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Objective: This study aimed to determine the differences in medical students’ perceptions on the organizational culture at a Military Medical School and to reveal possible explanations of them. Method: A total of 205 1st, 2nd, and 6th grade military medical students were invited and 185 of them (coverage rate 90%) participated in the study in 2008. The organizational culture measurement tool previously developed by Turkish researchers was used to determine the perceptions of the students. Reliability analysis, Factor analysis of the scale items and statistical comparisons between groups based on age, grade and certain other characteristics were performed. Results: The average age of participants was 20.2±2.5. The Cronbach’s Alpha Value was 0.90 after dropping two items of the original 31-item scale. The symbol dimension of the scale was scored at the lowest level indicating that the symbol is the strongest part of the organizational culture. The scale becomes more reliable when dropping two items, since the Cronbach’s Alpha value has been increased from 0.89 to 0.90. The total scale and all its dimensions were stronger among 1st grade students than the older ones. Conclusions: Age, medical education and future concerns of students can be the possible explanations of the given difference.Key Words: Students, Medical, Organizational Culture, Education, Medical, Perception Bir askeri tıp fakültesi öğrencilerinin örgüt kültürü algılamalarındaki farklılıklarıAmaç: Bu çalışma bir askeri tıp fakültesindeki örgüt kültürü ile ilgili olarak tıp fakültesi öğrencilerinin algılamalarındaki farklılıkları belirlemeyi ve bunların muhtemel açıklamalarını ortaya koymayı amaçlamıştır. Yöntem: Toplamı 205 olan 1,2ve 6. sınıf askeri tıp fakültesi öğrencileri 2008 yılı içerisinde çalışmaya davet edilmiş ve 185 öğrenci (katılım oranı %90) çalışmaya katılmıştır. Türk araştırmacılar tarafından daha önce geliştirilmiş olan örgüt kültürü ölçeği öğrencilerin algılamalarını belirlemek üzere kullanılmıştır. Ölçeğin güvenirlik analizleri, faktör analizi ve başta sınıf, yaş olmak üzere belli değişkenlere göre gruplar arası karşılaştırmalar yapılmıştır. Bulgular: Katılımcıların yaş ortalaması 20.2±2.5 dir. Orijinal 31 maddelik ölçekten 2 madde atıldıktan sonra ölçeğin Cronbach Alpha değeri 0.90 olarak bulunmuştur. Ölçeğin sembol boyutu en düşük puanı almıştır ve örgüt kültürünün en kuvvetli öğesi olduğu anlaşılmıştır. Ölçek iki madde atıldıktan sonra Cronbach Alpha değeri 0.89 dan 0.90’a yükseldiğinden daha güçlü hale gelmiştir.Toplam ölçek ve diğer tüm boyutlar birinci sınıf öğrencilerinde diğer öğrencilerden daha kuvvetli bulunmuştur. Sonuç: Yaş, tıp eğitimi ve öğrencilerin gelecek kaygılarının bulunan bu farkın olası açıklamaları olabileceği düşünülmektedir.Anahtar Kelimeler: Öğrenciler, Tıp, Kurum kültürü, Eğitim, Tıbbi, Algı, Amaç: Bu çalışma bir askeri tıp fakültesindeki örgüt kültürü ile ilgili olarak tıp fakültesi öğrencilerinin algılamalarındaki farklılıkları belirlemeyi ve bunların muhtemel açıklamalarını ortaya koymayı amaçlamıştır. Yöntem: Toplamı 205 olan 1,2ve 6. sınıf askeri tıp fakültesi öğrencileri 2008 yılı içerisinde çalışmaya davet edilmiş ve 185 öğrenci (katılım oranı %90) çalışmaya katılmıştır. Türk araştırmacılar tarafından daha önce geliştirilmiş olan örgüt kültürü ölçeği öğrencilerin algılamalarını belirlemek üzere kullanılmıştır. Ölçeğin güvenirlik analizleri, faktör analizi ve başta sınıf, yaş olmak üzere belli değişkenlere göre gruplar arası karşılaştırmalar yapılmıştır. Bulgular: Katılımcıların yaş ortalaması 20.2 2.5 dir. Orijinal 31 maddelik ölçekten 2 madde atıldıktan sonra ölçeğin Cronbach Alpha değeri 0.90 olarak bulunmuştur. Ölçeğin sembol boyutu en düşük puanı almıştır ve örgüt kültürünün en kuvvetli öğesi olduğu anlaşılmıştır. Ölçek iki madde atıldıktan sonra Cronbach Alpha değeri 0.89 dan 0.90’a yükseldiğinden daha güçlü hale gelmiştir. Toplam ölçek ve diğer tüm boyutlar birinci sınıf öğrencilerinde diğer öğrencilerden daha kuvvetli bulunmuştur. Sonuç: Yaş, tıp eğitimi ve öğrencilerin gelecek kaygılarının bulunan bu farkın olası açıklamaları olabileceği düşünülmektedir

The purpose of this research is to analyse the multi-item dimensionality of patients' perceived value in hospital service. A total of 564 patients administered to Gulhane Military Medical Academy were surveyed. Sample population was specified through convenience sampling procedure. A face to face survey was conducted by three interviewers in August 2008. Confirmatory Data Analysis was carried out to reach the final data analysis. A scale of overall perceived value in health service was developed, which was composed of three dimensions and represented by 21 items. These dimensions were: Functional value, emotional value, and social value. The results indicated that perceived value was a multidimensional construct that affects the whole process of service purchasing. If the hospitals managers give importance to the sub-dimensions of the patient value inclined to their own hospitals and they regularly examine the situation of these dimensions, they can move one step ahead in achieving patient satisfaction and loyalty.

Objective: This study aims to investigate the association between the burnout syndrome and depressive symptoms among Turkish military nurses.Methods: The study was conducted among Turkish military nurses in Ankara during April 2007. From a total of 490 Nurses, 377 (76.9%) were included in the study. The participants completed a self structured questionnaire, Maslach Burnout Inventory (MBI), and Beck Depression Inventory (BDI). The continuous variables were compared using the student t-test or ANOVA.Results: The mean age of participants was 29.7±5.4. Cronbach alpha values were 0.87, 0.71, and 0.83 for emotional exhaustion (EE), depersonalization (DP), and reversed reduced personal accomplishment (RPA) respectively, and was 0.93 for BDI. BDI mean score was correlated significantly with MBI mean score and mean scores of its all subscales. Of the all items of BDI, while the scores of 18 items were correlated significantly with MBI mean score and mean scores of its all subscales, the scores of remainin...

Despite the fact that; there are various studies that have been performed on burnout syndrome and organizational commitment; number of studies that focus on the relationship between these two concepts is rather low. Target population of this includes 105 active duty health officers who have been serving under the roof of Turkish Armed Forces for more than 10 years in Ankara. The survey form is designed to include demographical features of participants, “Maslach Burnout Inventory” (MBI) and “Continuance and Affective Commitment Scale” of Mayer and Allen. When burnout levels are evaluated according to demographical features; active duty health officers who are graduated from NCOHC, serve in the military quarters and married with children, are found out to have higher scores in terms of affective burnout dimension and depersonalization sub-dimension. When affective burnout levels are evaluated according to location of duty; officers who work in military quarters have been found to have a higher affective burnout score; which has also been discovered to be statistically relevant as well (p=0,033). This study has been evaluated to be a beneficial contribution for future regulations which may intend to increase the overall morale and motivation, decrease the organizational burnout and increase the organizational commitment.

Background: Medical services play a major role in hospital facilities. Along with the medical applications and diagnoses, physicians affect the hospital costs by 70% to 80%. Therefore, the hospital administrators should establish some systems that can modify the current application models of physicians. Objective: This study aimed to investigate the appropriateness of hospitalization days and length of stay of the patients in 13 internal clinics in a military hospital. Study design: 5,205 patient days belonging to 416 patients were evaluated by Appropriateness Evaluation Protocol. Patients' data were retrospectively collected by using a data collection form through patients' files and then were evaluated by frequencies and percentage distributions. Results: The unnecessary hospitalization rate and unnecessary stay rate were 4.8% and 15.75%, respectively. The highest unnecessary hospitalization rates were in nuclear medicine (50%). Conclusion: It was concluded that the inappropriate hospitalization rate and inappropriate stay rates were 4.8% and 15.75%, respectively.

Background: The aim of the study is to find out the factors that make the first-graders and newly graduates on probation in 2012-2013 educational calendar to choose military medical faculty and to determine the precedence that they take into account in choosing a profession. Methods: After having necessary authorizations, this cross-sectional study was conducted in Gulhane Military Medical Academy in Turkey between March 2013 and April 2013. Ninetyfive students who completed their first year education and 58 newly graduated physicians joined the study. The form of survey had two parts. The first part deals with the socio-demographic features of participants and second part has questions that try to find the reasons of their preferences of medical science and military medical faculty and the reasons of not being chosen of military medical faculty and the questions related with their professional career. Results: When the factors that effects participants working life is examined, the rate of people who wants to work continuously in primary care centers is 9,2% (n=14). When first graders and new graduates are examined whether they want to work in other institutions different from Turkish Armed Forces (TAF), a significant difference is found (p

AIM: This study is performed to determine the correlation between manual skill of the Turkish nursing students and their class rank. METHODS: The Purdue Pegboard test is utilized to determine the manual skills of the students. This test is based on the applicability principle of the manual skills at standard time intervals. The study was conducted between February to March 2010 among first and fourth year nursing students of Gulhane Military Medical Academy. RESULTS: Study included 171 Nursing students. The pin placement average of the students was 15.7±1.7 with the right hand, 14.6±1.5 with the left hand and 12.1±1.6 with both hands and their assembly generation average is determined as 8.7±1.6. At a comparison regarding the manual skills of the students, it is determined that the both hand average of the fourth class students was statistically higher than that of the first class students (p = 0.0009). CONCLUSION: There is a need of assessing Turkish normative data on manual dexterity