Cognition and experience of palliative care nurses regarding truthful disclosure of cancer diagnosis to patients: a Meta-synthesis
10.3760/cma.j.cn115682-20241203-06653
- VernacularTitle:安宁疗护护士癌症患者病情告知认知与体验的Meta整合
- Author:
Xin CHEN
1
;
Biyun XIA
;
Yiyun YANG
;
Tingting WANG
;
Jun KONG
;
Meiyuan WANG
;
Li LI
Author Information
1. 同济大学医学院，上海 200331
- Publication Type:Journal Article
- Keywords:
Neoplasms;
Truth disclosure;
Palliative care nurses;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(23):3167-3173
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate and synthesize qualitative studies on palliative care nurses' cognition and experiences in disclosing the truth about a cancer diagnosis to patients, and to provide a reference for developing comprehensive and targeted communication strategies.Methods:A systematic search was conducted in PubMed, Embase, Cochrane Library, Wiley, Web of Science, China National Knowledge Infrastructure, VIP, Wanfang Data, and China Biology Medicine disc for qualitative studies on palliative care nurses' cognition and experience regarding truth-telling to cancer patients. The search covered publications from inception to November 2024. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research (2016) was used for quality appraisal, and meta-synthesis was performed using an aggregative approach.Results:A total of 12 studies were included. From these, 26 themes were extracted, which were categorized into 9 categories and ultimately synthesized into 3 integrated findings: palliative care nurses' understanding of truth-telling to cancer patients; barriers encountered by palliative care nurses in truth-telling; strategies to facilitate effective disclosure.Conclusions:Palliative care nurses recognize the value of truth-telling in cancer care but face multiple barriers in its implementation. Future efforts should focus on enhancing training, promoting interdisciplinary team collaboration, and improving public awareness to advance communication practices regarding truth-telling in palliative care.
