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Ansari, Mojgan, Rassouli, Maryam, Akbari, Mohamad Esmaiel, Abbaszadeh, Abbas, Akbarisari, Ali, Haghighat, Shahpar. (1397). Process Challenges in Palliative Care for Cancer Patients: A Qualitative Study. سامانه مدیریت نشریات علمی, 10(1), 43-53. doi: 10.30476/mejc.2019.44685
Mojgan Ansari; Maryam Rassouli; Mohamad Esmaiel Akbari; Abbas Abbaszadeh; Ali Akbarisari; Shahpar Haghighat. "Process Challenges in Palliative Care for Cancer Patients: A Qualitative Study". سامانه مدیریت نشریات علمی, 10, 1, 1397, 43-53. doi: 10.30476/mejc.2019.44685
Ansari, Mojgan, Rassouli, Maryam, Akbari, Mohamad Esmaiel, Abbaszadeh, Abbas, Akbarisari, Ali, Haghighat, Shahpar. (1397). 'Process Challenges in Palliative Care for Cancer Patients: A Qualitative Study', سامانه مدیریت نشریات علمی, 10(1), pp. 43-53. doi: 10.30476/mejc.2019.44685
Ansari, Mojgan, Rassouli, Maryam, Akbari, Mohamad Esmaiel, Abbaszadeh, Abbas, Akbarisari, Ali, Haghighat, Shahpar. Process Challenges in Palliative Care for Cancer Patients: A Qualitative Study. سامانه مدیریت نشریات علمی, 1397; 10(1): 43-53. doi: 10.30476/mejc.2019.44685

Process Challenges in Palliative Care for Cancer Patients: A Qualitative Study

Middle East Journal of Cancer
مقاله 7، دوره 10، شماره 1 - شماره پیاپی 37، فروردین 2019، صفحه 43-53    اصل مقاله (188.16 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/mejc.2019.44685
نویسندگان
Mojgan Ansari1؛ Maryam Rassouli* 2؛ Mohamad Esmaiel Akbari2؛ Abbas Abbaszadeh3؛ Ali Akbarisari4؛ Shahpar Haghighat5
1Department of Nursing, School of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran
2Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5Breast Cancer Research Center, ACECR, Tehran, Iran
چکیده
Background: Quality assessment and service delivery processes for cancer patients are the major components of palliative care. This study intends to explore stakeholder’s perceptions of palliative care process challenges for cancer patients in Iran.Method: In this qualitative study, we conducted 22 semi-structured interviews from February 2016 to August 2017 in hospitals located in Tehran, Iran. Participants were selected through purposive sampling and included cancer patients, their family caregivers, healthcare providers, and policy-makers. The interviews were analyzed by qualitative directed content analysis based on the Donabedian model. In order to assess the accuracy and validity of the study, we used Lincoln and Guba’s four criteria.Results: After analysis of the interviews, we categorized the codes into a main category, “process”, and three identified subcategories – “weakness of stakeholders’ engagement policies”, “standardized care”, and “applying educational and research approaches”.Conclusion: Palliative care in Iran is a recent discipline. The results have shown that the process of providing services requires the attention of the health system to the standard models for providing palliative care services. In addition, it is necessary to train human resources in generalist and specialist palliative care groups, design palliative medicine curricula, inform general public about cancer, and empower patients and caregivers.
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