Maniago Jestoni D, Ngaya-An Floreliz V
College of Nursing, University of the Philippines, Manila, Philippines.
Indian J Palliat Care. 2022 Jan-Mar;28(1):80-87. doi: 10.25259/IJPC_410_20. Epub 2022 Mar 3.
There is an ongoing development in the paediatric palliative care (PPC) program in Southeast Asia (SEA). However, the implementation process has not been clearly understood among lower-middle-income countries (LMICs) in this region. The purpose of this paper is to review and synthesise research about the implementation process of 7 identified LMICs in the SEA: Cambodia, Indonesia, Myanmar, Lao PDR, the Philippines, Timor-Leste, and Vietnam. An integrative review utilising Whittemore and Knafi's five-stage process was employed. Electronic searches of CINAHL, Web of Science, ProQuest, and Google Scholar (no year restriction) were conducted. From the 7599 articles retrieved, only 11 met the eligibility criteria. Each article was appraised for methodological quality (QualSyst tool and AACODS checklist) and constant comparison methods were used. Two overarching themes emerged in this review - the gaps in PPC standards, practice framework, and guidelines and the PPC challenges and implementation strategies. Understanding the implementation science of PPC among LMICs in the SEA region addresses the gap between idealism and realism. It provides reliable information in the development of strategic work plans that will improve the implementation process and promote the translation of EBIs into practice significant to the quality of paediatric patient outcomes.
东南亚地区的儿童姑息治疗（PPC）项目正在不断发展。然而，该地区中低收入国家（LMICs）对其实施过程尚未有清晰的认识。本文旨在回顾和综合有关东南亚7个已确定的中低收入国家（柬埔寨、印度尼西亚、缅甸、老挝、菲律宾、东帝汶和越南）实施过程的研究。采用了惠特莫尔和克纳菲的五阶段过程进行综合回顾。对CINAHL、科学网、ProQuest和谷歌学术（无年份限制）进行了电子检索。从检索到的7599篇文章中，只有11篇符合纳入标准。每篇文章都进行了方法学质量评估（使用QualSyst工具和AACODS清单），并采用了持续比较法。本次综述出现了两个总体主题——PPC标准、实践框架和指南方面的差距以及PPC面临的挑战和实施策略。了解东南亚中低收入国家PPC的实施科学弥合了理想与现实之间的差距。它为制定战略工作计划提供了可靠信息，这将改善实施过程，并促进将循证干预措施转化为对儿科患者结局质量有重要意义的实践。
