Dergiler / Hacettepe Sağlık İdaresi Dergisi / 2026 / Cilt: 29 Sayı: 1

ANKARA BİLKENT ŞEHİR HASTANESİ'NDE SAĞLIK ÇALIŞANLARINA YÖNELİK ŞİDDET OLAYLARININ RETROSPEKTİF ANALİZİ

RETROSPECTIVE ANALYSIS OF VIOLENCE AGAINST HEALTHCARE WORKERS IN ANKARA BİLKENT CITY HOSPITAL

Hikmet Cansin İşçi(HACETTEPE ÜNİVERSİTESİ, SOSYAL BİLİMLER ENSTİTÜSÜ, SOSYAL HİZMETLER (DR))0009-0000-1787-0828
Tarık Tuncay(HACETTEPE ÜNİVERSİTESİ, İKTİSADİ VE İDARİ BİLİMLER FAKÜLTESİ, SOSYAL HİZMETLER BÖLÜMÜ)0000-0002-9447-6717
Sayfa
153–170
Yayın Tarihi
2026-03-17
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular, şiddet olaylarının %91’inin sözel, %9’unun ise fiziksel veya karma nitelikte olduğunu göstermektedir.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Bu araştırmada, Türkiye’nin en büyük sağlık komplekslerinden biri olan Ankara Bilkent Şehir Hastanesi’nde 2022–2023 yılları arasında resmi kayıtlara geçen 623 sağlık çalışanına yönelik şiddet vakası retrospektif olarak incelenmiştir.
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Temel Bulgular & Veri:Veriler hastanenin Beyaz Kod kayıtlarından tam sayım yöntemiyle elde edilmiş ve betimsel istatistiksel analizlerle değerlendirilmiştir.
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Sonuç & Katkı:Bulgular, şiddet olaylarının %91’inin sözel, %9’unun ise fiziksel veya karma nitelikte olduğunu göstermektedir.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:2022–2023 Verileri
⚙️Değişkenler:İş yeri şiddeti · Sağlık çalışanları · Sağlıkta şiddet

Özet

Bu araştırmada, Türkiye’nin en büyük sağlık komplekslerinden biri olan Ankara Bilkent Şehir Hastanesi’nde 2022–2023 yılları arasında resmi kayıtlara geçen 623 sağlık çalışanına yönelik şiddet vakası retrospektif olarak incelenmiştir. Çalışma sağlıkta şiddet olgusunu epidemiyolojik bir yaklaşımla kurumsal veri temelli biçimde analiz ederek şehir hastanelerindeki riskin mekânsal, zamansal ve mesleki örüntülerini görünür kılmayı amaçlamaktadır. Veriler hastanenin Beyaz Kod kayıtlarından tam sayım yöntemiyle elde edilmiş ve betimsel istatistiksel analizlerle değerlendirilmiştir. Bulgular, şiddet olaylarının %91’inin sözel, %9’unun ise fiziksel veya karma nitelikte olduğunu göstermektedir. Şiddetin en sık acil servislerde ortaya çıktığı ve çoğunlukla hasta yakınları tarafından uygulandığı; kadın çalışanların daha çok sözel, erkek çalışanların ise fiziksel şiddete maruz kaldığı belirlenmiştir. Şiddeti tetikleyici unsurlar arasında tedavi memnuniyetsizliği, bekleme süreleri ve iletişim yetersizlikleri öne çıkmaktadır. Bulgular yüksek hasta yoğunluğu, personel yetersizliği ve yönetsel baskının şiddet riskini artırdığını göstermektedir. Araştırma şehir hastaneleri modelinin çok disiplinli ve geniş ölçekli yapısı içinde sağlıkta şiddet olgusunun örgütsel dinamiklerini nicel verilerle inceleyen öncü çalışmalardan biri olup sağlık hizmetlerinde risk temelli planlama ve koruyucu politika geliştirme süreçlerine katkı sunmayı hedeflemektedir.

Abstract

This study retrospectively examined 623 incidents of violence against healthcare workers that were officially reported between 2022 and 2023 at Ankara Bilkent City Hospital, one of the largest healthcare complexes in Türkiye. The study aims to illuminate the spatial, temporal, and occupational patterns of workplace violence within city hospitals by analyzing the phenomenon through an epidemiological approach grounded in institutional data. Data were obtained from the hospital’s White Code reporting system using a full-count method and were analyzed through descriptive statistical techniques. The findings indicate that 91% of the incidents involved verbal violence, while 9% consisted of physical or combined forms. Violence was observed most frequently in emergency departments and was predominantly perpetrated by patients’ relatives; female employees were more often exposed to verbal assaults, whereas male employees experienced higher levels of physical violence. Key triggering factors included dissatisfaction with treatment processes, long waiting times, and communication deficiencies. The results further show that excessive patient load, staff shortages, and managerial pressure heighten the risk of violence. Positioned within the multidisciplinary and large-scale structure of city hospitals, this study represents one of the pioneering quantitative analyses examining the organizational dynamics of workplace violence in this healthcare model and aims to provide evidence-based insights for risk-oriented planning and the development of preventive policies in healthcare services.

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Bu Makaleye Atıf Yap

İşçi, H. C., Tuncay, T. (2026). ANKARA BİLKENT ŞEHİR HASTANESİ'NDE SAĞLIK ÇALIŞANLARINA YÖNELİK ŞİDDET OLAYLARININ RETROSPEKTİF ANALİZİ. Hacettepe Sağlık İdaresi Dergisi, Cilt: 29 Sayı: 1, 153–170. https://doi.org/10.61859/hacettepesid.1747326

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Kaynakça (37)

  1. Aljohani, B., Burkholder, J., Tran, Q. K., Chen, C., Beisenova, K., & Pourmand, A. (2021). Workplace violence in the emergency department: A systematic review and meta-analysis. Public Health, 196, 186–197.
  2. Arnetz, J. E., Hamblin, L., Ager, J., Aranyos, D., Essenmacher, L., Upfal, M. J., & Luborsky, M. (2015). Using database reports to reduce workplace violence: Perceptions of hospital stakeholders. Work (Reading, Mass.), 51(1), 51–59.
  3. Arnetz, J. E., Hamblin, L., Sudan, S., Arnetz, B. B., & Underwood, E. (2018). Organizational determinants of workplace violence against hospital workers. Journal of Occupational and Environmental Medicine, 60(8), 693–699.
  4. Aytaç, S., Bozkurt, V., Bayram, N., Yıldız, S., Aytaç, M., Sokullu Akıncı, F., & Bilgel, N. (2011). Workplace violence: A study of Turkish workers. International Journal of Occupational Safety and Ergonomics, 17(4), 385–402.
  5. De Sanctis, V., Soliman, A. T., Daar, S., Tzoulis, P., Fiscina, B., Kattamis, C., & International Network Of Clinicians For Endocrinopathies In Thalassemia And Adolescence Medicine Icet-A (2022). Retrospective observational studies: Lights and shadows for medical writers. Acta Bio-Medica: Atenei Parmensis, 93(5), e2022319
  6. DePorre, A. G., Staggs, V., Hudson, Z., Larson, I., & Nadler, C. (2024). Patient and Visitor-Associated Violence Toward Health Care Workers in a Children's Health System. Pediatrics, 154(2), e2023065041.
  7. Di Martino, V. (2002). Workplace violence in the health sector: Country case studies. International Labour Office.
  8. Dillon, B. L. (2012). Workplace violence: Impact, causes, and prevention. Work, 42(1), 15–20.
  9. Edward, K.-L., Stephenson, J., Ousey, K., Lui, S., Warelow, P., & Giandinoto, J.-A. (2016). A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff. Journal of Clinical Nursing, 25(3–4), 289–299.
  10. Er, T., Ayoğlu, F. N., & Açıkgöz, B. (2021). Violence against healthcare workers: Risk factors, effects, evaluation and prevention. Turkish Journal of Public Health, 19(1), 69–78.
  11. Efrat-Treister, D., Cheshin, A., Harari, D., Rafaeli, A., Agasi, S., Moriah, H., & Admi, H. (2019). How psychology might alleviate violence in queues: Perceived future wait and perceived load moderate violence against service providers. Plos One, 14(6), e0218184.
  12. Hogh, A., Mikkelsen, E. G., & Hansen, Å. M. (2011). Individual consequences of workplace bullying/mobbing. In S. Einarsen, H. Hoel, D. Zapf, & C. L. Cooper (Eds.), Bullying and harassment in the workplace: Developments in theory, research, and practice (2nd ed., pp. 107–128). CRC Press.
  13. Hutchinson, M., Vickers, M., Jackson, D., & Wilkes, L. (2006). Workplace bullying in nursing: towards a more critical organisational perspective. Nursing inquiry, 13(2), 118–126.
  14. International Labour Office [ILO], International Council of Nurses [ICN], World Health Organization WHO], & Public Services International [PSI]. (2002). Framework guidelines for addressing workplace violence in the health sector. https://iris.who.int/server/api/core/bitstreams/b034952a-231e-46c4-bbc1-2883acf731fc/content
  15. International Labour Organization [ILO]. (2003). Code of practice on workplace violence in services sectors and measures to combat this phenomenon. International Labour Office. https://www.ilo.org/sites/default/files/wcmsp5/groups/public/@ed_protect/@protrav/@safework/documents/normativeinstrument/wcms_107705.pdf
  16. International Labour Organization [ILO]. (2019). Violence and harassment convention (No. 190). International Labour Organization. https://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO::P12100_INSTRUMENT_ID:3999810
  17. International Labour Organization [ILO]. (2022). Experiences of violence and harassment at work: A global first survey. International Labour Organization. https://www.ilo.org/sites/default/files/wcmsp5/groups/public/%40dgreports/%40dcomm/documents/publication/wcms_863095.pdf
  18. Jiao, M., Ning, N., Li, Y., Gao, L., Cui, Y., Sun, H., & Hao, Y. (2015). Workplace violence against nurses in Chinese hospitals: A cross-sectional survey. BMJ Open, 5(3), e006719.
  19. Lim, M. C., Jeffree, M. S., Saupin, S. S., Giloi, N., & Lukman, K. A. (2022). Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Annals of Medicine and Surgery, 78, 103727.
  20. Liu, J., Gan, Y., Jiang, H., Li, L., Dwyer, R., Lu, K., Yan, S., Sampson, O., Xu, H., Wang, C., Zhu, Y., Chang, Y., Yang, Y., Yang, T., Chen, Y., Song, F., & Lu, Z. (2019). Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occupational and environmental medicine, 76(12), 927–937.
  21. Lokman Hekim Sağlık Vakfı. (2024). Sağlıkta şiddet algı ve deneyim araştırması. Lokman Hekim Sağlık Vakfı. https://www.lokmanhekimsv.org/wp-content/uploads/2024/04/LHSV-SAGLI%C2%B7KTA-SIDDET-ALGI-CALISMASI-KANTI-RAPORU.pdf
  22. Lu, L., Dong, M., Wang, S. B., Zhang, L., Ng, C. H., Ungvari, G. S., Li, J., & Xiang, Y. T. (2020). Prevalence of Workplace Violence Against Health-Care Professionals in China: A Comprehensive Meta-Analysis of Observational Surveys. Trauma, Violence & Abuse, 21(3), 498–509.
  23. Martinez, A. (2016). Managing workplace violence with evidence-based interventions: A literature review. Journal of Psychosocial Nursing and Mental Health Services, 59(4), 31–36.
  24. Nelson, S., Ayaz, B., Baumann, A. L., & Dozois, G. (2024). A gender-based review of workplace violence amongst the global health workforce-A scoping review of the literature. Plos Global public health, 4(7), e0003336
  25. Nielsen, M. B., & Einarsen, S. V. (2018). What we know, what we do not know, and what we should and could have known about workplace bullying: An overview of the literature and agenda for future research. Aggression and Violent Behavior, 42, 71-83.
  26. Nowrouzi-Kia, B. (2017). The impact of workplace violence on health care workers’ quality of life. Developmental Medicine & Child Neurology, 59(7).
  27. O'Brien, C. J., van Zundert, A. A. J., & Barach, P. R. (2024). The growing burden of workplace violence against healthcare workers: trends in prevalence, risk factors, consequences, and prevention - a narrative review. EClinicalMedicine, 72, 102641.
  28. Organisation for Economic Co-Operation and Development [OECD]. (2023). OECD employment outlook 2023. OECD Publishing. https://www.oecd-ilibrary.org/employment/oecd-employment-outlook-2023_1bb305a6-en
  29. Occupational Safety and Health Administration. (2016). Guidelines for preventing workplace violence for healthcare and social service workers (OSHA Publication No. 3148-04R 2015). U.S. Department of Labor. https://www.osha.gov/sites/default/files/publications/osha3148.pdf
  30. Öz Sağlık-İş Sendikası. (2020). Sağlık çalışanlarına yönelik şiddet araştırması: Sonuç raporu. Öz Sağlık ve Hizmet İşçileri Sendikası. https://ozsaglikis.org/wp-content/uploads/2022/03/Siddet-arastirmasi-Sonuc-Raporu_12Ocak_baski-2.pdf.
  31. Pompeii, L. A., Schoenfisch, A. L., Lipscomb, H. J., Dement, J. M., Smith, C. D., & Upadhyaya, M. (2015). Physical assault, physical threat, and verbal abuse perpetrated against hospital workers by patients or visitors in six U.S. hospitals. American Journal of Industrial Medicine, 58(11), 1194–1204.
  32. Sahip Karakaş, T., Gamsızkan, Z., & Cangur, S. (2021). Exposure of violence and its effects on health care workers. Konuralp Medical Journal, 13(2), 327–333.
  33. Sun, S., Goodwin Gerberich, S., & Ryan, A. D. (2017). The relationship between shiftwork and violence against nurses: A case control study. Workplace Health & Safety, 65(12), 603–611.
  34. Terkeş, N., İlter, S., & Zorlu, E. (2022). Sağlık çalışanlarının şiddetle karşılaşma durumları ve sağlık çalışanları bakış açısıyla şiddetin nedenleri. Izmir Democracy University Health Sciences Journal, 5(2), 620–634.
  35. U.S. Government Accountability Officec [U.S. GAO]. (2016). Additional efforts needed to help protect health care workers from workplace violence (GAO-16-11). U.S. Government Accountability Office. https://www.gao.gov/assets/gao-16-11.pdf
  36. World Health Organization [WHO]. (2019). Burn-out an "occupational phenomenon". https://www.who.int/standards/classifications/frequently-asked-questions/burn-out-an-occupational-phenomenon
  37. Zhang, S. E., Liu, W., Wang, J., Shi, Y., Xie, F., Cang, S., Sun, T., & Fan, L. (2018). Impact of workplace violence and compassionate behaviour in hospitals on stress, sleep quality and subjective health status among Chinese nurses: a cross-sectional survey. BMJ Open, 8(10), e019373.