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- ArticleAçık Erişim2026The effect of perceived victimization on willingness to migrate among Turkish doctors: mediator of job dissatisfaction and moderator of perceived career opportunity
Agaoglu, Ferhat Onur; Bas, Murat; Tarsuslu, Sinan; Ekinci, Lokman Onur
Background: Increasing workload and difficult working conditions among doctors in Turkey may cause professional dissatisfaction and a perception of victimization. The emerging adverse conditions require a more in-depth examination of the factors affecting doctors’ migration tendencies. This study examines the mediating role of job dissatisfaction and the moderating role of perceived career opportunities on the effect of perceived victimization on migration intention among Turkish doctors. Methodology: In the study, the surveys obtained from 453 doctors were included in the analysis. Simple random sampling method was used in this descriptive-relational and cross-sectional study. Results: It was found that doctors’ perception of victimization has a significant and positive effect on their willingness to migrate. Also, job dissatisfaction plays a mediating role in the perception of victimization and willingness to migrate. In addition, it was found that perceived career opportunity has a moderating effect on the relationship between the perception of victimization and willingness to migrate and that perceived career opportunity has a situational mediating role in the mediating role of job dissatisfaction. Conclusion: The research contributes to the literature by examining the relationship between victimisation, career opportunity, and job dissatisfaction that affect the willingness of doctors to migrate. In addition, it provides recommendations on a current issue due to the treatment of physician migration, which is on Turkey’s agenda.Implementing strategies to reduce doctors’ perception of victimization, increase job satisfaction, and enhance career opportunities is critical to reducing their propensity to migrate, and some solutions are suggested for practitioners.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025Sosyal Medyanın Sağlık Hizmeti Tercihleri Üzerindeki Etkisi: Sürü Etkisi ve Elektronik Ağızdan Ağıza Pazarlamanın Paralel Aracılık Rolleri
Baş, Murat; Tarsuslu, Sinan; Agaoglu, Ferhat Onur; Ekinci, Lokman Onur
Günümüzün dijitalleşen dünyasında sosyal medya, tüketici davranışlarını önemli ölçüde etkilemekte ve özellikle sağlık hizmetleri tercihlerinde belirleyici bir rol oynamaktadır. Bu noktada sosyal medya platformları (Instagram, Facebook, TikTok vb.), bireylerin sağlık hizmetlerine yönelik satın alma kararlarını şekillendirmede kritik bir etkiye sahip olabilmektedir. Bu doğrultuda, mevcut çalışma, sosyal medya kullanımının satın alma niyeti üzerindeki etkilerini sosyal etki teorisi çerçevesinde inceleyerek e-WOM ve sürü psikolojisinin paralel aracı rollerini ortaya koymayı amaçlamaktadır. Çalışma kapsamında, araştırma hedefleri, Türkiye'de sağlık hizmetlerinden yararlanmak için çevrimiçi platformları kullanan ve aynı zamanda sosyal medya hesaplarına sahip olan 1003 bireyden oluşan bir örneklem üzerinde gerçekleştirilmiştir. Çalışmada amaçlı örnekleme tekniği kullanılmıştır. Ayrıca, çalışmada kesitsel bir tasarım benimsenmiş ve betimsel- ilişkisel bir yaklaşım benimsenmiştir. Araştırma bulguları, sosyal medya kullanımının satın alma niyeti üzerinde doğrudan etkisi olduğunu, e-WOM’un, sosyal medya kullanımı ile satın alma niyeti arasındaki ilişkide aracılık rolü oynadığı ve sürü psikolojisinin sosyal medya kullanımının satın alma niyeti üzerindeki etkisinde aracılık rolü oynadığı tespit edilmiştir. Ayrıca sosyal medya kullanımının satın alma niyeti üzerindeki etkisinde e-WOM ve sürü psikolojisi değişkenlerinin paralel aracılık rolünün olduğu da bulgulanmıştır. Bu bulgular, işletmelerin sosyal medya gönderilerinde sosyal etki faktörlerini dikkate alarak dijital pazarlama stratejileri tasarlamasının, tüketicilerin satın alma niyetlerini önemli ölçüde artırabileceğini ve rekabet avantajı sağlayabileceğini düşündürmektedir.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025The mediating digital literacy and the moderating role of academic support in the relationship between artificial intelligence usage and creative thinking in nursing students
Agaoglu, Ferhat Onur; Bas, Murat; Tarsuslu, Sinan; Ekinci, Lokman Onur; Agaoglu, Nihat Bugra
Background: Artificial intelligence can be an important tool in developing creative thinking while supporting individualized learning and problem-solving skills in educational processes. However, the effect of artificial intelligence on creative thinking may differ depending on factors such as students’ digital literacy level and the academic support they receive. In this context, how artificial intelligence can encourage creative thinking in educational processes and how this process is shaped by digital literacy and academic support stands out as an issue to be investigated. Purpose: This study artificial intelligence to determine the effect of artificial intelligence use on creative thinking skills in nursing students, the mediating role of digital literacy in this effect, and the situational mediating effect of academic support. Method: This cross-sectional and descriptive correlational study was conducted with 426 nursing students from three universities in different regions of Turkey during the fall semester of 2024–2025. Simple random sampling method was used. Data were collected through demographic information form and four valid and reliable scales. Result: Research findings show that using artificial intelligence substantially and significantly affects Creative Thinking (β = 0.70, p < 0.001). Digital literacy plays mediating role in this relationship, indirectly strengthening the effect of artificial intelligence use on creative thinking (β = 0.422, LLCI = 0.357, ULCI = 0.490). As a moderating factor of this relationship, the academic support creates a more limited effect at low levels of academic support (Effect = 0.224). At the same time, it maximizes this effect at high levels of support (Effect = 0.298). Conclusion: The effect of artificial intelligence use on Creative Thinking is significantly strengthened by the mediating role of digital literacy and the moderating role of academic support. These findings suggest that developing digital skills and strengthening academic support mechanisms are critical to integrating artificial intelligence technologies into educational processes. © The Author(s) 2025.; Artificial intelligence significantly increases the creative thinking tendencies of nursing students both directly and through digital literacy. The academic support is a critical factor that strengthens the development of creative thinking skills by regulating the effect of artificial intelligence usage on digital literacy. Integrating artificial intelligence applications into the curriculum and developing digital literacy skills in nursing education programs can potentially increase the creative thinking and problem-solving competencies of 21st-century health professionals.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025Serial mediating role of transformational leadership and perception of artificial intelligence use in the effect of employee happiness on innovative work behaviour in nurses
Agaoglu, Ferhat Onur; Bas, Murat; Tarsuslu, Sinan; Ekinci, Lokman Onur
Background: Increasing quality and efficiency in health services can directly relate to nurses’ innovative work behaviors. The happiness levels of nurses at the workplace can positively affect their innovative work behaviors and their willingness to make a positive difference in patient care. In this context, the study aims to examine the serial mediation role of these factors by associating the effect of nurse happiness on innovative work behaviors with transformational leadership and perception of artificial intelligence use. Methods: Nurses working in two medium-sized public hospitals in the Eastern Black Sea region of Turkey were selected as the study sample. Data were collected from 458 nurses by convenience sampling method. In this cross-sectional study, scales whose validity and reliability were supported by other studies were used. Results: When the findings of the study were evaluated, a significant positive relationship was found between nurses’ happiness and innovative work behavior. In addition, it was found that transformational leadership and perception of AI usage had a mediating role separately in the relationship between nurses’ happiness and innovative work behavior. Finally, when the research model was tested, it was also determined that transformational leadership and perception of AI use have a serial mediating role in the relationship between nurses’ happiness and innovative work behavior. Conclusions: This study revealed that nurse happiness has a significant and positive effect on innovative work behaviors, and transformational leadership and perception of artificial intelligence use have a serial mediating role in this relationship. Ultimately, this research offers some theoretical and practical implications for practitioners by emphasizing the strategic importance of transformational leadership practices and the integration of artificial intelligence technologies, as well as increasing the happiness levels of nurses to promote innovation in healthcare services.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025Mediating Role of Disaster Knowledge Level in the Effect of Nurses' Crisis Leadership on Responsibility Taking Behavior After the Türkiye–Syria Earthquake
Agaoglu, Ferhat Onur; Bas, Murat; Tarsuslu, Sinan; Ekinci, Lokman Onur
Aim: This study aims to examine the effect of nurses' crisis leadership on their responsibility-taking behaviors and determine whether the level of disaster-related knowledge mediates this relationship. Methods: This study was conducted using a cross-sectional, descriptive, and correlational design; statistical methods, including mediating variable analysis, were applied. The sample consisted of 563 nurses working in six Hatay province hospitals devastated by the earthquakes. Results: Crisis leadership was positively associated with nurses' taking responsibility behavior and disaster knowledge level. The level of disaster knowledge partially mediated the relationship between crisis leadership and taking responsibility. Conclusion: This study revealed that the effect of crisis leadership on nurses' responsibility-taking behavior was strengthened by their level of disaster knowledge. This finding suggests that education and information about disaster experiences play a critical role in increasing nurses' initiative-taking capacity. Implications for Nursing Practice and Policies: These results highlight the need to provide comprehensive training programs and information materials for nurses to demonstrate effective leadership under disaster conditions. In addition, increasing the knowledge of nurses in the field of disaster management supports the health system in becoming more resilient to crises through policy changes and guidelines being put into practice.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025The Mediating Role of Job Stress in the Effect of Perceived Injustice on Cynicism Among Nurses in Türkiye: A Cross-Sectional Study; [Türkiye’deki Hemşirelerin Algıladığı Adaletsizliğin Sinizme Etkisinde İş Stresinin Aracı Rolü: Kesitsel Bir Çalışma]
Ağaoğlu, Ferhat Onur; Baş, Murat; Ekinci, Lokman Onur
Objective: The aim of this study is to examine the effect of nurses' perceptions of organizational injustice on organizational cynicism and to investigate the mediating role of job stress. Understanding this relationship has crucial implications for improving workplace morale, reducing cynicism, enhancing employee well-being, and ultimately improving patient care quality. Methods: A descriptive, correlational, and cross-sectional study was conducted with 396 nurses working in a medium-sized public hospital in Eastern Anatolia, Turkey, between July and August 2023. Data were collected using demographic information forms and validated scales measuring perceived organizational injustice, organizational cynicism, and job stress. Results: Perceived organizational injustice significantly and positively impacts organizational cynicism (β = 0.181; p =.004) and job stress (β = 0.269; p = .000). Additionally, job stress significantly affects organizational cynicism (β = 0.186; p = .000) and mediates the relationship between perceived organizational injustice and organizational cynicism (β = 0.150, 95% CI [0.126, 0.482]). A significant interaction was also observed between perceived injustice and job stress (β = 0.197, 95% CI [0.094, 0.300]). Conclusion: Results suggest that job stress and perceived organizational injustice independently increase cynicism among nurses. High job stress amplifies cynical attitudes, highlighting the importance of organizational justice in managing job stress and cynicism. Addressing these issues can foster a healthier work environment and enhance both employee satisfaction and the quality of patient care.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2024Sağlık Çalışanlarının Zorunlu Vatandaşlık Davranışının Hizmet Süreçlerini Sabote Etme Davranışı Üzerine Etkisi: Sosyal Kaytarma ve Yüzeysel Rol Yapmanın Paralel Aracılık Rolü
Baş, Murat; Ersari, Goknur; Tarsuslu, Sinan; Ekinci, Lokman Onur
Bu çalışma sağlık çalışanlarının, zorunlu vatandaşlık davranışları ile hizmet süreçlerini sabote etme eğilimleri arasındaki ilişkide sosyal kaytarma ve yüzeysel rol yapma davranışlarının paralel aracılık rolünü ortaya koymak amacıyla tasarlanmıştır. Bu amaç doğrultusunda Türkiye’nin Doğu Anadolu bölgesinde yer alan orta ölçekli bir eğitim ve araştırma hastanesi çalışanları örneklem olarak ele alınmıştır. Kolayda örnekleme yöntemiyle 400 sağlık çalışanından veri toplanmıştır. Araştırma verileri için alan yazınında geçerliliği ve güvenirliliği test edilmiş ölçekler kullanılmıştır. Nicel veri toplama yönteminin kullanıldığı bu araştırma aynı zamanda tanımlayıcı, ilişki aracı ve kesitsel olarak tasarlanmıştır. Araştırma bulguları değerlendirildiğinde sağlık çalışanlarının zorunlu vatandaşlık davranışları ile hizmet süreçlerini sabote etme davranışları, sosyal kaytarma eğilimleri ve yüzeysel rol yapma durumları arasında pozitif yönlü anlamlı ilişkiler; sosyal kaytarma eğilimleri ile yüzeysel rol yapma eğilimleri ve hizmet süreçlerini sabote etme davranışları arasında pozitif yönlü anlamlı ilişkiler ve yüzeysel rol yapma eğilimleri ile hizmet süreçlerini sabote etme eylemleri arasında pozitif yönlü anlamlı bir ilişki tespit edilmiştir. Ayrıca sağlık çalışanlarının zorunlu vatandaşlık davranışları ile hizmet süreçlerini sabote etme eğilimleri arasındaki ilişkide sosyal kaytarmanın ve yüzeysel rol yapma davranışlarının ayrı ayrı aracılık rolünün olduğu bulgulanmıştır. Son olarak sağlık çalışanlarının zorunlu vatandaşlık davranışları ile hizmet süreçlerini sabote etme eğilimleri arasındaki ilişkide sosyal kaytarmanın ve yüzeysel rol yapma davranışlarının paralel aracılık rolünün olduğu da tespit edilmiştir.
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