Exploring the experiences of healthcare practitioners regarding the palliative care needs of women receiving palliative chemotherapy for breast cancer in Ghana

Background : Breast cancer is a major global health concern, with rising incidence, particularly among women under 50, and a heavy burden in low- and middle-income countries. In Ghana, most women are diagnosed at advanced stages, with limited access to early detection, treatment, and palliative care. The country lacks a national palliative care policy, worsening the challenges faced by patients and healthcare providers. Women undergoing palliative chemotherapy encounter significant physical, emotional, and psychosocial difficulties that demand holistic care. Aim : This study aims to explore the experiences of healthcare practitioners in addressing the palliative care needs of women with advanced breast cancer in Ghana. Methods : A qualitative exploratory descriptive research design was adopted for the study. A census sampling technique was used to recruit ten participants. A semi-structured interview guide was employed to conduct face-to-face, in-depth interviews in English. Data collection and analysis occurred concurrently. Data were analyzed using content analysis. Results : Four (4) themes and twelve (12) sub-themes were generated from the data. The themes were: 1. Impact of cancer care on health professionals 2. Coping in cancer care 3. Challenges in providing palliative care 4. Need for symptoms management and support systems Conclusion and implication: This study highlights that healthcare professionals managing palliative chemotherapy for women with breast cancer endure profound physical, emotional, and psychosocial burdens, often without structured support. Burnout, compassion fatigue, and physical strain are prevalent challenges. Resilience is fostered through experience, goal attainment, and social support. Cultural beliefs, inadequate advocacy, financial hardship, and resource constraints further complicate care delivery in Ghana. Structured emotional, psychosocial, and professional support systems are lacking. Systemic interventions are urgently needed to enhance healthcare provider well-being and patient care quality. Future research should focus on developing and evaluating structured emotional resilience programs, peer support networks, and mentorship initiatives for oncology healthcare workers.