Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses' views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field. The questionnaire consists of 35 items: 12 items for use, 12 items for quality and 11 items for user satisfaction. A Likert scale type was used in this questionnaire. Responses for usage and quality were assigned a value of 1-5 ('never/almost never/not at all' to 'always/almost always') for each item. Responses for user satisfaction were assigned a value of 1-5 ('not at all', to 'very great') for each item. The study was planned and conducted on nurses working at inpatient care units at one public university hospital, one Turkish Ministry of Health hospital and one private hospital in Kocaeli. A sampling technique was not used because we aimed to conduct the questionnaire among all nurses. At the end of this study, the questionnaire had been conducted on 200 nurses. We found that the average score for the nurses' satisfaction with electronic medical records was 3.28, the average score for using electronic medical records was 1.96, and the average score for the quality of electronic medical records was 3.16. We also determined that there are significant relationships among the use, quality and user satisfaction of electronic medical records. This study revealed that there are significant differences among the mean quality scores for the EMR systems in the Ministry of health hospital, the university hospital and the private hospital. Interestingly, 59.0% of all participants in this study felt that EMR systems were not well integrated into their workflow. In addition, half of all respondents had not been trained in using EMR systems.

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The objective of this study was to examine the plans that public, university and private hospitals in Turkey have made in preparation for possible disasters, and to further investigate what types of measures have been taken as a way of focusing on plan characteristics and surge capacity.The study involved 430 hospitals throughout Turkey, each of which had 100 or more beds according to statistical data issued by The Ministry of Health of Turkey. Of these 430 hospitals, 358 were public, 40 were university-affiliated, and 32 were private. The questionnaires developed for the study were sent to the hospitals by mail. Only 251 hospitals returned responses. The questionnaire response rate was 58.4%. A total of 32 questions were asked in the survey. Frequency distributions of the data for statistical analysis were made, and tables were created according to the type and capacity of the hospitals.This study found that 233 hospitals (92.8%) have written disaster plans. When analyzed according to the type of hospital, 204 public hospitals (93.2%), 19 university hospitals (86.4%) and 10 private hospitals (100%) were found to have written disaster plans. According to the study, 63.5% of the public hospitals, 80% of the private hospitals and 31.8% of the university hospitals perform an exercise on an annual basis, as stated in the disaster plan.Disasters occur at unexpected times and have the potential to seriously affect the demand for health services. Local hospitals are one of the most significant facilities for providing health services during disasters. In this study, the level of disaster preparation of the hospitals in Turkey was examined. KEYWORDS: hospital disaster plan, disaster management, risk managementBrought to you by |

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Background: Understanding relationships between factors that can affect organizational outcomes such as organizational trust, employee commitment and job satisfaction is important to foster healthy work conditions in organizations. Aims: This study aimed to determine the perception of Turkish physicians about organizational trust, employee commitment and job satisfaction and determine the relationships between them. Methods: A questionnaire was developed based on three standard survey instruments and given to 1679 doctors in four training and research hospitals in Istanbul, Turkey, in 2013. The Pearson correlation coefficient was calculated and regression analyses were conducted. Results: A total of 304 doctors completed the survey (18.1% response rate). Most were males (57%), over 30 years old (62%) and specialists (82%). A strong positive correlation was found among the study variables (P ≤ 0.001). Regression analyses indicated that organizational trust was a significant predictor of job satisfaction and commitment. Conclusions: Policy-makers need to consider implementing interventions in the health care system to improve the working conditions of current and future doctors in Turkey, in order to attract and retain them and prevent health care labour force losses.