir. Ayrıca esnek çalışma, rapor, mazeret, idari ve yıllık izin, plansız devamsızlık, hastalık izni gibi konuların yeterince ele alınmadığı birçok fikir çatışmasının devam ettiği gözlemlenmiştir. Bunun nedeninin, devamsızlık kavramını kapsamlı bir şekilde tartışan ve açıklayan çalışmaların sayısının görece az olmasından kaynaklandığı tahmin edilmektedir. Bu nedenle devamsızlığı birçok boyutta ele alan bu çalışmanın literatüre katkı sağlayacağı düşünülmektedir.
Sağlığın kendine has özelliklerinden dolayı devamsızlık önemli ve özel bir yere sahip görünmektedir. Bu bütüncül derlemede, devamsızlığın birçok tanımı birçok yönüyle açıklanmakta, nedenleri ve sonuçları açısından değerlendirilmekte ve sağlık profesyonellerinde devamsızlıkla ilgili çalışmalara değinilmektedir.
Sağlık hizmetleri, insan ve uzmanlığa dayalı, ikame edilemez ve hataya açık olmayan bir alandır. Devamsızlığın bu alandaki etkilerini kontrol etmenin yolunun, kurum için doğru işgücünü seçmek, çalışan devamsızlığına hazırlık niteliğinde iş planları oluşturmak, çalışan beklentilerini dinlemek, uygun nitelikli yöneticileri pozisyonlara getirmek ve çalışan istihdamını arttırmak olduğuna inanılmaktadır. Sağlık çalışanının yönetimle sorun yaşamaması, daha kolay stres yönetimi fırsatına sahip olması, işini kaybetme korkusunu azaltması, iç çatışmaları azaltması ve iş yükünü yönetilebilir düzeyde tutmasının önemli olduğu söylenebilir. Bu açıdan bakıldığında, devamsızlık konusunda her iki tarafta da sorumlu davranışlar sergilenirse, toplumsal anlamda daha kaliteli bir sağlık hizmetinin ortaya çıkması beklenmektedir.

Anahtar Kelimeler

Absenteizm, işte bulunmama, sağlık çalışanları

Absentism with Different Aspects and its Importance in Healthcare Professionals

Öz

Absenteeism is a concept that comes from the word "absence" and refers to all kinds of absenteeism for not being at work during working hours. The concept is evaluated only by the employee for some authors and only by the employer for others. In addition, it has been observed that many conflicts of opinion continue to not adequately address issues such as flexible working, reports, excuses, administrative and annual leave, unplanned absence, and sick leave. It is estimated that this is because the number of studies comprehensively discussing and explaining the concept of absenteeism is relatively low. For this reason, it is thought that this study, which deals with absenteeism in many dimensions, will contribute to the literature.
Due to the unique characteristics of health, absenteeism seems to have an important and special place. In this integrative review, many definitions of absenteeism are explained in many aspects, evaluated in terms of its causes and consequences, and studies on absenteeism in healthcare professionals are mentioned.
Health care is a field based on people and expertise, non-substitutable, and not error-prone. It is believed that the way to control the effects of absenteeism in this area is to choose the right workforce for the organization, create business plans in preparation for employee absenteeism, listen to employee expectations, bring suitably qualified managers to positions and increase the employment of healthcare professionals. It can be said that it is important for the employee to avoid problems with the management, to have an easier stress management opportunity, to reduce the fear of losing the job, to reduce internal conflicts, and to have the workload at a manageable level. From this point of view, it’s expected that a better-quality health service will emerge in the social sense if responsible behaviors are displayed on both sides regarding absenteeism.

Anahtar Kelimeler

absenteeism, absence from work, healthcare workers

Kaynakça

• [1] Badubi, R. M. (2017). A critical risk analysis of absenteeism in the work place. Marketing, 2(6), 32-36
• [2] Jex, S. M. (2002). Organizational psychology: A scientist-practitioner approach. New York, NY: John Wiley&Sons
• [3] Reinwald, M., & Kunze, F. (2020). Being different, being absent? A dynamic perspective on demographic dissimilarity and absenteeism in blue-collar teams. Academy of Management Journal, 63(3), 660-684
• [4] Mastekaasa, A. (2020). Absenteeism in the Public and the Private Sector: Does the Public Sector Attract High Absence Employees? Journal of Public Administration Research and Theory, 30(1), 60-76
• [5] Raja, H., & Gupta, R. (2019). The impact of employee absenteeism on organizational productivity with special reference to service sector. Int J Humanit Arts Lit, 4(7), 581-94.
• [6] Kisakye, A. N., Tweheyo, R., Ssengooba, F., Pariyo, G. W., Rutebemberwa, E., & Kiwanuka, S. N. (2016). Regulatory mechanisms for absenteeism in the health sector: a systematic review of strategies and their implementation. Journal of healthcare leadership, 8, 81.
• [7] Kandemir, A., & Şahin, B. (2017). The Level and Cost Burden of Absenteeism Among Health Care Professionals, Journal of Business Science, 5(2), 1-23.
• [8] Örücü, E., & Kaplan, E. (2001). Kamu ve özel sektör çalışanlarında devamsızlık sorunu. Yönetim ve Ekonomi: Celal Bayar Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 8(1), 93-112.
• [9] Eren, E. (2017). Örgütsel Davranış ve Yönetim Psikolojisi, İstanbul: Beta Basım Yayım, 257-593.
• [10] Tütüncü, Ö. ve Demir, M. (2003), Konaklama İşletmelerinde İnsan Kaynakları Kapsamında İşgücü Devir Hızının Analizi ve Muğla Bölgesi Analizi, Dokuz Eylül Üniversitesi, Sosyal Bilimler Enstitüsü Dergisi, 5(2), 140-169.
• [11] Temizkan, Ö. Y. (2019). İşe Gitmeme ve Çalışıyormuş Gibi Yapma Davranışlarını Etkileyen Sosyo-Demografik Unsurlar: Bir Alan Çalışması. Gümüshane University Electronic Journal of the Institute of Social Science/Gümüshane Üniversitesi Sosyal Bilimler Enstitüsü Elektronik Dergisi, 10(3), 640-653.
• [12] Kandemir (2014). Hastane Çalışanları Arasında Sağlık Sorunları Nedeniyle Yaşanan İşte Var Olamama ve İşe Devamsızlık Davranışı İle Maliyetini Etkileyen Faktörlerin İncelenmesi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora Tezi, Ankara.
• [13] Sanders, K. (2004). Playing truant within organisations: Informal relationships, work ethics and absenteeism. Journal of Managerial Psychology, 19(2), 137-155.
• [14] Dionne, G., & Dostie, B. (2007). New evidence on the determinants of absenteeism using linked employer-employee data. ILR Review, 61(1), 108-120.
• [15] Kim, J., Sorhaindo, B., & Garman, E. T. (2006). Relationship between financial stress and workplace absenteeism of credit counseling clients. Journal of Family and Economic Issues, 27(3), 458-478.
• [16] Verma, S., & Chaubey, D. S. (2016). Identifying the factors leadings to workplace absenteeism and its effects on occupational stress and job satisfaction: an empirical study. International Journal Organizational Behavior Managment Perspect, 5, 2340-2345.
• [17] Jørgensen, K., & Laursen, B. (2013). Absence from work due to occupational and non-occupational accidents. Scandinavian journal of public health, 41(1), 18-24.
• [18] Üzüm, B, & Şenol, L. (2020). Tip A ve Tip B Kişilik Tipi İle Devamsızlık İlişkisi: Bir Araştırma. İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi, 19(37), 257-267.
• [19] Meyer, A., & Wallette, M. (2005). Absence of Absenteeism and Overtime Work-Signalling Factors for Temporary Workers? Lund University Press, 2005(15). 1-27.
• [20] Pousette, A., & Hanse, J. J. (2002). Job characteristics as predictors of ill-health and sickness absenteeism in different occupational types--a multigroup structural equation modelling approach. Work & Stress, 16(3), 229-250.
• [21] Yıldız, K. (2018). The Relationship between Teachers' Job Embeddedness and Vocational Belonging Perceptions. Universal Journal of Educational Research, 6(7), 1454-1466.
• [22] Fehér, P., & Szabó, Z. (2018). Digitalization in the Public Sector–Findings of a Hungarian Survey. In 2018 12th International Conference on Software, Knowledge, Information Management & Applications (SKIMA). 1-6. IEEE, December.
• [23] Sanders, K., & Nauta, A. (2004). Social cohesiveness and absenteeism: The relationship between characteristics of employees and short-term absenteeism within an organization. Small Group Research, 35(6), 724-741.
• [24] Sanders, K., & Hoekstra, S.K. (1998). Informal networks and absenteeism within an organization. Computational & Mathematical Organization Theory, 4(2), 149-163.
• [25] Nyaga, G. W. (2014). Strategic responses to absenteeism by mobile telephony Call centres within Nairobi. University of Nairobi. Doctoral dissertation, Nairobi.
• [26] Harter Griep, R., Rotenberg, L., Chor, D., Toivanen, S., & Landsbergis, P. (2010). Beyond simple approaches to studying the association between work characteristics and absenteeism: Combining the DCS and ERI models. Work & Stress, 24(2), 179-195.
• [27] Şahin, F. (2011). İşe Devamsızlığın Nedenleri, Sonuçları Ve Örgütler İçin Önemi. Niğde Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 4(1), 24-39.
• [28] Wooden, M. (1995). Labour absence in Australia: an overview of dimensions, causes and remedial strategies. Australian Bulletin of Labour, 21(4), 323-339.
• [29] Soriano, A., Kozusznik, M. W., Peiró, J. M., & Mateo, C. (2018). Mediating role of job satisfaction, affective well-being, and health in the relationship between indoor environment and absenteeism: Work patterns matter!. Work, 61(2), 313-325.
• [30] Bayram, M. (2019). Devamsızlık ve İşte Var Olamamayı Etkileyen Faktörlerin Belirlenmesine Yönelik Bir Kavramsal Model Önerisi. SGD-Sosyal Güvenlik Dergisi, 9(2), 299-318.
• [31] Arıkan, M. K., Bayar, M. R., Mırsal, H., Şuer, T., & Kökrek, Z. (1994). Tedaviye Dirençli Depresyon*(Bir natüralistik çalışma). The Journal of Psychiatry and Neurological Sciences, 7(3): 55-58.
• [32] Prater, T., & Smith, K. (2011). Underlying factors contributing to presenteeism and absenteeism. Journal of Business & Economics Research (JBER), 9(6), 1-14.
• [33] Aalbers, J. (2013). Reducing sickness absenteeism: research how the sickness absenteeism rate at an organisation can be reduced with measures at organisational level which are in line with the existing way of working (Master's thesis, University of Twente). Twente.
• [34] Kuster, S. P., Böni, J., Kouyos, R. D., Huber, M., Schmutz, S., Shah, C., ... & Trkola, A. (2021). Absenteeism and presenteeism in healthcare workers due to respiratory illness. Infection Control & Hospital Epidemiology, 42(3), 268-273.
• [35] Bouville, G., Dello Russo, S., & Truxillo, D. (2018). The moderating role of age in the job characteristics–absenteeism relationship: A matter of occupational context? Journal of Occupational and Organizational Psychology, 91(1), 57-83.
• [36] Şenel, B. (2012). Devamsızlık Nedenleri ve Maliyetinin Araştırılması, Marmara Sosyal Araştırmalara Dergisi, 3, 1-17.
• [37] Vogt, M. (2008) Incidence of Absenteeism Due to Illness and Accidents, Wien: Austrian Institute of Economic Research, Eurofound.
• [38] Egan, G. (2011). An Investigation into The Causes of Absenteeism in ‘Company X’, Bachelor’s Thesis, National College Of Ireland, Leinster.
• [39] Ichino, A. & Moretti, E. (2009). Biological Gender Differences, Absenteeism, and the Earnings Gap. American Economic Journal, 1(1): 183-218.
• [40] Patton, E., & Johns, G. (2007). Women's absenteeism in the popular press: Evidence for a gender-specific absence culture. Human Relations, 60(11), 1579-1612.
• [41] Obiero, E. O., Mwebi, B. R., & Nyang’ara, N. M. (2017). Factors influencing teacher absenteeism in public secondary schools in Borabu Sub-County, Kenya. International Journal of Education and Research, 5(7), 123-138.
• [42] Restrepo, C., & Salgado, E. (2013). Types of contracts and worker absenteeism in Colombia. Journal of Business Research, 66(3), 401-408.
• [43] Helgesson, M., Johansson, B., Wernroth, L. and Vingard, E. (2016). “Exposure to Different Lengths of Sick Leave and Subsequent Work Absence among Young Adults, BMC Public Health, 16(51), 1-10.
• [44] Garibaldi, P., Martins, J.O., & Ours, J.V. (2010). Ageing, Health and Productivity the Economics of Increased Life Expectancy, Newyork: Oxford University Press, 166.
• [45] Kammoun, N., & Dhifaoui, B. (2019). Working Conditions and Employee Absenteeism: A Study on A Sample of Tunisian Agro-Food Workers, International Journal of Science and Research (IJSR), 10(2) 778-787.
• [46] Akgeyik, T. (2017). Determinants of Overtime Work (A Study on Data From An Aluminum Manufacturing Facility). Journal of International Management Studies, 17(3).
• [47] Stein, F. (2015). Shift Work Design and Worker Absenteeism: Four Econometric Case Studies Universitätsbibliothek. Doctoral Thesis, Viyana.
• [48] Valcour, M. (2007). Work-based resources as moderators of the relationship between work hours and satisfaction with work-family balance. Journal of applied psychology, 92(6), 1512.
• [49] Mohd, I. H., Shah, M. M., Anwar, N. A., & Mahzumi, N. (2016). Work-life balance: The effect on absenteeism among employees in a Malaysian utility company. International Journal of Economics and Financial Issues, 6(6S).
• [50] Michie, S., & Williams, S. (2003). Reducing work related psychological ill health and sickness absence: a systematic literature review. Occupational and environmental medicine, 60(1), 3-9.
• [51] Der Feltz-Cornelis, V., Maria, C., Varley, D., Allgar, V. L., & De Beurs, E. (2020). Workplace stress, presenteeism, absenteeism, and resilience amongst university staff and students in the COVID-19 lockdown. Frontiers in psychiatry, 11, 1284.
• [52] Söyük, S. (2018). New Management Concepts. Alexandrova, E. Shapekova, N.L., Ak, B. & Özcanaslan, F. (Ed.) Health Sciences Research in the Globalizing World, St. Kliment Ohridski University Press, 1054-1071, Sofia.
• [53] Shoss, M. K., & Penney, L. M. (2012). The economy and absenteeism: A macro-level study. Journal of Applied Psychology, 97(4), 881.
• [54] Mogobe, T.H. (2011). Guidelines for Developing an Absenteeism Management Programme wıthin an Institution for Higher Learning. Master’s Thesis, University of Pretoria, Pretoria
• [55] Melamed, S., Ben-Avi, I., Luz, J., & Green, M. S. (1995). Objective and subjective work monotony: effects on job satisfaction, psychological distress, and absenteeism in blue-collar workers. Journal of Applied Psychology, 80(1), 29.
• [56] Avcı, M. (2020). Çalışanların Esnek Çalışma Düzenlemelerine Yönelik Tutumlarının İşe Devamsızlık Algıları Üzerindeki Etkileri: Kamu Kurumlarında Bir Alan Araştırması. Yönetim Bilimleri Dergisi, 18(35), 37-55.
• [57] Turan, T., Gulhan, Y. B., & Yilmaz, S. (2018). Sağlık Çalışanlarında İş Doyumu ve İş Doyumunu Etkileyen Stres Faktörleri (Akdeniz Üniversitesi Hastanesi Hemşirelik Hizmetleri Örneği). PressAcademia Procedia, 7(1), 116-121.
• [58] Petitta, L., & Vecchione, M. (2011). Job burnout, absenteeism, and extra role behaviors. Journal of Workplace Behavioral Health, 26(2), 97-121.
• [59] Yılmaz, S., & Söyük, S. (2022). Determination of work–life balance in healthcare professionals: Validity and reliability of the New Work–Life Balance Scale. Arch Health Sci Res. 9(2), 130-137.
• [60] Furnham, A., & Bramwell, M. (2006). Personality Factors Predict Absenteeism in the Workplace. Individual Differences Research, 4(2).
• [61] Furnham, A., & Miller, T. (1997). Personality, absenteeism and productivity. Personality and Individual Differences, 23(4), 705-707.
• [62] Ardıç, M. ve Dulkadir, B. (2018). İşgörenin Devam Durumunun İnsan Kaynakları Bilgi Sistemiyle İşletme Verimliliğine Etkisinin İncelenmesi, Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 22(2),1129-1137.
• [63] Van Merriënboer, J. J., & Sweller, J. (2010). Cognitive load theory in health professional education: design principles and strategies. Medical education, 44(1), 85-93.
• [64] De Boer, E. M., Bakker, A. B., Syroit, J. E., & Schaufeli, W. B. (2002). Unfairness at work as a predictor of absenteeism. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 23(2), 181-197.
• [65] Çatak, Z. Ş. (2022). Sağlıkta Hata ve Hilelerin Önlenmesine Yönelik Kontroller. Türk Yönetim ve Ekonomi Araştırmaları Dergisi, 3(1), 13-24. [66] Çavmak, D. (2017). Sağlık Hizmetlerinde İnsan Kaynakları Planlaması: Türkiye Değerlendirmesi. Sağlık Yönetimi Dergisi, 1(2), 13-24.
• [67] Kramer, V., Papazova, I., Thoma, A., Kunz, M., Falkai, P., Schneider-Axmann, T., ... & Hasan, A. (2021). Subjective burden and perspectives of German healthcare workers during the COVID-19 pandemic. European archives of psychiatry and clinical neuroscience, 271(2), 271-281.
• [68] Vagni, M., Maiorano, T., Giostra, V., & Pajardi, D. (2020). Coping with COVID-19: emergency stress, secondary trauma and self-efficacy in healthcare and emergency workers in Italy. Frontiers in psychology, 11, 566912.
• [69] Korku, C. (2022). Sağlık Çalışanlarının Uluslararası Göçü. Sağlık Yönetimi Güncel Konular Üzerine Akademik Değerlendirmeler, Efe Akademi, E-book 1. Baskı, 35-49, İstanbul.
• [70] Kırılmaz, H., Yorgun, S., & Atasoy, A. (2016). Sağlık çalışanlarında psikososyal risk faktörlerini belirlemeye yönelik bir araştırma. Uluslararası Kültürel ve Sosyal Araştırmalar Dergisi (UKSAD), 2(Special Issue 1), 66-82.
• [71] Özkahraman, E., Ensari, M., & Yağımlı, M. Covid-19 Pandemisi Döneminde Sağlık Çalışanlarının Tükenmişlik Düzeyinin İncelenmesi. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 12(3), 590-599.
• [72] Belita, A., Mbindyo, P., & English, M. (2013). Absenteeism amongst health workers–developing a typology to support empiric work in low-income countries and characterizing reported associations. Human resources for health, 11(1), 1-10.
• [73] Burmeister, E. A., Kalisch, B. J., Xie, B., Doumit, M. A., Lee, E., Ferraresion, A., ... & Bragadóttir, H. (2019). Determinants of nurse absenteeism and intent to leave: An international study. Journal of Nursing Management, 27(1), 143-153.
• [74] Mevzuat. (2003, Kasım 14). “İş Kanunu’na İlişkin Çalışma Süreleri Yönetmeliği” https://www.mevzuat.gov.tr/File/GeneratePdfmevzuatNo=5447&mevzuatTur=KurumVeKurulusYonetmeligi&mevzuatTertip=5 Erişim Tarihi: 14.11.2022.
• [75] Leite, S. N., Finkler, M., Martini, J. G., Heidemann, I., Verdi, M., Hellmann, F., & Vásquez, M. F. (2021). Management of the health workforce in facing COVID-19: disinformation and absences in Brazil’s Public Policies. Ciência & Saúde Coletiva, 26, 1873-1884.
• [76] West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: contributors, consequences and solutions. Journal of internal medicine, 283(6), 516-529.
• [77] Oche, M. O., Oladigbolu, R. A., Ango, J. T., Okafoagu, N. C., & Ango, U. M. (2018). Work absenteeism amongst health care workers in a tertiary health institution in Sokoto, Nigeria. Journal of Advances in Medicine and Medical Research, 26(2), 1-9.
• [78] Gazmuri, A. M., Lopez, I., & Sandoval, H. (1992). Study of absenteeism in hospital workers. Revista Medica de Chile, 120(9), 1053-1059.
• [79] Brborović, H., & Brborović, O. (2017). Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers. Arhiv za higijenu rada i toksikologiju, 68(3), 185-189.
• [80] Rocha, F. P., Saito, C. A., & Pinto, T. C. N. O. (2019). Sickness absenteeism among health care workers in a public hospital in São Paulo, Brazil. Revista Brasileira de Medicina do Trabalho, 17(3), 355.
• [81] Zhang, H., Fink, G., & Cohen, J. (2021). The impact of health worker absenteeism on patient health care seeking behavior, testing and treatment: A longitudinal analysis in Uganda. PloS one, 16(8), e0256437.
• [82] Zboril-Brenson, LR. (2002). Why Nurses are Calling in Sick: The Impact of Health-Care Restructuring, The Canadian Journal of Nursing Research, 33(4), 89-107.
• [83] Yıldız, H., Yıldız, B., Zehir, C., & Aykaç, M. (2015). The antecedents of Presenteeism and sickness absenteeism: a research in Turkish health sector. Procedia-Social and Behavioral Sciences, 207, 398-403.
• [84] Drennan, V. M., & Ross, F. (2019). Global nurse shortages: The facts, the impact and action for change. British medical bulletin, 130(1), 25-37.
• [85] Ahmed, H., & Carmody, J. B. (2020). On the looming physician shortage and strategic expansion of graduate medical education. Cureus, 12(7), 1-7.
• [86] Imai, C., Toizumi, M., Hall, L., Lambert, S., Halton, K., & Merollini, K. (2018). A systematic review and meta-analysis of the direct epidemiological and economic effects of seasonal influenza vaccination on healthcare workers. PloS one, 13(6), e9216.
• [87] A. Bahishti, “A New Multidisciplinary Journal; International Annals of Science”, Int. Ann. Sci., vol. 1, no. 1, pp. 1.1-1.2, Feb. 2017. https://journals.aijr.in/index.php/ias/article/view/163.
• [88] W. S. Author, “Title of paper,” Name of Journal in italic, vol. x, no. x, pp. xxx-xxx, Abbrev. Month, year. Access online on 20 March 2018 at https://www.aijr.in/journal-list/advanced-journal-graduate-research/
• [89] W. S. Author, “Title of paper,” Name of Journal in italic, vol. x, no. x, pp. xxx-xxx, Abbrev. Month, year. Access online on 5 March 2018 at https://www.aijr.in/about/publication-ethics/