影响阿富汗成人癌症护理的不公平和不平等现象：“许多患者已经放弃了希望”。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-06-01 DOI:10.1016/j.soncn.2025.151895

Manochehr Samadi , Mohammad Asif Hussainyar , Annie M. Young

{"title":"影响阿富汗成人癌症护理的不公平和不平等现象：“许多患者已经放弃了希望”。","authors":"Manochehr Samadi , Mohammad Asif Hussainyar , Annie M. Young","doi":"10.1016/j.soncn.2025.151895","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Afghanistan is one of the poorest countries in the world, beset by decades of war. The aim of this opinion paper is to highlight the intersecting factors that contribute to inequity and inequality in cancer care in Afghanistan with a focus on nursing.</div></div><div><h3>Methods</h3><div>An environmental scan was carried out for multiple sources of information collection including relevant literature, global organization reports and reflections from two senior nurses working in cancer services in Kabul. Thematic analysis of the data was undertaken. Attainable actions for supporting cancer care and cancer nursing, are proposed.</div></div><div><h3>Results</h3><div>Cancer nursing is in a dire state reflecting the political instability in the country, exacerbated by a collapsed economy, limited investment in health services, gender apartheid, educational restrictions and the environment. Of the nurses still in employment, many desire to migrate to high-income countries, primarily for their safety. Currently, the large support that the World Health Organization, relevant non-governmental organizations, donors and international nursing organizations offer, often falls short of improving health equity.</div></div><div><h3>Conclusions</h3><div>Many inequities in cancer care in Afghanistan are revealed, negatively affecting access to care, treatment options and ultimately, outcomes for people with cancer. Approaches to improve cancer care and services, are proposed.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses globally can support colleagues in Afghanistan by listening to their needs, providing tailored educational opportunities, and advocating for change to challenging working conditions. Additional financial, humanitarian and cancer control support from international agencies, led and informed by Afghanistan healthcare professionals and policy makers, is urgently needed.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151895"},"PeriodicalIF":2.3000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Inequities and Inequalities Affecting Cancer Nursing Care for Adults in Afghanistan: “Many Patients Have Given Up Hope”\",\"authors\":\"Manochehr Samadi , Mohammad Asif Hussainyar , Annie M. Young\",\"doi\":\"10.1016/j.soncn.2025.151895\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>Afghanistan is one of the poorest countries in the world, beset by decades of war. The aim of this opinion paper is to highlight the intersecting factors that contribute to inequity and inequality in cancer care in Afghanistan with a focus on nursing.</div></div><div><h3>Methods</h3><div>An environmental scan was carried out for multiple sources of information collection including relevant literature, global organization reports and reflections from two senior nurses working in cancer services in Kabul. Thematic analysis of the data was undertaken. Attainable actions for supporting cancer care and cancer nursing, are proposed.</div></div><div><h3>Results</h3><div>Cancer nursing is in a dire state reflecting the political instability in the country, exacerbated by a collapsed economy, limited investment in health services, gender apartheid, educational restrictions and the environment. Of the nurses still in employment, many desire to migrate to high-income countries, primarily for their safety. Currently, the large support that the World Health Organization, relevant non-governmental organizations, donors and international nursing organizations offer, often falls short of improving health equity.</div></div><div><h3>Conclusions</h3><div>Many inequities in cancer care in Afghanistan are revealed, negatively affecting access to care, treatment options and ultimately, outcomes for people with cancer. Approaches to improve cancer care and services, are proposed.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses globally can support colleagues in Afghanistan by listening to their needs, providing tailored educational opportunities, and advocating for change to challenging working conditions. Additional financial, humanitarian and cancer control support from international agencies, led and informed by Afghanistan healthcare professionals and policy makers, is urgently needed.</div></div>\",\"PeriodicalId\":54253,\"journal\":{\"name\":\"Seminars in Oncology Nursing\",\"volume\":\"41 3\",\"pages\":\"Article 151895\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Oncology Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0749208125000889\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Oncology Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0749208125000889","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

目标：阿富汗是世界上最贫穷的国家之一，被几十年的战争所困扰。本意见文件的目的是强调导致阿富汗癌症护理不公平和不平等的交叉因素，重点是护理。方法：对多种信息来源进行环境扫描，包括相关文献、全球组织报告和喀布尔癌症服务部门两名高级护士的反思。对数据进行了专题分析。提出了支持癌症治疗和癌症护理的可实现的行动。结果：癌症护理处于一种可怕的状态，反映了该国的政治不稳定，而经济崩溃、卫生服务投资有限、性别隔离、教育限制和环境又加剧了这种不稳定。在仍在就业的护士中，许多人希望移民到高收入国家，主要是为了安全。目前，世界卫生组织、有关非政府组织、捐助者和国际护理组织提供的大量支助往往不能改善保健公平。结论：揭示了阿富汗癌症护理中的许多不公平现象，这些不公平现象对癌症患者获得护理、治疗选择以及最终的结果产生了负面影响。提出了改善癌症治疗和服务的方法。对护理实践的影响：全球护士可以通过倾听阿富汗同事的需求、提供量身定制的教育机会和倡导改变具有挑战性的工作条件来支持他们。迫切需要国际机构在阿富汗卫生保健专业人员和决策者的领导和通报下提供更多的财政、人道主义和癌症控制支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Inequities and Inequalities Affecting Cancer Nursing Care for Adults in Afghanistan: “Many Patients Have Given Up Hope”

Objectives

Afghanistan is one of the poorest countries in the world, beset by decades of war. The aim of this opinion paper is to highlight the intersecting factors that contribute to inequity and inequality in cancer care in Afghanistan with a focus on nursing.

Methods

An environmental scan was carried out for multiple sources of information collection including relevant literature, global organization reports and reflections from two senior nurses working in cancer services in Kabul. Thematic analysis of the data was undertaken. Attainable actions for supporting cancer care and cancer nursing, are proposed.

Results

Cancer nursing is in a dire state reflecting the political instability in the country, exacerbated by a collapsed economy, limited investment in health services, gender apartheid, educational restrictions and the environment. Of the nurses still in employment, many desire to migrate to high-income countries, primarily for their safety. Currently, the large support that the World Health Organization, relevant non-governmental organizations, donors and international nursing organizations offer, often falls short of improving health equity.

Conclusions

Many inequities in cancer care in Afghanistan are revealed, negatively affecting access to care, treatment options and ultimately, outcomes for people with cancer. Approaches to improve cancer care and services, are proposed.

Implications for Nursing Practice

Nurses globally can support colleagues in Afghanistan by listening to their needs, providing tailored educational opportunities, and advocating for change to challenging working conditions. Additional financial, humanitarian and cancer control support from international agencies, led and informed by Afghanistan healthcare professionals and policy makers, is urgently needed.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.