Barriers to the provision of palliative care nursing in emergency departments in developing countries: A scoping review

IF 2.7 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2026-03-01 Epub Date: 2025-11-07 DOI:10.1016/j.auec.2025.08.004

Anna Ivana Mareta , Evy Dwi Rahmawati , Dian Rizki Ramadhani , Raodah Tul Ikhsan , Decky Nurhadi Sopyan , Setyawan , Sri Setiyarini

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引用次数: 0

Abstract

Background

The implementation of palliative care nursing (PCN) in emergency departments (ED) is challenging, particularly in developing countries. There were several barriers faced by ED nurses. However, the specific barriers to the provision of PCN in the ED of developing countries' hospitals remained unclear. This scoping review aimed to explore the barriers to the provision of palliative nursing care in the ED of developing countries’ hospitals.

Methods

This scoping review utilized five databases: Scopus, PubMed, ScienceDirect, Medline, and ProQuest, in addition to a Google Scholar search and backward and forward citation tracking. The articles included must have been published between 2014 and 2025, be available as full text, and be written in English. Two authors independently performed the article selection process, adhering to the PRISMA protocol.

Results

We included eight articles from six developing countries: China, Brazil, Uganda, Thailand, Indonesia, and Ghana. We identified and classified barriers to the provision of PCN in the ED in developing countries into several themes, including lack of knowledge and skills, lack of health facilities, practical issues, ethical issues, and family boundaries.

Conclusions

Understanding the barriers to the provision of PCN is expected to provide a foundation for evaluating and enhancing its implementation in the ED, particularly in developing countries' hospitals.

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发展中国家急诊科提供姑息治疗护理的障碍：范围审查

背景：在急诊科（ED）实施姑息治疗护理（PCN）具有挑战性，特别是在发展中国家。急诊科护士面临着几个障碍。然而，在发展中国家医院的急诊科提供PCN的具体障碍仍不清楚。本综述旨在探讨发展中国家医院急诊室提供姑息护理的障碍。方法：本综述使用了五个数据库：Scopus、PubMed、ScienceDirect、Medline和ProQuest，此外还使用了谷歌Scholar搜索和前后引文跟踪。所收录的文章必须发表于2014年至2025年之间，可获得全文，并以英文撰写。两位作者独立完成文章选择过程，遵循PRISMA协议。结果：我们纳入了来自六个发展中国家的八篇文章：中国、巴西、乌干达、泰国、印度尼西亚和加纳。我们确定并将发展中国家产科提供PCN的障碍分为几个主题，包括缺乏知识和技能、缺乏卫生设施、实际问题、伦理问题和家庭界限。结论：了解提供PCN的障碍有望为评估和加强其在急诊科的实施提供基础，特别是在发展中国家的医院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.