Analyse des connaissances des infirmiers sur les soins palliatifs et d’accompagnement à Kinshasa, RDC

Masumbuku, Jacques Lofandjola; Coppieters, Yves

doi:10.1016/j.medpal.2012.03.001

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…However, there was a notable lack of emphasis on the quality of life for families and relatives, as well as on addressing psychological and spiritual suffering—both of which are critical components of palliative care. This stands in contrast to the findings from the multicenter series by Masumbuku and Coppieters [ 7 ], where 85% of nurses endorsed palliative care for its spiritual benefits. Among the remaining respondents, 40% valued the comfort provided by such care, and 5% believed it extended patients’ lives [ 7 ].…”

Section: Discussioncontrasting

confidence: 97%

“…This stands in contrast to the findings from the multicenter series by Masumbuku and Coppieters [ 7 ], where 85% of nurses endorsed palliative care for its spiritual benefits. Among the remaining respondents, 40% valued the comfort provided by such care, and 5% believed it extended patients’ lives [ 7 ]. In our study, all respondents agreed that palliative care units should be created in most Tunisian hospitals, and most of them (86%) considered this to be a priority.…”

Section: Discussioncontrasting

confidence: 97%

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Knowledge and Perceptions of the End of Life among Tunisian Medical and Paramedical Staff

Khessairi,

Bacha,

Aouadi

et al. 2024

J Hosp Palliat Care

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Section: Discussioncontrasting

confidence: 97%

Section: Discussioncontrasting

confidence: 97%

Knowledge and Perceptions of the End of Life among Tunisian Medical and Paramedical Staff

Khessairi,

Bacha,

Aouadi

et al. 2024

J Hosp Palliat Care

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“…Only 5 of 12 hospitals in our sample had dedicated palliative care services. The main barriers to integrating palliative care into the health systems, as previously identified by scholars such as Masumbuku [ 35 , 36 ], Tawi [ 34 ], and King [ 37 ], seem applicable in the DRC: a preponderant or exclusive focus on curative and preventive care by policy‐makers and donors; cultural determinants; financial constraints; and the absence of palliative care in medical curricula. After the first Conference on Palliative Care organised in Kinshasa in 2013 [ 38 ], palliative care has been slowly developing through a network of hospitals supported by international partners, but its integration into the health system seems still far to reach.…”

Section: Discussionmentioning

confidence: 99%

Access to opioid analgesics for medical use at hospital level in the Democratic Republic of Congo: An exploratory mixed‐method study

Zandibeni

Béthune

Bitumba

et al. 2022

Tropical Med Int Health

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Objective To investigate the availability of and access to opioid analgesics at hospital level in the Democratic Republic of Congo. Methods Exploratory mixed‐method study combining a descriptive survey of the availability of opioid analgesics at hospital pharmacies with a qualitative survey that explored the experiences and perceptions of healthcare workers, managers, patients and caregivers, by means of a short questionnaire and of semi‐structured interviews. The study was conducted in a convenience sample of 12 hospitals, located in five different provinces, in 2021. Results The quality and completeness of stock data for opioid analgesics were generally poor. Stock‐outs were frequent. Only five hospital pharmacies had records on prescriptions of opioids in 2020. In‐patients and caregivers indicated they generally must purchase opioids out‐of‐pocket, sometimes far from the place of residence. Doctors and nurses confirmed that prescribed opioids are often unavailable at the hospital pharmacy. Furthermore, they suggested an important need of training in pain management with opioids, and of effective regulation to ensure opioid availability. Pharmacists and managers recognised important weaknesses in the processes of needs quantification, stock management, planning and supply. Conclusions Our exploratory study suggests the need of a complex set of coordinated actions to be undertaken by all relevant actors in DRC to correct the poor practices in opioids' management and to improve opioids' availability, affordability and adequate use. This will require a change of mindset to overcome the neglect of the health needs of persons with acute and chronic pain.

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“…Previous studies performed in Kinshasa highlighted that healthcare professionals do not have enough knowledge on PC and support [8]. Needs for PC are huge in the field [9], but due to the lack of implementation in Kinshasa medical practices, the curative dimension predominates and is strongly anchored in the philosophy of care [10].…”

Section: Introductionmentioning

confidence: 99%

Chronic illness needing palliative care in Kinshasa hospitals, Democratic Republic of the Congo (DRC)

et al. 2017

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BackgroundChronic illnesses are a major public health problem in low-income countries. In the Democratic Republic of the Congo (DRC), few data are available, especially in palliative care. In this context, the present study aimed at describing the patterns of diseases in Kinshasa hospitals as well as risk factors associated with patients’ evolving status and length of hospital stay.MethodsA prospective study was conducted in ten hospitals of Kinshasa, over a 1-year period. A total of 2699 patients with a chronic condition (non-communicable diseases (NCD) and/or AIDS) were consecutively enrolled in the study between January and December, 2013.ResultsOut of 2699 patients studied, 36.9% were suffering from cardiovascular diseases, 29.7% from comorbidity and 17.5% from AIDS. 27.5% of patients died while hospitalized, and 67.4% were lost to follow-up. The risk factors independently associated with death in hospitals were AIDS (adjusted OR = 2.2) and age over 65 years old (adjusted OR = 1.7).Peri-urban and rural areas were significantly associated with a mean adjusted hospital stay longer than 3 days. The length of stay (LOS) was shorter for women and patients living in urban areas. Patients survived for a median of 10 days (range 7–20 days).ConclusionsThis study reveals the high proportion of patients suffering from advanced chronic diseases, including cardiovascular diseases, AIDS and comorbidity. It demonstrates the need for palliative care (PC) in medical practices in Kinshasa, the capital of the Democratic Republic of the Congo.

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Analyse des connaissances des infirmiers sur les soins palliatifs et d’accompagnement à Kinshasa, RDC

Cited by 4 publications

References 24 publications

Knowledge and Perceptions of the End of Life among Tunisian Medical and Paramedical Staff

Knowledge and Perceptions of the End of Life among Tunisian Medical and Paramedical Staff

Access to opioid analgesics for medical use at hospital level in the Democratic Republic of Congo: An exploratory mixed‐method study

Chronic illness needing palliative care in Kinshasa hospitals, Democratic Republic of the Congo (DRC)

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