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The European Certificate in Essential Palliative Care in Lebanon: Adaptation and Pilot
  1. Silva Dakessian Sailian1,
  2. Farah Demachkieh2,
  3. Janane Hanna3,
  4. Najibe Khalil4,
  5. Marie Claire Mouhawej5,
  6. Celine Bakri6 and
  7. Max Watson7
  1. 1Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
  2. 2Quality Research & Development, SANAD The Home Hospice Organization of Lebanon, Beirut, Lebanon
  3. 3Nursing, American University of Beirut Medical Center, Beirut, Lebanon
  4. 4Nursing, Saint George Hospital University Medical Center, Beirut, Lebanon
  5. 5Nursing, Hotel-Dieu De France, Achrafieh, Lebanon
  6. 6Nursing, Clemenceau Medical Center, Beirut, Lebanon
  7. 7Hospice UK, London, UK
  1. Correspondence to Dr Silva Dakessian Sailian, Hariri School of Nursing, American University of Beirut, Beirut, Lebanon; sd61{at}aub.edu.lb

https://doi.org/10.1136/spcare-2024-005071

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    Introduction

    Despite the growth in specialised palliative care services in Lebanon, integrating a generalist palliative care approach remains limited due to challenges in education and awareness, communication skills, death literacy, supportive policies and regulations and cultural factors. Healthcare providers are often uncomfortable in incorporating palliative care as it is associated with end of life, failure and hopelessness.1

    Given Lebanon’s geographic location in a conflict zone where daily suffering and uncertainty is the norm, compounded with the economic collapse and political dismantlement,2 palliative care can offer a source of hope amidst the misery. Integrating palliative care into non-specialised settings provided by primary healthcare teams is crucial in increasing access. Building healthcare professionals’ capacity is one step to ensure this integration.3 Enhancing nurses’ knowledge, skills and confidence can optimise universal access to palliative care and alleviate suffering due to serious illnesses.3 Lack of standard education in nursing programmes and limited professional development in Lebanon signify the urgent need to build nursing capacity to roll palliative care forward.1

    This paper describes the experience of adapting and piloting the European Certificate in Essential Palliative Care (ECEPC) course in Lebanon.

    The implementation of the ECEPC course in the Lebanese context

    The Plan, Do, Check, Act cycle was employed in the planning, implementation and evaluation of this project (figure 1)4.

    Figure 1

    Schematic representation of the plan for the ECEPC course. ECEPC, European Certificate in Essential Palliative Care.

    Plan

    The members of the Lebanese Association of Palliative Care Nurses (LAPCN), …

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    Footnotes

    • Contributors SDS: conceptualised the idea and wrote the first draft. FD: substantially revised the first draft and made changes. JH, NK, MCM and CB: reviewed the final draft. MW: revised the final draft and made minor editions.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer-reviewed.