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Öğe Effect of a Compassion Fatigue Resiliency Program on Nurse Managers' Professional Quality of Life, Stress, and Resilience(Lippincott Williams & Wilkins, 2023) Pehlivan Saribudak, Tugba; Guner, Perihan; Cepni, BerrinBackground:Compassion fatigue, stress, and burnout have an adverse impact on nurse managers.Purpose:To evaluate the impact of a compassion fatigue resiliency program on nurse managers and to obtain their views of the program.Methods:This mixed-methods study was conducted with 16 nurse managers. The compassion fatigue resiliency program was implemented; compassion fatigue, compassion satisfaction, burnout, perceived stress, and resilience were assessed before and after implementation of the program.Results:The mean compassion fatigue and perceived stress scores of nurses decreased significantly after the intervention. Four themes were identified from qualitative analysis, including awareness, coping with stress, effective communication skills in team management, and recommendations.Conclusions:The current study shows the training program reduced nurse managers' compassion fatigue and stress and enabled nurse managers to improve their coping skills and awareness.Öğe Effect of a compassion fatigue resiliency program on nurses' professional quality of life, perceived stress, resilience: A randomized controlled trial(Wiley, 2020) Pehlivan, Tugba; Guner, PerihanAims This study aimed to conduct a short- and long-term Compassion Fatigue Resiliency Program and compare its impact on nurses' professional quality of life, perceived stress, and resilience. Design The research was conducted between January 2017 January 2019 as a randomized controlled trial. Methods The sample comprised 125 oncology-haematology nurses randomly assigned to a Experimental I, Experimental II, or control group. The Compassion Fatigue Resiliency Program was conducted with the nurses as an intervention. Experimental I received a short-term program (5 hr per day for 2 days, 10 hr in total) while Experimental II received a long-term one (5 weeks, 2 hr per week, 10 hr in total). Measurements were obtained during pre- and post-test and at 3-, 6-, and 12-month follow-ups. Research hypotheses were analysed using multilevel models. Results The results of multilevel model analyses showed there was no statistically significant difference between mean scores for compassion fatigue, burnout, perceived stress, and resilience of nurses in the short- or long-term groups or of those in the control group. Mean compassion satisfaction scores of nurses in the short- or long-term groups were significantly higher than those in the control group. Mean compassion satisfaction scores of nurses in the short- or long-term groups were significantly higher than the control group's pre-test mean after 6 and 12 months. Conclusion This study concluded that short- or long-term programs had no influence on compassion fatigue, burnout, perceived stress, and resilience; however, both programs positively affected compassion satisfaction. We recommend that further studies be conducted, which will help determine the effectiveness of new programs. Impact Caring for patients with cancer can generate work-related stress that can negatively affect oncology nurses' physical and emotional health, which could lead to compassion fatigue. The program provided nurses with an opportunity to improve their compassion satisfaction. Because there was no difference between both programs regarding mean compassion satisfaction scores, a short-term program may be preferred to encourage more participation among nurses. We also recommend further studies should be conducted that include environmental improvements along with the training programs. Trial registered at ClinicalTrials.gov (The name of the trial register: Effect of a Compassion Fatigue Resiliency Program; the clinical trial registration number: NCT04372303).Öğe MARRIED MEN'S PERSPECTIVES AND REPRODUCTIVE BEHAVIORS ON FERTILITY IN THE PROVINCE WITH THE HIGHEST FERTILITY RATE IN TURKEY: A MIX METHOD STUDY(Nobel Ilac, 2022) Koruk, Fatma; Eroglu, Kafiye; Koruk, Ibrahim; Celik, Kezban; Guner, PerihanObjective: Fertility is directly related to the socio-economic, political, and cultural structure of societies. .5anliurfa is the Province with the highest fertility rate in Turkey. In .5anliurfa, men play a decisive role regarding fertility-related issues. Therefore, this study is conducted to determine married men's perspectives and reproductive behaviors on fertility in .5anliurfa. Material and Method: The quantitative dimension of the study was carried out using a mixed methods approach in which 210 men were interviewed and a questionnaire was completed; the qualitative dimension was carried out through in-depth individual interviews with 8 men, using a semi-structured interview form. Analysis of the qualitative data was done using a content analysis technique. Results: In the quantitative dimension of this study, it was found that the mean number of children (3.2 +/- 2.0) in the families was high, and the most critical factor that increases the number of children was low education level (odds ratio [OR] 5.2, 95% Cl: 1.9-14.3) in men. In the qualitative dimension of this study, it was found that the most common factors increasing the number of children were preference for male children, not knowing enough about contraceptive methods, using child labor force in agriculture, childcare being easier in an extended family. Besides, it was found that men perceive induced abortion as a sin, the crowded family as powerful, and their sons as insurance in old age. Conclusion: This study has shown that education, cultural norms, and values are instrumental in the fertility rate.Öğe Noise Factory: A qualitative study exploring healthcare providers' perceptions of noise in the intensive care unit(Elsevier Sci Ltd, 2021) Kebapci, Ayda; Guner, PerihanObjectives: This study aimed to explore healthcare providers' perceptions of noise in the intensive care unit. Design: A qualitative exploratory study was conducted using group interviews. Setting: The setting comprised a total of 15 participants (five physicians and ten registered nurses) working in an 18-bed medical surgical intensive care unit at a teaching hospital in Istanbul, Turkey. Semi structured questions were formulated and used in focus group interviews, after which the recorded interviews were transcribed by the researchers. Thematic analysis was used to identify significant statements and initial codes. Findings: Four themes were identified: the meaning of noise, sources of noise, effects of noise and prevention and management of noise. It was found that noise was an inevitable feature of the intensive care unit. The most common sources of noise were human-induced. It was also determined that device induced noise, such as alarms, did not produce a lot of noise; however, when staff were late in responding, the sound transformed into noise. Furthermore, it was observed that efforts to decrease noise levels taken by staff had only a momentary effect, changing nothing in the long term because the entire team failed to implement any initiatives consistently. The majority of nurses stated that they were now becoming insensitive to the noise due to the constant exposure to device-induced noise. Conclusion: The data obtained from this study showed that especially human-induced noise threatened healthcare providers' cognitive task functions, concentration and job performance, impaired communication and negatively affected patient safety. In addition, it was determined that any precautions taken to reduce noise were not fully effective. A team approach should be used in managing noise in intensive care units with better awareness. (c) 2020 Elsevier Ltd. All rights reserved.Öğe Oncology-Hematology Nurses' Perspectives on the Compassion Fatigue Resiliency Program: A Qualitative Study(Slack Inc, 2022) Pehlivan, Tugba; Guner, PerihanBackground. Oncology-hematology nurses are at increased risk for compassion fatigue. It remains unclear whether the Compassion Fatigue Resiliency program is effective, and qualitative evidence from participant feedback is limited. This was a follow-up study to a quantitative study of the Compassion Fa-tigue Resiliency program. The aims of this study were to evaluate how the content of the program affects nurses' compassion fatigue and coping abilities and to obtain their views. Method. This qualitative study was performed with 24 oncology-hematology nurses at two hospitals. Three focus groups were conducted using a semi-structured questionnaire. The data were analyzed using conventional content analysis. Re-sults. Four themes emerged: awareness; coping; not for others, for me; and training design. Nurses stated they had only just learned what compassion fatigue and its impact were and had gained more aware-ness. Conclusion. The content of the Compassion Fatigue Resiliency program helped nurses learn ef-fective coping skills; however, the program's design is important to its effectiveness. [Öğe Psychometric Features of the Turkish Version of the Cancer Rehabilitation Evaluation System-Short Form for Patients With Cancer(Springer Publishing Co, 2022) Guner, Perihan; Sar, Vedat; Pehlivan, TugbaBackground and Purpose: The Cancer Rehabilitation Evaluation System-Short Form (CARES-SF) is one of the first self-report measurement tools that addresses problems and rehabilitation needs of patients with cancer. This study aimed to examine the validity and reliability of the CARES-SF for Turkish-speaking patients with cancer. Methods: The Turkish version of the CARES-SF was administered to 300 patients with colorectal, lung, or breast cancer. Results: While the first six factors of the Turkish CARES-SF covered the same spectrum as the original scale's subscales, the present study suggests dividing the original psychosocial factors into two subscales: psychological and social (relatives and friends). Conclusions: This preliminary inquiry on the Turkish CARES-SF confirmed the validity and reliability of the original scale except for the shifting of a few items between subsections.Öğe Women's reproductive behaviour and perspectives on fertility, and their modifying factors, in a Turkish province with a high fertility rate(Taylor & Francis Ltd, 2021) Eroglu, Kafiye; Koruk, Fatma; Koruk, Ibrahim; Celik, Kezban; Guner, Perihan; Kilicli, AysegulObjectives Population growth is an important public health problem with economic, social, cultural and political consequences. The aim of the study was to determine the reproductive behaviour and perspectives on fertility of women in Sanliurfa, the city with the highest fertility rate in Turkey. Methods The quantitative dimension of the study was carried out using a mixed methods approach in which 300 women were interviewed and a questionnaire was completed; the qualitative dimension was carried out through in-depth individual interviews with 14 women, using a semi-structured interview form. Analysis of the qualitative data was done using a content analysis technique. Results The median number of children was three (range 0-10). Women with no or a low level of education tended to have a greater number of children. Preference for a particular sex of child was one reason behind the higher number of children. These two factors were main causes of an increased number of children. Women with no or a low level of education (odds ratio [OR] 9.1) and women who expressed a preference for a male child (OR 5.9) had more children compared with other women. Participants regarded a male child as more valuable than a female child and that having many children strengthened the family. Parents regarded their sons as insurance for their old age. Having an induced abortion was perceived as a sin. Conclusion The results showed that cultural norms and values significantly affected fertility rates.
