Evidence map›Paper›PMID 31114106›Full record

ArticleIndian journal of palliative care

Understanding the Organization of Hospital-Based Palliative Care in a Nigerian Hospital: An Ethnographic Study.

David A Agom, Helen Poole, Stuart Allen, Tonia C Onyeka, Jude Ominyi

Abstract read
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Article in Indian journal of palliative care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David A AgomFaculty of Health and Society, University of Northampton, Northampton, UK.
Helen PooleFaculty of Health and Society, University of Northampton, Northampton, UK.
Stuart AllenSchool of Life Science, University of Warwick, Coventry, UK.
Tonia C OnyekaDepartment of Anaesthesia, Pain and Palliative Care Unit, Multidisciplinary Oncology Centre, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
Jude OminyiFaculty of Health and Society, University of Northampton, Northampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextOrganization and delivery of palliative care (PC) services vary from one country to another. In Nigeria, PC has continued to develop, yet the organization and scope of PC is not widely known by most clinicians and the public.

objectivesThe aim of the study is to identify PC services available in a Nigerian Hospital and how they are organized.

methodsThis ethnographic study, utilized documentary analysis, participant observation, and ethnographic interviews (causal chat during observation and individual interviews) to gather data from members of PC team comprising doctors (

resultsPC was found to be largely adult patient-centered. A hospital-based care delivery model, in the forms of family meetings, in- and out-patients' consultation services, and a home-based delivery model which is primarily home visits conducted once in a week, were the two models of care available in the studied hospital. The members of the PC team operated two shift patterns from 7:00 am to 2.00 pm and a late shift from 2:00 pm to 7:00 pm instead of 24 h service provision.

conclusionsAlthough PC in this hospital has made significant developmental progress, the organization and scope of services are suggestive of the need for more development, especially in manpower and collaborative care. This study provided knowledge that could be used to improve the clinical practice of PC in various cross-cultural Nigerian societies and other African context, as well as revealing areas for PC development.

Indexed as

Care deliveryhospitalmodelsNigeriaorganizationpalliative care

Identifiers

PMID31114106
PMCPMC6504748

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