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Source publication
Aim
The aim of this study is to describe the experiences of other countries regarding the status of pediatric palliative care in the field of symptom management and to compare it with the current status in Iran to achieve an appropriate level of symptom management for children with cancer.
Materials and Methods
This is a comparative study. The res...
Contexts in source publication
Context 1
... examining the status of palliative care in Iran and in Canada, Australia, England, and Jordan in the intended fields, the results are presented in Tables 1 and 2. Table 1 shows the structural status of palliative care service provision. ...
Context 2
... examining the status of palliative care in Iran and in Canada, Australia, England, and Jordan in the intended fields, the results are presented in Tables 1 and 2. Table 1 shows the structural status of palliative care service provision. Table 2 presents the results of the comparisons between the statuses of palliative care provision process in symptom management. ...
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With the growth of entrepreneurship education adoption in higher education institutions (HEIs), the importance of assessments as a tool to gauge and enhance learning is of utmost importance. The purpose of this paper is to examine the influence and appropriateness of current assessment methods for engineering and technology students in Nige...
Citations
... Nurses have also emphasized the need to raise public awareness of EOL care for cancer patients (Iranmanesh et al., 2009) and to address the needs of the family during the patient's lifetime and after his/ her death (Zarea et al., 2020). On the other hand, spiritual care and bereavement care are referred to as a major part of the needs of family caregivers of cancer patients, while no program is formulated to provide this type of service or its education in Iran (Pakseresht et al., 2018). ...
Background:
Addressing the palliative care needs requires clinicians to have sufficient knowledge of and positive attitudes toward palliative care. The study aimed to determine nurses' and physicians' knowledge of and attitudes towards palliative care in Iran.
Methods:
This descriptive cross-sectional study was conducted in 2021 on 493 physicians and nurses, selected through convenience sampling. Three online questionnaires addressing caregivers' demographic and professional's questionnaire, Health Care Providers' Attitude toward PC Questionnaire, and Health Care Providers' Knowledge of PC Questionnaire were used. The data was analyzed in SPSS using correlational and descriptive statistics and regression analysis.
Results:
The mean score of attitude towards palliative care was 142.03 ± 11.35 and the mean score of palliative care knowledge, 19.47 ± 2.62. Considering the regression coefficients between these two mean scores (P-value = 0.001, b = 1.304), it can be inferred that knowledge is a good predictor of attitude. In addition, the mean scores of knowledge and attitude have a significant relationship with age, female gender, holding a master's or PhD degree, the need for formal education in the field of palliative care and the need to take a palliative care course.
Conclusions:
The present study showed that Iranian nurses and physicians have a moderate level of knowledge and attitude towards palliative care. It is necessary to take measures in order to improve knowledge and attitude by holding retraining courses, theoretical and clinical training sessions and relevant seminars in short term, and also by integrating related topics into nursing and medical curriculums in long term.
... In Iran, despite the emphasis on the social and spiritual dimensions of palliative care, there are no specific implementation strategies. Factors such as the lack of a clear structure in the healthcare system and the classification of services, communication barriers, lack of knowledge and lack of specialised expertise are limitations of palliative care for children (Rouhollahi et al, 2015;Khanali Mojen et al, 2017;Baraz et al, 2018). Nonetheless, one study found that nurses believed that palliative care in cancer patients must cover psychological issues as well as physical pain relief ). ...
... On the other hand, Iran fared poorly in providing information to children and families compared with other selected countries. In fact, in Iran, palliative care for children is not specialised, and only general issues are addressed (Khanali Mojen et al, 2017;Pakseresht et al, 2018). ...
Background
Palliative care is one of the necessary elements in the treatment of children with cancer. Adaptation of country-specific palliative care practices to universal standards can provide valuable information for health care stakeholders.
Aim
This study proposed to evaluate the global compliance of palliative care for children with cancer among select Middle Eastern countries.
Methods
In this comparative study, information about palliative care principles in Iran, Jordan, Saudi Arabia, Lebanon and Turkey was extracted from the literature. Data were collected using a checklist based on the conceptual framework of palliative care inspired by Wolff and Browne's (2011) standards. Then the extracted information was compared and analysed.
Findings
The palliative care standards in the selected countries did not show full compliance with global standards. In all selected countires, the child's and family's needs were considered, and a comprehensive care approach was followed. However, in none of the selected countries was the child's agreement to discharge from the hospital obtained, and neither was it ensured that the needs of the child and family were met.
Conclusions
Palliative care principles in the selected Middle Eastern countries are far from meeting universal standards. Accordingly, planning and training are recommended in different domains of nursing education as well as clinical nursing in the care of children. Healthcare authorities and politicians must provide the appropriate conditions for better provision of palliative care for children with cancer.
The burden of noncommunicable diseases (NCDs), including cancers, is
increasing in the Eastern Mediterranean Region (EMR). Based on estimates,
cancer incidence and mortality in the region will double within the next 20
years. Improvements in the infrastructure and access to the essential cancer care
services would improve patient outcomes and decrease the cancer burden in the
EMR region.
We studied the access of cancer patients to diagnostic and therapeutic
services in the EMR countries. We compiled data from various sources including,
WHO, national and global reports. In addition, we perform international
surveys in six EMR countries with different demographic and income conditions,
including Iran, Oman, Jordan, Lebanon, Sudan and Pakistan. We found that
EMR countries have variable conditions regarding access to diagnostics facilities,
including CT scanners, MRI, and PET-CT scanners. While some countries lack a
single PET/PET-CT scanner, high-income countries have installed more than 10
per 10,000 patients.
Surgical oncology and subspecialties for cancer surgery are not available in
most of the EMR countries. Radiotherapy coverage in Syria, Afghanistan, Yemen
and Pakistan, is less than 30%, while the coverage of radiotherapy services
in Oman, Morocco and Iraq is equal to 60%, 80% and 80%, respectively. In
contrast, this figure is about 200% in Qatar and 400% in Jordan.
The availability of oncology medicines is acceptable in most EMR countries,
except Afghanistan, Sudan, Palestine and Iraq, where access to essential
systemic treatment is limited. Out-of-pocket (OOP) expenses in low- and
middle-income countries reach 70–75%, indicating the need to establish
insurance industries in these countries.
EMR countries need to regularly monitor the access of cancer patients
to diagnostics and treatment technology. They should also have a plan for
providing these facilities against future challenges, in terms of increasing
incidence and burden of cancer in
