Kurumsal Bakım Alan Yaşlı Bireylerde Rol Kayıplarına Karşı Etkili Başa Çıkma Stratejilerinin İncelenmesi: Bir Odak Grup Çalışması

Year 2025, Volume: 36 Issue: 4, 821 - 840, 31.10.2025

Bilge Açan , Elif Gökçearslan Çifci

https://doi.org/10.33417/tsh.1719250

Abstract

Bu niteliksel çalışma, kurum temelli bakım alan yaşlı yetişkinlerin rol kayıplarına karşı geliştirdikleri etkili başa çıkma stratejilerini ve bu stratejilerin grup üyelerinin rol kaybıyla başa çıkmalarına nasıl katkı sağladığını incelemektedir. Veriler, İstanbul’da bulunan Darülaceze kurumunda sekiz katılımcı ile gerçekleştirilen bir odak grup çalışması yoluyla toplanmış ve tematik analiz yöntemiyle değerlendirilmiştir. Analiz sonucunda üç ana tema ortaya çıkmıştır: mevcut roller, kendi seçtikleri roller ve yapılandırılmış roller. Bulgular, rol kayıplarını telafi etmek için katılımcıların anlamlı roller üstlendiklerini ve bu rollere ilişkin davranışlarını bireyselliklerini sosyal çevreleriyle uyumlu hale getirecek şekilde düzenlediklerini göstermiştir. Sosyal rollerin yeniden yapılandırılması, katılımcıların sosyal işlevsellikleri ve kurumsal yaşama uyumları üzerinde olumlu etki yaratmıştır. Sonuç olarak, bu çalışma, rol kayıplarıyla başa çıkma sürecinde anlamlı roller üstlenmenin önemini vurgulamakta ve sosyal hizmet uygulamalarında güçlendirme yaklaşımının, odak grup tartışmalarında ortaya çıkan yaşam bilgeliğiyle birlikte, mikro, mezzo ve makro düzeylerdeki müdahalelerin tasarımına katkı sağlayabileceğini göstermektedir.

Keywords

rol kaybı , yaşlı yetişkinler , odak grup , nitel çalışma , sosyal hizmet

Ethical Statement

Bu çalışma, 25 Nisan 2018 tarihli ve 2018/552 protokol numaralı kararıyla Üsküdar Üniversitesi Etik Kurulu tarafından onaylanmıştır.

An Examination of Effective Coping Strategies Against Role Loss Among Older Adults Receiving Institution-Based Care: A Focus Group Study

Abstract

This qualitative study examines the effective coping strategies developed by older adults receiving institution-based care in response to role losses and investigates how these strategies support group members in coping with role loss. Data were collected through a focus group conducted with eight participants at Darülaceze, a residential care institution located in Istanbul, Türkiye, and analyzed using thematic analysis. Three main themes emerged: current roles, self-selected roles, and structured roles. The findings indicated that, in order to compensate for role losses, participants adopted meaningful roles and organized their role-related behaviors in ways that aligned their individuality with their social environment. This restructuring of social roles had a positive impact on participants’ social functioning and their adaptation to institutional life. In conclusion, the study underscores the significance of assuming meaningful roles in coping with role losses and demonstrates that the empowerment approach in social work practice, together with the life wisdom shared in focus group discussions, can inform the design of interventions at the micro, mezzo, and macro levels.

Keywords

role losses , focus group , qualitative research , social work , older adults

Ethical Statement

This study was approved by the Ethics Committee of Üsküdar University with the protocol number 2018/552, dated April 25, 2018.

References

• Abdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: A scoping review and categorisation using the WHO International Classification of Functioning, Disability and Health (ICF) framework. BMC Geriatrics, 19, 195. https://doi.org/10.1186/s12877-019-1189-9
• Ahmadi, A., Allahverdipour, H., Valiee, S., Pashazadeh, F., Ghassab-Abdollahi, N., Abdoli, F., & Matlabi, H. (2023). COVID-19 stress and coping strategies among older adults: A systematic review of qualitative evidences. BMC Psychology, 11, 333. https://doi.org/10.1186/s40359-023-01382-1
• Alma, H. A. & Smaling, A. (2006). The meaning of empathy and imagination in health care and health studies. International Journal of Qualitative Studies on Health and Well-Being, 1(4), 195–211. https://doi.org/10.1080/17482620600789438
• Beckman, L., & Gustavsson, J. (2025). Coping strategies for increased wellbeing and mental health among older adults during the COVID-19 pandemic: A Swedish qualitative study. Ageing & Society, 45(4), 617–635. https://doi.org/10.1017/S0144686X23000569
• Blau, Z. S. (1973). Old age in a changing society. New Viewpoints.
• Bolat, Ö. (2021). Sorularla büyüyoruz. Doğan Kitap
• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
• Brown, S. L., Brown, R. M., House, J. S., & Smith, D. M. (2008). Coping with spousal loss: Potential buffering effects of self-reported helping behavior. Personality and Social Psychology Bulletin, 34(6), 849–861. https://doi.org/10.1177/0146167208314972
• Canan, S. (2015). Değişen beynim. Tuti Kitap.
• Carr, D. (2004). Gender, preloss marital dependence, and older adults’ adjustment to widowhood. Journal of Marriage and Family, 66(1), 220–235. https://doi.org/10.1111/j.0022-2445.2004.00016.x
• Cicirelli, V. G. (2006). Caregiving decision making by older mothers and adult children: Process and expected outcome. Psychology and Aging, 21(2), 209–221. https://doi.org/10.1037/0882-7974.21.2.209
• Cowgill, D. O., & Holmes, L. D. (1972). Aging and modernization. Appleton-Century-Crofts. Cüceloğlu, D. (2001). Savaşçı. Remzi Kitapevi.
• De Medeiros, M. M. D., Carletti, T. M., Magno, M. B., Maia, L. C., Cavalcanti, Y. W., & Rodrigues-Garcia, R. C. M. (2020). Does the institutionalization influence elderly’s quality of life? A systematic review and meta-analysis. BMC Geriatrics, 20(1), 44. https://doi.org/10.1186/s12877-020-1452-0.
• Fernandez-Ballesteros, R. (2002). Social support and quality of life among older people in Spain. Journal of Social Issues, 58(4), 645-659. https://doi.org/10.1111/1540-4560.00282
• Goldstein, S. B. (1999). Construction and validation of a conflict communication scale. Journal of Applied Social Psychology, 29(9), 1803-1832. https://doi.org/10.1111/j.1559-1816.1999.tb00153.x
• Güdük, Ö., & Giray, H. (2022). Factors affecting long-term care preferences in Turkey. Annals of Geriatric Medicine and Research, 26(4), 330–339. https://doi.org/10.4235/agmr.22.0088
• Hall, J. H., & Fincham, F. D. (2005). Self–Forgiveness: The stepchild of forgiveness research. Journal of Social and Clinical Psychology, 24(5), 621-637. https://doi.org/10.1521/jscp.2005.24.5.621
• Humphrey, G. M., & Zimpfer, D. (2008). Counselling for grief and bereavement (2nd ed.). Sage Publications.
• Ismail, M., Hussein, S., & Almashaqbeh, I. A. (2021). An evidence review of ageing, long-term care provision, and sustainability in Turkey. Sustainability, 13(11), 6306. https://doi.org/10.3390/su13116306
• Kahana, E., Bhatta, T., Lovegreen, L. D., Kahana, B., & Midlarsky, E. (2013). Altruism, helping, and volunteering: pathways to well-being in late life. Journal of Aging and Health, 25(1), 159-187. https://doi.org/10.1177/0898264312469665
• Kapucu, S., & Bal Özkaptan, B. (2017). Aging from the perspective of elderly people in Turkey: A focus group study of a nursing home. PONTE: International Journal of Sciences and Research, 73(5), 238–258. https://doi.org/10.21506/j.ponte.2017.5.48
• Kidd, P. S., & Parshall, M. B. (2000). Getting the focus and the group: Enhancing analytical rigor in focus group research. Qualitative Health Research, 10(3), 293–308. https://doi.org/10.1177/104973200129118453
• Kleinert, E., Mohacsi, L., Stange, L., Broschmann, D., Nebel, L., & Hummers, E. (2025). Promoting well-being in later life – a qualitative analysis of focus groups and individual interviews with older adults in Germany. BMC Primary Care, 26, 158. https://doi.org/10.1186/s12875-025-02767-4
• Kraun, L., De Vliegher, K., Keldermans, E., Ellen, M. E., & van Achterberg, T. (2025). Capturing potential interventions for the empowerment of older people and informal caregivers in transitional care decision-making: A qualitative study using focus groups. Journal of Advanced Nursing, 81(5), 2644–2656. https://doi.org/10.1111/jan.16510
• Krause, N., & Ellison, C. G. (2003). Forgiveness by God, forgiveness of others, and psychological well–being in late life. Journal for the Scientific Study of Religion, 42(1), 77-93. https://doi.org/10.1111/1468-5906.00162
• Krueger, R. A. (1994). Focus groups: A practical guide for applied research (2nd ed). Sage Publications.
• Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). Sage Publications.
• Kua, A.; Korner-Bitensky, N., & Desrosiers, J. (2007). Older individuals' perceptions regarding driving: focus group findings. Physical & Occupational Therapy in Geriatrics, 25(4), 21-40. https://doi.org/10.1080/J148v25n04_02 Marsa, R., Bahmani, B., Ebadi, A., Sadeghi, R., Salimi, S., & Delbari, A. (2025). Grief in the elderly: A qualitative content analysis. BMC Geriatrics, 25, 540. https://doi.org/10.1186/s12877-025-06027-z
• McCullough, M. E.; Tsang, J. -A., & Emmons, R. A. (2004). Gratitude in intermediate affective terrain: links of grateful moods to individual differences and daily emotional experience. Journal of Personality and Social Psychology, 86(2), 295-309. https://doi.org/10.1037/0022-3514.86.2.295
• Moen, P. (1996). A life course perspective on retirement, gender, and well-being. Journal of Occupational Health Psychology, 1(2), 131–144. https://doi.org/10.1037/1076-8998.1.2.131
• Moen, P. (2001). The gendered life course. In R. H. Binstock & L. K. George (Eds.), Handbook of aging and the social sciences (5th ed., pp. 179–196). Academic Press.
• Morgan, D. L. (1988). Focus group as qualitative research. Sage Publications.
• Morgan, D. L. (1996). Focus groups. Annual Review of Sociology, 22(1), 129–152. https://doi.org/10.1146/annurev.soc.22.1.129
• Morgan, D., & Krueger, R. (1993). When to use focus groups and why. In D. Morgan (Ed.), Successful focus groups: Advancing the state of the art (pp. 3-19). Sage.
• Niino, K., Patapoff, M. A., Mausbach, B. T., Liu, H., Moore, A. A., Han, B. H., Palmer, B. W. & Jester, D. J. (2025). Development of loneliness and social isolation after spousal loss: A systematic review of longitudinal studies on widowhood. Journal of the American Geriatrics Society, 73(1), 253–265. https://doi.org/10.1111/jgs.18772
• Niino, K., Patapoff, M. A., Mausbach, B. T., Liu, H., Moore, A. A., Han, B. H., ... & Jester, D. J. (2025). Development of loneliness and social isolation after spousal loss: A systematic review of longitudinal studies on widowhood. Journal of the American Geriatrics Society, 73(1), 253-265. https://doi.org/10.1111/jgs.19156
• Robins, R. W., Trzesniewski K. H., & Tracy J. L. (2002). Global self-esteem across the life span. Psychology and Aging, 17(3), 423–434. https://doi.org/10.1037/0882-7974.17.3.423
• Sprague, J., & Hayes, J. (2000). Self-determination and empowerment: A feminist standpoint analysis of talk about disability. American Journal of Community Psychology, 28(5), 671–695. https://doi.org/10.1023/A:1005197704441
• Streib, G. F., & Schneider C. J. (1971). Retirement in American society: Impact and process. Cornell University Press.
• Sung, K. T. (2001). Elder respect: Exploration of ideals and forms in East Asia. Journal of Aging Studies, 15(1), 13–26. https://doi.org/10.1016/S0890-4065(00)00014-1
• Taylor, E., Goodwin, V. A., Ball, S., Clegg, A., Brown, L., & Frost, J. (2024). Older adults’ perspectives of independence through time: Results of a longitudinal interview study. The Gerontologist, 64(2), gnad073. https://doi.org/10.1093/geront/gnad073
• Top, M., & Dikmetaş, E. (2012). Quality of life and attitudes to ageing in Turkish older adults at old people’s homes. Health Expectations, 18(2), 288–300. https://doi.org/10.1111/hex.12021
• Turkish Statistical Institute [TÜİK]. (2024, March 15). İstatistiklerle yaşlılar. https://data.tuik.gov.tr/Bulten/Index?p=%C4%B0statistiklerle-Ya%C5%9Fl%C4%B1lar-2024-54079&dil=1
• Turkish Statistical Institute [TÜİK]. (2025, July). World Population Day 2025. https://data.tuik.gov.tr/Bulten/Index?p=Dunya-Nufus-Gunu-2025-54078
• Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(Suppl), 54-66. https://doi.org/10.1177/0022146510383501
• Upasen, R., Saengpanya, W., Awae, W., Prasitvej, P., & Stithyudhakarn, S. (2025). Understanding how older adults sustain mental well-being when facing challenging in later life. Acta Psychologica, 259, 105293. https://doi.org/10.1016/j.actpsy.2025.105293
• Varela, A. J., Gallamore, M. J., Hansen, N. R., & Martin, D. C. (2025). Patient empowerment: A critical evaluation and prescription for a foundational definition. Frontiers in Psychology, 15, 1473345. https://doi.org/10.3389/fpsyg.2024.1473345
• Worden, J. W. (2001). Grief counselling and grief therapy: a handbook for the mental health practitioner. Brunner-Routlege.
• Yalom, I. D. (1992). Grup psikoterapisinin teorisi ve pratiği [The theory and practice of group psychotherapy]. Nobel Tıp Kitabevi.
• Yıldırım, A., & Şimşek, H. (2013). Sosyal bilimlerde nitel araştırma yöntemleri (9. Baskı). Seçkin Yayıncılık.