The current situation of palliative care in Turkey

Emük, Yusuf; Naz, İlknur

doi:10.1016/j.jcpo.2017.07.001

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…This model was developed to minimise isolation among older people and as an alternative to residential care settings, which carry a certain level of stigma [53]. Palliative care services in Turkey have also undergone some considerable development; since 2010, the Turkish Ministry of Health implemented a new national community-based palliative care program, the Pallia-Turk project [54]. This program was associated with the National Turkish palliative care policy, making it the only country in the MENA region, along with Israel, to have such policies.…”

Section: Welfare Model and Ltc Provision In Turkeymentioning

confidence: 99%

An Evidence Review of Ageing, Long-Term Care Provision and Funding Mechanisms in Turkey: Using Existing Evidence to Estimate Long-Term Care Cost

Ismail

Hussein

2021

Sustainability

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Turkey is transitioning from an ageing to aged population at a fast pace. This process requires immediate policy and practice planning and actionable strategies. Formulating and implementing such policies needs to acknowledge parallel demographic and socio-economic changes to ensure adequate resources and appropriate services are developed to enhance the growing older population’s quality of life and wellbeing. Limited long-term care (LTC) provision, funding mechanisms and reliance on informal support primarily provided by women pose considerable challenges to all stakeholders, including the state, families and older people. This paper provides an evidence review on older people's status and their health and care needs, current LTC policies, provision and funding mechanisms in Turkey. It employs a mixed review methodology, making use of published statistics, indicators and literature. The study also adapts existing LTC funding estimation models to predict LTC cost for Turkey. The review highlights the increasing share of older people in Turkey, the fast pace of population ageing, and escalating health and LTC unmet needs. Older people are reported to have high levels of depression, loneliness and co-morbidity with regional, gender and educational differentials. The Turkish LTC and welfare models rely on the family, particularly women, in meeting increased demand. A hierarchical model with random intercept was implemented and estimated the LTC cost in Turkey to be 0.02% of GDP, acknowledging the high proportion of people at labour participation age range and low female employment levels.

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Section: Welfare Model and Ltc Provision In Turkeymentioning

confidence: 99%

An Evidence Review of Ageing, Long-Term Care Provision and Funding Mechanisms in Turkey: Using Existing Evidence to Estimate Long-Term Care Cost

Ismail

Hussein

2021

Sustainability

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“…[ 29 ] In this project, primary level included family physicians, early diagnosis, and training centers; secondary level early diagnosis and training centers, care for acute-subacute and chronic palliation cannot be managed by level one; and third level centers for excellence with multidisciplinary approach. [ 29 30 ] These improvements contributed to the launch of “Regulation on Procedures and Principles of Palliative Care Service” 2014 and 2015. [ 28 ] This regulation identified essentials of palliative care services in seven areas including physical environment, staff, roles and responsibilities, scope of service, admission process, training, and supervision.…”

Section: Palliative Care In Turkeymentioning

confidence: 99%

“…Parallel to these efforts, the Turkish Oncology Group created a working group for supportive treatments, which made significant contributions to the further development of palliative care, especially for oncology patients. [ 30 31 ] In addition, the Turkish Oncology Nursing Association has created a palliative care subgroup. In 2006, the Palliative Care Association was established with a focus on palliative care for cancer patients, including end-of-life care.…”

Section: Palliative Care In Turkeymentioning

confidence: 99%

Translating a US early palliative care model for Turkey and Singapore

Akyar

Dionne‐Odom

Yang

et al. 2018

Asia-Pacific Journal of Oncology Nursing

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“…In the study conducted by Kirkpatrick et al 20 with nursing students, it was stated that having knowledge about palliative care plays an important role in improving the quality of care. In Turkey, palliative care is a new consideration and started to rise up by 2010s with the first organized palliative care system by the Cancer Control Department of the Turkish Ministry of Health and the Pallia‐Turk project 21,22 . Furthermore, the national core curriculum for nursing in Turkey does not include palliative care as a part of the mandatory basic nursing courses 23 .…”

Section: Introductionmentioning

confidence: 99%

“…In Turkey, palliative care is a new consideration and started to rise up by 2010s with the first organized palliative care system by the Cancer Control Department of the Turkish Ministry of Health and the Pallia-Turk project. 21,22 Furthermore, the national core curriculum for nursing in Turkey does not include palliative care as a part of the mandatory basic nursing courses. 23 However, palliative care education is included as an elective course in the nursing education curriculum of some universities.…”

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confidence: 99%

The palliative care difficulty levels of the nursing students during clinical practices

Ünver

Özkan

Gi̇rgi̇n

2020

Perspect Psychiatr Care

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Purpose: This study aimed to determine the palliative care difficulties experienced by nursing students during their clinical practice.Design and Methods: This descriptive and cross-sectional study was conducted with 305 nursing students at a university in Turkey. Data were collected using a student identification form and the palliative care difficulties scale.Findings: Nursing students experience a moderate level of difficulty in providing care for palliative care patients and receiving expert support facilitates their care initiatives.Practice Implications: It is important to support nursing students during their nursing education courses and clinical training, along with psychiatric nursing skills. K E Y W O R D Snursing students, palliative care, palliative care difficulties | INTRODUCTIONPalliative care is a specialized care that aims to improve the quality of life of the individuals and their families in chronic illness conditions (e.g., cardiovascular diseases, cancer, respiratory diseases) that are life-restricting and incurable. 1,2 According to the World Health Organization (WHO), 3 palliative care is an approach used to address the problems experienced by patients (children and adults) with lifethreatening illnesses and their families and emphasizes that it is important for the early diagnosis and treatment of the symptoms (physical, psychological, communicative, etc.).Although the life span of humans has increased in line with the technological developments in the healthcare field, the rise in the frequency of chronic illnesses with age remains. 4 In a projection study involving England and Wales, it was reported that 75% of the people who were at the end-of-life stage would need palliative care. 5 A study conducted in Saudi Arabia with males over 55 years of age showed that the rate of chronic illnesses increased in line with age. 6 Of them, 31% had at least one chronic illness, and 34.5% at least two or more chronic illnesses. In an extensive study titled the Irish Longitudinal Study On Ageing-Wave 4, conducted in Ireland, chronic diseases were found to be more frequent in those aged 75 and over. 7 According to the results of the National Household Health Survey carried out in Turkey, the conditions requiring chronic care, such as a stroke due to cardiac disease, increased with age and the rate of chronic care was reported to be 1.3% in those between the ages of 15 and 29, while it was 18.8% in those who were 70 and over. 8 How to cite this article: Ünver S, Kızılcık Özkan Z, Giṙgiṅ BN.The palliative care difficulty levels of the nursing students during clinical practices.

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The current situation of palliative care in Turkey

Cited by 11 publications

References 14 publications

An Evidence Review of Ageing, Long-Term Care Provision and Funding Mechanisms in Turkey: Using Existing Evidence to Estimate Long-Term Care Cost

An Evidence Review of Ageing, Long-Term Care Provision and Funding Mechanisms in Turkey: Using Existing Evidence to Estimate Long-Term Care Cost

Translating a US early palliative care model for Turkey and Singapore

The palliative care difficulty levels of the nursing students during clinical practices

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