T�rkiye�de Hekime Y�nelik Fiziksel ve S�zel �iddet D�zeyini Tespit Etmeye Y�nelik Bir Meta Analizi

S�leyman Demirel �niversitesi, Sa�l�k Y�netimi B�l�m�, Isparta, Turkiye

G�R�� ve AMA�: Hekimlere y�nelik �iddet d�nya �ap�nda �nemli bir sorundur. Bu ara�t�rman�n amac�, T�rkiye�de hekime y�nelik fiziksel ve s�zel �iddet d�zeyini meta analiz y�ntemiyle tespit etmektir.
Y�NTEM ve GERE�LER: Ara�t�rma kapsam�nda T�rkiye�de 2000-2019 y�llar� aras�nda hekime y�nelik fiziksel �iddet ve s�zel �iddetin incelendi�i �al��malar�n literat�r tarama stratejilerine g�re sistematik taramas� yap�lm��t�r. Ara�t�rmada kalite de�erlendirilmesi yap�lm�� ve elde edilen �al��malar meta analiz y�ntemi ile analiz edilmi�tir. Ara�t�rmada Cochrane Q istatisti�i ve I� �al��ma sonu�lar�n�n heterojen olup olmad��n� de�erlendirmek i�in hesaplanm��t�r. Meta analizde rastgele etkiler modeli ve etki tipi olarak ise Fisher z istatisti�i kullan�lm��t�r. Yay�n yanl�l�� huni grafi�i, Egger�s linear regression testi ile Begg ve Mazumdar s�ra korelasyonlar� istatisti�i ile analiz edilmi�tir.
BULGULAR: Ara�t�rma sonu�lar� PRISMA ak�� diyagram� �er�evesinde, fiziksel �iddet i�in 18 s�zel �iddet i�in ise 17 ara�t�rma meta analizi sonu�lar� forest plot ile g�sterilmi�tir. Rastgele etkiler modelinde y�r�t�len ara�t�rmada fiziksel �iddet skoru 0,08 (G.A; 0,05-0,13; p<0.05), s�zel �iddet skoru ise 0,52 ( GA; 0,43-0,60; p<0.05) olarak tespit edilmi�tir. Yay�n belirlenmesi i�in huni grafi�indeki sa��l�mlar incelenmi�, Egger�s linear regression test, Begg ve Mazumdar s�ra korelasyonlar� istatisti�ine g�re yay�n yanl�l�� olmad�� tespit edilmi�tir.
TARTI�MA ve SONU�: Hekime y�nelik fiziksel �iddet d�zeyi s�zel �iddete g�re olduk�a d��k oldu�u tespit edilmi�tir. Ayr�ca fziksel ve s�zel �iddette ara�t�rma t�r�n�n makale ya da tez olma durumunun moderat�r rol oynamaktad�r. Ancak fizeksel �iddette Ankara ve �stanbul �ehirlerinde yap�lan �al��malar�n moderat�r rol oynar iken s�zel �iddete moderat�r rol oynamad�� saptanm��t�r. Sa�l�k kurumlar�nda fiziksel ve s�zel �iddet olaylar�n�n neden olan fakt�rlerin ara�t�r�larak yok edilebilmesi i�in sa�l�k politikalar� olu�turulmal�d�r.

Anahtar Kelimeler:

A Metaanalys�s To Determ�ne The Level Of Phys�cal and Verbal V�olence Aga�nst Phys�c�ans In Turkey

S�leyman Demirel University, Department Of Health Management, Isparta, Turkey

INTRODUCTION: Violence against physicians is a major problem worldwide. The aim of this research is to determine the level of physical and verbal violence against physicians in Turkey by means of meta-analysis.
METHODS: Research within the scope of physical violence and verbal violence against doctors in Turkey between the years 2000-2019 that examined the systematic screening studies have been conducted in accordance with the strategy literature. Quality evaluation was performed in the study and the studies were analyzed with meta-analysis method. Cochrane Q statistic and I� were calculated to assess whether the results of the study were heterogeneous. In the meta-analysis, the random effects model and Fisher z statistics were used as the effect type. The publication bias funnel graph was analyzed with Egger�s linear regression test and Begg and Mazumdar rank correlation statistics.
RESULTS: In the framework of the PRISMA flow diagram, the results of the study were shown by 18 plot for physical violence and 17 for meta-analysis by forest plot. In the study conducted with random effects model, physical violence score was 0.08 (CI; 0.05-0.13; p <0.05) and verbal severity score was 0.52 (CI; 0.43-0.60; p <0.05). was determined. In order to determine the publication, the scatterings in the funnel graph were examined and there was no publication bias according to the Egger�s linear regression test, Begg and Mazumdar rank correlation statistics.
DISCUSSION AND CONCLUSION: The level of physical violence against physicians was found to be quite low compared to verbal violence. In addition, physical and verbal violence plays a moderator role in the status of the article or thesis. However, it was found that the studies conducted in the cities of Ankara and Istanbul play a moderator role in physical violence, whereas it does not play a moderator role in verbal violence.

Keywords:

Arzu Yi�it, Dilruba U�urluo�lu. A Metaanalys�s To Determ�ne The Level Of Phys�cal and Verbal V�olence Aga�nst Phys�c�ans In Turkey. Journal of Health and Nursing Management. 2020; 7(1): 99-111

Sorumlu Yazar: Arzu Yi�it, T�rkiye