Aim
The aim of this study is to determine the effect of organizational support and COVID‐19 macro‐control perception levels on intention to quit in physicians and nurses.
Background
During the pandemic process, healthcare workers faced great health risks and workloads. Many health workers are considering quitting their job.
Method
A cross‐sectional and explanatory research. The sample of the study consisted of 300 nurses and 73 physicians. To collect data, COVID‐19 perception of macro‐control, perceived organizational support, and intention to quit scales were used. Structural equation modeling was used.
Results
COVID‐19 macro‐control perception and perceived organizational support have a negative effect on the intention to quit. The perceived organizational support has a partial mediating role, on the COVID‐19 macro‐control perception and the intention to quit.
Conclusion
This study demonstrated that the macro measures taken against the pandemic and the organizational support received by the nurses and physicians, who are the main actors in the fight against the epidemic, negatively affected their intention to leave.
Implications for nursing practice and clinical relevance
To reduce the intention to quit health workers during the COVID‐19 pandemic, scientific‐based macro‐control measures should be taken, and organizational support should be provided.
Objectives: The aim of the study was to investigate the causes and rates of readmissions within 90 days after primary and revision knee and hip arthroplasties. Patients and methods: A total of 1,516 patients (290 males, 1,226 females; mean age 64.7±10.5 years; range, 21 to 91 years) who underwent primary total hip arthroplasty (THA), primary total knee arthroplasty (TKA), revision THA, and revision TKA between January 2013 and December 2014 were retrospectively analyzed. All readmissions within 90 days as of discharge dates of patients were analyzed and were categorized as planned readmissions related to the index admission, unplanned readmissions related to the index admission, planned readmissions unrelated to the index admission and unplanned readmissions unrelated to the index admission. Results: Readmission rate in the overall of study group was found to be 5.61%. This rate varied depending on the procedure applied, ranging between 2.35 and 6.74%. Unplanned readmissions related to the index admission within 90 days consisted of 60.0% of total readmissions. A total of 82.0% of readmissions within 90 days was due to surgical reasons. Planned readmissions unrelated to the index admission within 90 days were also frequently seen (31.76%). Totally 48.23% of total readmissions within 90 days occurred within the first 30 days. A total of 48.23% of the total readmissions and 58.82% of the readmissions which were unplanned and related to the index admission occurred within the first 30 days. Conclusion: After knee and hip arthroplasties, readmissions occur due to various reasons. Therefore, it is of utmost importance to identify the readmission type in the evaluation of readmissions which may increase the effectiveness of precautions to be taken.
Hastanelere başvuran hastaların tedavileri için gerekli hizmetlerin hem süresi hem de yoğunluğu önemli ölçüde farklılaşmaktadır. Hastalar tarafından kullanılan hastane çıktılarının nispi miktarları ve türleri, hem hastanın durumuna hem de uygulanan te-davi sürecine bağlıdır. 1 Ayrıca hastaneler arasında da başvuran hastaların tedavi ve kaynak kullanımı ihtiyaçları birbirinden farklılaşabilmektedir. Bu farklılığı, hastanenin bulunduğu hizmet basamağı (2 ya da 3. basamak), yakın çevrede alternatiflerin varlığı, has-
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