Arzu Bulut

Spirituality and spiritual fitness are important protective resources for healthcare professionals because they may give meaning to clinical practice, support ethical decision-making, and strengthen psychological resilience. This study aimed to adapt the SOCOM Spiritual Fitness Scale into Turkish and evaluate its psychometric properties among healthcare professionals in Türkiye. This cross-sectional validation study was conducted with healthcare professionals in the Black Sea Region of Türkiye. Of the 500 survey forms distributed, 408 were returned, yielding a response rate of 81.6%. After excluding 18 forms that did not meet the inclusion criteria, the final analyses were conducted with data from 390 participants. The scale adaptation process included forward–backward translation and cognitive interviews in accordance with international adaptation standards. Confirmatory factor analysis supported the original three-factor structure and yielded acceptable-to-good fit indices (RMSEA = 0.066, CFI = 0.961). Internal consistency was high (Cronbach’s α = 0.95), and convergent validity was supported by positive correlations with the meaning in life subdimensions. Measurement invariance analyses indicated equivalence across gender, age, and occupational groups. In conclusion, the SFS-HP appears to be a valid and reliable instrument for assessing spiritual fitness among healthcare professionals in Türkiye and for producing comparable scores across different subgroups.

The widespread integration of social media, smartphones, and internet-based technologies has reshaped communication and social interaction. Global reports indicate substantial increases in social m...

Empathy and altruism are the main professional competencies for healthcare providers, influencing patient-centred care, ethical decision-making, and therapeutic communication. As future practitioners, health sciences students will have direct patient interactions, making the development of these skills essential. While the empathy–altruism link is established, the role of gender in this relationship within healthcare education is less understood. This study examined the predictive effects of cognitive empathy, emotional reactivity, and social skills on altruism among health sciences students and tested whether gender moderates these associations. A cross-sectional survey was conducted with 459 undergraduates (75.6% female; M age = 20.98, SD = 2.65) from a Faculty of Health Sciences in Türkiye. Participants completed the Empathy Quotient Scale and the Altruism Scale. Data were analysed using correlations, t-tests, and Hayes’ PROCESS macro (Model 1) with 5000 bootstrap samples. Females scored higher than males on emotional reactivity and altruism. Gender significantly moderated the cognitive empathy–altruism relationship (B = –1.19, 95% CI [–2.29, –0.10]), with a stronger association among males (B = 3.34, 95% CI [2.41, 4.26]) than females (B = 2.14, 95% CI [1.57, 2.71]). No moderation was found for emotional reactivity or social skills. Empathy, particularly emotional reactivity, is a strong driver of altruistic behaviour in health sciences students. The stronger cognitive empathy–altruism link in males indicates gender-specific pathways. Training that strengthens both affective and cognitive empathy may promote compassionate, patient-centred care.

Türkiye’nin son yirmi yılında sağlıkta dönüşüm, erişim ve hizmet hacmi açısından önemli kazanımlar sağlarken; maliyet baskıları, artan israf ve sistem karmaşıklığı gibi yeni kırılganlık alanları da yaratmıştır. Bu kitap, yalın düşüncenin kuramsal mirasını Türkiye sağlık sisteminin yapısal özellikleriyle buluşturarak, “yalın sağlık” için ulusal ölçekte bir düşünme ve eylem çerçevesi sunmaktadır. Kuramsal yaklaşımlardan olgunluk modellerine, toplum sağlığı perspektifinden şehir hastaneleri deneyimine, bütçeleme süreçlerinden dijital entegrasyon ve yapay zekâ uygulamalarına uzanan bölümler, sağlık sistemini değer–israf ekseninde yeniden tasarlamaya davet eden bütüncül bir tartışma alanı sunmaktadır.Dört ana eksen etrafında kurgulanan yapı; önce yalın sağlık için kuramsal ve sistem düzeyi bir zemin oluşturmakta, ardından klinik ve yönetsel süreç tasarımını ele almakta, insan–kültür–liderlik boyutundaki dönüşüm gerekliliklerini tartışmakta ve son olarak dijital sağlık ile yapay zekâ entegrasyonunun olanak ve risklerini incelemektedir. Farklı disiplinlerden akademisyenler ve saha deneyimi yüksek uygulayıcılar tarafından hazırlanan katkılar, yalın projeleri izole uygulamaların ötesine taşıyarak ulusal politika, kurumsal yönetişim ve sürdürülebilir verimlilik odağında bir yalın sağlık vizyonu önermektedir.

Workload and burnout are major concerns affecting physicians' professional functioning and well-being. This study examined whether spiritual integrity mediates the association between workload and burnout among physicians. Using a cross-sectional design, data were collected through a self-administered online survey from a final analytic sample of 500 physicians working in public hospitals in Samsun, Türkiye; the survey response rate was 37.9%. The relationships among the study variables were tested using correlation analysis and bootstrap-based mediation analysis. The findings indicated a positive correlation between workload and burnout (r = .405), a negative correlation between workload and spiritual integrity (r = - .304), and a negative correlation between spiritual integrity and burnout (r = - .443). In the mediation analysis, the total association between workload and burnout was significant (B = 0.980, 95% CI [0.786, 1.175]), and the direct association remained significant after including spiritual integrity in the model (B = 0.721, 95% CI [0.525, 0.917]). The indirect association through spiritual integrity was also significant (B = 0.259, 95% CI [0.177, 0.350]), indicating partial mediation. Spiritual integrity accounted for 26.4% of the association between workload and burnout. These findings suggest that higher workload is associated with greater burnout among physicians and that this relationship may be partly explained by lower levels of spiritual integrity.

This study examined whether the relationship between impulsivity and Internet addiction (IA) levels among university students varies depending on the indirect pathway mediated by the meaning-seeking in life and whether this indirect pathway is dependent on self-esteem levels. The study was conducted using data collected from 500 university students in Türkiye via valid self-report measures, employing a cross-sectional, correlational design. Controlling for daily internet usage time, the assumed direct, indirect, and conditional associations were tested using Hayes’ PROCESS macro (Model 14). Correlation analyses found that impulsivity was negatively related to meaning-seeking in life (r = −.120, p < .01) and positively related to IA (r = .261, p < .001). In the conditional process analysis, impulsivity was negatively associated with meaning-seeking in life (B = −0.180, p = .003) and positively associated with IA (B = 0.592, p < .001). The interaction between meaning-seeking in life and self-esteem was significantly associated IA (B = 0.180, p = .009) and contributed additional explanatory power to the model (ΔR ² = 0.0125, p < .01; total R ² = .117). The direct association between meaning-seeking in life and IA in the regression model was statistically significant (B = 0.214, p = .004); however, the indirect pathway through meaning-seeking in life was moderated by self-esteem. The moderated mediation index was significant (Index = −0.032, 95% CI [−0.076, −0.007]), and the findings indicate that the indirect component of the relationship between impulsivity and IA level, mediated by meaning-seeking in life, varies according to self-esteem level; the indirect association is more pronounced at lower self-esteem scores. These findings were interpreted within a cross-sectional design framework and suggest that impulsivity is related to IA levels and that the conditional indirect mechanism is present, although its magnitude appears modest.