The mediating role of psychological well-being on the effect of fear of future violent events at work on nurses' intention to migration.

AIM: To evaluate the effect of the fear of violence of nurses working in Turkey on their intention to migrate and to examine the mediating role of psychological well-being on this effect. BACKGROUND: Many countries are concerned about nurses' fear of violence and their intention to migrate. The fear of violence at work may influence nurses' intention to migrate. Additionally, psychological well-being may impact this process. However, the impact of the fear of violence at work on the intention to migrate, as well as the moderating effect of psychological well-being in a nursing context, is not well understood. METHODS: We conducted this cross-sectional study on a sample of 221 nurses from two public hospitals. We collected survey data between November 2022 and January 2023 using three scales. We analyzed the data using SPSS, AMOS, and HAYES. We followed the STROBE statement guidelines for cross-sectional studies. RESULTS: Nurses reported a moderate intention to migrate and a moderate to high level of fear of violence and psychological well-being. Fear of violence is positively associated with the intention to migrate. Mediation analyses indicated that the association between fear of violence and intention to migration was mediated by psychological well-being. DISCUSSION AND CONCLUSION: The fear among nurses of being exposed to violence increases their intention to migrate. However, high psychological well-being can reduce this intention. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Nursing managers, policymakers, and decision-makers need to take serious precautions against the fear of violence in the future and make necessary improvements for nurses who witness violence. To achieve this, it can begin by paying attention to the high psychological well-being of each nurse.

The mediating role of empathy in the impact of compassion fatigue on burnout among nurses.

Background: The burnout levels of nurses, who have an important place in the delivery of health services, are increasing day by day. As the burnout levels of nurses increase, there may be undesirable situations such as compassion fatigue specific to them, their patients and their institutions. Purpose: The aim of this study is to determine the effect of compassion fatigue seen in nurses on burnout and the mediating role of empathy in this effect. Methods: The research was conducted on nurses working in three public hospitals operating in Sakarya, Turkey, between 2 January and 16 April 2019. Since the research was conducted in more than one hospital, the minimum number of participants was determined for each hospital using the stratified sampling method in the first stage. In the second stage, the participants were selected by convenience sampling method. Descriptive statistics, linear regression and process macro regression analysis were used to analyse the data. Results: The results showed the effect of nurses' compassion fatigue on burnout and empathy (ß = 0.673). In addition, empathy has a mediating role in the effect of compassion fatigue on burnout (ß = 0.251). Conclusions/implications for practice: Reducing the burnout levels of nurses, who have a very important place in the delivery of health services, is important for both themselves and patients. It is recommended that the results of this study, which may contribute to the development of the awareness of nurse managers, should be made with the ability to understand the symptoms of compassion fatigue and burnout, teaching coping methods and providing support by experts when necessary.

A survey of health information seeking by cancer patients indicates some problems over medical explanations and terminology.

BACKGROUND: Cancer patients may experience stress because of insufficient information about their illness, health condition, or treatment, but some may fear what the information reveals. OBJECTIVE: This study aims to determine health information-seeking behaviour, the attitudes of cancer patients, the barriers they face in seeking health information and their sociodemographic and disease characteristics. METHODS: A survey was conducted with 84 cancer patients in Turkey. Descriptive statistics were performed to determine the characteristics of information seeking and barriers found. RESULTS: Cancer patients are likely to seek health information, often confident about finding resources easily. The main problems are as follows: (1) insufficient information from health care providers; (2) understanding medical terminology; and (3) lack of help from health care providers to explain information retrieved. DISCUSSION: The information-seeking behaviour of cancer patients in this sample in Turkey resembles studies elsewhere, with (overall) evidence of monitoring behaviour (wanting to find out more about the disease, treatment and effects on lived experience). CONCLUSIONS: The cancer patients in this survey were generally willing and confident in their information seeking to find out more about the disease, treatment and effects on lifestyle. The main barriers were medical terminology, insufficient explanations and information from healthcare providers.

Moderating effect of psychological well-being on the effect of workplace safety climate on job stress.

Objectives. The main purpose of this study is to reveal the moderating effect of psychological well-being on the effect of workplace safety climate on job stress. Methods. The cross-sectional study design included the survey method. A total of 291 healthcare professionals returned the survey forms, among which 75.9% were women, and the mean age of the sample was 32.83 ± 6.03 years. Most of the participants (66.6%) had a bachelor's degree or higher. We analyzed the data using a structural equation modeling framework to test both direct and mediating effects. Hayes' Model 4 was used to identify the mediating role of psychological well-being on the effect of workplace safety climate on job stress. Results. According to the analysis results, the created model is significant, and psychological well-being plays a mediating role on the effect of workplace safety climate on job stress, reinforcing the negative effect of workplace safety climate on job stress. Conclusion. First, the safety environment perceived by employees reduces their stress. Second, psychological well-being plays a mediating role in relation to the effect of safety climate on job stress. This role contributes to the reduction of stress through the improvement of the safety climate.

The mediating role of patient satisfaction in the effect of patient visit experiences on word-of-mouth intention.

The purpose of this study is to find out whether patient experiences of examinations affect their word-of-mouth (WOM) intention and to identify the role of patient satisfaction with the physician in this effect. Data were collected via survey form (N = 1,100). Descriptive statistical methods, reliability analysis, exploratory factor analysis, confirmatory factor analysis, and structural equation modeling were used in the data analysis. According to the result of the study, patient visit experiences had a positive effect on patient satisfaction with the physician, and WOM intention and patient satisfaction with the physician played a mediating role in this effect.

The role of the human factor in occupational safety and health performance.

Objectives. The purpose of this study is to determine the effect of managers' commitment to occupational safety and health (OSH) on employees' safety awareness and competency, employees' involvement, reporting culture and OSH performance; the effect of employees' involvement in OSH on safety awareness and competency, reporting culture and OSH performance; and the mediating role of employees' involvement in the effect of managers' commitment to OSH on OSH performance. Methods. The study population consisted of 600 people working in a private company and the sample consisted of 533 employees agreeing to participate in the survey. Data were analyzed using structural equation modeling. Results. The analysis results showed that managers' commitment to OSH had no significant effect on OSH performance but a significant positive effect on employees' safety awareness and competency, employees' involvement in OSH and reporting culture. Although managers' commitment to OSH alone had no significant effect on OSH performance, it had a significant effect on OSH performance when employees' involvement was used as a mediating variable. Conclusion. OSH should not be considered only as a technical matter. It is recommended that arrangements should be made to improve OSH considering the human factors involved in OSH.

The mediating role of work alienation in the effect of workplace loneliness on nurses' performance.

AIM: The purpose of this study was to determine the mediating role that work alienation has in the effect of loneliness at the workplace on nurses' job performance. BACKGROUND: The literature includes no research on the relationship between nurses' workplace loneliness, work alienation and job performance. The study used work alienation as a mediating variable, which adds to the originality of the study. This study was carried out to contribute to relevant field research. METHODS: The study used a cross-sectional research design and surveyed 138 nurses working in a public hospital in Turkey. The data were analysed using descriptive statistical methods, Pearson correlation analysis and the PROCESS macro Model 4 in the regression analysis. RESULTS: Workplace loneliness has a negative effect on job performance. This negative effect is magnified when work alienation is used as a mediating variable. CONCLUSION: Nurses' loneliness at the workplace and work alienation leads to a decline in their job performance. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should take into consideration that nurses' feelings of workplace loneliness and alienation can reduce the nurses' job performance. When managers create formal and informal support networks, it can reduce nurses' negative feelings of loneliness and alienation. Thus, helping nurses to perform better at work.

The influence of patient-physician communication on physician loyalty and hospital loyalty of the patient.

OBJECTIVE: Patient-physician communication is important for an effective healthcare service and for the patient's development of loyalty to the hospital. In this regard, this study aimed to determine whether there is a relationship between the patient-physician communication, the loyalty of the patient to the physician and to the hospital. Also study aimed to determine whether there is a mediating role of the physician loyalty on the patient-physician communication effect on to the hospital loyalty. METHOD: Five hundred ten questionnaires were distributed to regular public patients of the government hospitals, clinics, and private clinic patients in Sakarya using a simple random sampling method. Data were analysed using descriptive statistics and Structural Equation Modelling (SEM). RESULTS: According to the findings, there was a significant relationship between patient-physician communication and loyalty to physician and to hospital. Patient-physician communication has a significant effect on loyalty to physician and hospital. In addition, patient loyalty has a mediating role on the patient-physician communication effect on the hospital loyalty. CONCLUSION: According to the result of the study, physician-patient communication could be used as an important tool in creating physician loyalty and hospital loyalty. This study helps physicians and health service providers to formulate strategies and tactics that will effectively develop the loyalty of patients.