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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 From Avoidance to Empowerment: Coping Strategies in Women With Müllerian agenesis (MRKH) After McIndoe Reconstruction: A Descriptive Phenomenological Study(Elsevier Science Inc, 2026) Guner, Perihan; Ulukaya, TugbaStudy Objective: To explore coping strategies among women with Mayer-Rokitansky-K & uuml;ster-Hauser (MRKH) syndrome following McIndoe vaginal reconstruction, focusing on how they adapt emotionally, cognitively, relationally, and spiritually. Methods: A descriptive phenomenological study was conducted at a tertiary university hospital in T & uuml;rkiye. Ten women with MRKH syndrome who underwent McIndoe vaginoplasty were recruited. Data were collected through semi-structured, in-depth interviews and analyzed using Colaizzi's seven-step framework. Reporting adhered to the COREQ checklist. Results: Six overarching themes and twelve subthemes were identified:1 managing silence and avoidance,2 reframing and positive reap-praisal,3 spiritual coping,4 relational dynamics of support and stigma,5 disclosure dilemmas, and6 pathways to empowerment. Coping strategies were dynamic, shifting from avoidance to eventual empowerment, and were shaped by family dynamics, cultural norms, spirituality, and relational contexts. Conclusion: Coping following McIndoe reconstruction extends beyond surgical success to encompass psychological adjustment, relational support, and the creation of cultural and spiritual meaning. Holistic interventions-including psychoeducation, culturally sensitive counselling, family-and couple-based approaches, and structured peer networks-may strengthen resilience and promote well-being in this population.Öğe I felt like a woman: A phenomenological qualitative study of disease-related experiences in Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome)(Sage Publications Ltd, 2025) Guner, Perihan; Ulukaya, Tugba; Saribudak, Tugba PehlivanThis study aimed to examine the psychosocial problems and their effects experienced by individuals diagnosed with Mayer-Rokitansky-K & uuml;ster-Hauser syndrome (MRKH syndrome) who had undergone surgical operations. Ten patients who had undergone a McIndoe operation after a MRKH syndrome diagnosis were recruited with a convenience sample. Data collection was conducted at the Department of Obstetrics and Gynecology of a university hospital in T & uuml;rkiye. This study produced four main themes: (1) Emotional Turmoil Upon Diagnosis, (2) Challenges to Sexual Identity and Intimate Relationships, (3) The Profound Impact of Infertility, and (4) Navigating the Complexities of Surgical Treatment. This study revealed that MRKH syndrome individuals experienced psychological reactions such as shock, resentment, anger, and sadness throughout their journey with the disease, including both before and after undergoing surgical operations. The study sheds light on the psychological needs of individuals (particularly during the initial diagnosis and postoperative period), offering important implications for nurses caring for such individuals.Öğe It's just a flu or a death sentence: A descriptive qualitative study on illness perceptions of cancer patients across four paradoxes(Sage Publications Ltd, 2026) Guner, Perihan; Inci, Figen; Yildirim, Nazmiye; Kucukkaya, Aycan; Goktas, PolatThis descriptive qualitative study explored how individuals with cancer perceive their illness across different stages and contexts. Using a reflexive thematic analysis (RTA) framework, the study followed the Standards for Reporting Qualitative Research (SRQR) for transparency. Data were gathered through six semi-structured focus group discussions with 35 patients diagnosed with breast, lung, colorectal, or gastric cancer. Purposive sampling continued until sufficient information was obtained. Analysis yielded four overarching themes: (1) paradox of illness description, (2) paradox of disease causation, (3) paradox of treatment effects, and (4) paradox of life disruption. Participants expressed ambivalent understandings of cancer, some viewing it as a manageable, flu-like condition, while others experienced it as a life-threatening, identity-defining event. Similar tensions emerged regarding perceived causes, treatment responses, and the illness's broader impact. These paradoxes highlight the complexity of cancer perceptions and the need for individualised, psychosocially informed care across the illness trajectory.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 Prioritizing delirium risk factors in nursing: a cross-sectional study using the analytic hierarchy process(Bmc, 2025) Zeki, Ozge; Guner, Perihan; Zeki, Mustafa; Ozkaynak, MustafaBackground Delirium is a complex neuropsychiatric syndrome characterized by acute and fluctuating disturbances in attention, cognition, and consciousness. Despite its significant impact on patient outcomes, a gap persists between clinical practice and evidence-based approaches for delirium prevention and management. This study aims to systematically explore nurses' perceptions of delirium risk factors, identify which factors they prioritize, and examine the reasoning behind their prioritization using the Analytic Hierarchy Process (AHP). By addressing these objectives, this study identified potential knowledge gaps in delirium prevention while examining the contributions and challenges of applying the AHP method in prioritizing delirium risk factors. Methods A cross-sectional study was conducted with 234 nurses from five academic hospitals in T & uuml;rkiye. Delirium risk factors were categorized into four main categories through the consensus of a panel of six experts with experience in delirium care and research. These finalized categories were used to develop an Analytic Hierarchy Process (AHP) questionnaire, enabling nurses to perform pairwise comparisons of the risk factors. Data collected through the AHP questionnaire were analysed using MATLAB software, and Consistency Ratios (CR) were calculated to ensure the reliability of the responses. Results Nurses identified age > 65 (GW = 0.161), noisy hospital environment where patient stays (GW = 0.077), patient living alone (GW = 0.064), insufficient interaction with patient's relatives or caregivers (GW = 0.046), admission to intensive care unit following emergency surgery or physical trauma (GW = 0.041) and admission due to surgery (GW = 0.041) as significant risk factors. Other factors such as anemia (GW = 0.006), vision and/or hearing impairment (GW = 0.009), existing cardiovascular disorder (e.g., hypertension) (GW = 0.01) and patient being in a coma or medically induced coma (GW = 0.01) ranked lower. Over half of the nurses prioritized psychological causes, citing fear, anxiety, and stress as significant contributors to delirium. Conclusions The study reveals significant discrepancies between nurses' prioritization of delirium risk factors and established evidence. Psychological causes were emphasized over organic factors, highlighting potential knowledge gaps and challenges in delirium recognition. By applying the AHP methodology, this study provides reliable insights into nurses' perspectives on delirium risk factors. These findings can guide future educational programs and policy interventions to bridge gaps between evidence-based practices and clinical application, ultimately improving delirium prevention strategies in healthcare settings. Furthermore, this study underscores the contributions and challenges of employing the AHP method to prioritize delirium risk factors, providing valuable insights and methodological guidance for researchers seeking to adopt this approach in nursing studies.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 Psychometric Properties of a Turkish Version of The Psychosocial Needs Inventory; Sampling from Oncology Patients(Elsevier Science Inc, 2024) Guner, Perihan; Yildirim, Nazmiye Kocaman; Inci, Figen; Sanci, Kadriye; Semerci, RemziyeObjectives: This study aimed to assess the reliability and validity of the Psychosocial Needs Inventory (PNI) among Turkish oncology patients. Methods: A methodological study was conducted with 1,547 oncology patients. This validation study was divided into two phases. Phase 1 included translation of the PNI according to World Health Organization recommendations, investigation of content validity by experts, and a pilot study involving 136 participants. Phase 2 included a validity and reliability analysis of the PNI. Data analysis comprised exploratory (EFA) and confirmatory factor analyses (CFA), Cronbach's alpha, test-retest reliability, Hotelling's T2 test and item-total score correlation, and the Content Validity Index (CVI). Results: For the phase 1, the CVI for items and scale were >.75 and .883, respectively. Cronbach's alpha values of the subdimensions ranged between 0.84 and 0.94. The test-retest analyses of the subdimensions showed correlation coefficients based on the pilot test (p < .001). For the phase 2, based on the fit indices in confirmatory factor analysis, the structures of the dimensions Importance and Satisfaction were acceptable. Cronbach's alpha values of the subdimensions ranged between 0.84 to 0.94 in the Importance dimension and 0.86 to 0.94 in the Satisfaction dimension. As a result of EFA, the Kaiser-Meyer-Olkin, Bartlett's test (p < 0.001) and PNI Importance explained at 68.46% and PNI Satisfaction at 70.15% of the total variance by the six-factor structure. CFA showed that the indices and validity, including content validity, convergent validity were satisfactory. Conclusion: The PNI, which was found to be a valid and reliable measurement tool, can be used to determine the psychosocial needs of cancer patients. Implications for Nursing Practice: Health professionals need to use the PNI to measure their importance to cancer patients' psychosocial needs and assess their satisfaction with meeting them to improve holistic care and support. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe Psychosocial Services Provided to Cancer Patients and Nurses' Difficulties in Psychosocial Assessment and Intervention: A Nationwide Study(Ataturk Univ, 2024) Yildirim, Nazmiye; Guner, Perihan; Inci, FigenObjective: The study mainly aims to determine the current state of psychosocial services offered to cancer patients and the views of nurses regarding the ways to meet patients' psychosocial needs. Other aims to evaluate barriers to meeting patients' psychosocial needs and measure nurses' difficulty level of psychosocial assessment and intervention practices. Methods: This multicenter, cross-sectional study was conducted with 1189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of T & uuml;rkiye. The data were collected by a survey prepared in accordance with the aims of the study. Results: Three-quarters of the participants reported that their hospital has psychosocial support services while 67.7% stated that this service was provided by psychiatry consultation. Nearly half (49%) stated that all healthcare professionals are responsible for meeting patients' psychosocial needs, especially it is an integral part of their nursing duties. However, organizational conditions (48.2%-30.7%) are the most important barriers to meeting the psychosocial needs of the patients. Participants have difficulty mostly in assessing and intervening in psychosocial needs of patients mostly in sexual problems and rejection of treatment, and least in patients' reactions to illness. Also, the participants have more difficulty in assessing seven of the 19 psychosocial dimensions and intervening in five ( P< .05). Conclusion: This study may be contributed to better structuring of psychosocial services in T & uuml;rkiye. It can also guide the planning of psychosocial care training. Institutional barriers need to be overcome, especially the nurse-patient ratio, and the psychosocial care capacity of nurses should be improved.Öğe Self-compassion and secondary traumatic stress in pediatric oncology/hematology nurses(Elsevier Science Inc, 2026) Tokatlioglu, Tgba Sahin; Guner, PerihanBackground: Pediatric oncology/hematology nurses frequently witness the suffering and death of children, placing them at high risk for secondary traumatic stress. Self-compassion has emerged as a protective factor against psychological distress in healthcare professionals. Methods: This descriptive correlational study included 115 nurses in pediatric oncology/hematology units at six hospitals in three major cities. Data were collected using a Personal Information Form, the Self-Compassion Scale, and the Secondary Traumatic Stress Scale. Data were analyzed using descriptive and multiple inferential statistical methods. Results: Nurses reported moderate levels of secondary traumatic stress and self-compassion. A significant negative correlation was found between the total self-compassion scale and secondary traumatic stress scale scores (r = -0.46, indicating a moderate negative correlation, p < 0.01). Subscales of self-kindness, mindfulness, and common humanity were negatively associated with secondary traumatic stress. At the same time, self-judgment and isolation were positively correlated. Multiple regression analysis showed that self-compassion explained a significant portion of variance in secondary traumatic stress scores (R-2 = 0.31, indicating that 31 % of the variance was explained, p < 0.001). Discussion: The findings suggest that higher self-compassion, particularly self-kindness and mindfulness, may buffer nurses against the adverse effects of secondary trauma. Conversely, self-critical attitudes may heighten vulnerability. These results highlight pediatric oncology nurses' emotional burden and underscore the importance of psychological support. Conclusion: Promoting self-compassion may help reduce secondary traumatic stress and improve well-being among pediatric oncology/hematology nurses. Interventions focused on self-compassion training could serve as a sustainable strategy to support nurses' mental health and care quality. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe The Level of Psychosocial Skills of Nurses Caring for Cancer Patients and Affecting Factors: Results of a Multicenter Study(Tech Science Press, 2024) Yildirum, Nazmiye; Guner, Perihan; Inci, FigenCaring for cancer patients requires both technical and psychosocial nursing skills. The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors. This multicenter, cross-sectional study was conducted with 1,189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of Turkey. A questionnaire, the Psychosocial Skills Form, and the Professional Quality of Life Scale were used to collect the data. Nurses' psychosocial skill level was in the range of 2.72 +/- 0.98 and 2.47 +/- 0.89 out of four points. Communication skills such as empathic response, active listening, and the ability to provide information were found to be at a higher level than skills such as the activation of social support systems, therapeutic touch, and development of coping methods. Approximately 40% of nurses had received psychosocial care training, and 87% were interested in receiving additional psychosocial training. Gender, educational status, previous training in psychosocial care, and work experience with cancer patients were shown to affect psychosocial skill levels. There was a positive relationship between the level of psychosocial skills and the level of compassion satisfaction, and a negative relationship between the level of psychosocial skills and the level of burnout and compassion fatigue (p < 0.05). Nurses perceive themselves as having a medium to high level of psychosocial skills yet desire additional training. The results of this study may contribute to the development of training programs according to the needs of nurses who care for cancer patients.Öğe The role of emotional intelligence in the relationship between burnout and perceived quality of care among oncology nurses(Elsevier Sci Ltd, 2026) Sari, Tugba; Calis, Behice Belkis; Pars, Hatice; Guner, PerihanPurpose: This study aimed to examine the relationships between burnout, emotional intelligence, and perceived caring behaviours among oncology nurses and to assess the predictive and mediating roles of these variables in explaining caring behaviours. Methods: A descriptive, cross-sectional study was conducted with 202 oncology nurses in T & uuml;rkiye. Data were collected using validated instruments measuring burnout, emotional intelligence, and caring behaviors. Data analysis employed descriptive statistics, Pearson correlation analyses, multiple linear regression, and structural equation modeling. Results: Emotional intelligence was positively associated with caring behaviours (r = .359, p < .001) and negatively associated with burnout subdimensions. Caring behaviours were inversely related to emotional exhaustion (r = -.258, p < .001), depersonalisation (r = -.397, p < .001), and reduced personal accomplishment (r = -.214, p = .002). In the regression model (R2 = .214, p < .001), emotional intelligence significantly predicted caring behaviours positively ((3 = .218, p = .002), while depersonalisation was a significant negative predictor ((3 = -.288, p < .001). However, emotional intelligence did not mediate the relationship between burnout and caring behaviours (Sobel test p = .332). Conclusion: While emotional intelligence was positively associated with caring behaviours and buffered the impact of burnout-particularly depersonalisation-it did not mediate the relationship between burnout and caring. These findings support the value of enhancing emotional intelligence to improve care quality and nurse well-being, though contextual factors may influence its mediating role.Öğe Turkish Psychiatric Inpatients' Perceptions of Ward Atmosphere and Associated Factors: A Cross-Sectional Study(Taylor & Francis Inc, 2026) Guner, Perihan; Uygun, Alime NurWard atmosphere is a critical component of psychiatric inpatient care, shaping perceptions of safety, autonomy, therapeutic engagement, and recovery. While extensively studied internationally, little is known about patients' perceptions of ward climate in T & uuml;rkiye. This descriptive cross-sectional study was conducted with 150 adult inpatients in open psychiatric wards in Istanbul. Data were collected using a Personal Information Form and the Ward Atmosphere Scale, and analysed with descriptive statistics, Mann-Whitney U-tests, Kruskal-Wallis tests, and correlation analyses. Patients reported the highest mean score for Order and Organization and the lowest for Autonomy. Female patients scored higher on Spontaneity, whereas male patients scored higher on order and organization. Married and voluntarily admitted patients reported greater Program Clarity. Educational and diagnostic differences were also significant: primary school graduates reported higher Autonomy, secondary school graduates scored higher on Practical Orientation, and patients with schizophrenia perceived greater Autonomy compared with those with mood disorders, while patients with bipolar disorder reported higher Anger and Aggression. Age was positively correlated with Order and Organization and Program Clarity. These findings suggest that psychiatric inpatients in T & uuml;rkiye perceive their ward climate as highly structured but lacking in autonomy, and that gender, education, and diagnosis significantly shape perceptions. Psychiatric nurses play a pivotal role in enhancing ward climate. Strategies to strengthen autonomy, clarify ward routines, and implement evidence-based interventions, such as Safewards, may improve therapeutic engagement and reduce conflict.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.
