Bu çalışma, sağlık çalışanlarında psikolojik sermayenin iş performansına etkisini belirlemek amacıyla yapılmıştır. Çalışmaya katılmayı kabul eden sağlık kurumlarının farklı birimlerinde çalışmakta olan sağlık çalışanı sayısı 137'dir. Çalışmada, Luthans vd., ( 2007)'nin geliştirmiş olduğu Türkçe'ye uyarlaması ise Çetin ve Basım (2012) tarafından yapılan "Psikolojik Sermaye Ölçeği" ve Tercan (2017) tarafından geliştirilen "İş Performansı Ölçeği" kullanılmıştır. Çalışma sonucunda psikolojik sermaye ölçeği ile cinsiyet, eğitim durumu, toplam mesleki yıl ve bulundukları kurumda çalışma süresi arasında istatiksel olarak anlamlı bir fark olduğu belirlenmiştir. Psikolojik sermayenin iş performansı üzerinde istatiksel olarak anlamlı ve pozitif yönlü bir etkisinin olduğu belirlenmiştir. Psikolojik sermayenin alt bileşenlerinden öz yeterlilik ve umut istatiksel olarak iş performansını anlamlı ve pozitif yönde etkilemektedir. Buna göre psikolojik sermayenin ve alt boyutlarının iş performansının arttırılmasında katkısı olacağı söylenebilir.

Introduction:Metabolic Syndrome (MetS) is basically a cluster of cardiovascular risks that involve changes in metabolic and hemodynamic indicators; various organizations have defined it with small differences. Metabolic syndrome is a lethal endocrinopathy starting with insulin resistance and inviting a chain of systemic disorders such as abdominal obesity, glucose intolerance or diabetes mellitus (DM), dyslipidemia, hypertension (HT) and coronary artery disease (CAD).Material and methods:This prospective and descriptive study was conducted at the Cardiology Clinic of a Private Hospital in Osmaniye between January 2014 and May 2014. The study population included all patients who were administered a CA procedure at the Cardiology Clinic of Private New Life Hospital in Osmaniye in 2014.Results:The majority of the patients were male (63.3%), the mean age was 59.09±10.98, vast majority of them had social security (98.5%), 32.8% of them smoked, 7.2% had peripheral arterial disease (PAD), 52.5% were diagnosed with DM, 24.8% with HT, percutaneous transluminal coronary angioplasty (PTCA) or stent was administered to 40.3% of the patients who underwent CA and coronary artery bypass grafting (CABG) was decided for 15.5% of them. 41.8% of the patients met the MetS diagnosis criteria. The mean BMI was found to be 28.61±4.68, the mean FBS to be 143.20±74.83, the mean triglyceride value to be 168.73±96.94 and the mean HDL value to be 37.04±9.20. Although male gender came first among the patients who underwent CA, the prevalence of MetS did not show a statistically significant correlation with gender, mean age or smoking. The prevalence of HT, PAD and DM was significantly higher in the patients who met the MetS criteria. The mean values of FBS, HDL, CK-MB, triglyceride and cholesterol were also significantly higher in the patients who met the MetS criteria. As BMI increased, the rate at which MetS criteria are met also increased.Conclusion:The objective is to prevent diabetes and cardiovascular diseases. Weight loss achieved with proper nutrition and an exercise program will have a reversing effect on all the disorders seen in metabolic syndrome.

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The most common diseases in adults is Coronary Artery Disease (CAD). 1 According to the report on Cardiac Diseases in Turkish Adults and Risk Factors (RCDTARF) in 2009, CAD is in the first place as a cause of death both in males and females and CAD-related deaths are higher than in all of the European countries. 2 Coronary angiography (CAG) is a common invasive diagnostic method used for diagnosing and assessing CAD and heart valve diseases. 3,4 The CAG implementation causes to experience intensive stress, pain and anxiety as well as fear of death in many patients. 5 Many factors including previous experience, pain, anxiety, foreign environment and fear contribute to ABSTRACT Background: The problems and complications experienced by the patients who underwent a CAG due to their pain and anxiety can be minimized through a care plan prepared to meet their needs and a coordinated teamwork. In this prospective and descriptive study we aimed at determining the effect of coronary angiography results and perceived pain on anxiety level in patients who undergoing coronary angiography. Methods: The study was carried out with patients who were implemented coronary angiography for the first time at the cardiology clinic of Osmaniye private new life hospital between May 2014 and August 2014. The study data were collected using the State-Trait Anxiety Inventory (STAI), a verbal pain rating scale and a questionnaire that was prepared by the investigators. The descriptive data are given in the form of arithmetic mean Standard Deviation (SD), numbers and percentage distribution. The correlations between the variables were assessed using crosstabs, one-way ANOVA and the Pearson's correlation analysis. The data were evaluated in 95% confidence interval and at a significance level of P <0.05. Results: 35.9% of the patients stated that they felt severe pain. The mean anxiety score was 36.746.81 and those who felt very severe and unbearable pain had higher mean anxiety scores (P <0.01). Those who had three coronary diseases had higher anxiety levels (41.149.30) than those who had an atherosclerotic stenosis and #8805;50% (normal) (35.945.49) (P <0.01). Gender had an influence on pain levels (P <0.01). Conclusion: Coronary angiography results and pain perception were determined to be statistically significant effects on anxiety level. A statistically significant correlation was found between pain and anxiety. In general, pain and anxiety affect each other positively; an increase in one results in an increase in the other.

Aims and Objectives This study aimed to: (a) identify and examine the influence of clinical leadership, creative team climate (CTC) and structural empowerment (SE) on the nurse performance (NP) of clinical nurses in hospitals in Turkey, and (b) establish a model designed to verify the fit and effect of these factors. Background Nurse performance is a significant indicator of work efficiency, patient care quality and patient safety. Existing studies explaining the mechanisms that lead to higher nurse performance have been limited. Design This descriptive, cross‐sectional study used relation prediction modelling and adhered to STROBE guidelines. Methods This study used an online survey to collect data from volunteered 664 clinical nurses working in hospitals in Turkey. The data were analysed using SPSS version 26.0 and the AMOS 24.0 program. Path analysis was used to verify/test the hypothetical model, and the fit was evaluated by χ2/df, GFI, AGFI, NFI, CFI, IFI, RFI, TLI, RMR and RMSEA. Results The fit index of the modified path model was χ2/df = 3.730, GFI = 0.904, AGFI = 0.892, NFI = 0.907, CFI = 0.923, IFI = 0.923, RFI = 0.906, TLI = 0.912, RMR = 0.078 and RMSEA = 0.064. Through creative team climate and structural empowerment, clinical leadership had the greatest standardised direct (β = .35) and indirect (β = .17) effects on clinical nurse performance, the final outcome variable. Creative team climate (β = .23) and structural empowerment (β = .19) also had a significant standardised direct effect on nurse performance. Clinical leadership, creative team climate and structural empowerment explained 39% of the total variance of nurse performance. Conclusions This study shows that clinical nurse performance in hospitals was significantly influenced by clinical leadership, creative team climate and structural empowerment. The results suggest that intervention programmes considering these factors could be implemented to enhance nurse performance. Relevance to Clinical Practice Improved nurse performance requires strong clinical leadership, creative team climate and structural empowerment. Therefore, healthcare organisations may implement initiatives to enhance nurse performance by taking these factors into account.