{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T09:04:05Z","timestamp":1765789445961,"version":"3.48.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"unspecified","delay-in-days":348,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101144_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the spirituality issues among cancer patients undergoing cancer treatment at Ocean Road Cancer Institute (ORCI), Dar es Salaam, Tanzania.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101144_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a qualitative study involving purposively selected cancer patients receiving treatment at ORCI, Dar es Salaam, Tanzania. Data were collected through one-to-one audiotaped interviews using a pilot-tested semi-structured interview guide. Data saturation was reached at the 24th interview. Thematic data analysis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101144_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-four cancer patients attending ORCI, consisting of 12 males and 12 females, aged 18\u201365, participated in the study. The majority of participants, 71% (\n                      <jats:italic>n<\/jats:italic>\n                      =\u00a017), had low education, 71% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a017) were of low socioeconomic status, and 83% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a020) were either Christians or Muslims. Six broad themes emerged: aspects of life contributing to meaning and purpose of life, beliefs surrounding cancer, effects of cancer on spirituality, spirituality in relation to seeking health care, spirituality and coping with cancer, and spirituality needs of cancer patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101144_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Cancer patients at ORCI face significant spirituality issues and hold misconceptions about the causes and treatment of cancer. Palliative care practitioners must routinely identify and address spiritual issues of cancer patients in order to improve the quality of life of cancer patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101144","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T08:59:51Z","timestamp":1765789191000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Spirituality issues in cancer patients at Ocean Road Cancer Institute, Dar es Salaam, Tanzania"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3442-2593","authenticated-orcid":false,"given":"Veronica Bernard","family":"Mkusa","sequence":"first","affiliation":[{"name":"Palliative Care Trainer and Researchers Network of Tanzania: Master of Science in Palliative Care Graduate, IHPCA\/Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5104-1994","authenticated-orcid":false,"given":"Nazima","family":"Dharsee","sequence":"additional","affiliation":[{"name":"Ocean Road Cancer Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6464-9378","authenticated-orcid":false,"given":"Janepher","family":"Nyakake","sequence":"additional","affiliation":[{"name":"Institute of Hospice and Palliative Care in Africa\/Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9792-7168","authenticated-orcid":false,"given":"Stanley Wilson","family":"Acuda","sequence":"additional","affiliation":[{"name":"Institute of Hospice and Palliative Care in Africa\/Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"S1478951525101144_ref2","volume-title":"Birmingham and Solihull Mental Health","author":"Barber","year":"2015"},{"key":"S1478951525101144_ref12","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/927973"},{"key":"S1478951525101144_ref17","first-page":"1","article-title":"What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England","volume":"18","author":"Murphy","year":"2018","journal-title":"J BMC Cancer"},{"key":"S1478951525101144_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-024-08378-6"},{"key":"S1478951525101144_ref13","first-page":"1","article-title":"Cancer-related concerns and needs among young adults and children on cancer treatment in Tanzania: a qualitative study","volume":"19","author":"Kohi","year":"2019","journal-title":"J BMC Cancer"},{"key":"S1478951525101144_ref28","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2015-133369"},{"key":"S1478951525101144_ref14","doi-asserted-by":"publisher","DOI":"10.4103\/apjon.apjon_65_18"},{"key":"S1478951525101144_ref22","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2001.11927788"},{"key":"S1478951525101144_ref27","first-page":"15059","article-title":"Spirituality, religion and palliative care","volume":"3","author":"Richardson","year":"2014","journal-title":"Annals of Palliative Medicine"},{"key":"S1478951525101144_ref11","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/0973-1075.150190","article-title":"Spiritual needs of cancer patients: a qualitative study","volume":"21","author":"Hatamipour","year":"2015","journal-title":"Indian Journal of Palliative Care"},{"key":"S1478951525101144_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07267-0"},{"key":"S1478951525101144_ref15","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19094952"},{"key":"S1478951525101144_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.01.019"},{"key":"S1478951525101144_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780197551349.003.0024"},{"key":"S1478951525101144_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/9781911623311.019"},{"key":"S1478951525101144_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mds091"},{"key":"S1478951525101144_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4089-1"},{"key":"S1478951525101144_ref20","unstructured":"Ocean Road Cancer Institute, 2025 https:\/\/www.orci.or.tz"},{"key":"S1478951525101144_ref24","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mds088"},{"key":"S1478951525101144_ref19","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.763900"},{"key":"S1478951525101144_ref10","first-page":"3","article-title":"Triangulation: establishing the validity of qualitative studies: FCS6014\/FY394","volume":"2011","author":"Guion","year":"2011","journal-title":"Rev"},{"key":"S1478951525101144_ref21","unstructured":"PeaceHealth, M and Bill, P (2023) Adjustment to Cancer: anxiety and Distress (PDQ\u00ae): supportive Care-Health Professional Information [NCI]."},{"key":"S1478951525101144_ref7","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0431"},{"key":"S1478951525101144_ref30","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011948"},{"key":"S1478951525101144_ref6","first-page":"534803","article-title":"Tanzanian nurses understanding and practice of spiritual care","volume":"2011","author":"Dhamani","year":"2011","journal-title":"International Scholarly Research Notices"},{"key":"S1478951525101144_ref29","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0536"},{"key":"S1478951525101144_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02633-z"},{"key":"S1478951525101144_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2020.101792"},{"key":"S1478951525101144_ref23","doi-asserted-by":"publisher","DOI":"10.1179\/0969926012Z.00000000028"},{"key":"S1478951525101144_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-05536-2_12"},{"key":"S1478951525101144_ref8","doi-asserted-by":"crossref","first-page":"437","DOI":"10.4103\/IJPC.IJPC_53_17","article-title":"Spiritual needs and quality of life of patients with cancer","volume":"23","author":"Forouzi","year":"2017","journal-title":"Indian Journal of Palliative Care"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T08:59:54Z","timestamp":1765789194000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525101144\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":31,"alternative-id":["S1478951525101144"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525101144","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e211"}}