Kavas, Mustafa Volkan

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Profile URL
https://hdl.handle.net/20.500.14365/7515
Name Variants
Kavas, M.V.
Job Title
Email Address
volkan.kavas@ieu.edu.tr
Main Affiliation
09.01. Basic Medical Sciences
Status
Current Staff
Website
ORCID ID
0000-0003-1252-3469
Scopus Author ID
36990303900
Turkish CoHE Profile ID
4EEE568AEEBDECDE
Google Scholar ID
IO3N6lwAAAAJ
WoS Researcher ID
G-6874-2016
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MustafaKavas.jpg (9.02 KB)

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11

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116

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7

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10

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95

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3

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2

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0/12

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0

Supervised PhD Theses

0

WoS Citation Count

3

Scopus Citation Count

5

WoS h-index

1

Scopus h-index

1

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0

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1

WoS Citations per Publication

1.00

Scopus Citations per Publication

1.67

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1

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0

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BMC Health Services Research2
Community and Physician1
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  • Thumbnail Image
    Article
    Moral Injury in Healthcare Workers: What Is It? Why Does It Develop? How to Prevent It?
    (Turkish Medical Association, 2025) Kavas, M.V.; Daldaban Berberoğlu, A.; Söğüt, H.E.; Bilgili, F.; Oztek-Celebi, F.Z.
    In extraordinary situations, healthcare workers may find themselves in positions of decision-making and practicing in the face of professionally and personally challenging ethical dilemmas which may result in moral injury. Moral injury is a spesific form of affect that is strong enough to shake one’s fundamental ethical values, attitudes, and explanations. It is seen in those who witness severe emotional damage, intense human suffering, and cruelty. This study aims to discuss the phenomenon of moral injury in healthcare workers, the factors that contribute to its development, and the strategies for prevention in the context of preparation for extraordinary situations. Moral injury erodes a person’s perception of being an active and independent subject, his/her value integrity, and basic sense of well-being, and negatively affects him/her psychologically, socially and spiritually. Healthcare workers who are exposed to moral injury may become alienated from themselves and their profession, and may have to cope with feelings of burnout and hopelessness. This may lead to depression, anger, feelings of inadequacy, and disengagement from the profession in healthcare workers. By raising general awareness, empowering those at risk, and implementing collective cultural transformation efforts, it is possible to compensate for the negative effects of moral injury by helping people become morally resilient. These initiatives must be planned holistically as part of preparation for and building resilience to adverse events. They should be integrated with work processes at the organizational, system, and community levels, as well as at interpersonal (healthcare worker – patient) level. The competence and moral resilience of the health workforce should be regarded as an essential element of emergency preparedness. Conversely, being inadequately prepared for extraordinary situations may result in moral injury among healthcare workers. We posit that further empirical studies on the morally challenging experiences of healthcare workers in our country, where extraordinary situations are frequently encountered, will facilitate the comprehension of this significant phenomenon and the advancement of initiatives to enhance moral resilience. © 2025, Turkish Medical Association. All rights reserved.
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    Erratum
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    Article
    Citation - WoS: 3
    Citation - Scopus: 5
    A Mixed-Method Study on Physicians Perceptions of Pay for Performance: Impact on Professionalism, Morality and Work-Life Balance
    (BMC, 2025) Kavas, Mustafa Volkan; Tut, Hasan; Senyurek, Gamze; Elhan, Atilla Halil
    BackgroundPay-for-performance system (P4P) has been in operation in the Turkish healthcare sector since 2004. While the government defended that it encouraged healthcare professionals' job motivation, and improved patient satisfaction by increasing efficiency and service quality, healthcare professionals have emphasized the system's negative effects on working conditions, physicians' trustworthiness, and cost-quality outcomes. In this study, we investigated physicians' accounts of current working conditions, their status as a moral agent, and their professional attitudes in the context of P4P's perceived effects on their professional, social, private, and future lives.MethodsFirst, we held 3 focus groups with 19 residents and 1 specialist regarding their lived experiences under P4P and thematically analyzed the transcripts. Second, we developed a questionnaire to assess how generalizable the qualitative findings are for a broader group of physicians. The tool has three parts questioning 1) demographic information, 2) working conditions, and 3) perceived consequences and effects of P4P. 2136 physicians responded to the survey. After refining the data, we conducted the statistical analysis over 1378 responses by using Spearman's correlation coefficient, exploratory factor analysis (EFA) for categorical data, and Kruskal-Wallis variance analysis.ResultsThematic analysis revealed two dimensions: 1) factors leading to estrangement, and 2) manifestations of estrangement. As for the initial, participants thought that P4P affected relationships at work; family and social relationships; working conditions; quality of the specialty training; quality of healthcare services; and it caused healthcare system-related consequences. Concerning the latter, the following themes emerged: Estrangement of the physician; damaging effects on physician's psychology; physician's perception of their future life; and physician as a moral agent. According to EFA, a 5-factor structure was appropriate: F1) Estrangement; F2) adverse effects on the physician's quality of life; F3) favorable consequences; F4) physicians becoming disreputable; F5) unfavorable consequences.ConclusionsThe findings suggest that under P4P, physicians have become more estranged towards their profession, their patients, and themselves. They suffer from deteriorating working conditions, lack of motivation, lack of work-related satisfaction, and hopelessness regarding their future. Furthermore, P4P impairs their ability to realize themselves as moral subjects practicing in alignment with professional values and principles.