Palliative care training: a national study of internal medicine residency program directors in the United Arab Emirates

Ibrahim, Halah; Harhara, Thana

doi:10.1186/s12904-022-00935-2

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…End-of-Life Care (EoLC) is culturally and contextually relevant, and has received substantial interest among researchers and industry practitioners. Many countries have promoted the implementation of EoLC, to varying degrees, according to their economic status, resources, and energy [ 1 , 2 , 3 , 4 , 5 ]. Literature review studies have been accepted as an effectual means to map the existing intellectual territory [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Fordjour

Chow

2022

IJERPH

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The growing emphasis on evidence-based practice has led to a need for more research on healthcare disciplines, and for the synthesis and translation of that research into practice. This study explored the global research trend in regard to End-of-Life Care (EoLC), and assessed the impact and influence, on the scientific community, of relevant EoLC publications EoLC. Over 350,000 related publications on EoLC were retrieved from three databases (PubMed, Scopus, and Web of Science). Our analysis of the global research trend revealed an exponential rise in the number of related publications on EoLC since the year 1837. This study assessed the bibliometric information of 547 current journal publications on EoLC, sorted by relevance, from the three databases. The USA (47.3%) and the UK (16.1%) were the most productive countries, in terms of the number of relevant publications. The bibliometric analysis also revealed which EoLC research was most impactful and influential, from different parameters including documents, authors, sources, and organisations. The keyword analysis further suggested the growing importance of advance care planning and decision-making in regard to EoLC, as well as an episodic upsurge of EoLC publications related to the COVID-19 pandemic. There were few collaborations among the prolific research on EoLC. This study recommends increased research collaboration across the globe, for wider wisdom-sharing on EoLC issues.

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Section: Introductionmentioning

confidence: 99%

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Fordjour

Chow

2022

IJERPH

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“…In a recent studies in UAE medical schools and residency programs, lack of trainee awareness and interest in PC were cited as major barriers to PC education [ 11 , 39 ]. Our findings, however, show high student interest in PC training, with over 95% of medical student respondents reporting that it was important to learn about PC, and 95% requesting additional PC training during residency.…”

Section: Discussionmentioning

confidence: 99%

Medical student experiences and perceptions of palliative care in a middle eastern country

et al. 2022

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Introduction Teaching in palliative care (PC) is an important component of medical education. Yet, studies in many countries document a fragmented and inconsistent approach to PC teaching. The goal of this study is to assess PC education, experience, and comfort levels in providing end-of-life care in recently graduated medical students. Methods A survey was distributed to medical student applicants to residency programs at a large academic medical center in the United Arab Emirates. Descriptive statistics were used to tabulate variable frequencies. Results Of 226 surveys, 183 were completed (80.7% response). Over half of respondents (104/183, 56.8%) did not receive any formal PC education or training in medical school. General introduction to PC (64%), pain management (68%), and non-pain symptom management (56%) were the most common topics. Only 13% (24/183) of medical students participated in PC rotations. Only 25% of participants (46/183) reported assessment of PC knowledge or skills. Gender differences were noted, with women more comfortable discussing prognosis (Pearson Chi-square value 8.67, df 3, p < 0.013) and assessing decision-making capacity (Pearson Chi-square value 15.02, df 3, p < 0.005). Few students expressed comfort with any aspect of PC. The majority of respondents (174/183, 95%) felt that it is important to receive PC education in medical school. Conclusions Most newly graduated medical students reported limited education in PC, with minimal clinical experience. The vast majority described a lack of comfort in providing care for dying patients and their families. Educational reform is necessary to embed PC knowledge and skills into medical school curricula.

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“…Some of the challenges of PC that have been consistently addressed in the literature state that PC is not sufficiently integrated in nursing and medical curricula in the region, and even in affluent countries, most caregivers have received little or no PC training. 17 A recent study 11 in the United Arab Emirates revealed a lack of structured PC training and limited provision of formal teaching and assessment of trainee knowledge and skills in palliative and EOL care.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an Educational Workshop on Palliative Care Knowledge in Lebanese Nurses

Doumit,

Khoury,

Arevian

et al. 2023

Palliative Medicine Reports

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Background: Lebanon is one of the world's smallest countries, with an area of 10,452 square kilometers. Life expectancy in Lebanon presently stands at about 76.6 years for men and 79.3 years for women. It is well known that with long life comes chronic disease, serious illness, and increased resource utilization. With a rapidly aging population and ever-increasing life expectancy, an increase in illnesses that affect the elderly is expected to follow, including non-communicable diseases and cancer. Nurses are the largest workforce in Lebanon and are thus in a prominent position to influence the quality of palliative care (PC) delivery throughout the course of illness. Purpose: The purpose of this study was to evaluate the impact of an educational workshop on PC knowledge, attitude, and skills for practicing nurses at a Lebanese university medical center. Design: A mixed-method approach comprising a quasi-experimental and a qualitative process evaluation was followed to assess the nurses' knowledge, attitude, and skills about PC before and after the workshop and to evaluate the process itself. A convenience sample of 45 registered nurses working at the university medical center from multiple clinical units participated in the workshop that took place over one day in a referral medical center in Beirut. Inferential statistical analysis was used. Results: Data were analyzed using SPSS 25 for Windows. The paired t test showed a significant increase between the pre-and post-test scores t (39) = 11.07, p < 0.001 with a 95% confidence interval for the mean difference of (17.58–25.45). Thirty-eight participants (90.5%) did not pass the pre-test exam whereas only 12 participants (30.0%) did not pass the post-test exam. Recommendations: It is highly recommended to follow up with the participants of this workshop to determine the immediate and long-term outcomes of this educational workshop as well as offer workshops for a wider population of nurses in Lebanon and the region.

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Palliative care training: a national study of internal medicine residency program directors in the United Arab Emirates

Cited by 5 publications

References 28 publications

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Medical student experiences and perceptions of palliative care in a middle eastern country

Effectiveness of an Educational Workshop on Palliative Care Knowledge in Lebanese Nurses

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