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INTRODUCTION: The aim of this study is to examine the requirement and distribution of nurse workforce based on workload in public hospitals. METHODS: The number of nurses required in intensive care unit, all inpatient services, emergency room, operating room and dialysis units of the hospitals affiliated to the Ministry of Health in Kocaeli was calculated based on the workload by applying the Workload Indicators of Staffing Need (WISN) method. RESULTS: When the nurses were compared based on the inter-hospital workload ratio in the province, it was found that the number of nurses in the hospitals A, B, C, D, G, H and I was inadequate, the average workload was 0.73 and the number of nurses should be increased by 27% throughout the province. It was determined that the nurses having the highest workload ratio were inpatient service nurses in hospital with A rate of 0.49 and hospital in C with 0.53 rate. In addition, although the total number of nurses in E and F hospitals is sufficient, the units within the hospital are unevenly distributed according to the workload of the nurse workforce. DISCUSSION AND CONCLUSION: It was determined that the number of nurses in the hospitals was insufficient and the workload distribution between the hospitals and within the hospital was unbalanced. The unbalanced distribution of nurse workforce throughout the province causes labour inefficiency, decreases the quality of patient care and causes health inequalities. The study results could set an example of practice that would provide support for health and nursing managers in planning and managing healthcare human resources more effectively.

PurposeThe purpose of this study was to determine the satisfaction of women who underwent normal delivery and cesarean section (or C-section) with maternal care in five state-run hospitals in Northwestern Turkey.Design/methodology/approachThis was a cross-sectional study. The sample consisted of 580 women who underwent normal delivery (ND) and 392 who had a C-section (CS). Data were collected using two maternal satisfaction questionnaires, which participants completed right before they were discharged.FindingsMore than half of ND (61.7%) and CS (56.9%) participants were satisfied with maternal care. ND participants who had received antenatal training were more satisfied with maternal care than CS participants who had not received antenatal training. Higher income was a significant predictor for reduced satisfaction with maternal care among CS participants (p = 0.031).Practical implicationsHospital administrators and decision-makers should meet women's expectations, provide them with comfort, encourage them for skin-to-skin contact and respect their right to privacy in order to increase their satisfaction with maternal care. Pregnant women should also be encouraged to receive antenatal training offered by hospitals before delivery.Originality/valueThe evidence-based results of the study will help hospital administrators to improve healthcare quality and focus on increasing women's satisfaction with maternal care.

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Evde bakım hizmeti; yaşlıları, özürlüleri, kronik hastaları veya iyileşme aşamasındakileri yaşadıkları ortamda destekleyen sağlık ve sosyal bakım hizmetleridir. Japonya uzun ve kısa süreli bakım ihtiyacı duyan bireylere evde tıbbi bakım, günlük destek ve sosyal bakım hizmetlerini kapsayan “evde bakım sistemini” kurmuştur ve geliştirmeye çalışmaktadır. Çalışmada Japonya’daki kamusal evde bakım hizmetlerinin incelenmesi, Japonya deneyiminden hareketle Türkiye’nin evde bakım hizmetlerine yönelik sağlık ve sosyal politika yapıcılarına, kamu yöneticilerine yol gösterecek sonuçlar elde edilmesi amaçlanmıştır. Japonya evde bakım hizmetleri organizasyon, yararlanma kriterleri, sunulan hizmetlerin kapsamı ve finansmanı alt başlıklarında incelenmiştir. Daha sonra Türkiye’deki evde bakım hizmetlerine ilişkin kısaca bilgi verilmiştir. Sonuç olarak da Türkiye’de evde bakım hizmetlerine ilişkin önerilerde bulunulmuştur.