Politika Analizi Çerçevesinde Türkiye'de Sağlıkta Şiddetin Nitel Olarak İncelenmesi

Abstract

Violence in healthcare is a social problem that continues to increase despite many necessary preventive policies being determined in recent years both in the world and in Turkey. This study focuses on analyzing the current policies for the prevention of violence in healthcare in Turkey within the framework of Walt and Gilson's 'policy analysis', and addressing the views of stakeholders determined at the macro, meso and micro levels regarding the problem, about the causes of this violence and preventive practices for its solution. In this study designed through qualitative research method, document analysis was used primarily to explain the policies developed for violence in healthcare. In this regard, the laws, circulars and regulations regarding violence in health were examined within the 'policy analysis framework' of Walt and Gilson. Afterwards, in-depth interviews were conducted with 28 participants determined at macro, meso and micro levels through a semi-structured interview form to evaluate the causes, solutions and prevention policies of violence in health. . The first theme of the study is 'causes of violence'. The second theme is 'evaluation of policies'. In this heading, there are sub-themes 'applicability', 'sustainability', 'scope' and 'actors'. The last theme is “solution suggestions”. In this theme, the sub-themes of 'audit', 'sanctions', 'pluralism in participation' and 'root cause' analysis were found. Regarding the causes of violence in health, macro level participants emphasized the level of education, while meso and micro level participants stated that provoked demand was effective. It has been concluded that in order to prevent violence, root cause analysis should be carried out in order to reveal the main factors that cause violence, a position that is inclusive of all stakeholders should be taken, criminal sanctions should be increased, public campaigns should be increased and healthcare professionals should be trained on this subject.