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- W100678907 abstract "Background: Approx 27,000 new cases of cancer are reported in Uganda in each year affecting 1.5% of the population, of which it is estimated that 95% will experience pain in the terminal phase of their disease. However with a there is a severe shortage of Doctors coupled with a wide geographicaldistribution, and poor transport systems lead to many patients experiencing severe uncontrolled pain. Following policy changes in 2004 nurses who have completed a nine month Community Palliative Care Course at Hospice Africa Uganda are permitted to prescribe morphine. The aim of this studywas to evaluate the impact of this extended prescribing. Methods: A qualitative methodology using focus group interviews was adopted for the study to enable group discussion and interaction to take place. A purposivesample of members from clinical and educational teams and current students from were invited to participate in the study. 24 volunteers and participated in three audio taped focus groups. Data was analysed for emerging themesusing thematic analysis. Results and Discussion: There was a general consensus that nurses’ being allowed to prescribe morphine was having apositive effect of patients, their families and the clinical team. Benefitsincluding pain relief and enhancing the patient’s quality of life were noted.Economic impacts of reduced travelling costs to obtain the morphine were stressed. Course students referred to their initial concerns surrounding prescribing morphine and the importance of the course in preparing them for the role. The ongoing problem of a limited supply of morphine was alsonoted. This paper discusses these findings and potential explanations given. Ongoing research to assess measurable clinical outcomes will be discussed." @default.
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- W100678907 date "2008-01-01" @default.
- W100678907 modified "2023-09-26" @default.
- W100678907 title "Dying without pain: nurses giving morphine in Uganda" @default.
- W100678907 hasPublicationYear "2008" @default.
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