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Open Access 22-02-2023 | Opioids | ORIGINAL PAPER

Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study

Authors: Salim M. Makhlouf, Shenaz Ahmed, Michael I. Bennett

Published in: Journal of Religion and Health | Issue 3/2023

Abstract

Cancer pain remains a significant problem worldwide. It is often undertreated and presents in about half of cancer patients. Although several guidelines and pharmacological interventions for cancer pain management (CPM) exist, inadequate assessment and undertreatment of cancer pain are well-documented globally, especially in developing countries, including Libya. Perceptions, cultural and religious beliefs of healthcare professionals (HCP), patients, and caregivers about cancer pain and opioids are reported as barriers to CPM globally. This qualitative descriptive study aimed to explore Libyan HCPs’, patients’, and caregivers’ views and religious beliefs about CPM and involved semi-structured interviews with 36 participants: 18 Libyan cancer patients, 6 caregivers, and 12 Libyan HCPs. Thematic analysis was used to analyse the data. Patients, caregivers, and newly qualified HCPs were concerned about poor tolerance and drug addiction. HCPs perceived a lack of policies and guidelines, pain rating scales, and professional education and training as CPM barriers. Some patients were unable to pay for medicines if they faced financial difficulties. Instead, patients and caregivers emphasised religious and cultural beliefs for managing cancer pain, including the use of the Qur’an and cautery. Our results suggest that religious and cultural beliefs, lack of knowledge and training in CPM among HCPs, and economic and Libyan healthcare system-related factors negatively affect CPM in Libya.

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Abou-Elhamd, K. E. A. (2009). Kaiy as traditional therapy for pain: Is it helpful or a myth? The Journal of Laryngology & Otology, 123(5), 566–568. https://doi.org/10.1017/S0022215108002491CrossRef

Aboushanab, T., & Alsanad, S. (2018). An ethnomedical perspective of arabic traditional cauterization Al-Kaiy. Advanced Journal of Social Science. https://doi.org/10.21467/ajss.4.1.18-23CrossRef

Agila, A. R. (2020). Cancer commonness in Eastern and Western Libya and effect of the eating way on patients. World Journal of Advanced Research and Reviews, 5(2), 186–192.CrossRef

Al Binali, H. A. H. (2004). Chairman’s reflections on traditional medicine among gulf Arabs part II bloodletting. Heart Views, 5(2), 74–85.

Al-Bukhari, S. (1996). Hadith. 7.

Al-Ghabeesh, S. H., Bashayreh, I. H., Saifan, A. R., Rayan, A., & Alshraifeen, A. A. (2020). Barriers to effective pain management in cancer patients from the perspective of patients and family caregivers: A qualitative study. Pain Management Nursing, 21(3), 238–324. https://doi.org/10.1016/j.pmn.2019.07.011CrossRefPubMed

Al Qadire, M. (2012). Patient-related barriers to cancer pain management in Jordan. Journal of Pediatric Hematology/oncology, 34(Suppl 1), S28-31. https://doi.org/10.1097/MPH.0b013e318249ad34CrossRefPubMed

Al Qadire, M., Tubaishat, A., & Aljezawi, M. M. (2013). Cancer pain in Jordan: prevalence and adequacy of treatment. International Journal of Palliative Nursing, 19(3), 125–130. https://doi.org/10.12968/ijpn.2013.19.3.125CrossRefPubMed

Alsirafy, S. (2010). Regulations governing morphine prescription in Egypt: An urgent need for modification. Journal of Pain and Symptom Management, 39(1), e4–e6.CrossRefPubMed

Al-Wahbi, A. M. (2006). The diabetic foot. In the Arab world. Saudi Medical Journal, 27(2), 147–153.PubMed

Anderson, K. O., Mendoza, T. R., Valero, V., Richman, S. P., Russell, C., Hurley, J., DeLeon, C., Washington, P., Palos, G., Payne, R., & Cleeland, C. S. (2000). Minority cancer patients and their providers: Pain management attitudes and practice. Cancer, 88(8), 1929–1938.CrossRefPubMed

Attia, M. (2015). Explanation of a verse of the Qur'an “(And we send down of the Qur'an that which is a cure and a mercy for the believers)” Verse (17:82 Surat AL-Isra). https://www.youtube.com/watch?v=FEKskxE2GmA

Baetz, M., & Bowen, R. (2008). Chronic pain and fatigue: Associations with religion and spirituality. Pain Research and Management, 13(5), 383–388. https://doi.org/10.1155/2008/263751CrossRefPubMedPubMedCentral

Bennett, M. I., Bagnall, A.-M., & José Closs, S. (2009). How effective are patient-based educational interventions in the management of cancer pain? Systematic Review and Meta-Analysis. Pain, 143(3), 192–199. https://doi.org/10.1016/j.pain.2009.01.016CrossRefPubMed

Bosch, F., & Baños, J. E. (2002). Religious beliefs of patients and caregivers as a barrier to the pharmacologic control of cancer pain. Clinical Pharmacology & Therapeutics, 72(2), 107–111. https://doi.org/10.1067/mcp.2002.126180CrossRef

BPS. (2019). Pain Scales The British Pain Society (BPS). https://www.britishpainsociety.org/static/uploads/resources/files/Outcome_Measures_January_2019.pdf

Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4, 2333393617742282. https://doi.org/10.1177/2333393617742282CrossRefPubMedPubMedCentral

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oaCrossRef

Britten, N. (1999). Qualitative interviews in healthcare. In C. Pope & N. Mays (Eds.), Qualitative research in health care (2nd ed., pp. 9–11). BMJ Books.

Bryman, A. (2004). Social Research Methods (2nd ed.). Oxford University Press.

Bryman, A. (2016). Social research methods (5th ed.). Oxford University Press.

Caelli, K., Ray, L., & Mill, J. (2003). ‘Clear as mud’: Toward greater clarity in generic qualitative Research. International Journalof QualitativeMethods, 2(2), 1–13. https://doi.org/10.1177/160940690300200201CrossRef

Chase, S. E. (2011). Narrative Inquiry. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE Handbook of Qualitative Research. SAGE.

Chen, C. H., Tang, S. T., & Chen, C. H. (2012). Meta-analysis of cultural differences in Western and Asian patient-perceived barriers to managing cancer pain. Palliative Medicine, 26(3), 206–221.CrossRefPubMed

Chou, P. L., Rau, K. M., & Lin, C. C. (2011). Development and psychometric testing of a short version of the barriers questionnaire-Taiwan form for cancer patients. International Journal of Nursing Studies, 48(9), 1071–1079. https://doi.org/10.1016/j.ijnurstu.2011.02.006CrossRefPubMed

Cleary, J., Powell, R., Munene, G., Mwangi-Powell, F., Luyirika, E., Kiyange, F., Merriman, A., Scholten, W., Radbruch, L., & Torode, J. (2013). Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Africa: a report from the Global opioid policy initiative (GOPI). Annals of Oncology, 24(11), xi14–xi23.CrossRefPubMed

Colak, D., Oguz, A., Yazilitas, D., Imamoglu, I. G., & Altinbas, M. (2014). Morphine: patient knowledge and attitudes in the central Anatolia part of Turkey. Asian Pacific Journal of Cancer Prevention, 15(12), 4983–4988.CrossRefPubMed

Corbin, J., & Strauss, A. (2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory (3rd ed. ed.). SAGE. https://doi.org/10.4135/9781452230153

Creswell, J. W. (2007). Five qualitative approaches to inquiry. Qualitative Inquiry and Research Design: Choosing among Five Approaches, 2, 53–80.

Creswell, J. (2013). Qualitative Inquiry and research design: Choosing among five traditions (3rd ed.). Sage.

Darawad, M., Alnajar, M. K., Abdalrahim, M. S., & El-Aqoul, A. M. (2019). Cancer Pain Management at Oncology Units: Comparing Knowledge, Attitudes and Perceived Barriers Between Physicians and Nurses. Journal of Cancer Education, 34(2), 366–374. https://doi.org/10.1007/s13187-017-1314-4CrossRefPubMed

Dedeli, O., & Kaptan, G. (2013). Spirituality and Religion in Pain and Pain Management. Health Psychology Research, 1(3), e29–e29. https://doi.org/10.4081/hpr.2013.e29CrossRefPubMedPubMedCentral

El Ansary, M., Nejmi, M., Rizkallah, R., Shibani, M., Namisango, E., Mwangi-Powell, F., & Powell, R. A. (2014). Palliative care research in northern Africa. European Journal of Palliative Care, 21(2), 98–100.

El Oakley, R. M., Ghrew, M. H., Aboutwerat, A. A., Alageli, N. A., Neami, K. A., Kerwat, R. M., Elfituri, A. A., Ziglam, H. M., Saifenasser, A. M., Bahron, A. M., Aburawi, E. H., Sagar, S. A., Tajoury, A. E., Benamer, H. T. S., Systems, N. H., & C. (2013). Consultation on the Libyan health systems: towards patient-centered services. The Libyan Journal of Medicine. https://doi.org/10.3402/ljm.v3408i3400.20233.10.3402/ljm.v8i0.20233CrossRefPubMedPubMedCentral

Elzahaf, R. A., Johnson, M. I., & Tashani, O. A. (2016). The epidemiology of chronic pain in Libya: A cross-sectional telephone survey. BMC Public Health, 16(1), 776–776. https://doi.org/10.1186/s12889-016-3349-6CrossRefPubMedPubMedCentral

Erol, O., Unsar, S., Yacan, L., Pelin, M., Kurt, S., & Erdogan, B. (2018). Pain experiences of patients with advanced cancer: A qualitative descriptive study. European Journal of Oncology Nursing, 33, 28–34. https://doi.org/10.1016/j.ejon.2018.01.005CrossRefPubMed

Etafa, W., Wakuma, B., Fetensa, G., Tsegaye, R., Abdisa, E., Oluma, A., Tolossa, T., Mulisa, D., & Takele, T. (2020). Nurses’ knowledge about palliative care and attitude towards end-of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study. PLoS ONE, 15(10), e0238357. https://doi.org/10.1371/journal.pone.0238357CrossRefPubMedPubMedCentral

Farid, M. K., & El-Mansoury, A. (2015). Kaiy (traditional cautery) in Benghazi, Libya: complications versus effectiveness. The Pan African Medical Journal, 22, 98. https://doi.org/10.11604/pamj.2015.22.98.6399CrossRefPubMedPubMedCentral

Ferrell, B. R. (1995). The impact of pain on quality of life A. Decade of research. Nursing Clinics of North America, 30(4), 609–624.CrossRefPubMed

Fischer, D. J., Villines, D., Kim, Y. O., Epstein, J. B., & Wilkie, D. J. (2010). Anxiety, depression, and pain: Differences by primary cancer. Supportive Care in Cancer, 18(7), 801–810.CrossRefPubMed

Fitzpatrick, C., & Walker, A. H. (2014). Muhammad in History, Thought, and Culture: An Encyclopedia of the Prophet of God [2 volumes]. ABC-CLIO. https://books.google.co.uk/books?id=2AtvBAAAQBAJ

Fusch, P. I., & Ness, L. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20, 1408–1416.

Giacomini, M. K., & Cook, D. J. (2000). Users’ guides to the medical literature: XXIII. Qualitative research in health care A. Are the results of the study valid? Evidence-based medicine working group. Journal of the American Medical Association, 284(3), 357–362.CrossRefPubMed

Gill, P., Stewart, K., Treasure, E., & Chadwick, B. (2008). Methods of data collection in qualitative research: Interviews and focus groups. British Dental Journal, 204(6), 291–295. https://doi.org/10.1038/bdj.2008.192CrossRefPubMed

Greco, M. T., Roberto, A., Corli, O., Deandrea, S., Bandieri, E., Cavuto, S., & Apolone, G. (2014). Quality of cancer pain management: An update of a systematic review of undertreatment of patients with cancer. Journal of Clinical Oncology, 32(36), 4149–4154. https://doi.org/10.1200/jco.2014.56.0383CrossRefPubMed

Green, J., & Thorogood, N. (2018). Qualitative Methods for Health Research (4th ed.). SAGE.

Hadi, M. A., Alldred, D. P., Briggs, M., Marczewski, K., & Closs, S. J. (2017). 'Treated as a number, not treated as a person’: A qualitative exploration of the perceived barriers to effective pain management of patients with chronic pain. British Medical Journal Open, 7(6), e016454. https://doi.org/10.1136/bmjopen-2017-016454CrossRef

Hamieh, N. M., Akel, R., Anouti, B., Traboulsi, C., Makki, I., Hamieh, L., & Tfayli, A. (2018). Cancer-related pain: Prevalence, severity, and management in a tertiary care Center in the Middle East. Asian Pacific Journal of Cancer Prevention: Asian Pacific Journal of Cancer Prevention, 19(3), 769–775. https://doi.org/10.22034/APJCP.2018.19.3.769CrossRefPubMedPubMedCentral

Haozous, E. A., & Knobf, M. T. (2013). “All my tears were gone”: Suffering and cancer pain in Southwest American Indians. Journal of Pain and Symptom Management, 45(6), 1050–1060. https://doi.org/10.1016/j.jpainsymman.2012.06.001CrossRefPubMed

Hashemi, S. M., Balouchi, A., Al-Mawali, A., Rafiemanesh, H., Rezaie-Keikhaie, K., Bouya, S., Dehghan, B., & Farahani, M. A. (2019). Health-related quality of life of breast cancer patients in the Eastern Mediterranean region: A systematic review and meta-analysis. Breast Cancer Research and Treatment, 174(3), 585–596. https://doi.org/10.1007/s10549-019-05131-0CrossRefPubMed

Hatamipour, K., Rassouli, M., Yaghmaie, F., Zendedel, K., & Majd, H. A. (2015). Spiritual needs of cancer patients: A qualitative study. Indian Journal of Palliative Care, 21(1), 61–67. https://doi.org/10.4103/0973-1075.150190CrossRefPubMedPubMedCentral

Ho, A. H., Chan, C. L., Leung, P. P., Chochinov, H. M., Neimeyer, R. A., Pang, S. M., & Tse, D. M. (2013). Living and dying with dignity in Chinese society: Perspectives of older palliative care patients in Hong Kong. Age and Ageing, 42(4), 455–461. https://doi.org/10.1093/ageing/aft003CrossRefPubMed

Hooten, W. M., & Bruce, B. K. (2011). Beliefs and attitudes about prescribing opioids among healthcare providers seeking continuing medical education. Journal of Opioid Management, 7(6), 417–424. https://doi.org/10.5055/jom.2011.0082CrossRefPubMed

Hosseini, L., LotfiKashani, F., Akbari, S., Akbari, M. E., & SarafrazMehr, S. (2016). The islamic perspective of spiritual intervention effectiveness on bio-psychological health displayed by gene expression in breast cancer patients. Iranian Journal of Cancer Prevention, 9(2), e6360. https://doi.org/10.17795/ijcp-6360CrossRefPubMedPubMedCentral

https://www.ncbi.nlm.nih.gov/pmc/PMC4345676/

Ibrahim, H. D. F., Khraim, F., & Al-Tawafsheh, A. (2020). Adult cancer patient“ barriers toward pain management: A literature review. Journal of Nursing Education and Practice, 10, 38.CrossRef

INCB. (2019). Narcotic Drugs: Estimated World Requirements for 2020; statistics for 2018. International Narcotics Control Board. 2019. https://www.incb.org/documents/Narcotic-Drugs/Technical-Publications/2019/Narcotic_Drugs_Technical_Publication_2019_web.pdf

Kagawa-Singer, M. (2011). Impact of culture on health outcomes. Journal Pediatric Hematology/oncology, 33(Suppl 2), S90-95. https://doi.org/10.1097/MPH.0b013e318230dadbCrossRef

Kaki, A. M. (2006). pain clinic experience in a teaching hospital in western, Saudi Arabia. Relationship of patient’s age and gender to various types of pain. Saudi Medical Journal, 27(12), 1882–1886.PubMed

Kaki, A. M. (2011). Medical students’ knowledge and attitude toward cancer pain management in Saudi Arabia. Saudi medical journal, 32(6), 628–632. http://applications.emro.who.int/imemrf/Saudi_Med_J/Saudi_Med_J_2011_32_6_628_632.pdf

Kolmar, A., & Kamal, A. H. (2018). Developing a path to improve cultural competency in islam among palliative care professionals. Journal of Pain Symptom Management, 55(3), e1–e3. https://doi.org/10.1016/j.jpainsymman.2017.11.008CrossRefPubMed

Kvale, S. (2007). Doing interviews (1st ed.). Sage publications.

Kwon, J. H. (2014). Overcoming barriers in cancer pain management. Journal of Clinical Oncology, 32(16), 1727–1733. https://doi.org/10.1200/jco.2013.52.4827CrossRefPubMed

Latter, S., Hopkinson, J. B., Richardson, A., Hughes, J. A., Lowson, E., & Edwards, D. (2016). How can we help family carers manage pain medicines for patients with advanced cancer? A systematic review of intervention studies. BMJ Supportive Palliative Care, 6(3), 263–275. https://doi.org/10.1136/bmjspcare-2015-000958CrossRefPubMedPubMedCentral

Lemay, K., Wilson, K. G., Buenger, U., Jarvis, V., Fitzgibbon, E., Bhimji, K., & Dobkin, P. L. (2011). Fear of pain in patients with advanced cancer or patients with chronic noncancer pain. The Clinical Journal of Pain, 27(2), 116–124. https://doi.org/10.1097/AJP.0b013e3181f3f667CrossRefPubMed

Leong, M., Olnick, S., Akmal, T., Copenhaver, A., & Razzak, R. (2016). How Islam influences end-of-life care: Education for palliative care clinicians. Journal of Pain Symptom Management, 52(6), 771–774. https://doi.org/10.1016/j.jpainsymman.2016.05.034CrossRefPubMed

Li, Z., Aninditha, T., Griene, B., Francis, J., Renato, P., Serrie, A., Umareddy, I., Boisseau, S., & Hadjiat, Y. (2018). The burden of cancer pain in developing countries: A narrative literature review. ClinicoEconomics and Outcomes Research: CEOR, 10, 675–691. https://doi.org/10.2147/CEOR.S181192CrossRefPubMed

Lincoln, Y. S., & Guba, E. G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation, 1986(30), 73–84. https://doi.org/10.1002/ev.1427CrossRef

Lofland, J., & Lofland, L. (1995). Analyzing social setting. Wadsworth.

Lunn, J. S. (2003). Spiritual care in a multi-religious context. Journal of Pain and Palliative Care Pharmacotherapy, 17(3–4), 153–166. discussion 167–159.PubMed

Makhlouf, S. M., Ahmed, S., Mulvey, M., & Bennett, M. I. (2022). Attitudes, knowledge, and perceived barriers towards cancer pain management among healthcare professionals in Libya: A National multicenter survey. Journal of Cancer Education. https://doi.org/10.1007/s13187-022-02185-5CrossRefPubMed

Makhlouf, S. M., Pini, S., Ahmed, S., & Bennett, M. I. (2020). Managing pain in people with Cancer—a systematic review of the attitudes and knowledge of professionals, patients, caregivers, and public. Journal of Cancer Education, 35(2), 214–240. https://doi.org/10.1007/s13187-019-01548-9CrossRefPubMed

Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample size in qualitative interview studies: Guided by information power. Qualitative Health Research, 26(13), 1753–1760. https://doi.org/10.1177/1049732315617444CrossRefPubMed

Mays, N., & Pope, C. (2000). Quality in qualitative health research. In C. Pope & N. Mays (Eds.), Qualitative research in health care. British Medical Journal Publishing Group.

McCaffery, M., & Ferrell, B. R. (1995). Nurse’s knowledge about cancer pain: A survey of five countries. Journal of Pain and Symptom Management, 10(5), 356–369. https://doi.org/10.1016/0885-3924(95)00059-8CrossRefPubMed

Merriam, S. B. (1998). Qualitative research and case study applications in education (2nd, Ed.). Jossey-Bass.

Moran, D. (2002). Introduction to phenomenology (2nd ed.). Routledge.

Mori, M., Elsayem, A., Reddy, S. K., Bruera, E., & Fadul, N. A. (2012). Unrelieved pain and suffering in patients with advanced cancer. American Journal of Hospice and Palliative Care, 29(3), 236–240. https://doi.org/10.1177/1049909111415511CrossRefPubMed

Morse, J. (2020). The changing face of qualitative inquiry. International Journal of Qualitative Methods, 19, 1609406920909938. https://doi.org/10.1177/1609406920909938CrossRef

Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods, 1(2), 13–22. https://doi.org/10.1177/160940690200100202CrossRef

Nasser, S. C., Nassif, J. G., & Saad, A. H. (2016). Physicians’ attitudes to clinical pain management and education: Survey from a Middle Eastern Country. Pain Research and Management, 2016, 1358593. https://doi.org/10.1155/2016/1358593CrossRefPubMedPubMedCentral

Neergaard, M. A., Olesen, F., Andersen, R. S., & Sondergaard, J. (2009). Qualitative description–the poor cousin of health research? BMC Medical Research Methodology, 9(1), 52. https://doi.org/10.1186/1471-2288-9-52CrossRefPubMedPubMedCentral

Neuman, L. (2011). Social research methods: qualitative and quantitative approaches (7th ed.). Pearson Education Limited

NICE. (2012). Palliative cancer care-pain. Palliative care for adults: strong opioids for pain relief. National Institute for Health and Care Excellence. Retrieved from 20th April. https://www.nice.org.uk/guidance/cg140/chapter/Introduction

Nouh, F., Ibrahim Mekraz, E., Omar, M., Younis, M., & Younis, M. (2018). Diet of Benghazi Cancer Patients; Quality and Associated Factors. Cancer and Tumor International, 7(1), 1–14.CrossRef

Oldenmenger, W. H., SillevisSmitt, P. A., van Dooren, S., Stoter, G., & van der Rijt, C. C. (2009). A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: A critical appraisal. European Journal of Cancer, 45(8), 1370–1380. https://doi.org/10.1016/j.ejca.2009.01.007CrossRefPubMed

Orujlu, S., Hassankhani, H., Rahmani, A., Sanaat, Z., Dadashzadeh, A., & Allahbakhshian, A. (2022). Barriers to cancer pain management from the perspective of patients: A qualitative study. Nursing Open, 9(1), 541–549. https://doi.org/10.1002/nop2.1093CrossRefPubMed

Pathmawathi, S., Beng, T. S., Li, L. M., Rosli, R., Sharwend, S., Kavitha, R. R., & Christopher, B. C. (2015). Satisfaction with and perception of pain management among palliative patients with breakthrough pain: A qualitative Study. Pain Management Nursing, 16(4), 552–560. https://doi.org/10.1016/j.pmn.2014.10.002CrossRefPubMed

Patton, M. Q. (2002). Qualitative research and evaluation methods. Sage.

Petropoulos, I. N., Javed, S., Azmi, S., Khan, A., Ponirakis, G., & Malik, R. A. (2016). Diabetic neuropathy and painful diabetic neuropathy in the Middle East and North Africa (MENA) region: Much work needs to be done. Journal of Taibah University Medical Sciences, 11(4), 284–294. https://doi.org/10.1016/j.jtumed.2016.06.002CrossRef

Potter, V. T., Wiseman, C. E., Dunn, S. M., & Boyle, F. M. (2003). Patient barriers to optimal cancer pain control. Psycho-Oncology, 12(2), 153–160. https://doi.org/10.1002/pon.627CrossRefPubMed

RajehSaifan, A., Bashayreh, I., Suhair, H., Al-Ghabeesh, S., Batiha, A.-M., Alrimawi, I., Al-Saraireh, M., & Al-Momani, M. (2019). An original paper exploring factors among healthcare professionals that inhibit effective pain management in cancer patients. Central European Journal of Nursing and Midwifery. https://doi.org/10.15452/CEJNM.2019.10.0003CrossRef

Rurup, M. L., Rhodius, C. A., Borgsteede, S. D., Boddaert, M. S. A., Keijser, A. G. M., Pasman, H. R. W., & Onwuteaka-Philipsen, B. D. (2010). The use of opioids at the end of life: The knowledge level of Dutch physicians as a potential barrier to effective pain management. BMC Palliative Care, 9(1), 23. https://doi.org/10.1186/1472-684X-9-23CrossRefPubMedPubMedCentral

Saini, S., & Bhatnagar, S. (2016). Cancer Pain Management in Developing Countries. Indian Journal of Palliative Care, 22(4), 373–377. https://doi.org/10.4103/0973-1075.191742CrossRefPubMedPubMedCentral

Sandelowski, M. (1995). Sample size in qualitative research. Research in Nursing & Health, 18(2), 179–183.CrossRef

Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 77–84. https://doi.org/10.1002/nur.20362CrossRef

Saunders, M., Lewis, P., & Thornhill, A. (2016). Research methods for business students (7th ed.). Pearson Education Limited

Shamieh, O., & Jazieh, A. R. (2010). Modification and implementation of NCCN Guidelines on palliative care in the Middle East and North Africa region. Journal National Comprehensive Cancer Network, 8(Suppl 3), S41-47. https://doi.org/10.6004/jnccn.2010.0124CrossRef

Shenton, A. K. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22, 63–75. https://doi.org/10.3233/EFI-2004-22201CrossRef

Silbermann, M., & Hassan, E. A. (2011). Cultural perspectives in cancer care: Impact of islamic traditions and practices in Middle Eastern Countries. Journal of Pediatric Hematology/oncology, 33, S81–S86. https://doi.org/10.1097/MPH.0b013e318230dab6CrossRefPubMed

Srisawang, P., Harun-Or-Rashid, M., Hirosawa, T., & Sakamoto, J. (2013). Knowledge, attitudes, and barriers of physicians, policy makers/regulators regarding the use of opioids for cancer pain management in Thailand. Nagoya Journal of Medical Science, 75(3–4), 201–212.PubMedPubMedCentral

Swihart, D. L., & Martin, R. L. (2020). Cultural religious competence in clinical practice. StatPearls Publishing.

Thinh, D. H. Q., Sriraj, W., Mansor, M., Tan, K. H., Irawan, C., Kurnianda, J., Nguyen, Y. P., Ong-Cornel, A., Hadjiat, Y., Moon, H., & Javier, F. O. (2018). Patient and physician satisfaction with analgesic treatment: Findings from the analgesic treatment for cancer pain in Southeast Asia (ACE) Study. Pain Research and Management, 2018, 2193710. https://doi.org/10.1155/2018/2193710CrossRefPubMedPubMedCentral

Toba, H. A., Samara, A. M., Zyoud, S., & e. H. (2019). Nurses’ knowledge, perceived barriers, and practices regarding cancer pain management: A cross-sectional study from Palestine. BMC Medical Education, 19(1), 167–167. https://doi.org/10.1186/s12909-019-1613-zCrossRefPubMedPubMedCentral

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042CrossRefPubMed

Tracy, S. J. (2010). Qualitative quality: Eight “big-tent” criteria for excellent qualitative research. Qualitative Inquiry, 16(10), 837–851. https://doi.org/10.1177/1077800410383121CrossRef

Twinn, S. (1997). An exploratory study examining the influence of translation on the validity and reliability of qualitative data in nursing research. Journal of Advanced Nursing, 26(2), 418–423. https://doi.org/10.1046/j.1365-2648.1997.1997026418.xCrossRefPubMed

van den Beuken-van Everdingen, M., Hochstenbach, L., Joosten, E., Tjan-Heijnen, V., & Janssen, D. (2016). Update on prevalence of pain in patients with cancer: systematic review and Meta-analysis. Journal of Pain and Symptom Management, 51(6), 1070–1090. https://doi.org/10.1016/j.jpainsymman.2015.12.340CrossRefPubMed

Wells, M., Dryden, H., Guild, P., Levack, P., Farrer, K., & Mowat, P. (2002). The knowledge and attitudes of surgical staff towards the use of opioids in cancer pain management: Can the Hospital Palliative Care Team make a difference? European Journal of Cancer Care, 10(3), 201–211. https://doi.org/10.1046/j.1365-2354.2001.00259.xCrossRef

WHO (1996) Cancer pain relief with a guide to opioid availability (2nd ed.). World Health Organization.

WHO. (2019). WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents. The World Health Organization. https://www.who.int/ncds/management/palliative-care/cancer-pain-guidelines/en/

Willig C (2013). Introducing qualitative research in psychology (3rd ed.). Open University Press.

Title: Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study
Authors: Salim M. Makhlouf
Shenaz Ahmed
Michael I. Bennett
Publication date: 22-02-2023
Publisher: Springer US
Keywords: Opioids
Opioids
Published in: Journal of Religion and Health / Issue 3/2023
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-023-01763-1

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Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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