Browsing by Author "Akkoc, Irfan"

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Citation - WoS: 4
Citation - Scopus: 3
The Complex Dynamics of Violence and Burnout in Healthcare: A Closer Look at Physicians and Nurses
(Wiley, 2025) Cakir, Orhan; Akkoc, Irfan; Arun, Korhan; Digrak, Ebru; Unlueroglugil, Hasibe Serap Uluirmak; Uluırmak Ünlüeroğlugil, Hasibe Serap
Aims and objectives This study aims to examine the mediating role of fear of future violence in the relationship between exposure to violent events at work and burnout among physicians and nurses.Background Workplace violence is an escalating concern within healthcare institutions in T & uuml;rkiye. Increasing exposure to violent events among healthcare professionals contributes to heightened fear of future violence, which may in turn exacerbate burnout.Methods A cross-sectional research design was utilized, collecting data via an online survey distributed to 387 physicians and nurses. The hypothesized model was analyzed using structural equation modeling techniques implemented in AMOS and SmartPLS software.Results The analysis revealed that exposure to workplace violence significantly elevated the depersonalization and emotional exhaustion dimensions of burnout. Conversely, it was associated with a paradoxical decrease in the personal accomplishment dimension. Notably, no statistically significant relationship was found between exposure to violence and fear of future violence. These findings underscore the complex interplay between various burnout dimensions and the impact of workplace violence on physicians and nurses.Discussion and conclusion Workplace violence emerges as a significant contributor to burnout among physicians and nurses, affecting emotional exhaustion, depersonalization, and personal accomplishment in multifaceted ways. However, the anticipated relationship between exposure to violence and fear of future violence was not supported by the data, indicating a need for further research in this area.Implications for nursing policy The findings of this study indicate that health policies in T & uuml;rkiye should prioritize strategies aimed at preventing and managing violence against physicians and nurses. Measures such as violence management training, strengthening organizational support systems, and implementing clear protocols for reporting and responding to violent incidents can help mitigate burnout among physicians and nurses.
The Dark Side of Self-Efficacy in University Students' Digital Behavior: The Relationship Between Nomophobia and Cyberloafing
(Springer Heidelberg, 2025) Akkoc, Irfan; Digrak, Ebru
AimThis study aims to investigate the mediating role of self-efficacy in the relationship between nomophobia and cyberloafing among university students. It seeks to understand whether nomophobia influences cyberloafing behavior and the role self-efficacy plays in this relationship.Subject and methodsA cross-sectional research design was employed to analyze the proposed relationships. The study was conducted with a sample size of 520 students from a private university. Data were collected using the Nomophobia Scale, Cyberloafing Scale, and Self-Efficacy Scale. Confirmatory factor analysis and mediation analysis were performed using the Hayes Bootstrap method to test the hypotheses.ResultsThe findings indicate that all dimensions of nomophobia are positively correlated with cyberloafing for social, academic, and gaming purposes. Additionally, self-efficacy was found to mediate the relationship between nomophobia and cyberloafing, exerting a significant positive effect on this behaviour.ConclusionThese results suggest that while nomophobia directly increases cyberloafing, self-efficacy plays a crucial role in shaping this behavior. University administrators should organize awareness programs to strengthen coping mechanisms for dealing with nomophobia among students. Additionally, educational activities can be implemented to help students develop healthy digital habits in order to prevent cyberloafing behaviors.
Impact of Organizational Ethical Climate on the Task and Contextual Performance of Nurses Working in Healthcare Institutions: Mediating Role of Future Fear of Violence
(Routledge Journals, Taylor & Francis Ltd, 2025) Caliskan, Abdullah; Akkoc, Irfan; Arun, Korhan; Cakir, Orhan; Senuzun Aykar, Fisun
Implications and Objectives:This study investigates the role of future fear of violence in mediating the relationship between organizational ethical climate and job performance among nurses, as well as the impact of perceived and actual violence.Background:Growing concern about workplace violence in healthcare reveals a link between ethical climate and nursing outcomes. Understanding how ethical climate affects violence-related perceptions is especially important in developing countries.Methods:Data from 411 nurses were collected using a survey design, with the Organizational Ethics Climate, Future Fear of Violence, and Job Performance Scales. Structural equation modeling were used in the analysis.Results:Both contextual and task performance were positively influenced by ethical climate, with contextual performance having a stronger effect. Future fear of violence was linked to improved performance, indicating a motivational aspect of fear, whereas actual violence had a negative impact on both dimensions. The ethical climate was positively correlated with future fear of violence.Discussion and Conclusions:The findings suggest a complex relationship between ethical climate, fear of future violence, and job performance. The ethical climate improves performance while also increasing fear, possibly reflecting cultural dynamics in Turkiye.Implications for nursing policy:Policies should strengthen ethical climates and address workplace violence using culturally sensitive safety strategies.
The Mediating Role of Covid-19 Anxiety on the Relationship Between Quality of Life and Spiritual Well-Being, and Hopelessness: a Study on Cancer Patients
(Cambridge Univ Press, 2024) Digrak, Ebru; Akkoc, Irfan
Objectives. The coronavirus pandemic has caused concern in the community, especially in patients. Spirituality, hopelessness, and quality of life have an impact on the management of the process in cancer patients during these crisis periods. To investigate COVID-19 anxiety's mediating role in hopelessness' relationships with the quality of life and spiritual well-being among cancer patients. Methods. This study used a cross-sectional design to collect data from cancer patients using self-administered questionnaires. The study recruited 176 cancer patients receiving treatment at a university hospital. The participants completed measures of spiritual well-being, COVID19 anxiety, hopelessness, and quality of life. Following preliminary analyses, a mediation model was analyzed using the PROCESS macro for SPSS, with the bootstrap method applied (model 4). Results. The results showed that spiritual well-being was negatively associated with COVID19 anxiety and hopelessness, and positively associated with the quality of life. COVID-19 anxiety was associated positively with hopelessness, and negatively with the quality of life. Moreover, COVID-19 anxiety mediated the relationship between hopelessness, spiritual well-being, and quality of life. Significance of results. This study provides evidence for COVID-19 anxiety's mediating role in the relationship between spiritual well-being and quality of life and hopelessness among cancer patients. The findings suggest that interventions aimed at reducing COVID-19 anxiety may be effective in reducing hopelessness among cancer patients, by promoting higher levels of spiritual well-being and improving quality of life.
Mediating Role of Future Fear of Violence Between the Direct Violence and Witnessed Violence and Psychological Capital: A Study of Doctors and Nurses
(BMC, 2025) Cakir, Orhan; Akkoc, Irfan; Arun, Korhan; Digrak, Ebru; Akkoc, Seher; Unlueroglugil, Hasibe Serap Uluirmak; Cakir, Cagri Isil; Uluırmak Ünlüeroğlugil, Hasibe Serap; Işıl Çakır, Çağrı
Healthcare professionals, particulary doctors and nurses, experience a complex relationship between direct violence and witnessed violence in the workplace. This study investigates how direct and witnessed violence affect psychological capital through the mediating role of future violence.MethodsA cross-sectional descriptive and correlational research design was employed in this study. Data were collected from health institutions in western T & uuml;rkiye, with a total of 420 doctors and nurses participating in this study. The data collection instruments included Personal Information Form, Exposure to Violence Scale, Fear of Future Violence Scale and Organizational Psychological Capital Scale. The analyze the data, regression techniques were employed to examine the direct effects of violence on psychological capital, as well as to explore the mediating role of future fear of violence in these relationships.ResultsThe analysis revealed a strong positive correlation between direct and witnessed workplace violence; however, future fear of violence did not significantly correlate with either. While future fear of violence was weakly but significantly associated with optimism and self-efficacy, it showed no significant relationship with resilience or hope. Direct violence showed no meaningful correlation with any psychological capital subdimension. Witnessed violence was negatively associated only with optimism. Furthermore, no mediating role of future fear of violence was found between workplace violence and psychological capital.ConclusionsThis study demonstrates limited effects of direct and witnessed workplace violence on the subdimensions of psychological capital. Future fear of violence was not found to significantly mediate the relationship between experiences of violence and psychological capital. These results suggest a more complex dynamic between workplace violence and employees' psychological capital, highlighting the need for further detailed research in this area.
Citation - WoS: 1
Citation - Scopus: 2
The Mediating Role of Psychological Well-Being in the Association Between Intolerance of Uncertainty and Academic Life Satisfaction Among University Students
(Springer, 2025) Akkoc, Irfan; Digrak, Ebru; Yavan, Tulay; OGCE AKTAS, Filiz; Aktas, Filiz Ogce
The aim of this study is to investigate the mediating role of psychological well-being in the association between intolerance of uncertainty and academic life satisfaction among university students. A cross-sectional design was employed in the research, which was conducted with 443 students attending a university in western country using a convenience sampling method. Data were collected through Personal Information Form, Intolerance of Uncertainty Scale, Academic Life Satisfaction Scale, and Psychological Well-Being Scale. Analyses were conducted using structural equation modeling and mediation analysis. The participants were comprised of 55.5% females, with an average age of 21.31 +/- 1.91 years. The results indicate that psychological well-being significantly mediates the relationship between inhibitory anxiety and both dimensions of academic life satisfaction. However, psychological well-being did not mediate the relationship between prospective anxiety and academic life satisfaction. These findings highlight the importance of different types of anxiety in academic life and emphasize the necessity of promoting psychological well-being to enhance students' academic life satisfaction. The study suggests that supporting university students' psychological well-being could be an important strategy related to uncertainty intolerance and academic life satisfaction.
The Mediating Role of Psychological Well-Being in the Effect of Dating Violence Attitude on Self-Efficacy in University Students
(Springer/plenum Publishers, 2024) Digrak, Ebru; Akkoc, Irfan; Turk, Ceren; Cetin, Rukiye Nisa; Ozdogan, Melek
PurposeThe objective of this study was to examine the potential mediating role of psychological well-being in the relationship between dating violence attitude and self-efficacy among university students.MethodsThis study was conducted with university students between March and June 2023. A total of 400 university students completed a cross-sectional survey. Participants completed measures, including the Dating Violence Attitude Scale, the Psychological Well-being Scale and the Self-Efficacy Scale. Following preliminary analyses, a mediation model was analyzed using the AMOS program and the PROCESS macro for SPSS, with the bootstrap method applied.ResultsSelf-efficacy was positively related to psychological well-being. Psychological well-being mediated the effect of physical and general violence on self-efficacy. No relationship was found between emotional, economic, and sexual violence and either psychological well-being or self-efficacy. In other words, the effect of dating violence attitude on self-efficacy was partially explained by the positive effect of psychological well-being.ConclusionsDating violence attitude among university students positively affect their psychological well-being, which in turn increases their sense of self-efficacy. It is critical to address the psychological implications of these attitudes to restore and improve individual's belief in their ability to handle challenges and achieve their goals. Promoting psychological well-being could serve as a pathway to rebuilding self-efficacy among university students who experience negative dating violence attitude.
The Role of Social Media Usage in the Impact of Body Image on Disordered Eating Attitudes During the Third Trimester of Pregnancy
(Wiley, 2025) Digrak, Ebru; Akkoc, Irfan; Calpbinici, Pelin
ObjectiveSocial media use can negatively impact both physical and mental well-being by influencing aspects like body image and potentially leading to eating disorders. This issue is particularly significant during pregnancy, a time when maternal and foetal health are heavily influenced by nutrition. This study aims to examine how social media use affects the relationship between body image and disordered eating attitudes in the third trimester of pregnant women.MethodA cross-sectional survey was conducted with a convenience sample of 368 pregnant women during their routine prenatal visits. Data collection occurred between May 2023 to May 2024, utilising the Social Media Use Integration Scale, the Disordered Eating Attitudes in Pregnancy Scale and the Body Image in Pregnancy Scale. The study's hypotheses were analysed using structural equation modelling.ResultsThe study demonstrated significant positive correlations among body image perception, disordered eating attitudes, and social media use during the third trimester of pregnancy. Particularly, higher levels of social media use exacerbated the negative effects of body image perception on disordered eating attitudes. The overall model explained 29.21% of the variance in disordered eating attitudes, with social media use playing a significant moderating role.ConclusionThese findings suggest that negative body image perceptions and social media use affect disordered eating attitudes in the third trimester of pregnant women. Furthermore, social media use serves as a significant moderator, increasing the negative effects of body image concerns. Healthcare providers should take into account the influence of social media on pregnant women's body image and eating behaviours when developing intervention strategies. Implementing educational programs that promote a positive body image perception and enhance media literacy could be beneficial.