{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:06:09Z","timestamp":1790769969902,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study was conducted to identify the factors influencing caregiving self\u2010efficacy, caregiver response and burnout among individuals providing care to palliative care patients; to examine the relationship among these three variables and to assess the mediating role of caregivers' self\u2010esteem in this relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 77 informal caregivers caring for inpatients in the palliative care clinic of a training and research hospital. Data were collected using the Personal Information Form, the Revised Caregiver Self\u2010Efficacy Scale (RCSE), the Caregiver Reaction Assessment Scale (CRA) and the Burnout Scale (BM). Variables were analysed using descriptive statistics as well as the Hayes PROCESS macro via the bootstrapping method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 81.8% of caregivers were &lt;\u200965\u2009years old, 79.2% were married and 77.9% were women. Caregivers providing care for their parents represented 36.4%. Of those receiving care, 87% were bedridden and only 23.7% received professional home care services. Significant positive correlations were found between caregiving self\u2010efficacy and caregivers' self\u2010esteem, while significant negative correlations were found between caregiving self\u2010efficacy and burnout levels. Caregivers' self\u2010esteem played a statistically significant role in partially mediating the relationship between caregiving self\u2010efficacy and burnout. Additionally, participants who received external care support and had no history of falls among the patients they cared for in the past 6\u2009months had higher self\u2010efficacy and lower burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrated that informal caregivers' self\u2010efficacy and self\u2010esteem were important psychosocial resources that buffer the development of burnout among caregivers. In this context, it was recommended that family\u2010centred nursing interventions and psychosocial support protocols focus on simultaneously strengthening caregivers' self\u2010efficacy and self\u2010esteem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This study demonstrates that burnout among informal caregivers is associated with self\u2010efficacy and self\u2010esteem. Caregivers' self\u2010esteem may act as a potential protective buffer in this relationship. Thus, regularly assessing the levels of self\u2010efficacy, burnout and self\u2010esteem among informal caregivers can facilitate the early identification of those at risk of burnout. By strengthening self\u2010efficacy and self\u2010esteem through education, counselling and psychosocial support, caregivers can prevent burnout, thereby supporting the sustainability of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact Statement<\/jats:title>\n                    <jats:p>Caregiver burnout needs to be assessed from multiple angles. Caregivers' self\u2010esteem emerges as a potential vital factor in preventing burnout among informal caregivers. These insights offer clear clinical goals for the early identification and targeted support of at\u2010risk informal caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>Informal caregivers contributed to the study solely as participants by completing the research measure tools. They were not involved as research partners in the design, conduct, analysis or interpretation of the data, or in the preparing of the manuscript.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70556","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:47:14Z","timestamp":1790768834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Efficacy, Caregiver Reactions and Burnout Among Informal Caregivers in Palliative Care: A Cross\u2010Sectional Mediation Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7280-9093","authenticated-orcid":false,"given":"\u015e\u00fckr\u00fc","family":"\u00d6zen","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Bing\u00f6l University  Bing\u00f6l T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zkan","family":"Erbek","sequence":"additional","affiliation":[{"name":"Malatya Training and Research Hospital  Malatya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13131583"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.18521\/ktd.638711"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09735070.2017.1387396"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091251317585"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010022\u201001031\u20101"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14165804"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.17860\/efd.24817"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6099"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010022\u201004289\u20100"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34164"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010020\u201000577\u20102"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2020.1803372"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770150406"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2022.2134250"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2025.5614"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17423953251322261"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22652"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.70288"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000733"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/00302228251363091"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx202"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010048761"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155457"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2013.03.004"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S499768"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010013\u20101795\u20106"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.02605"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.31086\/tjgeri.2021.224"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2022.2118666"},{"key":"e_1_2_12_31_1","volume-title":"Career Burnout: Causes and Cures","author":"Pines A. 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