Özet:

If we are to take a look at the issue from the point of view of the professions, we find that the medical doctors and nurses who work at the hospitals are among the group that feel the stress in its most intense form. The objective of this study had been to identify the sources of stress that is born by the individual, organizational, social and physical environment that causes stress for the medical doctors and the nurses that work for the health institutions that constitutes the first stage of stress management and to prove the level of impact of such stress sources on their performance and to prevail for the required actions and measures to be taken. For such purposes answers had been sought to the following questions as part of the research: 1. For the medical doctors and the nurses who are working for the following institutions; Republic of Turkey, Ministry of Health, Atatürk Pulmonary (Thoracic) Disease and Thoracic Surgery Teaching and Research Hospital, Ankara Etlik Maternity Hospital and Gynecological Disease Teaching and Research Hospital, Dr. Abdurrahman Yurtaslan Oncology Teaching and Research Hospital: a) What are the sorces of stress in respect of the working conditions and the conditions of the working process in the working life? (b) In the conditions that have been mentioned above, among the levels of affect there are any differences in terms of duty, age, gender, seniority, and marital status? 2nd At what level is the impact of stress on the performance of the medical doctors and nurses that work for the above mentioned institutions that is caused by the stress sources? A survey had been developed for the research, in order to find out the remarks of the medical doctors and nurses that work for the hospitals on the issue of their performance getting affected by the sources of stress. The required permission for this survey to be applied at the hospitals had been taken from the Republic of Turkey, Governor's Office of Ankara, Provincial Health Directorate. At first the review of the literature had been undertaken, and the required pool of questions had been prepared accordingly. After which, open ended questions have been asked to the medical doctors and the nurses who work for the state hospitals regarding their working systems in order to gather information regarding their sources of stress. The sources of stress that have been mentioned in the literature and in the application had been expressed as the survey questions and a draft survey had been developed. Consultations with the experts had been made and in accordance with their criticisms, the required corrections have been made on the draft survey and the data collection tool had been given its final form. The survey form that is used for the research consists of three sections. In the introduction section, the questions that are asked are used for the purposes of collecting the personal information of the participants. In the second section of the survey, the questions that are asked are in relation to the sources of stress of the medical doctors and the nurses; and in the third section, the questions are selected on the basis to collect information regarding the effects of such sources of stress in the performance of the participants. The studies regarding the validity and reliability of the survey had been undertaken by the researcher. In accordance with the data that had been collected as a result of the preliminary application, factor analysis had been performed in order to test the structural validity. In order to define the reliability of the scale, Cronbach Alpha coefficient had been observed. After this, the factor analysis in relation to the survey had been performed. When the factor analysis had been performed on the scale, it has been observed that the scale has a three-factor structure that explains 41% of the total variance. Such factors are the working conditions, the working process and the perception of performance. According to the findings, the reliability of the scale of the sources of stress that had been applied to the medical doctors and the administrators and the condition of stress affecting their performance had been accepted. When we take a look at the grade average that have been obtained from the survey forms that are used to define their remarks in respect of the sources of stress and its effects on their performance for the medical doctors and the nurses that work for the state hospitals and the results of the t-test; it has been observed that there are differences in the sorces of stress and the effect of stress on their performance for the medical doctors and nurses who have taken part in the survey in terms of their gender, their age, and their marital status. In terms of the duty variable, there are meaningful differences in the results of the t-test. As per the results of the t-test for the variable of gender in the remarks of the medical doctors and the nurses in terms of their sources of stress from the point of view of the work process; meaningful differences have been observed. As by the results of the t-test for the variable of marital status, again meaningful differences have been observed. As by the findings of the effect of stress on the performance of the medical doctors and nurses; as a result of the stress sourcing from the working conditions and the work process; it has been sustained that they go through the process of developing estrangement from the profession and loss of motivation are present.