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Öğe Caregiver support and burden drive intention to engage in a peer-to-peer exchange of services among caregivers of dementia patients(FRONTIERS MEDIA SA, 2023-07-06) Aksin, Zeynep Öz; Bilgiç, Başar; Güner, PerihanIntroductionThe number of people diagnosed with dementia is increasing, creating significant economic burden globally. With the progression of the disease, patients need a caregiver whose wellbeing is important for continuous care. Providing respite as a service, through sharing the responsibility of caregiving or support for the caregiver, is a costly initiative. A peer-to-peer online support platform for dementia caregivers, motivated by the sharing economy, putting exchange of knowhow, resources, and services at its center, has the potential to balance cost concerns with a search for respite. The aim of this research is to assess caregivers' intention to engage in peer-to-peer exchange. MethodsA survey including sociodemographic, technology use, and caregiving variables, structured questionnaires (Zarit caregiver burden, WHO brief quality of life scale, ADCS-ADL and chronic stress scale) were administered, January 2018-May 2019, in the dementia outpatient clinic of a university hospital, to a convenience sample of n = 203 individuals identifying themselves as primary caregivers. A path analysis exploring the drivers of an intention to engage in peer-to-peer service exchange was conducted. ResultsIn the path model, caregivers experiencing higher caregiver burden showed higher intention to engage (0.079, p < 0.001). Disease stage had no effect while patient activities of daily living, chronic social role related stressors of the caregiver and general quality of life were significant for the effect on the caregiver burden. Existing household support decreased the caregiver burden, affecting the intention to engage. Caregivers who can share more know-how demonstrate a higher intention to engage (0.579, p = 0.021). Caregiver technology affinity (0.458, p = 0.004) and ability and openness to seek professional help for psychological diagnoses (1.595, p = 0.012) also increased intention to engage. ConclusionThe model shows caregiver burden to be a major driver, along with caregiver characteristics that reflect their technology affinity and openness to the idea of general reciprocity. Existing support for obtaining knowhow and exchanging empathy have a direct effect on the intention to engage. Given the scarcity of caregiver support in the formal care channels, the identified potential of enlarging informal support via a peer-to-peer exchange mechanism holds promise.Öğe Examining the Factors Influencing Turkish Nursing Students’ Motivation: An Explorative Qualitative Study(Acibadem Mehmet Ali Aydinlar University, 2023) Güner, Perihan; Zeybekoğlu, Zuhal; Karaçay, Pelin; Eroğlu, KafiyeObjective: The purpose of this study was to examine the factors that affect the motivation of students in a Bachelor of Science nursing program. Methods: A qualitative study was carried out with 32 Bachelor of Science nursing students with different class studying in a non-profit foundation university. Data was collected through four focus groups using a semi-structured interview form. Content analysis was used to analyze data. Results: The following five themes emerged: Choosing the university, but not the future profession; lack of a feeling of belonging to university; group cohesion; student-faculty relationship; quality of education. Conclusion: In this study showed how important it is for students' motivation to study on a large campus rather than on an isolated campus.Öğe Kanser Hastalarına Sunulan Psikososyal Hizmetler ve Hemşirelerin Psikososyal Değerlendirme ve Müdahalede Yaşadığı Zorluklar: Ülke Çapında Bir Araştırma(Ataturk University, 2024) Yıldırım, Nazmiye; Güner, Perihan; İnci, FigenAmaç: Bu çalışma temelde kanser hastalarına sunulan psikososyal hizmetlerin mevcut durumunu ve hemşirelerin hastaların psikososyal gereksinimlerini karşılama yollarına ilişkin görüşlerini belirlemeyi amaçlamaktadır. Ayrıca hastaların psikososyal gereksinimlerinin karşılanmasının önündeki engellerin değerlendirilmesini ve hemşirelerin psikososyal tanılama ve müdahale uygulamalarında zorluk düzeylerinin ölçülmesini amaçlanmaktadır. Yöntemler: Türkiye'nin 12 coğrafi bölgesinden seçilen 32 hastanede, erişkin kanser hastalarına doğrudan bakım veren 1189 hemşirenin yer aldığı çok merkezli, kesitsel bir çalışmadır. Veriler, araştırmanın amacına uygun olarak hazırlanan anket aracılığıyla toplanmıştır. Bulgular: Katılımcıların dörtte üçü hastanelerinde psikososyal destek hizmeti sağlandığını ve %67,7'si bu hizmetin psikiyatri konsültasyonu ile verildiğini bildirmiştir. Yaklaşık yarısı (%49) tüm sağlık çalışanlarının hastaların psikososyal gereksinimlerini karşılamakla yükümlü olduğunu, özellikle hemşirelik görevlerinin ayrılmaz bir parçası olduğunu belirtmiştir. Ancak organizasyonel koşulların (%48,2-%30,7), hastaların psikososyal gereksinimlerinin karşılanmasında en önemli engel olduğu bildirilmiştir. Katılımcıların en çok "cinsel sorunlar" ve "tedaviyi reddetme", en az da "hastaların hastalığa tepkileri" konusunda hastaların psikososyal gereksinimlerini değerlendirmede ve müdahale etmede zorluk yaşadığı ortaya çıkmıştır. Ayrıca katılımcıların 19 psikososyal boyuttan yedisini değerlendirmede ve beşine müdahale etmede daha fazla zorluk yaşadıkları belirlenmiştir (P<,05). Sonuç: Bu çalışma Türkiye'de psikososyal hizmetlerin daha iyi yapılandırılmasına katkı sağlayabilir. Aynı zamanda psikososyal bakım eğitiminin planlanmasına da rehberlik edebilir. Hemşire-hasta oranı başta olmak üzere kurumsal engellerin aşılması ve hemşirelerin psikososyal bakım kapasitesinin geliştirilmesi gerekmektedir.Öğe Predictors of Caregiver Burden and Caregiving Reactions in Caregivers of Cancer Patients(Duzce University, 2024) Sarıbudak, Tugba Pehlivan; İşcan, Sanem; Güner, PerihanAim: The aim of this study was to determine the subjective care burden and caregiving reactions of primary caregivers of cancer patients. Material and Methods: This descriptive study was conducted with 140 primary caregivers of patients receiving cancer treatment in the outpatient chemotherapy and inpatient units of a private university hospital between April 2017 and 2018. Data were collected using the patient and caregiver information form, the Caregiver Strain Index (CSI) and the Preparedness Scale of Familv Caregiving lnventorv. Multiple stepwise linear regression analysis was performed to reveal the predictors explaining the dependent variables. Results: The mean score of the caregiver stress index was 4.41 (SD=3.77) and the mean score of the reactions to caregiving scale was 23.15 (SD=12.12). The status of finding the help received in care adequate and the ability to fulfill activities of daily living were found to be the predictors of the caregiver's stress index and the caregiver's reactions to caregiving. Conclusion: In our study, caregivers' subjective care burden and negative reactions to caregiving were found to be low. It was found that the most important predictors explaining the dependent variables were receiving adequate help in care and whether the patient was dependent in activities of daily living. It is recommended that individuals who care for dependent patients are at risk for more care burden and interventions should be planned for this group. In addition, nurses should inform and support caregivers in terms of the importance of the receiving help in the caregiving process.
