Researcher: Bağçivan, Gülcan
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Bağçivan, Gülcan
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Publication Metadata only Advanced breast cancer education for cancer nurses: a systematic review(Churchill Livingstone, 2022) Drury A.; Dowling M.; Diez de los Rios de la Serna C.; Erdem S.; Aroyo V.; Wiseman T.; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Background: Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance. However, access to specialist breast care units, and specialist breast cancer nurses is variable, influenced by access to specialist education and role recognition. To date, there has not been a synthesis of evidence regarding educational programmes related to advanced breast cancer education for nurses. Objectives: The aim of this review was to determine the content, mode of delivery, assessment and outcomes of education programmes related to advanced breast cancer for nurses. Review methods: A systematic review was undertaken, according to the Joanna Briggs Institute's mixed methods review methodology. Data sources: MEDLINE, PubMed, CINAHL, Scopus, PsycInfo, Joanna Briggs Institute, Web of Science and grey literature sources were systematically searched. Eleven publications met the inclusion criteria. Data relating to programme content, mode of delivery, assessment and outcomes were extracted and analysed. Results: This review identifies a limited number of educational programmes within this specialist area of nursing practice. Shortcomings in the development, implementation and evaluation of advanced breast cancer education programmes included limited use of educational standards, theoretical frameworks and patient and public involvement to inform programme development. Evaluation of education programmes related to advanced breast cancer relied predominantly on self-reported learning, with limited consideration of the impacts of education on service delivery, patient experience or quality of care. Conclusions: Future development of advanced breast cancer education programmes must consider the alignment of programme content and learning outcomes with existing educational and competency standards. Evaluation of educational programmes in this field must endeavour to enhance rigour of methods, incorporating standardised questionnaires, and multiple methods and sources of data to evaluate the broader impacts of advanced breast cancer education for nurses. © 2022 The AuthorsPublication Metadata only Palliative care needs of the cancer patients receiving active therapy(Springer, 2022) Bağçivan, Gülcan; Seven, Memnun; Selçukbiricik, Fatih; Paşalak, Şeyma İnciser; Bilmiç, Ezgi; Tabak, Levent; Faculty Member; Faculty Member; Faculty Member; PhD Student; Master Student; N/A; N/A; Faculty Member; School of Nursing; School of Nursing; School of Medicine; Graduate School of Health Sciences; Graduate School of Health Sciences; N/A; N/A; School of Medicine; 261422; 32470; 202015; 125009; N/A; N/A; N/A; 167625Purpose To identify cancer patients' palliative care needs with problem burden, problem intensity, and felt needs related to these problems while receiving cancer treatment. Methods This is a descriptive survey study conducted at a tertiary hospital with no palliative care services in Istanbul, Turkey, from September 2019 to February 2020. Data were collected using the Patient Information Form and the Three Levels of Needs Questionnaire (3LNQ). Descriptive statistics (frequency and percentage) were used to present data. Results The mean age of patients was 60.2 +/- 13.0, and the mean duration since the diagnosis was 11.6 +/- 21.4 months. Of the patients, 40.4% were diagnosed with gastrointestinal (GI) cancer, and 34.4% had stage 4 cancer. Patients mostly received help for their pain (85.7%), lack of appetite (64.8%), and nausea (73/7%). The most frequent unmet needs were problems with concentration (70%), worrying (68%), difficulties with sex life (63.6%), problems with being limited in work and daily activities (61.4%), and being depressed (58.5%) among patients who reported to have these symptoms. Conclusion This study shows that patients with cancer require supportive and palliative care along with medical treatment for cancer and its treatment-induced physical and psychological symptoms. The study results have the potential to guide the development of palliative care services, especially for outpatient oncology settings in countries where palliative care services mostly focus on the end-of-life care. Further studies are also needed to focus on interventions to meet cancer patients' palliative care needs during the medical cancer treatment process with tailored palliative care delivery models.Publication Metadata only A mobile application for symptom management in patients with breast cancer(Oncology Nursing Society, 2022) Seven M.; N/A; N/A; Department of Computer Engineering; N/A; Paşalak, Şeyma İnciser; Bağçivan, Gülcan; Özkasap, Öznur; Selçukbiricik, Fatih; PhD Student; Faculty Member; Faculty Member; Faculty Member; Department of Computer Engineering; Graduate School of Health Sciences; School of Nursing; College of Engineering; School of Medicine; 125009; 261422; 113507; 202015OBJECTIVES: To evaluate the effect of a symptom management mobile application on quality of life and symptom severity in women with breast cancer undergoing chemotherapy. SAMPLE & SETTING: This parallel randomized pilot study consisted of women with breast cancer admitted to oncology outpatient clinics between November 2019 and January 2021 in Turkey. METHODS & VARIABLES: Participants (N = 40) were randomly assigned to the intervention (n = 20) or control group (n = 20). The intervention group used the mobile application in conjunction with usual care. The control group received usual care. Participants were assessed during the first, third, and last chemotherapy cycles. Data were collected using the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire–Core 30 and the Edmonton Symptom Assessment System. RESULTS: During the study, the decrease in general health and physical functioning and the increase in the severity of depression/sadness in the intervention group were statistically lower than in the control group. IMPLICATIONS FOR NURSING: The use of a mobile application for symptom management may promote general well-being and physical function and may alleviate symptoms of depression/sadness in women with breast cancer undergoing chemotherapy. Further studies are needed to evaluate the application in clinical settings with larger groups.Publication Metadata only Associated factors with treatment adherence of patients diagnosed with chronic disease: Relationship with health literacy(W B Saunders Co-Elsevier Inc, 2021) Coskun, Sabahat; N/A; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Aim: This study aimed to examine the relationship between the health literacy level and treatment adherence in patients with chronic disease. Background: Nonadherence to treatment and insufficient health literacy can cause a decrease in understanding treatment methods, an increase in medication errors, and an increase in morbidity and mortality rates. Materials and methods: This cross-sectional study comprised a total of 200 patients who were taking medication for a chronic disease. Data were collected using an 18-item questionnaire for sociodemographic and medical characteristics, the Adult Health Literacy Scale (AHLS), and the Morisky Medication Adherence Scale (MMAS). Results: of the patients, 42.5% reported that they took three or more medications per day, and 32.0% reported that they did not know the side effects of these medications. of the patients, 39.0% had low adherence to treatment. The mean score of the AHLS was 12.8 +/- 4.74 (min = 2; max = 21). A statistically significant positive correlation was found between the AHLS scores and MMAS scores (r = 0.604; p = 0.001). Conclusions: This study revealed that patients' adherence to treatment increased as their health literacy increased. Thus, it is recommended that health literacy levels of the patients be raised through effective interventions to ensure better adherence to treatment.Publication Metadata only Cancer nursing research priorities: a rapid review(Elsevier, 2023) Dowling, Maura; Efstathiou, Nikolaos; Drury, Amanda; Semple, Cherith; Fernandez-Ortega, Paz; Dieperink, Karin Brochstedt; Pape, Eva; Kotronoulas, Grigorios; Miguel, Susana; Colomer-Lahiguera, Sara; N/A; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Purpose: Identifying cancer nursing research priorities is central to influencing the direction of cancer care research. The aim of this rapid review was to explore research priorities identified by oncology nurses for cancer care delivery between 2019 and 2022. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis informed the design of the rapid review. MEDLINE, CINAHL, PUBMED, Web of Science, and Cochrane databases were searched for studies published between December 1st, 2018, and September 30th, 2022. This timeframe was chosen to account for the latest relevant evidence synthesis, as well as changes in cancer care necessitated by the COVID-19 pandemic. The Quality Assessment of Diverse Studies tool was used to appraise quality. Results: Four studies met the inclusion criteria. Many of the research priorities identified were influenced by the COVID-19 pandemic. The top cancer nursing research priority identified was the role of technology in improving patient and caregiver symptoms and health outcomes. Other most prevalent research priorities were focused on symptom management, culturally sensitive palliative and psychosocial care, early/integrated palliative care, financial toxicity, modifiable risk factors related to social determinants of health, public and patient involvement in research, and oncology nurses' well-being and scope of practice.Conclusion: The findings indicate a need to steer a strategic programme of cancer nursing research towards digitalisation in cancer care to meet the current needs of people living with cancer and their caregivers. However, cancer nurses' burnout, staff shortages and disparities in specialist education will hinder the implementation of certain models of care.Publication Metadata only Embedded participants in simulation-based disaster education: experiences of nursing students(Elsevier, 2020) Kose, Gulsah; Unver, Vesile; Tastan, Sevinc; Ayhan, Hatice; Demirtas, Ayla; Kok, Gulsah; Guvenc, Gulten; Basak, Tulay; Kurtoglu, Pervin Gokay; Acavut, Gamze; Gezginci, Elif; Iyigun, Emine; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Background: Simulation-based experiences provide students with a safe reaming environment. This study aimed to explore the feelings, emotions, and experiences of embedded participants praying the rote of victims in a disaster scenario. Method: This descriptive study, which utilized a qualitative research design, was conducted with 20 third-year students who were enrolled in the nursing school of a university in the 2014 Farr and 2015 Spring terms. Data corrected by focus group interviews were analyzed using Marterud's systematic text condensation method. Results: Based on the experiences of embedded participants in their simulation-based roles, three main themes, "initial. reactions," "adaptation," and "inference", and six subthemes were identified. Conclusions: The reaming experience of the nursing students as embedded participants evolved from feelings of anxiety and excitement to the recognition that simulation-based reaming is instructive and beneficial for raising awareness. (C) 2020 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.Publication Metadata only Looking back, moving forward: a retrospective review of care trends in an academic palliative and supportive care program from 2004 to 2016(Mary Ann Liebert, Inc, 2019) Bakitas, Marie; Palmore, Jackie; Kvale, Elizabeth; Nichols, Ashley C.; Howell, Stephen L.; Dionne-Odom, J. Nicholas; Mancarella, Gisella A.; Osisami, Oladele; Hicks, Jennifer; Huang, Chao-Hui Sylvia; Tucker, Rodney; N/A; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Objective: To examine a rural-serving HBPC program's 12-year experience and historical trends to inform future program direction and expansion. Background: There is limited information about longitudinal trends in mature hospital-based palliative care (HBPC) programs serving racially diverse rural populations. Methods: This is a retrospective cross-sectional study of operational and patient-reported outcomes from the University of Alabama at Birmingham (UAB) Center for Palliative and Supportive Care (CPSC) inpatient (n=11,786) and outpatient (n=315) databases from October 2004 to March 2016. Results: Inpatients were a mean age of 63.7 years, male (50.1%), white (62.3%), general medicine referred (19.5%), primarily for goals of care (84.4%); 47.1% had "do not resuscitate/do not intubate" status and 46.9% were transferred to the Palliative Care and Comfort Unit (PCCU) after consultation. Median time from admission to consultation was three days, median PCCU length of stay (LOS) was four days, and median hospital LOS was nine days. Increased emergency department and cardiology referrals were notable in later years. Outpatients' mean age was 53.02 years, 63.5% were female, 76.8% were white, and 75.6% had a cancer diagnosis. Fatigue, pain, and disturbed sleep were the most common symptoms at the time of the visit; 34.6% reported mild-to-moderate depressive symptoms. of patients reporting pain (64.8%), one-third had 50% or less relief from pain treatment. Discussion: The CPSC, which serves a racially diverse rural population, has demonstrated robust growth. We are poised to scale and spread our lessons learned to underserved communities.Publication Metadata only Experiences of breast cancer survivors during the COVID-19 pandemic: a qualitative study(Oncology Nursing Soc, 2021) N/A; N/A; N/A; Department of Computer Engineering; N/A; Seven, Memnun; Bağçivan, Gülcan; Paşalak, Şeyma İnciser; Özkasap, Öznur; Selçukbiricik, Fatih; Faculty Member; Faculty Member; PhD Student; Faculty Member; Faculty Member; Department of Computer Engineering; School of Nursing; School of Nursing; Graduate School of Health Sciences; College of Engineering; School of Medicine; 32470; 261422; 125009; 113507; 202015Purpose: This study aimed to explore the impacts of the COVID-19 pandemic on the quality of life of breast cancer survivors. Methods: This qualitative descriptive study included 18 breast cancer survivors who completed cancer treatment within the last five years in Istanbul, Turkey. A directed content analysis was performed using the quality-of-life domains as guiding themes. Results: The mean age was 51 ± 5.9, and the average months since active treatment were 26.5 ± 9.8 (9-48). Six themes and associated categories are as follows: Physical functioning; Changes in physical activity and weight, new physical symptoms, Role functioning; Work-life, changes in household chores, Emotional functioning; Emotional changes, fear of having the COVID-19 infection, Cognitive Functioning; Risk Perception about the COVID-19 infection, reactions to the COVID-19 pandemic' measures, Social Functioning; Familial relationship changes, social interactions, General Health/Utilization of Healthcare services; Changes in routine follow-ups, changes in diet. Conclusion: Breast cancer survivors had different challenges causing new physical and psychological symptoms such as lymphedema, pain, burnout, and anxiety that may have long-term effects on their quality of life.Publication Metadata only Palliative care needs of patients with cancer receiving active therapy(2020) Bağçivan, Gülcan; Seven, Memnun; Paşalak, Şeyma İnciser; Selçukbiricik, Fatih; Faculty Member; Faculty Member; PhD Student; N/A; N/A; Faculty Member; School of Nursing; School of Nursing; Graduate School of Health Sciences; N/A; N/A; School of Medicine; Koç University Hospital; 261422; 32470; 125009; N/A; N/A; 202015Objectives: List the symptomsmost experiencedbypatents whenadmittedtotheoutpatientclinic. Discuss the unmet palliative careneeds of patientswithcancer. Importance: Needsassessmentofpatients isoneof the first step to plan and deliver palliative care services. Objective(s). To identify cancer patients’ palliative care need swith burden and severity of problems and felt needs related to these problems. Method(s): Across-sectional descriptive study, conducted in Septembere October 2019. The sample of the study was consisted of 136 cancer patients from an oncology out patient clinic in a tertiary hospital with no palliative care services in Istanbul, Turkey. Patients characteristics formand theThree Levels of Needs Question naire were used to collect data. Results:The mean age of patients was 61.5 13.2, the mean duration since the diagnos is was 1.21 1.92 years. The majority of them were diagnosed with breast (17.6%), colorectal (12.5%) or pancreas (12.5%)cancerand 45.6%hadstage4cancer. Of patients,55.9%expressed feeling as though they burden their families to someextend and 40.4%feell onelyat some level.Majority of (95.5%)patients have quite a bitor very much confidence in the healthcare service and the adequacy of help and/or treatment taken from health services was rankedas5.9 1.28(outof 10). The most intense problems for the patients were tiredness (18.4%), problems carrying out physical activities (16.9%) and worrying(12.5%). The most frequentun metneeds were tiredness (38.9%, n¼34), to be depressed(19.9%,n¼27)and lack of appetite(18.4%n¼25)among patients who reported to have these symptoms. Conclusion(s): Regarding to the unmet needs of patients, the health care professions should assess and integrate evidence-based intervent iontopalliate the burden of the symptoms for cancer patients. Tiredness and lack of appetite and depressive symptoms can be seen as cluster and trigger eachother’s, therefore should befocused together. Impact: Measuring patient’s experience in symptoms andpatient-reported palliative care needs is important to improve palliative cancer care in clinical settings.Publication Metadata only Adaptation of Bricolage Scale to Turkish: validity and reliability study(Koç University School of Nursing, 2021) Öztaş, Bediye; Kurt, Gönül; Gezginci, Elif; N/A; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Background: Bricolage is defined as making innovation by collecting current resources in a creative way. The use of innovative approaches such as bricolage in the healthcare will increase patient satisfaction and provide quality and cost-effective treatment and care. For that, it is important to determine the bricolage activities of healthcare providers. The purpose of this study is to evaluate the validity and reliability of the Turkish version of the Bricolage Scale, which is used to measure nurses’ perceptions of bricolage activities. Methods: The sample of the study consists of 100 nurses working in an educational and research hospital and agreeing to participate in the research. The data of the study were collected using the “Nurse Information Form”, “Bricolage Scale” and “Nursing Individual Innovativeness Scale”. In order to evaluate the validity of the scale, the language, surface-structure and criterion validity of the scale were tested. To evaluate reliably of the scale internal consistency and test-retest reliability were tested. Results: The internal consistency factor calculated for the reliability of the scale is .905. The mean total score of the Bricolage Scale was 31.88 ± 3.99 and the retest total score was 32.16 ± 3.43. A statistically significant positive correlation was found between scale total score and retest total score (r = .905, P < .001). A significant and moderate correlation was found between Bricolage Scale and The Individual Innovativeness Scale, scores (r = .256; P = .010). Conclusion: The results of this study showed that the Turkish version of Bricolage Scale is a valid and reliable measurement tool that can be used to measure the perceptions of nurses about bricolage activities in our country. / Amaç: Brikolaj; mevcut kaynakları yaratıcı bir şekilde bir araya getirerek yenilik yapmaktır. Sağlık alanında brikolaj gibi yenilikçi yaklaşımların kullanımı hasta memnuniyetinin artırılmasını, kaliteli ve maliyet etkin tedavi ve bakım hizmetinin sunulmasını sağlayacaktır. Bunun için sağlık çalışanlarının brikolaj aktivitelerinin belirlenmesi önemlidir. Bu çalışmanın amacı hemşirelerin brikolaj aktivitelerine ilişkin algılarını ölçmek amacı ile kullanılan Brikolaj Ölçeği’nin Türkçeye uyarlanmış formunun geçerlik ve güvenirliğini değerlendirmektir. Yöntem: Bu araştırma metodolojik bir çalışma olup, örneklemini bir Eğitim ve Araştırma Hastanesinde çalışan ve araştırmaya katılmayı kabul eden 100 hemşire oluşturmuştur. Araştırmanın verileri, “Hemşire Bilgi Formu”, “Brikolaj Ölçeği” ve “Hemşirelikte Bireysel Yenilikçilik Ölçeği” kullanılarak toplanmıştır. Ölçeğin geçerliliğinin değerlendirilmesi amacı ile ölçeğin dil, yüzey ve yapı ve ölçüt geçerliliği test edilmiştir. Güvenilirliğin değerlendirilmesinde iç tutarlılık ve test-tekrar test analizleri yapılmıştır. Bulgular: Ölçeğin güvenilirliği için hesaplanan iç tutarlılık kat sayısı .905’dir. Brikolaj Ölçeği’nin toplam puan ortalaması 31.88 ± 3.99 ve retest toplam puan ortalaması 32.16 ± 3.43’dür. Ölçek toplam puanı ve retest toplam puanı arasında istatistiksel olarak anlamlı pozitif yönde ve güçlü bir ilişki bulunmuştur (r = .905, P < .001). Brikolaj Ölçeği ve BYÖ puanları arasında pozitif yönde anlamlı ve orta düzeyde bir ilişki bulunmuştur (r = .256, P = .010). Sonuç: Bu çalışma sonuçları Brikolaj Ölçeği’nin ülkemizde hemşirelerin brikolaj aktivitelerine ilişkin algılarını ölçmek amacı ile kullanılabilecek geçerli ve güvenilir bir ölçüm aracı olduğunu göstermiştir.
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