A Study to Develop a Valid and Reliable Scale for Measuring the Contribution of Managerial Screens to Hospital Performance: YEPKÖ
Yönetici Ekranlarının Hastane Performansına Katkısını Ölçmeye Yönelik Geçerli ve Güvenilir Bir Ölçek Geliştirme Çalışması: YEPKÖ
Yönetici Ekranlarının Hastane Performansına Katkısını Ölçmeye Yönelik Geçerli ve Güvenilir Bir Ölçek Geliştirme Çalışması: YEPKÖ
Yönetici Ekranlarının Hastane Performansına Katkısını Ölçmeye Yönelik Geçerli ve Güvenilir Bir Ölçek Geliştirme Çalışması: YEPKÖ
The purpose of this study is to develop a valid and reliable measurement tool to assess the contribution of executive dashboard screens used within hospital information management systems (HIMS) to hospital performance. The research was conducted using a quantitative research approach with a correlational survey model. The population of the study consisted of hospital administrators working in public hospitals operating in the Anatolian side of Istanbul; the sample consisted of 131 administrators who participated in the research on a voluntary basis. The scale development process was carried out systematically based on literature review, expert opinions, pilot application, and statistical analyses. According to the results of Exploratory Factor Analysis (EFA), the scale exhibited a structure consisting of a total of 35 items and five sub-dimensions. This structure was tested using Confirmatory Factor Analysis (CFA), and it was determined that the five-factor model had acceptable and strong fit indices (CFI = 0.96; NNFI = 0.95; NFI = 0.93; RMSEA = 0.10). The internal consistency of the scale was assessed using Cronbach's Alpha coefficient and was calculated as α = .97 for the total scale. The findings show that the Managerial Screen Performance Contribution Scale (MSPCS) is a valid and reliable tool for measuring the impact of digital management screens that contribute to hospital managers' clinical, managerial, financial, and strategic decision-making processes on performance. The scale is considered suitable for use in academic research in the field of healthcare management and in practice-oriented performance evaluation studies.
Bu çalışmanın amacı, hastane bilgi yönetim sistemleri (HBYS) kapsamında kullanılan yönetici takip ekranlarının, hastane performansına olan katkısını ölçmeye yönelik geçerli ve güvenilir bir ölçme aracı geliştirmektir. Araştırma, nicel araştırma yaklaşımı benimsenerek ilişkisel tarama modeliyle yürütülmüştür. Çalışmanın evrenini İstanbul ili Anadolu yakasında faaliyet gösteren kamu hastanelerinde (Eğitim ve Araştırma Hastanesi ve Devlet Hastanesi) görev yapan hastane yöneticileri oluşturmuş; örneklem ise gönüllülük esasına göre araştırmaya katılan 131 yöneticiden oluşmuştur. Ölçek geliştirme süreci; literatür taraması, uzman görüşleri, pilot uygulama ve istatistiksel analizler doğrultusunda sistematik biçimde gerçekleştirilmiştir. Açımlayıcı Faktör Analizi (AFA) sonuçlarına göre ölçek, toplam 35 maddeden ve beş alt boyuttan oluşan bir yapı sergilemiştir. Bu yapı, Doğrulayıcı Faktör Analizi (DFA) ile test edilmiş ve beş faktörlü modelin kabul edilebilir ve güçlü uyum indekslerine sahip olduğu belirlenmiştir (CFI=0.96; NNFI=0.95; NFI=0.93; RMSEA=0.10). Ölçeğin iç tutarlılığı Cronbach’s Alpha katsayısı ile değerlendirilmiş ve toplam ölçek için α = .97 olarak hesaplanmıştır. Elde edilen bulgular, Yönetici Ekranlarının Performans Katkısı Ölçeği’nin (YEPKÖ) hastane yöneticilerinin klinik, yönetsel, finansal ve stratejik karar süreçlerine katkı sağlayan dijital yönetim ekranlarının performans üzerindeki etkisini ölçmede geçerli ve güvenilir bir araç olduğunu göstermektedir. Ölçeğin, sağlık yönetimi alanında yapılacak akademik araştırmalarda ve uygulamaya dönük performans değerlendirme çalışmalarında kullanılabileceği değerlendirilmektedir.
Afshar, P., Karbasi, B., & Nekoei‐Moghadam, M. (2021). The relationship between patient safety culture with patient satisfaction and hospital performance in Shafa hospital of Kerman in 2020. Journal of Education and Health Promotion, 10(1), 455. https://doi.org/10.4103/jehp.jehp_1650_20
Ahmad, F. S., Metlay, J. P., Barg, F. K., Henderson, R. R., & Werner, R. M. (2013). Identifying hospital organizational strategies to reduce readmissions. American Journal of Medical Quality, 28(4), 278–285. https://doi.org/10.1177/1062860612464999
Aktaş, A. (2019). Control and application of accuracy positioning estimation based real-time location system. An International Journal of Optimization and Control Theories & Applications (IJOCTA), 9(2), 82–88. https://doi.org/10.11121/ijocta.01.2019.00703
Alanazi, E., Alenezi, M., Albarrak, S., Aghithi, A., Alenzi, A., Alshammeri, M., … Alfaisal, N. (2024). Exploring health informatics for chronic disease management: A systematic review of tools and outcomes. Journal of Ecohumanism, 3(8), 960–967. https://doi.org/10.62754/joe.v3i8.4789
Al‐Jazairi, A., & Alnakhli, A. (2020). Quantifying clinical pharmacist activities in a tertiary care hospital using key performance indicators. Hospital Pharmacy, 56(4), 321–327. https://doi.org/10.1177/0018578719897074
Alpar, R. (2012). Uygulamalı istatistik ve geçerlik–güvenirlik (2. bs.). Ankara: Detay Yayıncılık.
Bailit, J., Gregory, K., Srinivas, S., Westover, T., Grobman, W., & Saade, G. (2016). Society for Maternal-Fetal Medicine (SMFM) special report: Current approaches to measuring quality of care in obstetrics. American Journal of Obstetrics and Gynecology, 215(3), B8–B16. https://doi.org/10.1016/j.ajog.2016.06.048
Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M., & Amenta, P. (2016). Determinants of patient satisfaction: A systematic review. Perspectives in Public Health, 137(2), 89–101. https://doi.org/10.1177/1757913916634136
Bibbins-Domingo, K. (2019). Integrating social care into the delivery of health care. JAMA, 322(18), 1763. https://doi.org/10.1001/jama.2019.15603
Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., LaVela, S. L., Hill, J. N., … Lukas, C. V. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2949-5
Bonaccorsi, G., Romiti, A., Ierardi, F., Innocenti, M., Riccio, M., Frandi, S., … Lorini, C. (2020). Health-literate healthcare organizations and quality of care in hospitals: A cross-sectional study conducted in Tuscany. International Journal of Environmental Research and Public Health, 17(7), 2508. https://doi.org/10.3390/ijerph17072508
Bozdoğan, A. E., & Öztürk, A. (2008). Eğitimde kullanılan ölçme araçları ve özellikleri. Millî Eğitim Dergisi, 177, 43–61.
Büyüköztürk, Ş. (2016). Sosyal bilimler için veri analizi el kitabı: İstatistik, araştırma deseni, SPSS uygulamaları ve yorum. Ankara: Pegem Akademi.
Büyüköztürk, Ş., Kılıç Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2019). Bilimsel araştırma yöntemleri (26. bs.). Ankara: Pegem Akademi.
Caruso, R., Bonetti, L., Belloni, S., Arrigoni, C., Magon, A., Conte, G., … Bauer, S. (2025). Development of the Nursing Nutritional Care Behaviors Scale (B-NNC) in Italian and psychometric validation of its German translation in Austria. Nursing Reports, 15(5), 146. https://doi.org/10.3390/nursrep15050146
Chen, H., Tao, Z., Chen, Z., Zhao, S., Xing, Y., & Min, L. (2022). The effect of comprehensive use of PDCA and FMEA management tools on the work efficiency, teamwork, and self-identity of medical staff: A cohort study with Zhongda Hospital in China as an example. Contrast Media & Molecular Imaging, 2022, Article 5286062. https://doi.org/10.1155/2022/5286062
Cochran, W. G. (1977). Sampling techniques (3rd ed.). New York, NY: Wiley.
DiCostanzo, D., Kumaraswamy, L., Shuman, J., Pavord, D., Hu, Y., Jordan, D., … & Hsu, A. (2022). An introduction to key performance indicators for medical physicists. Journal of Applied Clinical Medical Physics, 23(8). https://doi.org/10.1002/acm2.13718
Doğan, Y., Dalkılıç, F., & Kut, A. (2015). Hastane bilgi yönetim sistemleri verilerinde akademik çalışmalar için açık kaynak önerileri ve örnek uygulamalar. Akademik Bilişim Konferansı Bildirileri, 332, 1–6. https://ab.org.tr/ab15/kitap/332.pdf
Donovan, K. A., Deshields, T. L., Corbett, C., & Riba, M. B. (2019). Update on the implementation of NCCN guidelines for distress management by NCCN member institutions. Journal of the National Comprehensive Cancer Network, 17(10), 1251–1256. https://doi.org/10.6004/jnccn.2019.7358
Dowding, D., vd. (2024). Development, implementation, and evaluation methods for dashboards in health care settings: A scoping review. JMIR Medical Informatics, 12(1), e59828. https://doi.org/10.2196/59828
Ershadi, M., Edrisabadi, R., & Shakouri, A. (2019). Strategic alignment of project management with health, safety and environmental management. Built Environment Project and Asset Management, 10(1), 78–93. https://doi.org/10.1108/BEPAM-03-2019-0023
Esen, H., & Sengoz, T. (2023). Evaluation of quality indicators in home health services delivery. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v52i9.13577
Fernandes, O., Gorman, S., Slavik, R., Semchuk, W., Shalansky, S., Bussières, J., … & Toombs, K. (2015). Development of clinical pharmacy key performance indicators for hospital pharmacists using a modified Delphi approach. Annals of Pharmacotherapy, 49(6), 656–669. https://doi.org/10.1177/1060028015577445
Fujita, K., Moles, R., & Chen, T. (2018). Quality indicators for responsible use of medicines: A systematic review. BMJ Open, 8(7), e020437. https://doi.org/10.1136/bmjopen-2017-020437
Gardner, G., Gardner, A., & O’Connell, J. (2013). Using the Donabedian framework to examine the quality and safety of nursing service innovation. Journal of Clinical Nursing, 23(1–2), 145–155. https://doi.org/10.1111/jocn.12146
George, D., & Mallery, P. (2010). SPSS for Windows step by step: A simple guide and reference (10th ed.). Boston, MA: Pearson.
Ghazisaeedi, M., vd. (2022). Requirements and challenges of hospital dashboards: A systematic review. BMC Medical Informatics and Decision Making, 22, 37. https://doi.org/10.1186/s12911-022-02037-8
Gonçalves, T., & Curado, C. (2023). Undesirable knowledge behaviours and task conflict in hospitals: Effects on quality of care. European Conference on Knowledge Management, 24(1), 421–429. https://doi.org/10.34190/eckm.24.1.1202
Grönlund, C., Söderberg, A., Dahlqvist, V., Andersson, L., & Isaksson, U. (2019). Development, validity and reliability testing the Swedish Ethical Climate Questionnaire. Nursing Ethics, 26(7–8), 2482–2493. https://doi.org/10.1177/0969733018819122
Hamsal, M., Ichsan, M., Binsar, F., & Abdinagoro, S. (2024). Does digital transformation impact upper-middle-class hospital performance through business model innovation? [Preprint]. https://doi.org/10.2196/preprints.62980
Hanson, P., Summers, C., Panesar, A., Liarakos, A., Oduro-Donkor, D., Whyte, D., … Barber, T. (2023). Implementation of a digital health tool for patients awaiting input from a specialist weight management team: Observational study. JMIR Human Factors, 10, e41256. https://doi.org/10.2196/41256
Hargitayanti, H., Akmal, M., & Hasniati, H. (2022). Performance of health service on home care and marine ambulance telemedicine in the city of Makassar. https://doi.org/10.2991/assehr.k.220101.034
Himawan, N., Wening, N., Pudjaningsih, D., & Herawati, L. (2021). The role of key performance indicators in improving the performance of clinical pharmacist in hospitals. Indian Journal of Forensic Medicine & Toxicology, 15(3), 3821–3828. https://doi.org/10.37506/ijfmt.v15i3.15890
Ibatova, A., Kuzmenko, V., & Клычова, Г. (2018). Key performance indicators of management consulting. Management Science Letters, 475–482. https://doi.org/10.5267/j.msl.2018.3.004
Işık, M., Yarar, O., & Söylemez Sur, D. (2021). Measurement of the effects of business intelligence applications on performance in hospitals according to the managerial levels: A chain hospital application. Journal of International Health Sciences and Management, 7(13), 97–110.
Kabene, S. M., Orchard, C., Howard, J. M., Soriano, M. A., & Leduc, R. (2006). The importance of human resources management in health care: A global context. Human Resources for Health, 4(1). https://doi.org/10.1186/1478-4491-4-20
Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open, 6(2), 535–545. https://doi.org/10.1002/nop2.237
Karasar, N. (2022). Bilimsel araştırma yöntemi: Kavramlar, ilkeler, teknikler (37. bs.). Ankara: Nobel Yayıncılık.
Kazemzadeh, R. B., Mohaghar, A., & Saeedpoor, M. (2015). Development of performance dashboards in healthcare sector: Key practical issues. Acta Informatica Medica, 23(4), 229–234. https://doi.org/10.5455/aim.2015.23.229-234
Keçeci, A. (2025). Hastane Bilgi Yönetim Sistemlerinde Yönetici Takip Ekranlarının Hastane Performansına Etkisi. (Yayınlanmamış doktora Tezi). İstanbul Okan Üniversitesi
Khosravi, M., Jahani, Y., Mirzaee, M., Payandeh, A., & Bahrampour, A. (2018). Factors associated with patient satisfaction in teaching hospitals in Zahedan (Iran) in 2017: A two-level regression model. Electronic Physician, 10(10), 7325–7332. https://doi.org/10.19082/7325
Kohler, G., Sampalli, T., Ryer, A., Porter, J., Wood, L., Bedford, L., … Rivoire, E. (2017). Bringing value-based perspectives to care: Including patient and family members in decision-making processes. International Journal of Health Policy and Management, 6(11), 661–668. https://doi.org/10.15171/ijhpm.2017.27
Koyuncugil, A. S., & Özgülbaş, N. (2009). Veri madenciliği, tıp ve sağlık hizmetlerinde kullanımı ve uygulamaları. Bilişim Teknolojileri Dergisi, 2(2), 21–27.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610.
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563–575.
Lim, J., Lim, K., Heinrichs, J., Al-Aali, K., Aamir, A., & Qureshi, M. (2018). The role of hospital service quality in developing the satisfaction of the patients and hospital performance. Management Science Letters, 8(6), 1353–1362. https://doi.org/10.5267/j.msl.2018.9.004
Lonial, S., Tarım, M., Tatoglu, E., Zaim, S., & Zaim, H. (2008). The impact of market orientation on NSD and financial performance of hospital industry. Industrial Management & Data Systems, 108(6), 794–811. https://doi.org/10.1108/02635570810884012
Lyman, B., Hammond, E., & Cox, J. (2018). Organisational learning in hospitals: A concept analysis. Journal of Nursing Management, 27(3), 633–646. https://doi.org/10.1111/jonm.12722
McFarland, D., Ornstein, K., & Holcombe, R. (2015). Demographic factors and hospital size predict patient satisfaction variance—Implications for hospital value‐based purchasing. Journal of Hospital Medicine, 10(8), 503–509. https://doi.org/10.1002/jhm.2371
Meng, X., & Minogue, M. (2011). Performance measurement models in facility management: A comparative study. Facilities, 29(11/12), 472–484. https://doi.org/10.1108/02632771111157141
Mercier, F., Laplace, N., Mitmaker, E., Colin, C., Kraimps, J., Sébag, F., … Lifante, J. (2018). Unexpected discrepancies in hospital administrative databases can impact the accuracy of monitoring thyroid surgery outcomes in France. PLOS ONE, 13(12), e0208416. https://doi.org/10.1371/journal.pone.0208416
Mirzaei, A., Darabadi, F., Havaskar, S., Lotfi, A., & Nemati-Vakilabad, R. (2024). Translation and psychometric properties of the Persian version of the Organizational Learning Instrument–Development Stages (OLI-DS). Journal of Nursing Management. https://doi.org/10.1155/jonm/3906448
Murphy, M., Alavi, K., & Maykel, J. (2013). Working with existing databases. Clinics in Colon and Rectal Surgery, 26(1), 5–11. https://doi.org/10.1055/s-0033-1333627
Ndemo, B., & Achuora, J. (2020). Influence of procurement key performance indicators on the performance of state agencies in Kenya. International Journal of Supply Chain and Logistics, 4(2), 80–103. https://doi.org/10.47941/ijscl.467
Papathanasiou, A., Koutsovasilis, A., Shea, S., Philalithis, A., Papavasiliou, S., Melidonis, A., … Lionis, C. (2012). The Problem Areas in Diabetes (PAID) scale: Psychometric evaluation survey in a Greek sample with type 2 diabetes. Journal of Psychiatric and Mental Health Nursing, 21(4), 345–353. https://doi.org/10.1111/j.1365-2850.2012.01875.x
Purwoko, H., Saksana, J., & Soehaditama, J. (2023). Key performance indicator: Concept, implementation to performance management. East Asian Journal of Multidisciplinary Research, 2(8), 3261–3268. https://doi.org/10.55927/eajmr.v2i8.5282
Rochmah, T. N., Fakhruzzaman, M., & Yustiawan, T. (2020). Hospital staff acceptance toward management information systems in Indonesia. Health Policy and Technology, 9(3), 268–270. https://doi.org/10.1016/j.hlpt.2020.07.004
Sanjuluca, T., Almeida, A., & Cruz-Correia, R. (2022). Assessing the use of hospital information systems to support decision-making: A cross-sectional study. Healthcare, 10(7), 1267. https://doi.org/10.3390/healthcare10071267
Sisoft Sağlık Bilgi Sistemleri. (2021). Yönetici takip ekranlarının rehbere uygun görünümü. https://sisoft.com.tr/tr/imgyayinlar/kitaplar/Yonetici-takip-ekranlarinin-rehbere-uygun-gorunumu.pdf
Suwasono, E. (2020). The effect of non-medical waste management in hospitals on the comfort and satisfaction of patients towards green hospital. Prosiding Seminar, 69. https://doi.org/10.32503/prosidingseminar.v0i0.10
T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı. (2024). Onikinci Kalkınma Planı (2024–2028). https://www.sbb.gov.tr/wp-content/uploads/2023/12/On-Ikinci-Kalkinma-Plani_2024-2028_11122023.pdf
T.C. Sağlık Bakanlığı. (2024). Stratejik Plan (2024–2028). Erişim adresi: https://shgm.saglik.gov.tr/Eklenti/47452/0/saglik-bakanligi-stratejik-plan-2024-2028pdf.pdf
Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Boston, MA: Pearson.
Tavşancıl, E. (2014). Tutumların ölçülmesi ve SPSS ile veri analizi (5. bs.). Ankara: Nobel Yayıncılık.
Tezbaşaran, A. (2008). Likert tipi ölçek geliştirme kılavuzu. Türk Psikolojik Danışma ve Rehberlik Dergisi, 1(2), 1–14.
van der Veer, S. N., de Vos, M., Jager, K. J., van Ittersum, F. J., Wetzels, J. F., Scheffer, P. G., … Westerman, M. J. (2022). Evaluating a novel, integrative dashboard for health professionals’ performance and data quality in patient care: A mixed-methods study. BMJ Open Quality, 11(4), e002033. https://doi.org/10.1136/bmjoq-2022-002033
Wosny, M., Strasser, L., & Hastings, J. (2024). The paradoxes of digital tools in hospitals: Qualitative interview study. Journal of Medical Internet Research, 26, e56095. https://doi.org/10.2196/56095
Yazıcıoğlu, Y., & Erdoğan, S. (2004). SPSS uygulamalı bilimsel araştırma yöntemleri. Ankara: Detay Yayıncılık.
Yılmaz, R., & Aydın, S. (2016). Hastanelerde bilgi sistemi ve bilgi teknolojileri kullanımı: Tıbbi sekreterler üzerine bir araştırma. Bilgi Ekonomisi ve Yönetimi Dergisi, 11(2), 149–160. https://dergipark.org.tr/tr/download/article-file/573005
Yurdugül, H. (2005, Eylül). Ölçek geliştirme çalışmalarında kapsam geçerliği için kapsam geçerlik indekslerinin kullanılması. XIV. Ulusal Eğitim Bilimleri Kongresi’nde sunulan bildiri, Pamukkale Üniversitesi, Denizli. http://yunus.hacettepe.edu.tr/~yurdugul/3/indir/PamukkaleBildiri.pdf
Zhuang, M., Concannon, D., & Manley, E. (2020). A framework for evaluating dashboards in healthcare. arXiv preprint. https://arxiv.org/abs/2009.04792
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Makale Bilgileri
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- Gönderildi Aralık 30, 2025
- Yayınlanmış Aralık 30, 2025
- Sayı Cilt 4 Sayı 4 (2025): JMEDUSCI
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