Evidence map›Paper›PMID 40087751›Full record

ArticleBMC palliative care2025

Enhancing end-of-life care in Ghana: nurse strategies and practices in addressing patient needs.

Evans Appiah Osei, Agnes Abena Aquah, Stella Appiah, Lalani Nasreen, Jenifer Oware, Collins Sarpong, Zachariah Asuboni, Hillary Ongoyo Omoze

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 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

8 authors.

Evans Appiah OseiDepartment of Nursing/Gerontology, Purdue University, 425 South River Road, West Lafayette, Indiana, USA. eosei@purdue.edu.
Agnes Abena AquahDepartment of Nursing, Valley View University, Accra, Ghana.
Stella AppiahDepartment of Nursing, Valley View University, Accra, Ghana.
Lalani NasreenDepartment of Nursing/Gerontology, Purdue University, 425 South River Road, West Lafayette, Indiana, USA.
Jenifer OwareNiagara College, Palliative Care- Multidiscipline, Welland, Canada.
Collins SarpongKorlebu Teaching Hospital, Ghana Health Service, Accra, Ghana.
Zachariah AsuboniDepartment of Nursing, University of Ghana, Accra, Ghana.
Hillary Ongoyo OmozeDepartment of Education, Purdue University, West Lafayette , Indiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, end-of-life care is vital for individuals in their final months or years, emphasizing comfort and dignity. However, the provision of palliative care in low-resource countries, such as Ghana, remains inadequately documented and poorly understood. This study aimed to identify the specific end-of-life care needs of patients and families and explore strategies to enhance end of life care practices among nurses in selected settings in Accra, Ghana. METHODOLOGY: This qualitative research utilized in-depth, one-on-one interviews using semi-structured interviews in a sample of N = 32 nurses working in two selected hospitals in Ghana. Thematic content analysis was used to analyze the data. Participants were purposively selected, with the sample size determined by data saturation.

resultsThe analysis identified three main themes and eleven subthemes. The main themes were: providing dignity and comfort care, respecting ethical values, and perceptions of end-of-life care. The subthemes included: showing presence, demonstrating compassion, addressing challenges in end-of-life conversations, fostering autonomy and respect, managing gratitude and discontent, helping patients accept their condition, seeking additional training, building emotional connections, involving families, and respecting patients' cultural, social, and religious beliefs. The participants had cared for or were currently caring for patients aged 50-75 years with cancer, organ failures, Advanced Heart diseases and cognitive disorders. Participants described their efforts to make the last days of their patients and families memorable as possible.

conclusionsNurses in Ghana provide compassionate care, addressing pain relief, ethical concerns, and patient expressions of gratitude and discontent, with their efforts influenced by religious and cultural factors. To enhance end of life care quality, policymakers should implement structured end-of-life care training for nurses and develop culturally aligned palliative care guidelines to meet the needs of patients receiving end of life care.

Indexed as

NursesTerminal CareAdultFemaleGhanaHumansInterviews as TopicMaleMiddle AgedQualitative ResearchEnd of lifeExperiencesHospitalsNursesPerceptionsStrategies

Identifiers

PMID40087751
PMCPMC11907864

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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.