Evidence map›Paper›PMID 40140793›Full record

ArticleBMC nursing2025

Enhancing nursing's role in community-based palliative care: closing gaps to improve patient outcomes.

Hassanat Ramadan Abdel-Aziz, Donia Elsaid Fathi Zaghamir, Ateya Megahed Ibrahim

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
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

3 authors.

Hassanat Ramadan Abdel-AzizNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Donia Elsaid Fathi ZaghamirNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Ateya Megahed IbrahimNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia. ateyamegahed@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing-led palliative care is essential for improving the quality of life of patients with life-limiting illnesses by addressing their physical, emotional and social needs. Effective symptom management, facilitated by nursing interventions, plays a critical role in this process.

aimThis study aimed to evaluate the effectiveness of a community-based palliative care program designed to enhance the role of nursing in closing existing gaps in care.

methodsA quasi-experimental design with pre- and post-test assessments was conducted at the Oncology and Palliative Care Unit of Zagazig University Hospitals, Egypt. A convenience sample of 140 adult patients diagnosed with cancer or other life-limiting illnesses was recruited. Data were collected using three standardised instruments: the Palliative Outcome Scale (POS), the Edmonton Symptom Assessment Scale (ESAS) and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). The community-based palliative care programme was delivered over eight weeks and focused on symptom management, emotional support, educational resources, and social and spiritual care.

resultsThe intervention resulted in a significant reduction in symptom severity, with marked improvements in physical symptoms (mean score reduction from 3.5 to 1.0), psychological symptoms (from 5.3 to 2.5), emotional and spiritual needs (from 4.0 to 1.5), all statistically significant (p < 0.001). EORTC QLQ-C30 results showed improved quality of life, with physical functioning scores increasing from 60.0 to 80.0 and emotional functioning scores increasing from 55.0 to 75.0. Participants also reported improved perceptions of social support and general well-being, indicating an overall improvement in quality of life.

conclusionThis study highlights the positive impact of structured, nurse-led community palliative care interventions on patient outcomes and highlights the importance of nursing involvement in community engagement to provide comprehensive support for people with cancer and other life-limiting conditions. RECOMMENDATIONS: It is recommended that healthcare providers incorporate standardised assessment tools into routine palliative care practice and consider implementing similar community-based care programmes to improve the quality of care for patients with serious illness. CLINICAL TRIAL: No clinical trial.

Indexed as

Community-based nursing interventionEgyptNursing palliative careOncologyQuality of lifeSymptom management

Identifiers

PMID40140793
PMCPMC11948629

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.