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HASTA-HEMŞİRE İŞ BİRLİĞİ: KANSER TANISI ALAN BİREYLERİN HEMŞİRE VARLIĞINI ALGILAMA DÜZEYLERİ İLE ÖZ BAKIMDA AKTİFLİK DÜZEYLERİ ARASINDAKİ İLİŞKİ

Year 2023, Volume: 11 Issue: 2, 1591 - 1602, 10.06.2023
https://doi.org/10.33715/inonusaglik.1060701

Abstract

Araştırma, kanser tanısı alan bireylerin hemşire varlığını algılama ile öz bakımda aktiflik düzeyleri arasındaki ilişkiyi belirlemek amacıyla gerçekleştirildi. Tanımlayıcı-ilişki arayıcı tasarıma sahip bu araştırma, Ocak-Nisan 2019 tarihleri arasında İstanbul’da bir sağlık grubunun hastanelerinde yatarak tedavi alan ve çalışmaya katılmayı kabul eden 188 birey ile gerçekleştirildi. Bireysel Özellikler Formu, Hemşire Varlığı Ölçeği ve Hasta Aktiflik Düzeyi Ölçüm Aracı ile veriler toplandı. Bireylerin, %25.5’inin meme kanseri olduğu belirlendi. Kanser tanısı alan bireylerin %67,6'sının aktivite açısından Düzey 1'de olduğu saptanmıştır. Hemşirelik bakımından memnuniyet düzeyini, 10 puan olarak değerlendirenlerin Hemşirelik Varlığı Ölçeği sıra ortalaması anlamlı derecede daha yüksek (p<0.001) iken, 6 puan ve altında değerlendirenlerin Hasta Aktiflik Düzeyi Ölçüm Aracı sıra ortalamasının anlamlı derecede daha düşük olduğu saptandı. Hemşirelik Varlığı Ölçeği ile Hasta Aktiflik Düzeyi Ölçüm Aracı sıra ortalamaları arasında anlamlı derecede pozitif yönlü zayıf ilişki bulundu (r=0.309, p<0.001). Araştırmanın sonuçları; kanser hastalarının, hemşirenin varlığını algılama düzeyleri yüksek ve aktiflik düzeyleri düşük olduğunu ve hemşirelik varlığını algılama düzeyi yükseldikçe hasta aktiflik düzeylerinin yükseldiğini göstermektedir.

References

  • An G-J. ve Jo, K-H. (2009). The effect of a nursing presence program on reducing stress in older adults in two Korean nursing homes. Australian Journal of Advanced Nursing, 26, 79-85.
  • Bozdoğan, S. (2014).Kanser hastalarinin hemşi̇reni̇n varliğini değerlendi̇rmeleri̇ni̇n hümani̇sti̇k hemşi̇reli̇k kuramı bağlaminda i̇ncelenmesi̇. (Doktora Tezi). Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Ankara.
  • Bozdoğan Yeşi̇lot, S. ve Öz, F. (2016). Hemşirenin varlığı: kuramsal bir bakış. Psikiyatri Hemşireliği Dergisi Journal of Psychiatric Nursing, 7(2), 94–99.
  • Bozdoğan Yeşi̇lot, S. ve Öz, F. (2017). Cancer patients’ perceptions of nursing presence. J Psy Nurs, 8(3), 150-156.
  • Charalambous, A. (2019). Individualised nursing care in cancer care. Suhonen, R., Stolt, M., Papastavrou, E. (Ed.). Individualized Care içinde. Springer, Cham. doi: 10.1007/978-3-319-89899-5_12
  • Engqvist, I., Ferszt G. ve Nilsson, K. (2010). Swedish registered psychiatric nurses’ de- scriptions of presence when caring for women with post-partum psychosis: an interview study. Int J Ment Health Nurs, 19, 313–321.
  • Fahlberg, B. ve Roush, T. (2016). Mindful presence: Being “with” in our nursing care. Nursing, 46(3), 14-15 doi:10.1097/01.NURSE.0000480605.60511.09
  • Greene, J. ve Hibbard J. H. (2012). Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med, 27(5), 520–526.
  • Hibbard, J. H. ve Cunningham, P. J. (2008). How engaged are consumers in their health and health care, and why does it matter. Res Briefs, 8, 1–9.
  • Hibbard, J. H. ve Greene, J. (2013).What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207-214. doi: 10.1016/j.jradnu.2018.03.006.
  • Huz, H. H. (2019).Kanser hastalarinda hemşi̇reni̇n varlığı, hasta- hemşi̇re güven i̇li̇şki̇si̇ ve kurum i̇maji algısı. (Yüksek Lisans Tezi). Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Kostovich, C. T. (2012). Development and psychometric assessment of the presence of nursing scale. Nursing Science Quarterly, 25(2), 167-175.
  • Koşar, C. ve Büyükkaya Besen, D. (2015). Kronik hastalıklarda hasta aktifliği: Kavram Analizi. DEUHFED, 8 (1), 45-51
  • Lin, C. C. (2017). When cancer care becomes a long-term care ıssue: Are we ready?, Cancer Nursing, 40(5), 341- 342.
  • Mohammadipour, F., Atashzadeh-Shoorideh, F., Parvizy, S. ve Hosseini, M. (2017). An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals. Journal of Clinical Nursing, 26, 4313–4324, doi: 10.1111/jocn.13758
  • Negarandeh, R., Hooshmand Bahabadi, A. ve Aliheydari Mamaghani, J. (2014). Impact of regular nursing rounds on patient satisfaction with nursing care. Asian Nurs Res, 8 (4), 282-285. doi: 10.1016/j.anr.2014.10.005
  • O'Malley, D., Dewan, A. A., Ohman-Strickland, P. A., Gundersen, D. A., Miller, S. M., ve Hudson, S. V. (2018). Determinants of patient activation in a community sample of breast and prostate cancer survivors. Psycho-oncology, 27(1), 132–140. doi:10.1002/pon.4387
  • Palaz, S., Şenergin, Ö. ve Öksüzler, O. (2013). Eğitim düzeyi farklılıklarının gelir dağılımına etkisi: Türkiye Örneği. Girişimcilik ve Kalkınma Dergisi; 8(2), 119-131.
  • Penque, S. ve Kearney, G. (2015).The effect of nursing presence on patient satisfaction. Nurs Manage, 46(4), 38e44.
  • Penzias, A. (2018). Perception of nursing presence in patients experiencing MRI-Guided Breast Biopsy, Journal of Radiology Nursing, 37(2), 135.
  • Radwin, L. E., Farquhar, S. L., Knowles, M. N. ve Virchick, B. G. (2005). Cancer patients’ descriptions of their nursing care. Journal of Advanced Nursing, 50(2), 162–169.
  • Seven, M., Akyüz, A., Sever, N. ve Dinçer, Ş. (2013). Kanser tanısı alan hastaların yaşadığı fiziksel ve psikolojik semptomların belirlenmesi. TAF Preventive Medicine Bulletin, 12(3), 219-224.
  • Suhonen, R., Stolt, M. ve Papastavrou, E. (Eds.). (2019). Individualized care; theory, measurement, research and practice, Springer International Publishing, Basel
  • Sun, V., Kim, J. Y., …Raz, D. J. (2018). Preparing cancer patients and family caregivers for lung surgery: development of a multimedia self-management intervention. J Cancer Educ, 33, 557-563.
  • Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A. ve Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. doi: 10.3322/caac.21660. Epub ahead of print. PMID: 33538338.
  • Tek, S. (2019). Kanser hastalarinda yas beli̇rti̇ ve di̇stres düzeyi̇ni̇n hasta akti̇fli̇k düzeyi̇ i̇le i̇li̇şki̇si̇ni̇n i̇ncelenmesi̇. (Yüksek Lisans Tezi). İstanbul Üniversitesi Lisansüstü Eğitim Enstitüsü, İstanbul.
  • Turpin, R. L. (2018). Psychometric testing of the presence of nursing scale in a magnet hospital. Nursing Education Research Conference 2018: Generating and Translating Evidence for Teaching Practice; Washington, DC2018.
  • Wang, Y. C. ve Lin, C. C. (2016). Spiritual well-being may reduce the negative ımpacts of cancer symptoms on the quality of life and the desire for hastened death in terminally ıll cancer patients. Cancer Nursing, 39(4), 43-50. doi: 10.1097/NCC.0000000000000298
  • WHO (2016). Framework on integrated people-centred health services https://www.who.int/servicedeliverysafety/areas/people-centred-care/ipchs-what/en/, Accessed 5th February 2021
  • Yilmaz Karabulutlu, E. ve Karaman, S. (2015). Kanser hastalarında hastalık algısının değerlendirilmesi. Sağlık Bilimleri ve Meslekleri Dergisi, 2, 271.
  • Young, A. M., Charalambous, A., Owen, R. I., Njodzeka, B., Oldenmenger, W. H., Alqudimat, M. R. ve So W. K. W. (2020). Essential oncology nursing care along the cancer continuum. The Lancet Oncology, 21(12), 555-563. doi: 10.1016/S1470-2045(20)30612-4

Patient-Nurse Collaboration: The Relationship Between the Perception of Nursing Presence Levels and Self-Care Activity Levels of Individuals with Cancer Diagnosis

Year 2023, Volume: 11 Issue: 2, 1591 - 1602, 10.06.2023
https://doi.org/10.33715/inonusaglik.1060701

Abstract

The study has been carried out to determine relationship between perception of nurses' presence and self-care activity levels of individuals who are diagnosed with cancer. This research, which has a descriptive-relationship seeking design, was carried out with 188 individuals who received inpatient treatment in the hospitals of a health group in Istanbul between January and April 2019 and who agreed to participate in the study. Data were collected by using Individual Characteristics Form, Nursing Presence Scale, and Patient Activity Level Measurement Tool. It was determined that 25.5% of the individuals had breast cancer. It was found that 67.6% of individuals diagnosed with cancer were at Level 1 in terms of activity. While mean rank of Nursing Presence Scale was significantly higher (p <0.001) for those who evaluated the level of satisfaction with nursing as 10 points, it was found that the mean rank of Patient Activity Level Measurement Tool was significantly lower for those who evaluated 6 points and below. Significantly positive weak correlation was found between mean ranks of the Nursing Presence Scale and Patient Activity Level Measurement Tool (r = 0.309, p <0.001). The results of the research It shows that cancer patients have high perception of nursing presence and low activity levels, and as the level of perception of nursing presence increases the level of patient activity increases.

References

  • An G-J. ve Jo, K-H. (2009). The effect of a nursing presence program on reducing stress in older adults in two Korean nursing homes. Australian Journal of Advanced Nursing, 26, 79-85.
  • Bozdoğan, S. (2014).Kanser hastalarinin hemşi̇reni̇n varliğini değerlendi̇rmeleri̇ni̇n hümani̇sti̇k hemşi̇reli̇k kuramı bağlaminda i̇ncelenmesi̇. (Doktora Tezi). Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Ankara.
  • Bozdoğan Yeşi̇lot, S. ve Öz, F. (2016). Hemşirenin varlığı: kuramsal bir bakış. Psikiyatri Hemşireliği Dergisi Journal of Psychiatric Nursing, 7(2), 94–99.
  • Bozdoğan Yeşi̇lot, S. ve Öz, F. (2017). Cancer patients’ perceptions of nursing presence. J Psy Nurs, 8(3), 150-156.
  • Charalambous, A. (2019). Individualised nursing care in cancer care. Suhonen, R., Stolt, M., Papastavrou, E. (Ed.). Individualized Care içinde. Springer, Cham. doi: 10.1007/978-3-319-89899-5_12
  • Engqvist, I., Ferszt G. ve Nilsson, K. (2010). Swedish registered psychiatric nurses’ de- scriptions of presence when caring for women with post-partum psychosis: an interview study. Int J Ment Health Nurs, 19, 313–321.
  • Fahlberg, B. ve Roush, T. (2016). Mindful presence: Being “with” in our nursing care. Nursing, 46(3), 14-15 doi:10.1097/01.NURSE.0000480605.60511.09
  • Greene, J. ve Hibbard J. H. (2012). Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med, 27(5), 520–526.
  • Hibbard, J. H. ve Cunningham, P. J. (2008). How engaged are consumers in their health and health care, and why does it matter. Res Briefs, 8, 1–9.
  • Hibbard, J. H. ve Greene, J. (2013).What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207-214. doi: 10.1016/j.jradnu.2018.03.006.
  • Huz, H. H. (2019).Kanser hastalarinda hemşi̇reni̇n varlığı, hasta- hemşi̇re güven i̇li̇şki̇si̇ ve kurum i̇maji algısı. (Yüksek Lisans Tezi). Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Kostovich, C. T. (2012). Development and psychometric assessment of the presence of nursing scale. Nursing Science Quarterly, 25(2), 167-175.
  • Koşar, C. ve Büyükkaya Besen, D. (2015). Kronik hastalıklarda hasta aktifliği: Kavram Analizi. DEUHFED, 8 (1), 45-51
  • Lin, C. C. (2017). When cancer care becomes a long-term care ıssue: Are we ready?, Cancer Nursing, 40(5), 341- 342.
  • Mohammadipour, F., Atashzadeh-Shoorideh, F., Parvizy, S. ve Hosseini, M. (2017). An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals. Journal of Clinical Nursing, 26, 4313–4324, doi: 10.1111/jocn.13758
  • Negarandeh, R., Hooshmand Bahabadi, A. ve Aliheydari Mamaghani, J. (2014). Impact of regular nursing rounds on patient satisfaction with nursing care. Asian Nurs Res, 8 (4), 282-285. doi: 10.1016/j.anr.2014.10.005
  • O'Malley, D., Dewan, A. A., Ohman-Strickland, P. A., Gundersen, D. A., Miller, S. M., ve Hudson, S. V. (2018). Determinants of patient activation in a community sample of breast and prostate cancer survivors. Psycho-oncology, 27(1), 132–140. doi:10.1002/pon.4387
  • Palaz, S., Şenergin, Ö. ve Öksüzler, O. (2013). Eğitim düzeyi farklılıklarının gelir dağılımına etkisi: Türkiye Örneği. Girişimcilik ve Kalkınma Dergisi; 8(2), 119-131.
  • Penque, S. ve Kearney, G. (2015).The effect of nursing presence on patient satisfaction. Nurs Manage, 46(4), 38e44.
  • Penzias, A. (2018). Perception of nursing presence in patients experiencing MRI-Guided Breast Biopsy, Journal of Radiology Nursing, 37(2), 135.
  • Radwin, L. E., Farquhar, S. L., Knowles, M. N. ve Virchick, B. G. (2005). Cancer patients’ descriptions of their nursing care. Journal of Advanced Nursing, 50(2), 162–169.
  • Seven, M., Akyüz, A., Sever, N. ve Dinçer, Ş. (2013). Kanser tanısı alan hastaların yaşadığı fiziksel ve psikolojik semptomların belirlenmesi. TAF Preventive Medicine Bulletin, 12(3), 219-224.
  • Suhonen, R., Stolt, M. ve Papastavrou, E. (Eds.). (2019). Individualized care; theory, measurement, research and practice, Springer International Publishing, Basel
  • Sun, V., Kim, J. Y., …Raz, D. J. (2018). Preparing cancer patients and family caregivers for lung surgery: development of a multimedia self-management intervention. J Cancer Educ, 33, 557-563.
  • Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A. ve Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. doi: 10.3322/caac.21660. Epub ahead of print. PMID: 33538338.
  • Tek, S. (2019). Kanser hastalarinda yas beli̇rti̇ ve di̇stres düzeyi̇ni̇n hasta akti̇fli̇k düzeyi̇ i̇le i̇li̇şki̇si̇ni̇n i̇ncelenmesi̇. (Yüksek Lisans Tezi). İstanbul Üniversitesi Lisansüstü Eğitim Enstitüsü, İstanbul.
  • Turpin, R. L. (2018). Psychometric testing of the presence of nursing scale in a magnet hospital. Nursing Education Research Conference 2018: Generating and Translating Evidence for Teaching Practice; Washington, DC2018.
  • Wang, Y. C. ve Lin, C. C. (2016). Spiritual well-being may reduce the negative ımpacts of cancer symptoms on the quality of life and the desire for hastened death in terminally ıll cancer patients. Cancer Nursing, 39(4), 43-50. doi: 10.1097/NCC.0000000000000298
  • WHO (2016). Framework on integrated people-centred health services https://www.who.int/servicedeliverysafety/areas/people-centred-care/ipchs-what/en/, Accessed 5th February 2021
  • Yilmaz Karabulutlu, E. ve Karaman, S. (2015). Kanser hastalarında hastalık algısının değerlendirilmesi. Sağlık Bilimleri ve Meslekleri Dergisi, 2, 271.
  • Young, A. M., Charalambous, A., Owen, R. I., Njodzeka, B., Oldenmenger, W. H., Alqudimat, M. R. ve So W. K. W. (2020). Essential oncology nursing care along the cancer continuum. The Lancet Oncology, 21(12), 555-563. doi: 10.1016/S1470-2045(20)30612-4
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Araştırma Makalesi
Authors

Pınar Doğan 0000-0002-3566-7070

Merve Tarhan 0000-0002-9841-4708

Ahu Kürklü 0000-0002-5295-061X

Early Pub Date June 2, 2023
Publication Date June 10, 2023
Submission Date January 20, 2022
Acceptance Date April 1, 2023
Published in Issue Year 2023 Volume: 11 Issue: 2

Cite

APA Doğan, P., Tarhan, M., & Kürklü, A. (2023). HASTA-HEMŞİRE İŞ BİRLİĞİ: KANSER TANISI ALAN BİREYLERİN HEMŞİRE VARLIĞINI ALGILAMA DÜZEYLERİ İLE ÖZ BAKIMDA AKTİFLİK DÜZEYLERİ ARASINDAKİ İLİŞKİ. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 11(2), 1591-1602. https://doi.org/10.33715/inonusaglik.1060701