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    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, Remziye
    Objectives: 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.
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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.