Exploring palliative care access among older adults in Saudi Arabia: implications for nursing practice

Access to palliative care among elderly populations remains a global challenge, especially in regions where cultural beliefs, financial barriers, and healthcare infrastructure intersect. In Saudi Arabia, these challenges may be amplified due to social norms and service limitations.

To explore the experiences and perspectives of older adults in the Riyadh region regarding their access to palliative care, with a focus on identifying key barriers, facilitators, and sociocultural influences.

A qualitative study using semi-structured face-to-face interviews was conducted with 18 elderly participants (aged 65-89) who had experience with or were recommended for palliative care. Thematic analysis followed Braun and Clarke's six-step approach.

Four key themes emerged: (1) limited awareness and misconceptions about palliative care; (2) financial and logistical access barriers; (3) sociocultural influences, including family roles and cultural taboos; and (4) variability in provider communication and continuity of care.

Palliative care access for older adults in Saudi Arabia is shaped by a complex interplay of personal, systemic, and cultural factors. Culturally sensitive education, improved provider communication, and home-based service models may improve access and equity.