Evidence map›Paper›PMID 40598507›Full record

ArticleBMC nursing2025

Towards enhancing palliative care competencies through comprehensive training for nurses and physicians in resource-limited settings: a cross-sectional study.

Mohammad Alhaddar, Heba Falna, Haya Sultan, Hammoda Abu-Odah, Mohammad Khleif, Shahenaz Najjar

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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  3. Review
  4. 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

6 authors.

Mohammad Alhaddar *Augusta Victoria Hospital, Jerusalem, Palestine.
Heba Falna *Department of Biomedical Sciences, Marshall University, Huntington, WV, USA.
Haya SultanDepartment of Pharmacy, Nursing and Health Professions, Birzeit University, Ramallah, Palestine.
Hammoda Abu-OdahSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Mohammad KhleifNursing Department, Faculty of Allied Medical Sciences, Palestine Ahliya University, Bethlehem, Palestine.
Shahenaz NajjarHealth Sciences Department, Faculty of Graduate Studies, Arab American University, Jenin, Palestine. Shahenaz.najjar@kuleuven.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the crucial role of palliative care (PC) in enhancing the quality of life for patients with life-threatening illnesses and their caregivers, access remains limited, particularly in resource-limited settings. Only 12% of terminally ill patients receive PC in these areas. In Palestine, where cancer is the third leading cause of death, PC services are still emerging. This study aims to address the gap in understanding healthcare professionals' knowledge, attitudes, and practices (KAP) regarding PC in Palestinian oncology hospitals, aiming to inform policy development for integrating comprehensive PC into the healthcare system.

methodsThis prospective, cross-sectional, correlational quantitative study assessed the KAP of Palestinian physicians and nurses toward PC. Data were collected between December 2021 and January 2022 from seven oncology hospitals in the West Bank using a validated questionnaire. Data analysis was conducted using SPSS.28, involved descriptive statistics, one-way ANOVA, independent t-tests, chi-square, and Pearson correlation to identify significant relationships between subgroups.

resultsOut of 181 responses, 168 were analyzed. Participants had a mean age of 32.2 years and an average of 8.23 years of experience. Males represented 64.3% of the sample, and 75% were nurses. Only 24.4% had received PC training. Knowledge scores averaged 78.19% (14.86 out of 19), while attitudes toward terminally ill patients had a mean score of 83.4% (64.32 out of 80). Practice scores averaged 70.67% (38.87 out of 55), with significant associations found between practice scores and variables such as department, hospital type, and training. Notably, knowledge was positively associated with age and experience, and attitude scores were linked to training and department. A significant positive relationship was observed between knowledge and attitude and between attitude and practice, but not between knowledge and practice.

conclusionThere is a critical need for enhanced PC training programs in Palestine to bridge the gap between knowledge and practice. Policymakers should prioritize these training initiatives and further research to identify specific domains requiring attention. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AttitudeKnowledgeNeoplasmsOncologyPalliative carePractice

Identifiers

PMID40598507
PMCPMC12210702

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LicenceCC BY-NC-ND
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Registered trials

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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.