Palavras-chave
sistema de saúde turco
escala de atitudes
Turquia
desenvolvimento da escala
Como Citar
Resumo
Objetivo – O objetivo deste estudo é desenvolver uma escala para avaliar as atitudes do público em relação à inclusão de profissionais de saúde estrangeiros no sistema de saúde turco.
Referencial teórico – A ideia e o modelo da pesquisa foram desenvolvidos com base em uma revisão da literatura.
Metodologia – No âmbito do estudo, foi aplicado o processo de desenvolvimento de escala. A amostra do estudo é composta por 500 pessoas que vivem no distrito de Karabağlar, em Izmir, na Turquia.
Resultados – A análise fatorial revelou uma estrutura composta por quatro fatores e 24 itens. Esses fatores foram denominados “Perspectiva negativa”, “Confiança profissional”, “Aceitação” e “Política educacional”, a fim de refletir melhor os itens a eles associados. A estrutura determinada pela análise fatorial foi confirmada por meio de uma análise fatorial confirmatória.
Implicações praticais e sociais – Com a globalização, os profissionais de saúde estrangeiros podem trabalhar em muitos países além do seu próprio. Esse estudo, que examina as atitudes do público em relação aos profissionais de saúde estrangeiros que trabalham ou pretendem trabalhar na Turquia, deverá orientar pesquisas subsequentes na área. Isso demonstra o impacto social do estudo.
Contribuições – Uma escala não desenvolvida anteriormente na literatura foi elaborada neste estudo. Essa escala é original em termos de metodologia e recursos humanos.
Referências
Abdul-Rahman, H., Wang, C., Wood, L. C., & Low, S. F. (2012). Negative impact induced by foreign workers: Evidence in Malaysian construction sector. Habitat International, 36(4), 433-443. https://doi.org/10.1016/j.habitatint.2012.03.002
Barber, P., & López-Valcárcel, B. G. (2010). Forecasting the need for medical specialists in Spain: Application of a system dynamics model. Human Resources for Health, 8(1), 1–9. https://doi.org/10.1186/1478-4491-8-24
Boswell, C., & Straubhaar, T. (2004). The illegal employment of foreign workers: an overview. Intereconomics, ISSN 0020-5346, Springer, Heidelberg 39(1), 4-7.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Sage.
Brush, B., Sochalski, J., & Berger, A. (2004). Imported care: Recruiting foreign nurses to U.S. health care facilities. Health Affairs, 23(3), 78–87. https://doi.org/10.1377/hlthaff.23.3.78
Bryman, A., & Cramer, D. (2001). Quantitative data analysis with SPSS Release 10 for Windows. Routledge. https://doi.org/10.4324/9780203471548
Can, E., Konrad, C. M., Khan-Gökkaya, S., Molwitz, I., Nawabi, J., Yamamura, J., ... & Keller, S. (2022). Foreign healthcare professionals in Germany: A questionnaire survey evaluating discrimination experiences and equal treatment at two large university hospitals. Healthcare, 10(12), 2339. https://doi.org/10.3390/healthcare10122339
Chen, P. G., Auerbach, D. I., Muench, U., Curry, L. A., & Bradley, E. H. (2013). Policy solutions to address the foreign-educated and foreign-born health care workforce in the United States. Health Affairs, 32(11), 1906–1913. https://doi.org/10.1377/hlthaff.2013.0576
Clark, L. A., & Watson, D. (2016). Constructing validity: Basic issues in objective scale development. In A. E. Kazdin (Ed.), Methodological issues and strategies in clinical research (4th ed., pp. 187–203). American Psychological Association. https://doi.org/10.1037/14805-012
Clark, L. A., & Watson, D. (2019). Constructing validity: New developments in creating objective measuring instruments. Psychological assessment, 31(12), 1412- 1427. https://doi.org/10.1037/pas0000626
Çiftçioğlu, G., Tunç, G., Güneş, A., Değer, V., & Çifçi, S. (2018). Individual workload perceptions of health workers in hospitals. Journal of Health and Nursing Management, 1(5), 1–8. https://doi.org/10.5222/SHYD.2018.001
DeVellis, F. (2022). Scale development theory and applications (T. Totan, Trans.). Nobel Academic Publishing.
Docquier, F., & Rapoport, H. (2012). Globalization, brain drain, and development. Journal of economic literature, 50(3), 681-730. https://doi.org/10.1257/jel.50.3.681
Dotsey, S. (2023). Foreign healthcare workers and COVID-19 in Europe: The paradox of unemployed skilled labour. Social Sciences, 12(4), 211. https://doi.org/10.3390/socsci12040211
Dussault, G., Fronteira, I., & Cabral, J. (2009). Migration of health personnel in the WHO European Region (No. WHO/EURO: 2009-4045-43804-61667). World Health Organization. Regional Office for Europe.
Eşkin Bacaksız, F., Harmancı Seren, A. K., & Yıldırım, A. (2015). Development of attitude scale towards foreign nurse employment. Journal of Education and Research in Nursing, 12(3), 175–181. https://doi.org/10.5222/HEAD.2015.175
Fornell, C., & Larcker, D. F. (1981). Structural equation models with unobservable variables and measurement error: Algebra and statistics. Journal of Marketing Research, 18, 382–388.
Gorsuch, R. L. (2014). Factor analysis (Classic edition). Routledge. https://doi.org/10.4324/9781315735740
Hall, P. (2005). Brain drains and brain gains: causes, consequences, policy. International Journal of Social Economics, 32(11), 939-950. https://doi.org/10.1108/03068290510623780
Harvey, M., Hartnell, C., & Novicevic, M. (2004). The inpatriation of foreign healthcare workers: A potential remedy for the chronic shortage of professional staff. International Journal of Intercultural Relations, 28(2), 127–150. https://doi.org/10.1016/j.ijintrel.2004.03.005
Hinkin, T. R. (1995). A review of scale development practices in the study of organizations. Journal of Management, 21(5), 967–988. https://doi.org/10.1177/014920639502100509
Hoggard, S. (2023). Integrating foreign healthcare workers into the Japanese healthcare system: An overview. 北海道医療大学看護福祉学部紀要 (Bulletin of the Faculty of Nursing and Welfare, Health Sciences University of Hokkaido), 30, 21–25.
Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariances structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hua, J., Kondo, A., Wang, C., & Ganchulun, S. (2024). Language confidence and job satisfaction among foreign-born nurses in Japan: mediating effect of workplace discrimination and moderating effect of immigration duration. BMC nursing, 23(1), 450. https://doi.org/10.1186/s12912-024-02116-3
International Labour Organization (ILO). (2020). Are there enough health workers? Retrieved September 19, 2024, from https://www.ilo.org/tr/resource/news/yeterli-sayida-saglik-calisani-var-mi.
Karagöz, Y. (2021). SPSS and AMOS applied qualitative-quantitative-mixed scientific research methods and publication ethics. Nobel Academic Publishing.
Karagöz, Y., & Bardakçı, S. (2020). Measurement tools used in scientific research and scale development. Nobel Academic Publishing.
Kline, P. (1994). An easy guide to factor analysis. London: Routledge.
Kovacheva, V., & Grewe, M. (2015). Migrant workers in the German healthcare sector. WORK→ INT National Background Report.
Larsen, J. (2007). Embodiment of discrimination and overseas nurses' career progression. Journal of Clinical Nursing, 16(12), 2187–2195. https://doi.org/10.1111/j.1365-2702.2007.02017.x
Mapedzahama, V., Rudge, T., West, S., & Kwansah-Aidoo, K. (2018). Making and maintaining racialised ignorance in Australian nursing workplaces: The case of black African migrant nurses. Australasian Review of African Studies, 39(2), 48–73. https://doi.org/10.22160/22035184/ARAS-2018-39-2/48-73
Marune, A. E. M. S. (2024). Legal responsibility of foreign doctors who commit medical malpractice in Indonesia. Science Midwifery, 12(1), 137-147. https://doi.org/10.35335/midwifery.v12i1.1428
Meydanlıoğlu, A. (2013). Health and safety of health workers. Balıkesir Journal of Health Sciences, 3, 192–199.
Munro, B. H. (2005). Statistical methods for health care research (Vol. 1). Lippincott Williams & Wilkins.
Negin, J., Coffman, J., Connell, J., & Short, S. (2016). Foreign‐born aged care workers in Australia: A growing trend. Australasian Journal on Ageing, 35(4), E13–E17. https://doi.org/10.1111/ajag.12321
Negin, J., Rozea, A., Cloyd, B., & Martiniuk, A. L. (2013). Foreign-born health workers in Australia: An analysis of census data. Human Resources for Health, 11(1), 1–9. https://doi.org/10.1186/1478-4491-11-69
Nohrstedt, D., & Baekkeskov, E. (2018). Political drivers of epidemic response: foreign healthcare workers and the 2014 Ebola outbreak. Disasters, 42(1), 41-61. https://doi.org/10.1111/disa.12238
Nunnally, J. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.
Oikelome, F., Broward, J., & Hongwu, D. (2022). Immigrant health care workers from developing countries in the US: Antecedents, consequences, and institutional responses. Equality, Diversity and Inclusion: An International Journal, 41(2), 157–185. https://doi.org/10.1108/EDI-04-2021-0093
Organisation For Economic Co-Operation and Development (OECD). (2019). Recent trends in international migration of doctors, nurses and medical students. https://doi.org/10.1787/5571ef48-en
Organisation For Economic Co-Operation and Development (OECD). (2024). Health workforce. Retrieved from https://www.oecd.org/en/topics/sub-issues/health-workforce.html
Palmer, J., Sokiri, S., Char, J. N. B., Vivian, A., Ferris, D., Venner, G., & Dak, J. J. (2024). From humanitarian crisis to employment crisis: The lives and livelihoods of South Sudanese refugee health workers in Uganda. The International Journal of Health Planning and Management, 39(3), 671-688. https://doi.org/10.1002/hpm.377
Rees, G. H. (2024). Forced displacement and the health workforce crisis: Venezuelan healthcare workers in Peru. The International Journal of Health Planning and Management, 39(3), 963-969. https://doi.org/10.1002/hpm.3758
Reiff, E., Gade, C., & Böhlich, S. (2020). Handling the shortage of nurses in Germany: Opportunities and challenges of recruiting nursing staff from abroad. IUBH Discussion Papers - Human Resources (No. 3/2020). IUBH Internationale Hochschule, Bad Honnef.
Rocco, G., & Stievano, A. (2013). The presence of foreign nurses in Italy: Towards the ethical recruitment of health workers. Salute e società, 12(3), 19–33.
Sağlık Bakanlığı (SB). (2012). Yabancı Sağlık Meslek Mensuplarının Türkiye’de Özel Sağlık Kuruluşlarında Çalışma Usul ve Esaslarına Dair Yönetmelik (22 Şubat 2012 tarihli Resmî Gazete, Sayı: 28212).
Salami, B., Amodu, O., & Okeke-Ihejirika, P. (2016). Migrant nurses and care workers' rights in Canada. UNRISD Working Paper (No. 2016-9). United Nations Research Institute for Social Development (UNRISD), Geneva.
Schumacher, R. E., & Lomax, R. G. (2010). A beginner's guide to structural equation modeling: SEM. New Jersey: Lawrence Erlbaum Associates.
Worthington, R. L., & Whittaker, T. A. (2006). Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist, 34(6), 806–838. https://doi.org/10.1177/0011000006288127
Yıldırım, T. (2009). Sağlık çalışanları ve uluslararası göç: Göç nedenleri üzerine bir inceleme. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 62(3), 87–94. https://doi.org/10.1501/Tipfak_0000000727
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