Evaluating Palliative Care Needs in Middle Eastern Countries
Journal of Palliative Medicine
To cite this article:
Silbermann Michael, Fink Regina M., Min Sung-Joon, Mancuso Mary P., Brant Jeannine, Hajjar Ramzi, Al-Alfi Nesreen, Baider Lea, Turker Ibrahim, ElShamy Karima, Ghrayeb Ibtisam, Al-Jadiry Mazin, Khader Khaled, Kav Sultan, Charalambous Haris, Uslu Ruchan, Kebudi Rejin, Barsela Gil, Kuruku Nilgün, Mutafoglu Kamer, Ozalp-Senel Gulsin, Oberman Amitai, Kislev Livia, Khleif Mohammad, Keoppi Neophyta, Nestoros Sophia, Abdalla Rasha Fahmi, Rassouli Maryam, Morag Amira, Sabar Ron, Nimri Omar, Al-Qadire Mohammad, Al-Khalaileh Murad, Tayyem Mona, Doumit Myrna, Punjwani Rehana, Rasheed Osaid, Fallatah Fatimah, Can Gulbeyaz, Ahmed Jamila, and Strode Debbie. Journal of Palliative Medicine. January 2015, 18(1): 18-25. doi:10.1089/jpm.2014.0194.
Published in Volume: 18 Issue 1: October 10, 2014
- Full Text HTML
- Full Text PDF (168 KB)
- Full Text PDF with Links (183.5 KB)
Author information
Michael Silbermann, DMD, PhD,1 Regina M. Fink, RN, PhD, AOCN, FAAN,2 Sung-Joon Min, PhD,3 Mary P. Mancuso, MA,2 Jeannine Brant, PhD, APRN, AOCN,
4 Ramzi Hajjar, MD,5
Nesreen Al-Alfi, RN, MSN,6 Lea Baider, PhD,7 Ibrahim Turker, MD,8 Karima ElShamy, DNSc,9 Ibtisam Ghrayeb, RN, MSN,10 Mazin Al-Jadiry, MD,11 Khaled Khader, RN, PhD,12 Sultan Kav, RN, PhD,13 Haris Charalambous, MD,14 Ruchan Uslu,MD,15 Rejin Kebudi, MD,16 Gil Barsela, MD,17 Nilgün Kuruku, MD,18 Kamer Mutafoglu, MD,19 Gulsin Ozalp-Senel, MD,20 Amitai Oberman, MD,21 Livia Kislev, RN, MA,22 Mohammad Khleif, RN, MSN,23Neophyta Keoppi, RN,24 Sophia Nestoros, MD, MPall,24 Rasha Fahmi Abdalla, MD,25 Maryam Rassouli,RN, PhD,26 Amira Morag, RN, MA,27 Ron Sabar, MD, MBA,28 Omar Nimri, MD,29 Mohammad Al-Qadire, RN, PhD,30 Murad Al-Khalaileh, RN, PhD,31 Mona Tayyem, RN, MSN,
32 Myrna Doumit, RN, PhD,33 Rehana Punjwani, RN,34 Osaid Rasheed, RN, MSN,35 Fatimah Fallatah, RN,36 Gulbeyaz Can, RN, PhD,37 Jamila Ahmed, DPsy,38 and Debbie Strode, RN, MSN39
1Middle East Cancer Consortium, Technion–Israel Institute of Technology, Haifa, Israel.
2University of Colorado Hospital, Aurora, Colorado.
3University of Colorado, School of Medicine, Aurora, Colorado.
4Billings Clinic, Billings, Montana.
5American University of Beirut, Beirut, Lebanon.
6Fatima College for Health Care/Sciences, Abu Dhabi, United Arab Emirates.
7Assuta Medical Center, Tel Aviv, Israel.
8Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.
9Faculty of Nursing, Mansoura University, Mansoura, Egypt.
10Makassed Charitable Hospital, East Jerusalem.
11Children Welfare Teaching Hospital University of Baghdad, Baghdad, Iraq.
12Taif University, Saudi Arabia.
13Baskent University, Ankara, Turkey.
14Bank of Cyprus Oncology Centre, Nicosia, Cyprus.
15Ege University School of Medicine, Tulay Aktas Oncology Hospital, Izmir, Turkey.
16Cerrahpaşa Medical Faculty Istanbul University, Istanbul, Turkey.
17Division of Oncology, Rambam Health Care Campus, Haifa, Israel.
18Ankara Oncology Training and Research Hospital, Ankara, Turkey.
19The Oncology Center, Dokuz Eylul University, Izmir, Turkey.
20Ankara Oncology Education and Research Hospital, Ankara, Turkey.
21Poria Medical Center, Tiberias, Israel.
22Israel Cancer Association Givatayim, Israel.
23Al-Sadeel Society for Palliative Care, Bethlehem, West Bank, Palestinian Authority.
24Cyprus Anti-Cancer Society, Nicosia, Cyprus.
25El-Salam Oncology Center, Cairo, Egypt.
26School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Teheran, Islamic Republic of Iran.
27Davidoff Cancer Center, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel.
28Sabar Clinics for Community Health Services, Israel.
29Jordan Cancer Registry, Ministry of Health, Amman, The Hashemite Kingdom of Jordan.
30Al-Ghad International College for Health Sciences, Riyadh, Saudi Arabia.
31Al-Bayt University Faculty of Nursing, Mafraq, The Hashemite Kingdom of Jordan.
32Faculty of Nursing, Jordan University of Science and Technology, Irbid, The Hashemite Kingdom of Jordan.
33Alice Ramez Chagoury School of Nursing, Lebanese American University, Beirut, Lebanon.
34Children's Cancer Hospital, Karachi, Pakistan.
35Al Quds University, Abu Dies and Al-Ahli Hospital, Hebron, West Bank, Palestine.
36King Abdul Aziz Medical City, Jeddah, Saudi Arabia.
37Istanbul University Florence Nightingale Hemsirelik Fakultesi, Istanbul, Turkey.
38Faculty of Medicine, University of Aden, Aden, Yemen.
39Tawam Hospital, Abu Dhabi, United Arab Emirates.
Accepted August 28, 2014
ABSTRACT
Background:
Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world.
While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease.
Objective:
To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities.
Design:
Descriptive survey.
Setting/Subjects:
Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings.
Measurements:
Palliative care needs assessment.
Results:
Improved pain management services are key facilitators.
Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time.
The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes.
Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques.
Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly.
Conclusions:
The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services.
Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.
 |
|
|
|
|
|
No comments:
Post a Comment