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Interventions Supporting Nurses' Palliative Care Education Needs in Low- and Middle-Income Countries: A Systematic
Merri Iddrisu1, Steph Ejegi-Memeh2, Julia Downing3
1School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
Journal of Palliative Care
|May 16, 2026
Summary
Palliative care education for nurses in low- and middle-income countries significantly improves their knowledge and confidence. Innovative training methods are crucial for enhancing patient care globally.
Area of Science:
- Nursing Education
- Palliative Care
- Global Health
Background:
- Nurses are vital in healthcare, yet many in low- and middle-income countries (LMICs) lack adequate palliative care training.
- This deficit acts as a barrier to essential palliative care services for patients.
Purpose of the Study:
- To systematically review and synthesize literature on palliative care education interventions for nursing students and professionals in LMICs.
- To identify effective educational strategies and outcomes in palliative care nursing.
Main Methods:
- A systematic review following PRISMA guidelines, analyzing studies from January 2002 to October 2022.
- Included 56 studies focusing on palliative care training interventions for nurses in LMICs.
- Employed a narrative synthesis approach to analyze findings.
Main Results:
- Key educational topics included disease processes, symptom management, communication, decision-making, cultural sensitivity, quality of life, and bereavement care.
- Instructional methods varied, from traditional slides to e-learning, role-play, simulation, and creative approaches like storytelling and poetry.
- Interventions demonstrated positive outcomes, notably enhancing nurses' attitudes, confidence, and knowledge.
Conclusions:
- Palliative care education interventions are effective in boosting nurses' knowledge and confidence.
- There is a need for continued research and the implementation of practical, innovative educational strategies, especially in Africa and Eastern Europe.
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