No abstract

It has been pointed out that mobbing is one of the major problem areas in the health sector in recent years. To identify the presence of mobbing, this study was conducted in a university hospital located in Zonguldak city. When the mobbing behaviours against nurses were examined, mobbing was listed as a humiliating and unfavourable communication (57.8%), verbal threats (26.2%), physical attacks (5.9%), verbal or behavioural sexual attacks (8%), and prevention of self-improvement opportunities (17.6%). When the most frequent mobbing practicer were asked, the answer was given as the patients. Nurses considered changing their organizations or quitting their job because of mobbing. The article suggests increasing awareness of mobbing among nurses.

Service process on a site in the health sector does not only bring people and services into contact, but also all other people who share the fate of particular working medium. Although these people should cooperate and care about each other, contributing new merits to humanity with their synergy, meeting of people with the other people from time to time intertwine into a bitter, pain giving relation, like the way it happens with meeting of people with services. Owing to its controversy to humanitarian nature, religious and social values, the pain that human beings cause to one another is occasionally disguised behind a veil, thus turning into a life tragedy for individuals in the background. Mobbing which is commonly a confrontable problem in every workplace means psychological violence, enclosure, harassment, molestation or endurance. This study aims to draw attention to the precautions required to be taken against mobbing activities by analyzing situations of health employees who undergo mobbing actions in Turkey and in the World. To achieve this, the existing studies concerning mobbing in the healthcare sector have been examined. In conclusion; it is determined that mobbing activities towards healthcare workers have limited their communication possibilities, damaged social relations and social image, prevented vocational improvement and destroyed mental health of employees. With respect to mobbing behavior towards health employees, we should adopt a democratic, contributing, and guiding administration style, we should apply organizational justice, excessive work inspections must be reduced, work ethics and social responsibility awareness must be developed, we should clearly determine the duties and responsibilities, physical conditions must be improved and necessary legal arrangements concerning the subject must be made to be able to prevent mobbing.

It is stated that in this century not only the societies, but also the communities have to confront with a reconstruction process due to the rapid developments and reformations. It is believed that it is only possible for the organisations to achieve their goals as long as they adapt to the changes, and they continue the learning process. Based on these ideas, this study aims to determine the perceptions of a learning organisation's applications by the workers at Health Centre in Denizli. In order to achieve this goal, a questionnaire method was used and in the questionnaire, questions inquiring about the examples from learning organisation processes as well as the questions representing socio-demographic characteristics of the workers were included. When the obtained results were analyzed, the health sector workers stated that there were some applications in their organisations intended for knowing, understanding and thinking organisation models which were among the learning organisation phases. The workers also stated that they thought their organisation implemented some applications such as "Each individual in my organisation has an equal chance to learn (33.3 %)", "Knowledge reaches every part of the organisation quickly and effectively (31.3 %)", "Our organisation provides the necessary environment for learning (37.5 %)" etc. Besides, they thought that the process of being a learning organisation was not totally completed. The workers pointed out the main obstacles to be a learning organisation and to organisational learning process as communication problems (46.9 %), factors originating from managers (37.5 %), learning obstacles originating from the individual himself (32.3 %) etc.

Purpose -Breast cancer is a type of cancer affecting the health of women in many countries. The aim of this study is to determine the effect of breast cancer and its treatment procedures on the quality of life. Design/methodology/approach -The study was carried out in Hacettepe University Oncology Hospital and The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and Breast Cancer Module were used. Findings -It was found that 29.8 per cent of the patients were in phase 4 of the disease, 86.8 per cent already had an operation while 84.1 per cent had chemotherapy. There were statistically significant differences between the levels of the life quality for pain dimension in the symptom scale, body image dimension in the module functional scale, sexual function dimension in the module functional scale, arm symptoms dimension in module symptom scale and age groups; the levels of life quality for dyspnoea dimension in the symptom scale, anorexia dimension of the symptom scale, financial difficulties dimension of the symptom scale and the duration of the disease; the levels of life quality for fatigue dimension in the symptom scale, diarrhea dimension in the symptom scale and the phase of the cancer; the levels of life quality for physical functionality dimension in the functional scale, constipation dimension in the symptom scale and receiving chemotherapy. In the light of the findings, attempts to improve health and creation of different behaviours are important for life quality. Originality/value -This is original research that sheds light on life quality issues for women diagnosed with breast cancer.