Exploring the Vital Role of Palliative Care Education and Training in Liberia and Indonesia: A Comprehensive Review of Literature

Section: Review Articles
Issue
Vol. 12 No. 1 (2024): Volume 12 Issue 1
Published
Jan 12, 2024
Pages
13-29

Abstract

Background: The pressing need for improved palliative care education is starkly evident in countries like Liberia and Indonesia. Here, healthcare professionals are grappling with a lack of access to essential resources for their professional development. This review is thus crucial in its objective to assess the availability of palliative care education and the various factors impacting it in these nations.Methods: This review employs a rigorous approach to assess the state of palliative care education in Liberia and Indonesia. It is evident that healthcare professionals in these countries lack access to necessary educational resources, which hampers their professional development. The primary aim of this review is to examine the availability of palliative care education and the various factors affecting it in these nations.Results: Through a comprehensive analysis of fourteen qualifying research articles, it has been determined that inadequate infrastructure, insufficient government support, and lack of access to a dedicated palliative care curriculum are common factors significantly impacting palliative care education in developing nations. The reviewed literature also highlights the slow progress of palliative care education in Liberia.Conclusions: The comprehensive analysis of fourteen qualifying research articles has revealed that inadequate infrastructure, insufficient government support, and lack of access to a dedicated palliative care curriculum significantly impact education in developing nations. The reviewed literature also emphasizes the slow progress of palliative care education in Liberia

References

  1. Adejoh, OO, Boele, F., Akeju, D., Dandadzi, A, Nabirye, E., Namisango, E, Namukwaya, E., Ebenso, B., Nkhoma, K & Allsop, M.J. (2021). The role, impact, and support of informal caregivers in delivering palliative care for patients with advanced cancer. A multi-country qualitative study. Palliative Medicine, 35(3), 552562. https://doi.org/10.1177/0269216320974925
  2. Agom, D. A., Onyeka, T. C., Ominyi, J., Sixsmith, J., Neill, S. Allen, S., & Poole, H. (2020). An ethnographic study of palliative and end-of-life care in a Nigerian hospital: Impact of education on care provision and Utilization. SAGE Open, 10(3). https://doi.org/10.1177/2158244020938700
  3. Aldridge, M. D., Hasselaar, J., Garralda, E., Van Der Eerden, M., Stevenson, D., McKendrick, K., Centeno, C. & Meier, D. E. (2016). Education, implementation and policy barriers to greater integration of palliative care: A literature review. Palliative Medicine, 30(3), 224239. https://doi.org/10.1177/0269216315606645
  4. Amery, JM, Rose, C. J., Byarugaba, C., & Agupio, G. (2010). A study of the palliative care of health professionals in Uganda. Journal of Palliative Medicine, 13(2), 147153. https://doi.org/10.1089/jpm.2009.0153
  5. Anyanwu, E.C. & Agbedia, C. (2020). The Practice of Palliative Care among Nurses in selected hospitals in Eastern Nigeria. Open Journal of Nursing, 10(06), 617635. https://doi.org/10.4236/ojn.2020.106043
  6. Bassah, N., Seymour, J., & Cox, K. (2014). A modified systematic review of research evidence on education for preregistration nurses in palliative care. BMC Palliative Care, 13(1), 110. https://doi.org/10.1186/1472-684X-13-56
  7. Boske, E. C. E., Nienhuis, P. H., Hammer, C., Jalving, M., Kruyt, F. A. E., de Vries, J., Roodenburg, J. L. N., Metman, M. J. H. & Kruijff, S. (2021). The Summer School Oncology Groningen: Improving a Successful International Course by Refinery of Old and Maintaining What is Good. Journal of Cancer Education. https://doi.org/10.1007/s13187-020-01944-6
  8. Bush, T. (2012). Palliative Care Education: Does it influence future practice? Journal of Palliative Care & Medicine, 02(04), 1013. https://doi.org/10.4172/2165-7386.1000113
  9. Cleary, J., Radbruch, L., Torode, J., & Cherny, N.I. (2013). Formulary availability and regulatory barriers to access to opioids for cancer pain in Asia: A report from the Global Opioid Policy Initiative (GOPI). Annals of Oncology, 24(SUPPLEMENT11), xi24xi32. https://doi.org/10.1093/annonc/mdt500
  10. Downing, J., Knapp, C., Muckaden, M. A., Fowler-Kerry, S., & Marston, J. (2015). Priorities for global research into children's palliative care: results of an international Delphi study BMC Palliative Care, 14(1), 110. https://doi.org/10.1186/s12904-015-0031-1
  11. Downing, J., Powell, R. A., Marston, J., Huwa, C., Chandra, L., Garchakova, A., & Harding, R. (2016). Palliative care in low- and middle-income countries. Archives of Disease in Childhood, 101(1), 8590. https://doi.org/10.1136/archdischild-2015-308307
  12. Duncan, K., & Sinanovic, E. (2019). A cost comparison analysis of pediatric intermediate care in a tertiary hospital and an intermediate care facility in Cape Town, South Africa. PLoS ONE, 14(4), 111. https://doi.org/10.1371/journal.pone.0214492
  13. Elysabeth, D., Arna, T., Tarihoran, U., Kristen, U., Wacana, K. & Gunawan, W. (2017). Faculty of Nursing and Allied Health Sciences University of Pelita Harapan. July 2013.
  14. Ens, C.D. L., Chochinov, H. M., Gwyther, E., Moses, S., Jackson, C., Thompson, G., & Harding, R. (2011). Post-graduate Palliative Care Education: Evaluation of a South African program. South African Medical Journal, 101(1), 4244. https://doi.org/10.7196/samj.4171
  15. Fraser, B. A., Powell, R. A., Mwangi-Powell, F. N., Namisango, E., Hannon, B., Zimmermann, C., & Rodin, G. (2018b). Palliative care development in Africa: Lessons from Uganda and Kenya. Journal of Global Oncology, 2018(4). https://doi.org/10.1200/JGO.2017.010090
  16. Fraser, BA, Powell, R. A., Mwangi-Powell, F N, Namisango, E., Hannon, B., Zimmermann, C & Rodin, G. (2018a). Palliative care development in Africa: Lessons from Uganda and Kenya. Journal of Global Oncology, 2018(4), 1-4. https://doi.org/10.1200/JGO.2017.010090
  17. Frey, R., Gott, M., Raphael, D., O'Callaghan, A., Robinson, J., Boyd, M., Laking, G., Manson, L. & Snow, B. (2014). In an acute hospital setting, clinical personnel perceptions of palliative care-related quality of care, service access, education, training needs, and delivery confidence. BMJ Supportive and Palliative Care, 4(4), 381389. https://doi.org/10.1136/bmjspcare-2012-000346
  18. Gage, C. H. Geduld, H. & Stassen, W. (2020). South African paramedic perspectives on prehospital palliative care. BMC Palliative Care, 19(1), 111. https://doi.org/10.1186/s12904-020-00663-5
  19. Grant, L., Brown, J., Leng, M., Bettega, N., & Murray, SA (2011). Palliative care making a difference in rural Uganda, Kenya, and Malawi: Three field studies on rapid evaluation. BMC Palliative Care, 10. https://doi.org/10.1186/1472-684X-10-8
  20. Grant, L., Downing, J., Namukwaya, E., Leng, M., & Murray, SA (2011). Palliative care in Africa since 2005: Good progress, but much further. BMJ Supportive & Palliative Care, 1(2), 118122. https://doi.org/10.1136/bmjspcare-2011-000057
  21. Hannon, B., Zimmermann, C., Knaul, F. M., Powell, R. A., Mwangi-Powell, F. N., & Rodin, G. (2016). Provision of palliative care in low- and middle-income countries: Overcoming obstacles to effective treatment delivery. Journal of Clinical Oncology, 34(1), 6268. https://doi.org/10.1200/JCO.2015.62.1615
  22. Harding, R., Selman, L., Powell, R. A., Namisango, E., Downing, J., Merriman, A., Ali, Z., Gikaara, N., Gwyther, L., & Higginson, I. (2013). Research on palliative care in sub-Saharan Africa. The Lancet Oncology, 14(4), e183e188. https://doi.org/10.1016/S1470-2045(12)70396-0
  23. Hicks, M. L., Mutombo, A., YouYou, T. G., Anaclet, M. M., Sylvain, M. K., Mathieu, K. M., Henry-Tillman, R., Lombe, D., Hicks, M. M., Pinder, L., Kanda, L., Kanda, M. & Parham, G. P. (2021). Building workforce capacity for surgical management of cervical cancer in a fragile low-income African nation-Democratic Republic of the Congo. Cancer Medical Science, 15, 18. https://doi.org/10.3332/ecancer.2021.1232
  24. Iida, K., Ryan, A., Hasson, F., Payne, S. & McIlfatrick, S. (2021). Palliative and end-of-life educational interventions for staff working in long-term care facilities: An integrative literature review. International Journal of Older People, 16 (1), 1-14. https://doi.org/10.1111/opn.12347
  25. Ingleton, C., Gardiner, C., Seymour, J. E., Richards, N., & Gott, M. (2013). Exploring education and training needs among the palliative care workforce. BMJ Supportive and Palliative Care, 3(2), 207212. https://doi.org/10.1136/bmjspcare-2012-000233
  26. Jack, B. A., Kirton, J., A., Birakurataki, J. & Merriman, A. (2012). The personal value of being a volunteer palliative care community worker in Uganda: A qualitative study. Palliative Medicine, 26(5), 753759. https://doi.org/10.1177/0269216311413628
  27. Kim, J. S., Kim, J. & Gelegjamts, D. (2020). Knowledge, attitude, and self-efficacy in palliative care among nurses in Mongolia: A cross-sectional descriptive study. PLoS ONE, 15(7 July), 1-4. https://doi.org/10.1371/journal.pone.0236390
  28. Kristanti, M. S., Setiyarini, S., & Effendy, C. (2017). It enhances the quality of life of palliative care cancer patients in Indonesia through family caregivers. A pilot study on primary skills training. BMC Palliative Care, 16(1), 17. https://doi.org/10.1186/s12904-016-0178-4
  29. Loth, C. C., Namisango, E., Powell, R. A., Pabst, K. H., Leng, M. Hamada, M., & Radbruch, L. (2020). We get volunteers from good-hearted community members." An exploratory study of palliative care volunteers in Africa. BMC Palliative Care, 19(1), 110. https://doi.org/10.1186/s12904-020-00545-w
  30. Mitchinson, L., Dowrick, A., Buck, C., Hoernke, K., Martin, S., Vanderslott, S., Robinson, H., Rankl, F., Manby, L., Lewis-Jackson, S. & Vindrola-Padros, C. (2021). Missing the human connection: Rapid evaluation of healthcare worker perceptions and experiences of providing palliative care during the COVID-19 pandemic. Palliative Medicine, 35(5), 852861. https://doi.org/10.1177/02692163211004228
  31. Musick, D. W., Vari, R. C., Kraemer, M. S., Trinkle, D. B., Vari, P. M., Smith, J. C., & Learman, L.A. (2021). Building Health Systems Science Education from the Core Domain of Interprofessional Education at Virginia Tech Carilion School of Medicine. Medical Science Educator, 31(1), 215222. https://doi.org/10.1007/s40670-020-01148-z
  32. Ndlovu, N., Ndarukwa, S., Nyamhunga, A., Musiwa-Mba, P., Nyakabau, A. M., Kadzatsa, W., & Mushonga, M. (2021). Education and training of clinical oncologists: experience in a low-resource setting in Zimbabwe. Cancer Medical Science, 15, 111. https://doi.org/10.3332/ECANCER.2021.1208
  33. Nkhoma, K. B., Ebenso, B., Akeju, D., Adejoh, S., Bennett, M., Chirenje, M., Dandadzi, A., Nabirye, E., Namukwaya, E., Namisango, E., Okunade, K., Salako, O., Harding, R., & Allsop, M. J. (2021). Stakeholder perspectives and requirements to guide the development of digital technology for palliative cancer services: a qualitative multi-country cross-sectional study in Nigeria, Uganda, and Zimbabwe. BMC Palliative Care, 20(1), 1-4. https://doi.org/10.1186/s12904-020-00694-y
  34. Paal, P., Brandsttter, C., Bkki, J., Elsner, F., Ersteniuk, A. Jentschke, E., Sthli, A., & Slugotska, I. (2020). One-week multidisciplinary post-graduate palliative care training: An outcome-based program evaluation. BMC Medical Education, 20(1), 19. https://doi.org/10.1186/s12909-020-02200-7
  35. Pereira, M.M., Fonseca, A. M., & Carvalho, A.S. (2011). Burnout in palliative care: A systematic review. Nursing Ethics, 18(3), 317326. https://doi.org/10.1177/0969733011398092
  36. Peters, L., Cant, R., Sellick, K., O'Connor, M., Lee, S., Burney, S., & Karimi, L. (2012). Is work stress in palliative care nurses a concern? A review of the literature. International Journal of Palliative Nursing, 18(11), 561567. https://doi.org/10.12968/ijpn.2012.18.11.561
  37. Rawlinson, F. M., Gwyther, L., Kiyange, F., Luyirika, E., Meiring, M., & Downing, J. (2014a). The current situation in the education and training of healthcare professionals in Africa to optimize the delivery of palliative care to cancer patients. Cancer Medical Science, 8 (December). https://doi.org/10.3332/ecancer.2014.492
  38. Rawlinson, F. M., Gwyther, L., Kiyange, F., Luyirika, E., Meiring, M., & Downing, J. (2014b). The current situation in the education and training of healthcare professionals in Africa to optimize the delivery of palliative care to cancer patients. Cancer Medical Science, 8, 112. https://doi.org/10.3332/ecancer.2014.492
  39. Reigada, C., Pais-ribeiro, J. L., & Novellas, A. (2014). Educational programs for Family Caregivers in palliative care: A literature review. Journal of Palliative Care & Medicine, 04(05). https://doi.org/10.4172/2165-7386.1000195
  40. Rhee, JY, Garralda, E., Namisango, E., Luyirika, E., de Lima, L., Powell, R. A., & Centeno, C. (2018). A comparative analysis is the Atlas of Palliative Care Development of the African Palliative Care Association (APCA) in Africa. The Lancet Global Health, 6(March), S21. https://doi.org/10.1016/s2214-109x(18)30150-5
  41. Rochmawati, E., Wiechula, R., Cameron, K., Lecturer, S., Muhammadiyah Yogyakarta, U. & Lingkar Selatan, J. (2016). 2 Senior Lecturer in Medical Surgical Nursing, School of Nursing. 180190.
  42. Sasaki, H., Bouesseau, M. C., Marston, J., & Mori, R. (2017). A scoping review of palliative care for children in low- and middle-income countries. BMC Palliative Care, 16(1), 210. https://doi.org/10.1186/s12904-017-0242-8
  43. Wiese, C. H., Lassen, C. L., Bartels, U. E., Taghavi, M., Elhabash, S., Graf, B.M., & Hanekop, G.G. (2013). International recommendations for outpatient palliative care and prehospital palliative emergencies: A prospective questionnaire-based investigation. BMC Palliative Care, 12(1), 612. https://doi.org/10.1186/1472-684X-12-10

Authors

Moses Tende Stephens

Master of Nursing, Post Graduate Program, Muhammadiyah Yogyakarta, Indonesia.

Erna Rochmawati

Master of Nursing, Post Graduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia.

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