Evidence map›Paper›PMID 34332044›Full record

ReviewJournal of pain and symptom management2022

Optimizing the Global Nursing Workforce to Ensure Universal Palliative Care Access and Alleviate Serious Health-Related Suffering Worldwide.

William E Rosa, Amisha Parekh de Campos, Nauzley C Abedini, Tamryn F Gray, Huda Abu-Saad Huijer, Afsan Bhadelia, Juli McGowan Boit, Samuel Byiringiro, Nigel Crisp, Constance Dahlin and 18 more

Abstract readReview
In one paragraph

Review in Journal of pain and symptom management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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

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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Palliative Care Integration in Oncology: A Review and Update.Journal of hospice and palliative care · 2025
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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

28 authors.

William E RosaDepartment of Psychiatry and Behavioral Sciences (W.E.R.), Memorial Sloan Kettering Cancer Center, New York, USA. Electronic address: rosaw@mskcc.org.
Amisha Parekh de CamposUniversity of Connecticut School of Nursing (A.P.D.C.), Storrs & Hospice Program, Middlesex Health, Connecticut, USA.
Nauzley C AbediniDivision of Gerontology and Geriatric Medicine (N.C.A.), Department of Medicine, University of Washington, Seattle, Washington, USA.
Tamryn F GrayHarvard Medical School (T.F.G.), Department of Psychosocial Oncology and Palliative Care, Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Huda Abu-Saad HuijerFaculty of Health Sciences (H.A.S.H.), University of Balamand, Beirut, Lebanon.
Afsan BhadeliaHarvard T.H. Chan School of Public Health (A.B.), Boston, Massachusetts, USA.
Juli McGowan BoitLiving Room International (J.M.B.), Eldoret, Kenya.
Samuel ByiringiroJohns Hopkins University School of Nursing (S.B.), Baltimore, Maryland, USA.
Nigel CrispAll-Party Parliamentary Group on Global Health (N.C.), House of Lords, Nursing Now Global Campaign, London, UK.
Constance DahlinNorth Shore Medical Center (C.D.), Salem, Massachusetts, USA.
Patricia M DavidsonThe Vice-Chancellor's Unit (P.M.D.), University of Wollongong, New South Wales, Australia.
Sheila DavisPartners In Health (S.D., C.M.), Boston, Massachusetts, USA.
Liliana De LimaInternational Association for Hospice & Palliative Care (L.D.L.), Houston, Texas, USA.
Paul E FarmerDepartment of Global Health and Social Medicine (P.E.F.), Harvard Medical School, Boston, Massachusetts, USA.
Betty R FerrellDivision of Nursing Research and Education (B.R.F.), Department of Population Sciences, City of Hope Medical Center, Duarte, California, USA.
Vedaste HategekimanaPain Free Hospital Initiative (V.H.), Rwanda Biomedical Center and Ministry of Health, Butaro, Rwanda.
Viola KaranjaPartners In Health Liberia (V.K., J.D.N.K, J.L.), Harper, Maryland County, Liberia.
Felicia Marie KnaulUniversity of Miami Institute for Advanced Study of the Americas (F.M.K.), Coral Gables, Florida, USA.
Julius D N KpoehPartners In Health Liberia (V.K., J.D.N.K, J.L.), Harper, Maryland County, Liberia.
Joseph LusakaPartners In Health Liberia (V.K., J.D.N.K, J.L.), Harper, Maryland County, Liberia.
Samuel T MatulaUniversity of Botswana School of Nursing (S.T.M.), Gabarone, Botswana.
Cory McMahonPartners In Health (S.D., C.M.), Boston, Massachusetts, USA.
Salimah H MeghaniUniversity of Pennsylvania School of Nursing (S.H.M.), Philadelphia, Pennsylvania, USA.
Patricia J MorelandEmory University Nell Hodgson Woodruff School of Nursing (P.J.M.), Atlanta, Georgia, USA.
Christian NtizimiraAfrican Center for Research on End-of-Life Care (C.N.), Kigali, Rwanda.
Lukas RadbruchDepartment of Palliative Medicine (L.R.), University Hospital Bonn, Bonn, Germany.
M R RajagopalTrivandrum Institute of Palliative Sciences (M.R.R.), Trivandrum, Kerala, India.
Julia DowningInternational Children's Palliative Care Network (J.D.), Makerere University, Kampala, Uganda.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461
6 · The paper itself

Abstract

contextPalliative care access is fundamental to the highest attainable standard of health and a core component of universal health coverage. Forging universal palliative care access is insurmountable without strategically optimizing the nursing workforce and integrating palliative nursing into health systems at all levels. The COVID-19 pandemic has underscored both the critical need for accessible palliative care to alleviate serious health-related suffering and the key role of nurses to achieve this goal.

objectives1) Summarize palliative nursing contributions to the expansion of palliative care access; 2) identify emerging nursing roles in alignment with global palliative care recommendations and policy agendas; 3) promote nursing leadership development to enhance universal access to palliative care services.

methodsEmpirical and policy literature review; best practice models; recommendations to optimize the palliative nursing workforce.

resultsNurses working across settings provide a considerable untapped resource that can be leveraged to advance palliative care access and palliative care program development. Best practice models demonstrate promising approaches and outcomes related to education and training, policy and advocacy, and academic-practice partnerships.

conclusionAn estimated 28 million nurses account for 59% of the international healthcare workforce and deliver up to 90% of primary health services. It has been well-documented that nurses are often the first or only healthcare provider available in many parts of the world. Strategic investments in international and interdisciplinary collaboration, as well as policy changes and the safe expansion of high-quality nursing care, can optimize the efforts of the global nursing workforce to mitigate serious health-related suffering.

Indexed as

COVID-19Hospice and Palliative Care NursingHumansPalliative CarePandemicsSARS-CoV-2Workforceglobal healthglobal palliative carenursingPalliative carepalliative nursingserious health-related sufferinguniversal health coverage

Identifiers

PMID34332044
PMCPMC8799766

What OpenQuestion holds

Textmetadata
LicenceTDM
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.