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Public, patient and carers’ views on palliative and end‐of‐life care in India: a systematic review

  • M. Ramasamy Venkatasalu
    ,
  • N. Sirala Jagadeesh
    ,
  • S. Elavally
    ,
  • Yannis Pappas
    ,
  • Fortune Mhlanga
    ,
  • R. Pallipalayam Varatharajan
  • Universiti Brunei Darussalam
    ,
  • Sri Ramachandra Institute of Higher Education and Research
    ,
  • Government College of Nursing
Research Output: Contribution to journal Article Peer-review

Sustainable Development Goals

  • SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well

Abstract

Aim To systematically review the existing evidence on the Indian public, patient and carers’ perspectives on palliative and end‐of‐life care. Background With a growing population of terminally ill people across the world, there is also an increasing awareness among international health policy makers of the need to improve the quality of life for terminally ill patients. Understanding service users’ (patients, family and public) perspectives is crucial in developing and sustaining successful community‐centred palliative nursing policies and service models especially in countries like India with diverse population. Methods An integrative review was performed on five databases, using hand searches of key journals and reference citation tracking for empirical studies published in English from 1990 to 2015. A thematic analysis framework was used to analyse and identify key themes. Results Analysis of the six eligible studies revealed five themes. Themes describe how social, economic, cultural, religious, spiritual and traditional factors influenced the palliative and end‐of‐life care perspectives and experiences among Indians. They also illustrated preferences relating to place of care, as well as benefits and challenges of family caregiving during the last days of life. Conclusions Although we found minimal evidence on user perspectives, nurses need to aware of those unique components of context‐specific palliative and end‐of‐life care practices in India – socioeconomic, cultural and religious factors – on their nursing encounters. Nurses need to advocate same in policy development to enable accessibility and utility of palliative and end‐of‐life care services, which are scant in India. Implications for nursing and health policy Nurses can be central in gathering the contextual evidence that advocate users’ perspectives to inform further studies and national palliative care policies in India. Emerging policies in nursing education need to focus on integrating family‐centred palliative and end‐of‐life care within curricula, whereas nursing practice may promote nurse‐led community models to address the patchy palliative and end‐of‐life service provision in India.

Publication Information

Output type

Research Output: Contribution to journal Article Peer-review

Original language

English

Pages from-to (Number of pages)

Pages 292-301

Journal (Volume, Issue Number)

International Nursing Review (Volume 65, Issue 2)

Publication milestones

  • Published - 30/08/2017

Publication status

Published - 30/08/2017

ISSN

0020-8132

External Publication IDs

  • handle.net: 10547/622892
  • handle.net: 10547/624437
  • Scopus: 85047848779
  • ORCID: /0000-0003-3087-860X/work/180596646

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