Aims and objectives: This study aims to examine the mediating role of fear of future violence in the relationship between exposure to violent events at work and burnout among physicians and nurses. Background: Workplace violence is an escalating concern within healthcare institutions in Türkiye. Increasing exposure to violent events among healthcare professionals contributes to heightened fear of future violence, which may in turn exacerbate burnout. Methods: A cross‐sectional research design was utilized, collecting data via an online survey distributed to 387 physicians and nurses. The hypothesized model was analyzed using structural equation modeling techniques implemented in AMOS and SmartPLS software. Results: The analysis revealed that exposure to workplace violence significantly elevated the depersonalization and emotional exhaustion dimensions of burnout. Conversely, it was associated with a paradoxical decrease in the personal accomplishment dimension. Notably, no statistically significant relationship was found between exposure to violence and fear of future violence. These findings underscore the complex interplay between various burnout dimensions and the impact of workplace violence on physicians and nurses. Discussion and conclusion: Workplace violence emerges as a significant contributor to burnout among physicians and nurses, affecting emotional exhaustion, depersonalization, and personal accomplishment in multifaceted ways. However, the anticipated relationship between exposure to violence and fear of future violence was not supported by the data, indicating a need for further research in this area. Implications for nursing policy: The findings of this study indicate that health policies in Türkiye should prioritize strategies aimed at preventing and managing violence against physicians and nurses. Measures such as violence management training, strengthening organizational support systems, and implementing clear protocols for reporting and responding to violent incidents can help mitigate burnout among physicians and nurses.

Brain Drain Among Health Workers in Türkiye - Forbes Journal of Medicine

Healthcare professionals, particulary doctors and nurses, experience a complex relationship between direct violence and witnessed violence in the workplace. This study investigates how direct and witnessed violence affect psychological capital through the mediating role of future violence. A cross-sectional descriptive and correlational research design was employed in this study. Data were collected from health institutions in western Türkiye, with a total of 420 doctors and nurses participating in this study. The data collection instruments included Personal Information Form, Exposure to Violence Scale, Fear of Future Violence Scale and Organizational Psychological Capital Scale. The analyze the data, regression techniques were employed to examine the direct effects of violence on psychological capital, as well as to explore the mediating role of future fear of violence in these relationships. The analysis revealed a strong positive correlation between direct and witnessed workplace violence; however, future fear of violence did not significantly correlate with either. While future fear of violence was weakly but significantly associated with optimism and self-efficacy, it showed no significant relationship with resilience or hope. Direct violence showed no meaningful correlation with any psychological capital subdimension. Witnessed violence was negatively associated only with optimism. Furthermore, no mediating role of future fear of violence was found between workplace violence and psychological capital. This study demonstrates limited effects of direct and witnessed workplace violence on the subdimensions of psychological capital. Future fear of violence was not found to significantly mediate the relationship between experiences of violence and psychological capital. These results suggest a more complex dynamic between workplace violence and employees’ psychological capital, highlighting the need for further detailed research in this area.

Brain drain, the emigration of skilled professionals in search of better opportunities, has been a growing concern among university health sciences students. This study examines the mediating role of career stress in the relationship between future fear of violence and brain drain attitudes. A cross-sectional research design was employed, with data collected from 728 university students at a private university in İzmir, Turkey. Participants completed a self-report questionnaire including the Future Fear of Violence Scale, Brain Drain Attitude Scale, and Career Stress Scale. Confirmatory factor analysis (CFA) was conducted to establish construct validity, and mediation effects were tested using Hayes’ 2022 PROCESS macro with bootstrapping (5,000 resamples). The findings indicate a significant positive relationship between Future Fear of Violence and Brain Drain Attitude, with career stress acting as a mediating factor. Specifically: Future Fear of Violence significantly predicted Career Ambiguity and Lack of Information, External Conflict, and Employment Pressure. Career stress sub-dimensions significantly predicted Push Factors and Pull Factors of Brain Drain Attitude. The mediation models confirmed that Future Fear of Violence indirectly influences Push Factors and Pull Factors through Career Ambiguity and Lack of Information, External Conflict, and Employment Pressure. This study highlights that university students’ fear of future violence contributes to increased career stress, which in turn strengthens their intentions to emigrate. The findings suggest that addressing students’ concerns about workplace violence and career-related stress may help mitigate brain drain. The document highlights the need to address career stress and concerns about violence among university students studying health sciences in order to manage potential brain drain. Healthcare management can leverage these insights to develop targeted interventions that foster a supportive work environment, ultimately improving retention rates of skilled professionals in the healthcare sector. Psychiatrists, on the other hand, can play a pivotal role in providing mental health support to these individuals, helping them navigate their career-related anxieties and fears.

Giriş: KOAH hastaları için bilgi düzeyi değerlendirme formları incelendiğinde, Bristol KOAH Bilgi Düzeyi Soru Formu’nun Türkçeye uyarlanması ve psikometrik çalışmaların yapılması, KOAH hastalarının eğitiminde önemli bir gereksinimi karşılayacağı düşünülmektedir. Amaç: Bu araştırma Bristol KOAH Bilgi Düzeyi Soru Formu’nu Türkçeye uyarlamak, geçerliliğini ve güvenilirliğini test etmek için metodolojik bir çalışma olarak yürütülmüştür. Gereç ve Yöntem: Araştırma verileri bir üniversite hastanesinin acil servisine Mayıs ve Aralık 2019 arasında KOAH akut alevlenme belirtileri ile başvuran ve daha önce KOAH tanısı almış ve durumu acil serviste stabilize olmuş, çalışmaya katılmak için gönüllü olan 173 kişiden toplanmıştır. Dil geçerliliğinde ileri ve geri çeviriler kullanılmıştır. İçerik Geçerlilik İndeksini (CVI) belirlemek için uzman görüşleri alınmıştır. Güvenilirliği değerlendirmek için Cronbach’ın alfa ve test-tekrar test güvenilirliği kullanılmıştır. Bulgular: Form, analizler sonucunda CVI 0.88 (0.82-1.00), Cronbach Alpha değeri 0.75 ve test-tekrar test ICC değerin 0.95 olarak bulunmuştur Sonuç: Sonuç olarak formun Türk toplumu için yüksek geçerlilik ve güvenilirliğe sahip olduğuna karar verilmiştir.