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Wazqar DY, Attallah DM. Patient safety culture predictors and outcomes for sustainable oncology nursing practice: A cross-sectional correlational study. J Clin Nurs 2024; 33:606-616. [PMID: 37694877 DOI: 10.1111/jocn.16881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/17/2023] [Accepted: 09/04/2023] [Indexed: 09/12/2023]
Abstract
AIMS AND OBJECTIVES To examine the predictors and outcomes of patient safety culture (PSC) among oncology nurses working in public Saudi hospitals according to participant characteristics and evaluate the relationship between PSC domains. BACKGROUND PSC is crucial in healthcare systems, particularly in oncology and chemotherapy units, and its assessment can enhance the standard service provided and cancer care quality. There is currently limited research on the status, predictors and outcomes of PSC in cancer care settings in developing countries, including Saudi Arabia. DESIGN A cross-sectional correlational study. METHODS A convenience sample of 101 oncology nurses working in two large Saudi tertiary care hospitals participated in this study. The Hospital Survey on Patient Safety Culture validated instrument and demographic and work surveys were completed by the participants. The study methods were compliant with the STROBE checklist. Descriptive statistics and multiple linear regressions were used to analyse the data. RESULTS The areas of PSC strength were related to organizational learning-constant improvement, feedback and communication about errors, and transitions and handoffs. Manager/supervisor actions and expectations, hospital management support, communication openness, experience in the current unit and oncology unit/area were the predictors of PSC. In terms of PSC outcomes, the oncology nurses reported either no or one to two adverse events and a substantially good patient safety rating. CONCLUSION The level of PSC was lower than expected. Communication openness, experience in the current unit and oncology unit/area were the strongest predictors of PSC. Investing in oncology nursing practice that addresses these concerns and prioritizes patient safety is critical in Saudi cancer care settings to increase patient safety. RELEVANCE TO CLINICAL PRACTICE The findings contribute to a better understanding of the predictors and outcomes of PSC, which should be considered when establishing effective nursing interventions or strategies for PSC in cancer care settings. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Dhuha Youssef Wazqar
- Department of Medical Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
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2
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Zeilani RS, Abdalrahim MS, Hamash K, Albsoul R. The experience of family support among patients newly diagnosed with cancer in Jordan. Eur J Oncol Nurs 2022; 60:102173. [DOI: 10.1016/j.ejon.2022.102173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 06/22/2022] [Accepted: 07/04/2022] [Indexed: 11/04/2022]
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El Hayek S, Dakroub A, Beaini H, Salem H, Saliba AN, Ehlers SL, Bizri M, Taher A. Psycho-oncology in the Arab world: The time is now. Psychooncology 2021; 31:148-151. [PMID: 34390087 DOI: 10.1002/pon.5778] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 07/17/2021] [Accepted: 07/26/2021] [Indexed: 01/06/2023]
Affiliation(s)
| | - Ali Dakroub
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Hadi Beaini
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Hiba Salem
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Antoine N Saliba
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.,Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA
| | - Shawna L Ehlers
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ali Taher
- Division of Hematology and Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
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Kebudi R, Cakir FB, Silbermann M. Palliative Care in High and Low Resource Countries. Curr Pediatr Rev 2021; 17:220-224. [PMID: 33820519 DOI: 10.2174/1573396317666210405143649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 01/10/2021] [Accepted: 01/22/2021] [Indexed: 11/22/2022]
Abstract
Palliative Care (PC) is defined by the World Health Organization (WHO) as a support provided by multiple disciplines in order to improve the quality of life of both patients and their caregivers, throughout the disease course, from diagnosis to end-of-life. PC aims to prevent and treat symptoms and side effects of the disease and its treatment. PC is well developed in most high- -income countries; however in most low-income settings, where approximately 80% of patients with cancer requiring PC care for advanced disease live, PC services are still uncommon. Health indicators monitoring global PC development are policy, education, use of medicines, service provision and professional activity. Globally, PC development may be categorized as Group 1 (no known hospice-PC activity), Group 2 (capacity-building activity), Groups 3a Isolated PC provided, 3b Generalized PC provided, 4a hospice-PC services at a stage of integration into regular service provision, and 4b hospice-PC services at a stage of advanced integration into regular service provision. Spirituality is an essential element of patient-centered PC. The use of Complementary and Traditional Medicine (CTM) in Middle Eastern countries is widespread. There are wide discrepancies in cancer care and PC in many regions of the world. The Individualized Care Planning and Coordination (ICPC) Model is designed to facilitate the advance care planning with continuity of all the measures like symptom control or emotional, social and spiritual care of both the patient and the family during the disease steps like relapse or end of life.
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Affiliation(s)
- Rejin Kebudi
- Pediatric Hematology and Oncology, Istanbul University, Oncology Institute, Istanbul, Turkey
| | - Fatma Betul Cakir
- Pediatric Hematology and Oncology, Bezmialem Vakif University, Istanbul, Turkey
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Hahne J, Liang T, Khoshnood K, Wang X, Li X. Breaking bad news about cancer in China: Concerns and conflicts faced by doctors deciding whether to inform patients. PATIENT EDUCATION AND COUNSELING 2020; 103:286-291. [PMID: 31455567 DOI: 10.1016/j.pec.2019.08.022] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 07/25/2019] [Accepted: 08/16/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES We aimed to explore how doctors in China decide whether to inform cancer patients about diagnosis and prognosis. METHODS We conducted in-depth, semi-structured interviews with 24 doctors and residents from a leading hospital in Hunan, China. Data were analyzed by content analysis. RESULTS Doctors routinely told the family about cancer first, then withheld information from patients if the family did not want to tell the patient. Three main themes emerged in relation to hiding bad news from patients: 1) fear that most patients lack resilience to cope with bad news; 2) fear of direct or legal conflict with the family, and 3) a value conflict between respecting the patient's "right to know" and respecting the family's interest in protecting the patient. CONCLUSIONS Doctors consider decisions to withhold information from cancer patients to be a non-ideal but necessary compromise of the patient's "right to know." Culturally adjusted training and guidelines could help with including the patient in information disclosure while still respecting China's cultural value of family decision-making. PRACTICE IMPLICATIONS Future training and guidelines should help doctors mediate between patient and family interests and understand changing laws and regulations. Other important elements include reflection, senior mentorship, self-awareness, and building trust.
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Affiliation(s)
- Jessica Hahne
- Yale School of Public Health, New Haven, Connecticut, USA
| | - Ting Liang
- Department of Hematology, The Third Xiangya Hospital, Central South University, Changsha 410013, PR China
| | | | - Xiaomin Wang
- Center for Clinical Pharmacology, The Third Xiangya Hospital, Central South University, Changsha 410013, PR China; Center for Medical Ethics, Central South University, Changsha 410013, PR China.
| | - Xin Li
- Department of Hematology, The Third Xiangya Hospital, Central South University, Changsha 410013, PR China; Center for Medical Ethics, Central South University, Changsha 410013, PR China.
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6
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Comparison of perceptions of unmet supportive care needs between cancer patients and their oncologists. Support Care Cancer 2019; 27:4229-4235. [PMID: 30847701 DOI: 10.1007/s00520-019-04705-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 02/18/2019] [Indexed: 01/05/2023]
Abstract
PURPOSE The prevalence of cancer in the Middle East is increasing and predicted to nearly double by 2030. In the United Arab Emirates (UAE), cancer ranks as the third leading cause of death. Yet, there are limited data describing the needs of cancer patients in the region. The purpose of this study is to compare cancer patients' reports of unmet supportive care needs with the perceptions of their oncologists. METHODS A cross-sectional survey of cancer patients and their oncologists, using an Arabic translation of the short form of the Supportive Care Needs Survey (SCNS-SF34), was conducted at a major oncology center in the UAE between December 2014 and March 2017. Descriptive statistics and McNemar test were calculated to determine differences in unmet need responses between oncologists and patients. RESULTS Nine physicians (100%) and 210 of 268 (78.3%) patients completed the questionnaire. Oncologists accurately assessed the level of unmet physical needs of their patients, but significantly underestimated unmet psychological supportive care needs of the patients. Male patients expressed significantly lower (p < 0.05) physical and psychological unmet needs, compared to female patients. CONCLUSION Our findings reveal a general concordance between physician and patient perspectives of unmet supportive care needs. This is reassuring as physician perceptions impact the care patients receive. We present multifaceted supportive care strategies for oncology patients in the region.
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Pinheiro I, Jaff D. The role of palliative care in addressing the health needs of Syrian refugees in Jordan. Med Confl Surviv 2018; 34:1-20. [PMID: 29482355 DOI: 10.1080/13623699.2018.1437966] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Refugees are often afflicted with health conditions that require long-term, specialized and continuous care services that are costly and difficult to secure in host countries and camp settings. This study interviewed 21 Syrian refugees in Jordan with life-limiting conditions such as cancer, diabetes, chronic disability and renal failure, and 4 caregivers caring for refugee children with similar conditions. This study found that patients in refugee camps and communities would benefit from receiving palliative care services that are often either unavailable or inaccessible. Training humanitarian teams and primary care providers to implement pain management, offer psychosocial support services and address emotional, spiritual, and psychological conditions could ameliorate many of the problems faced by this vulnerable group.
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Affiliation(s)
- Isabel Pinheiro
- a College of Arts and Sciences , University of North Carolina , Chapel Hill , NC , USA
| | - Dilshad Jaff
- b Gillings School of Global Public Health , University of North Carolina , Chapel Hill , NC , USA
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Abstract
Aim To measure the knowledge, perceptions, and practices of Jordanian primary healthcare practitioners (PHCPs) (physicians, nurses, midwives, and nurse aids) employed in Jordanian Ministry of Health (MoH) primary health clinics with respect to counseling on cancer (cancer screening, the signs and symptoms of cancer, and referral for specialized care). BACKGROUND Integration of oncology services within primary care is a means of enhancing cancer early detection, and requires involvement of skilled. In the Middle East, little is known about PHCPs' potential to be providers of such services. METHODS A questionnaire measuring PHCP perceptions and practices related to counseling on cancer screening and diagnosis was distributed to PHCPs across MoH clinics covering the main regions of Jordan. Findings A total of 322 practitioners responded (75.1% response). Across most activities involving cancer detection, no more than 30% reported performing activities. Roughly half of PHCPs expressed discomfort at providing cancer-related counseling and at least 43% of non-physicians expressed limited confidence in cancer-related counseling. Confidence was a consistent predictor of provision of counseling and confidence in turn was associated with having greater knowledge, having positive a valuation of counseling, and being a physician. Results reveal points where educational efforts can strengthen PHCPs' provision of cancer control-related services.
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Assaf GN, Holroyd E, Lopez V. Isolation and prayer as means of solace for Arab women with breast cancer: An in-depth interview study. Psychooncology 2017; 26:1888-1893. [DOI: 10.1002/pon.4402] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 01/25/2017] [Accepted: 02/13/2017] [Indexed: 11/08/2022]
Affiliation(s)
- Ghada Najjar Assaf
- School of Health Services, Clinical Affairs Division; Ambulatory Healthcare Services; Abu Dhabi United Arab Emirates
| | | | - Violeta Lopez
- Alice Lee Centre for Nursing Studies; National University of Singapore; Singapore
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Community Palliative Care in Turkey: A Collaborative Promoter to a New Concept in the Middle East. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2017; 22:81-8. [PMID: 26598953 DOI: 10.1097/phh.0000000000000252] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The Middle East has been struggling with basic issues of cancer care, and in specific, palliative care, at the primary health care level in the communities. The Middle East Cancer Consortium designated this issue as the highest priority of its activities in the region. Following basic and advanced courses and national and international workshops, local governments recognized the essentiality of developing palliative care services in their respective countries. As the result of these training activities, in 2010, the Ministry of Health in Turkey initiated a novel program whereby population-based and home-based palliative care teams were developed throughout the country, including peripheral regions in the countries where appropriate care was not available. This initiative led to a dramatic increase in the number of cancer patients receiving palliative care at their homes. The Turkish initiative can serve as a model to other countries in the Middle East and beyond it.
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Wallhult E, Kenyon M, Liptrott S, Mank A, Ní Chonghaile M, Babic A, Bijkerk J, Bompoint C, Corbacioglu S, de Weijer R, Fink C, Marktel S, Soni V, Sprenger S, Arjona ET, Mohty M. Management of veno-occlusive disease: the multidisciplinary approach to care. Eur J Haematol 2017; 98:322-329. [DOI: 10.1111/ejh.12840] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2016] [Indexed: 12/18/2022]
Affiliation(s)
- Elisabeth Wallhult
- Section of Haematology and Coagulation; Department of Internal Medicine; Sahlgrenska University Hospital; Göteborg Sweden
| | - Michelle Kenyon
- Department of Haematological Medicine; King's College Hospital NHS Foundation Trust; London UK
| | | | - Arno Mank
- Academic Medical Centre; Amsterdam The Netherlands
| | - Mairéad Ní Chonghaile
- National Stem Cell Transplant Unit (Adults); Department of Haematology; St James's Hospital; Dublin Ireland
| | - Aleksandra Babic
- Oncology Institute of Southern Switzerland (IOSI); Bellinzona Switzerland
| | - Jacobine Bijkerk
- UMC Utrecht Cancer Center, Hematologie; University Medical Center Utrecht; Utrecht The Netherlands
| | - Caroline Bompoint
- Département d'Hématologie et de Thérapie Cellulaire; CHRU Montpellier-site Saint Eloi; Montpellier France
| | - Selim Corbacioglu
- Department of Pediatric Hematology, Oncology and Stem Cell Transplantation; University of Regensburg; Regensburg Germany
| | - Roel de Weijer
- UMC Utrecht Cancer Center, Hematologie; University Medical Center Utrecht; Utrecht The Netherlands
| | - Claudia Fink
- Klinik für Hämat, Onkol, Klin.Immun.; Heinrich Heine Universität; Düsseldorf Germany
| | - Sarah Marktel
- Hematology and BMT Unit; San Raffaele Hospital; Milan Italy
| | - Vivek Soni
- Royal Marsden NHS Foundation Trust; Sutton UK
| | - Sarah Sprenger
- Department of Stem cell Transplantation; University Hospital Eppendorf; Hamburg Germany
| | | | - Mohamad Mohty
- Hematology Department; Hôpital Saint-Antoine, and Université Pierre & Marie Curie; Paris France
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12
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Balducci L. Better Cancer Treatment for All. Cancer Control 2016; 23:322. [PMID: 27842337 DOI: 10.1177/107327481602300401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Lodovico Balducci
- Senior Adult Oncology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
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Silbermann M, Daher M, Kebudi R, Nimri O, Al-Jadiry M, Baider L. Middle Eastern Conflicts: Implications for Refugee Health in the European Union and Middle Eastern Host Countries. J Glob Oncol 2016; 2:422-430. [PMID: 28717729 PMCID: PMC5493250 DOI: 10.1200/jgo.2016.005173] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Until very recently, health care in conflict settings was based on a model developed in the second half of the twentieth century. Things have changed, and present civil wars, such as those that are currently taking place in the Middle East, do not address the complexity of the ongoing armed conflicts in countries such as Syria, Iraq, and Afghanistan. These conflicts have caused a significant increase in the number of refugees in the region, as well as in Europe. Hundreds of thousands of refugees succeed in settling in mid- and north-European countries, and their health issues are becoming of great importance. Refugees in Europe in the twenty-first century do not suffer so much from infectious diseases but more from noninfectious chronic diseases such as diabetes, cardiac disease, and cancer. These facts profoundly alter the demographics and disease burden of hostility-derived migrants. Thus, host European countries face situations they have never faced before. Hence, new approaches and strategies are urgently needed to cope with this new situation. The efforts to absorb refugees of different traditions and cultural backgrounds often cause increasing ethnic and religious tensions, which frequently escort the emergence of social violence. To date, little attention has been paid to the overall load of distress being experienced, especially among the first-generation refugees. The current ongoing hostilities in the Middle East induce a long-term health impact on people expelled from their homes, communities, traditions, and cultural environment. The realization of collective suffering forces communities and governmental health agencies to develop new programs that include social determinants to overcome the severe cultural gaps of the newcomers in their new European host countries.
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Affiliation(s)
- Michael Silbermann
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | - Michel Daher
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | - Rejin Kebudi
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | - Omar Nimri
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | - Mazin Al-Jadiry
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
| | - Lea Baider
- , Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa; , Assuta Medical Center, Tel Aviv, Israel; , University of Balamand, Saint George Hospital, Beirut, Lebanon; , Oncology Institute, Istanbul, Turkey; , Ministry of Health, Amman, Jordan; and , Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq
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Silbermann M, Daher M, Fahmi-Abdalla R, Jaloudi MA, Hassan AA. The Middle East Cancer Consortium promotes palliative care. Lancet 2015; 385:1620-1. [PMID: 25943815 DOI: 10.1016/s0140-6736(15)60791-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | - Michel Daher
- University of Balamand, Saint George Hospital, Beirut, Lebanon
| | | | - Mohammed A Jaloudi
- Department of Oncology, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
| | - Azza A Hassan
- Weill Cornell Faculty of Medicine, National Center for Cancer Care and Research, Doha, Qatar
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Silbermann M, Fink RM, Min SJ, Mancuso MP, Brant J, Hajjar R, Al-Alfi N, Baider L, Turker I, ElShamy K, Ghrayeb I, Al-Jadiry M, Khader K, Kav S, Charalambous H, Uslu R, Kebudi R, Barsela G, Kuruku N, Mutafoglu K, Ozalp-Senel G, Oberman A, Kislev L, Khleif M, Keoppi N, Nestoros S, Abdalla RF, Rassouli M, Morag A, Sabar R, Nimri O, Al-Qadire M, Al-Khalaileh M, Tayyem M, Doumit M, Punjwani R, Rasheed O, Fallatah F, Can G, Ahmed J, Strode D. Evaluating Palliative Care Needs in Middle Eastern Countries. J Palliat Med 2015; 18:18-25. [DOI: 10.1089/jpm.2014.0194] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Michael Silbermann
- Middle East Cancer Consortium, Technion–Israel Institute of Technology, Haifa, Israel
| | | | - Sung-Joon Min
- University of Colorado, School of Medicine, Aurora, Colorado
| | | | | | | | - Nesreen Al-Alfi
- Fatima College for Health Care/Sciences, Abu Dhabi, United Arab Emirates
| | | | - Ibrahim Turker
- Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Karima ElShamy
- Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | | | - Mazin Al-Jadiry
- Children Welfare Teaching Hospital University of Baghdad, Baghdad, Iraq
| | | | | | | | - Ruchan Uslu
- Ege University School of Medicine, Tulay Aktas Oncology Hospital, Izmir, Turkey
| | - Rejin Kebudi
- Cerrahpaşa Medical Faculty Istanbul University, Istanbul, Turkey
| | - Gil Barsela
- Division of Oncology, Rambam Health Care Campus, Haifa, Israel
| | - Nilgün Kuruku
- Ankara Oncology Training and Research Hospital, Ankara, Turkey
| | | | | | | | | | - Mohammad Khleif
- Al-Sadeel Society for Palliative Care, Bethlehem, West Bank, Palestinian Authority
| | | | | | | | - Maryam Rassouli
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Teheran, Islamic Republic of Iran
| | - Amira Morag
- Davidoff Cancer Center, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel
| | - Ron Sabar
- Sabar Clinics for Community Health Services, Israel
| | - Omar Nimri
- Jordan Cancer Registry, Ministry of Health, Amman, The Hashemite Kingdom of Jordan
| | | | - Murad Al-Khalaileh
- Al-Bayt University Faculty of Nursing, Mafraq, The Hashemite Kingdom of Jordan
| | - Mona Tayyem
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, The Hashemite Kingdom of Jordan
| | - Myrna Doumit
- Alice Ramez Chagoury School of Nursing, Lebanese American University, Beirut, Lebanon
| | | | - Osaid Rasheed
- Al Quds University, Abu Dies and Al-Ahli Hospital, Hebron, West Bank, Palestine
| | | | - Gulbeyaz Can
- Istanbul University Florence Nightingale Hemsirelik Fakultesi, Istanbul, Turkey
| | - Jamila Ahmed
- Faculty of Medicine, University of Aden, Aden, Yemen
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Cleary J, Silbermann M, Scholten W, Radbruch L, Torode J, Cherny N. Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in the Middle East: a report from the Global Opioid Policy Initiative (GOPI). Ann Oncol 2013; 24 Suppl 11:xi51-9. [DOI: 10.1093/annonc/mdt503] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
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