Deconstructing Palliative Care in Areas of Armed Conflict: Needs, Challenges, and Concerns

Abu‐Odah, Hammoda; Mikati, Diana; Arawi, Thalia

doi:10.1007/978-3-319-74365-3_225-1

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…2 Despite these activities, the majority of Palestinian nurses and physicians reported significantly lower knowledge of the principle of PC. This result is in line with previous studies conducted in Palestine, 28 and Jordan, 29 but contradict those observed in countries with PC integration, such as Saudi Arabia 30 and China, 31 whose knowledge ranged between 53% and 54%, compared with 42% in this study.…”

Section: Discussionsupporting

confidence: 85%

Assessment of the Educational and Health Care System–Related Issues From Physicians' and Nurses' Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System

Abu‐Odah

Molassiotis

Liu

2022

J Hosp Palliat Nurs

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A scarcity in research assessing the palliative care (PC) educational and health care system–related issues has been reported in the Middle East region; the region comprises a wide range of economically diverse countries. Discrepancies across countries have created difficulties in adopting other countries' experiences. This study aimed to assess PC knowledge, attitude, educational needs, and health care system–related issues from physicians' and nurses' perspectives before developing PC services within the Palestinian health care system. One hundred sixty-nine professionals participated in this cross-sectional survey. Data were collected by validated instruments. Professionals had insufficient knowledge about PC, but they had positive attitudes toward end-of-life care and care of the dying. Patients'/families' avoidance of talking about issues around dying and lack of training for staff related to PC were the most 2 significant barriers to providing PC. Educational level and previous training were found to be associated significantly with knowledge and attitudes toward PC. Study conclusions support the recommendation for integration of education about PC within the health curricula and in-service training and should cover the basic and advanced principles of PC and symptom management.

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Section: Discussionsupporting

confidence: 85%

Assessment of the Educational and Health Care System–Related Issues From Physicians' and Nurses' Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System

Abu‐Odah

Molassiotis

Liu

2022

J Hosp Palliat Nurs

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“…Financial resources in Gaza are scarce, poverty levels are high, financial and administrative coordination are poor, and healthcare resources are in short supply [ 25 ]. Cancer currently ranks as the major cause of morbidity and mortality after heart disease and cerebrovascular disease [ 26 ]. It is the third leading cause of death (at 14%), with an expected high increase in the cancer burden that will create challenges in the delivery of care to patients that are mostly diagnosed at a late stage [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

“…The two Oncology in the Gaza Strip units are housed in inappropriately designed buildings and there are shortages of necessary equipment and supplies [ 28 ]. Cancer care whist it is improving in Palestinian hospitals, services like PC, targeted cancer therapies, and bone-marrow transplantation are limited [ 26 , 29 ]. Furthermore, the shortage of specialist physicians and limited availability of chemotherapy [ 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the unmet needs of Palestinian advanced cancer patients and their relationship to emotional distress: results from a cross-sectional study

2022

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Background Although several studies assessing the needs of advanced cancer patients have been conducted globally, most have focused on a specific type of cancer such as lung or breast cancer. The variation across studies has also created difficulties in generalizing the results and applying the findings in other countries. The aim of this study was to provide comprehensive information on the needs of Palestinian advanced cancer patients. The quality of life (QOL), distress levels, depression, anxiety, and spiritual well-being of the patients were also assessed. Methods A hospital-based study with a cross-sectional design was conducted on a convenience sample of patients aged 18 or above who had been diagnosed with advanced-stage cancer. The unmet needs of the patients were assessed using the Short form of the Supportive Care Needs Survey (SCNS-SF34). Four instruments were utilized to examine their distress, anxiety, depression, QOL, and spirituality. A modified Supportive Care Framework was adopted to guide the design of this study. Descriptive statistics and hierarchical linear regression were utilized to analyse the data. Results Of the 404 cancer patients invited to the study, 379 patients consented to participate and complete the questionnaire. Of them 96.8% stated that they had at least one ‘moderate to high’ level unmet need. The most frequent unmet needs were those in the physical aspects of daily living (Mean 58.94; SD ± 20.93) and psychological (Mean 58.84; SD ± 19.49) domains. Most of the patients (91%) were physically ill and reported experiencing physical symptoms. About 78.1% had a high level of distress. Almost 90% reported signs of depression and anxiety. Although they felt that their spiritual well-being was good, their QOL was poor. Hierarchical linear regression analyses confirmed that educational level, age, gender, marital status, cancer stage, cancer type, physical symptoms, depression, anxiety, distress, QOL, and spirituality were independently associated with unmet supportive care needs. Conclusion Palestinian advanced cancer patients exhibit a significantly higher prevalence of unmet needs than those in other countries, indicating a need to develop a palliative care programme within the healthcare system. They have a great need for physical, emotional/psychosocial, self-management and other services, which should be made available to them, particularly in the routine delivery of cancer care.

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“…The model is based on understanding the barriers and facilitators from the policy environment, healthcare organisations and healthcare professionals. It was utilised in previous studies as an analytical framework for identifying barriers and facilitators to provide services to health systems (Abu‐Odah et al, 2020). Utilising such an approach could help address barriers and promote the facilitators that alleviate the translation of health research evidence into practice, and the ICCC was adopted as an analytical framework in this systematic review.…”

Section: Introductionmentioning

confidence: 99%

Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews

Abu‐Odah

Said

Nair

et al. 2022

Health Social Care Comm

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Translating research into clinical practice is a global priority because of its potential impact on health services delivery and outcomes. Despite the ever-increasing depth and breadth of health research, most areas across the globe seem to be slow to translate relevant research evidence into clinical practice. Thus, this review sought to synthesise existing literature to elucidate the barriers and facilitators to the translation of health research into clinical practice. A systematic review of reviews approach was utilised. Review studies were identified across PubMed, Scopus, Embase, CINAHL and Web of Science databases, from their inception to 15 March 2021. Searching was updated on 30 March 2022. All retrieved articles were screened by two authors; reviews meeting the inclusion criteria were retained. Based on the review type, two validated tools were employed to ascertain their quality: A Measurement Tool to Assess Systematic Reviews-2 and International Narrative Systematic assessment. The framework synthesis method was adopted to guide the analysis and narrative synthesis of data from selected articles. Ten reviews met the inclusion criteria. The study revealed

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Deconstructing Palliative Care in Areas of Armed Conflict: Needs, Challenges, and Concerns

Cited by 5 publications

References 25 publications

Assessment of the Educational and Health Care System–Related Issues From Physicians' and Nurses' Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System

Assessment of the Educational and Health Care System–Related Issues From Physicians' and Nurses' Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System

Analysis of the unmet needs of Palestinian advanced cancer patients and their relationship to emotional distress: results from a cross-sectional study

Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews

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