Evidence map›Paper›PMID 37635254›Full record

ArticleBMC palliative care2023

Exploring the challenges and roles of nurses in delivering palliative care for cancer patients and co-morbidities in Ghana.

Evans Osei Appiah, Awube Menlah, Jiayun Xu, Awuku Adomaa Susana, Boateng Susana Agyekum, Isabella Garti, Pascal Kob, Joyce Kumah

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Palliative Treatment and Traditional Medicine Among Patients with Cancer in Kumasi, Ghana: Needs for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Knowledge of undergraduate nursing students about palliative care.Journal of education and health promotion · 2025
    Article
  14. Improving person-centred care for older persons with serious multimorbidity in LMICs.African journal of primary health care & family medicine · 2024
    Article
  15. Article
  16. Article
  17. Article
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

8 authors at 5 institutions in 3 countries.

Evans Osei AppiahPurdue University, West Lafayette, USA. eosei@purdue.edu.ORCID http://orcid.org/0000-0002-6730-4725
Awube MenlahCharles Darwin University, Darwin City, Australia.
Jiayun XuPurdue University School of Nursing, 502 University Street, West Lafayette, IN, 47907-2069, USA.
Awuku Adomaa SusanaValley View University, Accra, Ghana.
Boateng Susana AgyekumNursing Department, School of Nursing and Midwifery, Valley View University, Accra, Ghana.
Isabella GartiCharles Darwin University, Darwin City, Australia.
Pascal KobNursing Training College, Lawra, Upper West Region, Ghana.
Joyce KumahGhana Christian University College, Accra, Ghana.
Charles Darwin University · AUPurdue University West Lafayette · USValley View University · GHGhana Christian University College · GHNurses' Training College, Ho · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients suffering from chronic and life-threatening diseases receive inadequate palliative care in low-income countries, eventually leading to poor quality of life for these patients. Little is known about the experience of delivering palliative care in a low-resource country such as Ghana in comparison to higher-income countries. This study, therefore, aimed to assess the roles and challenges of nurses providing palliative care services for patients with cancer and life-limiting conditions at tertiary Hospitals in Ghana.

methodsThirty oncology nurses at a tertiary Hospital in Ghana participated. All nurses were providing end-of-life care to patients with cancer. A qualitative exploratory-descriptive design and a semi-structured interview guide developed by the researchers were used. Interviews lasted on average forty minutes to 1 h were audio-recorded, and transcribed verbatim. Content analysis was carried out to generate themes and sub-themes.

findingsParticipants were between the ages of 25 and 40 years. A higher percentage of females (n = 17, 57%) participated in the study than males (n = 13, 43%). Two main themes were generated which were the delivery of palliative care and the provision of home care services. The current roles of nurses were centered around pain management, home care services, spiritual needs, and psychological care. Challenges that hindered the implementation of palliative care included distress over expected and unexpected patient mortality, difficulty delivering bad news to patients and families, and frustration with health system resource shortages that negatively impacted patient care.

conclusionPalliative care is one of the essential services provided for patients with life-limiting conditions, and nurses play an active role in the provision of this care. Further research is needed to determine the most effective ways to deliver this care, particularly in developing nations like Ghana.

Indexed as

NeoplasmsNursesAdultFemaleGhanaHumansMaleMorbidityPalliative CareQuality of LifeCancerCo-morbiditiesNursing rolesPalliative careQuality of life

Identifiers

PMID37635254
PMCPMC10464455
OpenAlexW4386209404

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.