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Journals / Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi / 2026 / Cilt: 12 Sayı: 1

The Effect of Organization Type on Violence Against Healthcare Workers: The Mediating Role of Job Stress

Kurum Türünün Sağlık Çalışanlarına Yönelik Şiddet Üzerindeki Etkisi: İş Stresinin Aracılık Rolü

Begüm Yalçın(İstanbul Beykent Üniversitesi)0000-0002-3149-4854
Ayzanur Aydemir(İSTANBUL AYDIN ÜNİVERSİTESİ)0009-0005-5892-4155
Ayşegül Akcan(İSTANBUL AYDIN ÜNİVERSİTESİ)0009-0004-0470-5494
Kemal Tali(İSTANBUL AYDIN ÜNİVERSİTESİ)0009-0006-9132-8512
Murat Ulukaya(İSTANBUL AYDIN ÜNİVERSİTESİ)0009-0006-0079-3137
Pages
49–64
Publication Date
2026-04-29
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Furthermore, it is essential that policymakers conduct studies within the referral chain to regulate the flow of patient referrals.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The study aims to reveal the effect of institution type on violence against healthcare workers and to identify the mediating role of job stress in this effect.
📊
Key Findings & Data:A cross-sectional design was adopted in the study, and data were obtained from a total of 330 healthcare workers employed at a public and a private hospital operating in Istanbul using a face-to-face survey method.
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Conclusion & Impact:Furthermore, it is essential that policymakers conduct studies within the referral chain to regulate the flow of patient referrals.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Kurum türü · iş stresi · sağlıkta şiddet

Abstract

The study aims to reveal the effect of institution type on violence against healthcare workers and to identify the mediating role of job stress in this effect. A cross-sectional design was adopted in the study, and data were obtained from a total of 330 healthcare workers employed at a public and a private hospital operating in Istanbul using a face-to-face survey method. The hypothesized model was tested using SPSS and AMOS software programs. According to the analysis results, work stress was found to play a mediating role in the effect of institution type on violence against healthcare workers (95% CI = -0.103, -0.019). Accordingly, the type of institution negatively affects employees’ work stress (p<0.005, β=-0.154), which in turn increases exposure to violence (p<0.001, β=0.416). When these findings are evaluated, it is understood that healthcare personnel working in public hospitals experience work stress due to a higher patient load compared to private hospitals, relatively unclear organizational boundaries, and perceived weakness of organizational sanctions, and that these conditions significantly increase the likelihood of violence. In this context, institutional enforcement mechanisms should be implemented in public hospitals to reduce stress and violence, and the organizational support perceived by employees should be strengthened. Furthermore, it is essential that policymakers conduct studies within the referral chain to regulate the flow of patient referrals.

Özet

Çalışmanın amacı, kurum türünün sağlık çalışanlarına yönelik şiddet üzerindeki etkisini ortaya çıkarmak ve bu etkide iş stresinin aracı rolünü tespit etmektir. Araştırmada kesitsel bir tasarım benimsenmiş ve veriler İstanbul’da faaliyet gösteren bir kamu ve bir özel hastanede görev yapan toplam 330 sağlık çalışanından, yüz yüze anket yöntemi kullanılarak elde edilmiştir. Hipotez edilen model, SPSS ve AMOS yazılım programları kullanılarak test edilmiştir. Analiz sonucuna göre, kurum türünün sağlık çalışanlarına uygulanan şiddet üzerindeki etkisinde iş stresinin aracı rol oynadığı tespit edilmiştir (%95 GA=-0,103, -0,019). Buna göre, kurum türü çalışanların iş stresini olumsuz etkilemekte (p<0,005, β=-0,154), bu durum da şiddete maruziyeti artırmaktadır (p<0,001, β=0,416). Bu bulgular değerlendirildiğinde, kamu hastanelerinde çalışan sağlık personelinin özel hastanelere kıyasla daha yoğun hasta başvurusu, kurumsal sınırların görece belirsizliği ve algılanan kurumsal yaptırımın zayıflığı nedeniyle iş stresi yaşadığı, bu koşulların ise şiddete dönüşme olasılığını anlamlı biçimde artırdığı anlaşılmaktadır. Bu bağlamda, kamu hastanelerinde stres ve şiddeti azaltmaya yönelik, kurumsal yaptırım mekanizmaları işletilmeli ve çalışanların algıladığı örgütsel destek güçlendirilmelidir. Ayrıca, politika geliştiricilerin hasta başvuru akışının düzenlenmesi amacıyla sevk zinciri kapsamında çalışmalar yürütmesi elzemdir.

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Cite This Article

Yalçın, B., Aydemir, A., Akcan, A., Tali, K., Ulukaya, M. (2026). The Effect of Organization Type on Violence Against Healthcare Workers: The Mediating Role of Job Stress. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, Cilt: 12 Sayı: 1, 49–64. https://ajindex.com/articles/1570418

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