Background: This study examined the effects of psychosocial and ergonomic risk perceptions in the hospital environment on employee health, job performance, and absenteeism. In fast-paced hospital settings, the cumulative physical and psychological demands of patient care, exacerbated by poor ergonomic conditions, can jeopardize employee well-being and compromise service quality. Methods: A cross-sectional study was conducted among healthcare professionals in Istanbul using a multimethod approach with a quantitative emphasis. To analyze the interrelationships among these variables while controlling for demographic factors, including age and sex, structural equation modeling was employed. Results: The findings indicated that both psychological safety and favorable ergonomic conditions significantly enhanced job satisfaction, which in turn positively influenced mental health and overall job performance. Moreover, better physical health was associated with reduced absenteeism, further contributing to improved job performance. These results highlight the significance of developing supportive and ergonomically sound work environments for enhancing employee well-being, reducing absenteeism, and optimizing performance in hospital settings. Conclusions: This study offers valuable insights for hospital administrators and policymakers seeking to implement effective interventions that address psychosocial and ergonomic challenges, thereby ensuring higher quality healthcare services.

Objective: To examine whether health literacy is associated with attitudes toward clinical artificial intelligence (AI) and to describe subgroup differences in this association. Methods: We used two samples. A validation sample ( N = 293) was used to develop and test the psychometrics of the Artificial Intelligence Knowledge, Usage, and Attitudes Scale (AI-KUAS). A separate application sample ( N = 354) completed the 14-item Turkish Health Literacy Scale (HLS-14-TR) and the AI-KUAS. Analyses included correlations, group comparisons (t-tests/ANOVA with appropriate post-hoc procedures), and multiple linear regression adjusting for age, gender, and education. Two-tailed α = .05. Results: In the validation sample, a four-factor, second-order structure of the AI-KUAS was supported (CFI = .955, TLI = .943, SRMR = .037, RMSEA = .092), with high internal consistency ( α = .961); a three-factor alternative was inferior ( Δ CFI = .015; higher RMSEA). In the application sample, health literacy correlated moderately with AI attitudes (r = .51, p < .001) and remained a significant independent predictor in adjusted models ( β = .39–.50, p < .001). Education showed additional positive associations with several subscales, whereas age and gender were not significant predictors. Model R ² values ranged from .17 to .31 across outcomes. Conclusion: Health literacy was positively and independently associated with more favorable attitudes toward clinical AI. Psychometric results suggested that perceived benefit and intention to use were closely related yet distinct dimensions within a four-factor structure. The findings align with literacy-aligned explanations, clear disclosure of AI use, and visible human oversight as practical implementation levers. Given the cross-sectional design and self-reported outcomes, longitudinal studies and measurement-invariance testing are warranted to support stronger causal and cross-group inference in future work.

Forest areas may represent an important component of everyday urban environments, yet evidence remains mixed regarding whether perceived proximity and actual use show similar associations with health-related outcomes. Using a cross-sectional descriptive–correlational design, this study examined associations of perceived stress and self-rated health with perceived walking access to the nearest forest, residential green view, visit frequency, and visit duration among adults living in İstanbul, Türkiye. The study included 345 adults aged 18 years and older; complete PSS-14 data were available for 332 participants. In bivariate analyses, older age was associated with lower perceived stress, whereas longer perceived walking time was associated with higher perceived stress. Greater residential green view, more frequent visits, and longer visit duration were associated with lower perceived stress. For self-rated health, only visit frequency showed a significant bivariate association. In adjusted analyses, visit frequency remained independently associated with lower PSS-14 scores, whereas green view showed a borderline inverse association. In the ordinal logistic regression model, female sex was associated with higher odds of reporting worse self-rated health, while visit frequency and green view remained borderline. These findings indicate modest associations, with the clearest pattern observed for visit frequency and perceived stress. Given the convenience-sample design, self-reported exposure measures, and low model explanatory power, the findings should be interpreted as correlational and hypothesis-generating rather than causal.

İklim değişikliği, 21. yüzyılın en önemli küresel tehditlerinden biri olarak sağlık sistemlerini çok boyutlu biçimde etkilemektedir. Artan sıcaklıklar, aşırı hava olayları, bulaşıcı hastalık dinamiklerindeki değişimler ve çevresel riskler, sağlık hizmetlerine olan talebi artırırken sağlık altyapıları ve yönetim süreçleri üzerinde önemli baskılar oluşturmaktadır. Bu bağlamda sağlık yönetimi yalnızca hizmet sunumunun organizasyonu ile sınırlı kalmamakta; aynı zamanda krizlere uyum sağlayabilen, dayanıklı ve sürdürülebilir sistemlerin geliştirilmesini gerektirmektedir. Bu bölümde iklim krizleri bağlamında sağlık yönetimi liderlik, psikolojik dayanıklılık ve politika adaptasyonu perspektiflerinden ele alınmaktadır. Öncelikle iklim değişikliğinin sağlık sistemleri üzerindeki etkileri ve bu etkilerin yönetsel süreçlere yansımaları tartışılmaktadır. Ardından kriz dönemlerinde sağlık yöneticilerinin liderlik rolleri ve psikolojik dayanıklılık kapasitesinin kurumsal sürdürülebilirlik açısından önemi incelenmektedir. Bölümde ayrıca sağlık sistemlerinin iklim krizlerine uyum sağlayabilmesi için politika düzeyinde gerekli dönüşümler ve kurumsal adaptasyon stratejileri değerlendirilmiştir. Son olarak iklim kaynaklı sistemsel baskı, liderlik kapasitesi, psikolojik dayanıklılık ve politika adaptasyonu arasındaki ilişkiyi açıklayan bütüncül bir kavramsal çerçeve önerilmektedir. Bu yaklaşım, iklim krizleri çağında sağlık yönetiminin insan, kurum ve politika boyutlarını bütüncül bir perspektifle ele almanın önemini ortaya koymaktadır.

In contemporary times, characterized by urbanization, chronic stress, and lifestyle-related diseases, nature-based health solutions are increasingly gaining importance as a complementary component of preventive health services. Scientific studies have demonstrated that forest environments reduce stress indicators such as cortisol and blood pressure, and improve mood. This approach brings together biodiversity conservation and public health development within the same policy framework, contributing to both individual well-being and sustainable development. This study examines international practices related to health tourism in forests and evaluates the adequacy of Türkiye's legal and institutional infrastructure. The cases of Japan (shinrin-yoku since 1982), South Korea (forest welfare legislation), China (forest health bases), Germany (statutory therapeutic and healing forests), and Latvia (historical therapeutic area defined by law in Ķemeri National Park) have been compared through academic literature and official regulations. The results demonstrate that in successful countries, the health function of forest environments is defined according to evidence-based criteria and granted legal status. In Türkiye, although approximately 99% of forests are state-owned, health-oriented forest use is subject to two separate permit regimes under Article 17 of the Forest Law and Article 8 of the Tourism Promotion Law, both of which treat forests as immovable property. The study recommends linking the two permit regimes, defining a "therapeutic forest" category, establishing regulations for national parks and nature reserves, and adopting an integrated planning approach based on criteria such as biodiversity, tranquility, accessibility, water, and microclimate, integrated with ecotourism routes.

Patient satisfaction in chronic disease care reflects clinical encounters as well as the conditions under which healthcare services are accessed and organi