Evidence map›Paper›PMID 32649715›Full record

ArticlePloS one2020

Good death: An exploratory study on perceptions and attitudes of patients, relatives, and healthcare providers, in northern Tanzania.

Temitope O Gafaar, Msafiri Pesambili, Oliver Henke, Joao Ricardo Nickenig Vissoci, Blandina Theophil Mmbaga, Catherine Staton

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. What Is a Good Death in South Asia? A Systematic Review and Narrative Synthesis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Pooled it
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  7. Changes in perceived distress among patients receiving inpatient palliative care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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  9. The 'good death' in Mainland China - A Scoping Review.International journal of nursing studies advances · 2022
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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

6 authors at 2 institutions in 2 countries.

Temitope O GafaarDuke University School of Medicine, Duke University, Durham, NC, United States of America.ORCID 0000-0003-2148-0894
Msafiri PesambiliDuke University Research Collaboration, Kilimanjaro Christian Medical Center, Moshi, Tanzania.
Oliver HenkeCancer Care Center, Kilimanjaro Christian Medical Center, Moshi, Tanzania.ORCID 0000-0002-9838-9805
Joao Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Blandina Theophil MmbagaCancer Care Center, Kilimanjaro Christian Medical Center, Moshi, Tanzania.
Catherine StatonDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Duke University · USKilimanjaro Christian Medical Centre · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceIn the Kilimanjaro region of Tanzania, there are no advance care planning (ACP) protocols being used to document patient preferences for end-of-life (EoL) care. There is a general avoidance of the topic and contemplating ACP in healthcare-limited regions can be an ethically complex subject. Nonetheless, evidence from similar settings indicate that an appropriate quality of life is valued, even as one is dying. What differs amongst cultures is the definition of a 'good death'.

objectiveEvaluate perceptions of quality of death and advance EoL preparation in Moshi, Tanzania.

design13 focus group discussions (FGDs) were conducted in Swahili using a semi-structured guide. These discussions were audio-recorded, transcribed, translated, and coded using an inductive approach.

settingKilimanjaro Christian Medical Centre (KCMC), referral hospital for northern Tanzania.

participantsA total of 122 participants, including patients with life-threatening illnesses (34), their relatives/friends (29), healthcare professionals (29; HCPs; doctors and nurses), and allied HCPs (30; community health workers, religious leaders, and social workers) from KCMC, or nearby within Moshi, participated in this study.

findingsIn characterizing Good Death, 7 first-order themes emerged, and, of these themes, Religious & Spiritual Wellness, Family & Interpersonal Wellness, Grief Coping & Emotional Wellness, and Optimal Timing comprised the second-order theme, EoL Preparation and Life Completion. The other first-order themes for Good Death were Minimal Suffering & Burden, Quality of Care by Formal Caregivers, and Quality of Care by Informal Caregivers.

interpretationThe results of this study provide a robust thematic description of Good Death in northern Tanzania and they lay the groundwork for future clinical and research endeavors to improve the quality of EoL care at KCMC.

Indexed as

Health Knowledge, Attitudes, PracticeAdultFamilyFemaleHealth PersonnelHumansMaleQuality of Health CareReligionSocial WorkersTanzaniaTerminal Care

Identifiers

PMID32649715
PMCPMC7351142
OpenAlexW3041524290

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.