Navigating Shared Decision-Making in the Palliative Journey of Cancer Patients: A Systematic Literature Review
Tubor, Millicent; Eboji, Ezekiel (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2023121437338
https://urn.fi/URN:NBN:fi:amk-2023121437338
Tiivistelmä
Cancer patients in palliative care often encounter complex decisions and challenges throughout their journey. Shared decision-making (SDM) is an element of patient-centred care where decisions concerning patients’ care are made by collaborating with the patient, the healthcare team, and the patient’s family to align with patients’ values, preferences, and goals. This study aimed to explore and promote the facilitation of SDM in palliative care for cancer patients.
A qualitative systematic literature review methodology with a comprehensive literature search of scientific electronic databases, which included EBSCO, CINAHL, PubMed, Springer Link, and DOAJ, was employed in this study. The theoretical framework employed in this study is Brendan McCormack’s Person-Centred Nursing (PCN) framework.
Six (6) key themes and fifteen (15) sub-themes emerged in total from the twenty (20) articles analysed. The main findings showed that cancer patients prefer collaborative decision-making and wish to discuss issues that extend beyond their illness. Education of patients and training of health care professionals (HCPs) also proved to be vital strategies for promoting SDM.
In conclusion, a clear understanding of the experiences, values, and preferences of cancer patients helps in the development of tailored strategies to facilitate the shared decision-making process, ultimately enhancing a more holistic and patient-centred approach to palliative care.
A qualitative systematic literature review methodology with a comprehensive literature search of scientific electronic databases, which included EBSCO, CINAHL, PubMed, Springer Link, and DOAJ, was employed in this study. The theoretical framework employed in this study is Brendan McCormack’s Person-Centred Nursing (PCN) framework.
Six (6) key themes and fifteen (15) sub-themes emerged in total from the twenty (20) articles analysed. The main findings showed that cancer patients prefer collaborative decision-making and wish to discuss issues that extend beyond their illness. Education of patients and training of health care professionals (HCPs) also proved to be vital strategies for promoting SDM.
In conclusion, a clear understanding of the experiences, values, and preferences of cancer patients helps in the development of tailored strategies to facilitate the shared decision-making process, ultimately enhancing a more holistic and patient-centred approach to palliative care.