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    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, Polat
    This 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.
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    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, Figen
    Objective: 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.