Department of Oncology, Odense University Hospital, Odense, Denmark.
REHPA, Danish Knowledge Centre of Rehabilitation and Palliative Care, Odense University Hospital, Odense, Denmark.
Palliat Support Care. 2022 Aug;20(4):570-581. doi: 10.1017/S1478951521000596.
To review current evidence of nurses' involvement in end-of-life discussions with incurable cancer patients and their family caregivers.
We conducted a systematic integrative review in accordance with PRISMA guidelines: PROSPERO, registration number: CRD42020186204.
CINAHL, Medline, PsycInfo, Embase. We searched for primary research between 2010 and 2020.
Of 3,271 references, we found 15 eligible articles: qualitative ( = 12) and quantitative ( = 3). The studies focused on oncology nurses' perspective of involvement in end-of-life discussions. The data analysis resulted in four overall themes: (1) the advocating, supporting, and reframing roles, and an undefined task, for example in medical consultations, (2) (3) and (4) .
The nurses have several roles in end-of-life discussions, but insufficient competencies to be involved in that kind of discussions, for example to involve and communicate with families. The findings implicate an educational need among the nurses. However, it also points toward an organizational change in the outpatient clinics, for example that end-of-life discussions follow a more structured approach, are offered in a scheduled manner, and that nurses invite the family caregivers to attend.
回顾护士在与绝症患者及其家属进行临终讨论方面的参与现状。
我们按照 PRISMA 指南进行了系统的综合评价：PROSPERO，注册号：CRD42020186204。
CINAHL、Medline、PsycInfo、Embase。我们搜索了 2010 年至 2020 年的原始研究。
在 3271 篇参考文献中，我们找到了 15 篇符合条件的文章：定性研究（=12 篇）和定量研究（=3 篇）。这些研究侧重于肿瘤护士参与临终讨论的观点。数据分析得出了四个总体主题：（1）倡导、支持和重新定义角色，以及一项未定义的任务，例如在医疗咨询中，（2） 、（3） 和（4） 。
护士在临终讨论中有多种角色，但在参与此类讨论方面的能力不足，例如与家属进行沟通。研究结果表明护士有教育需求。然而，这也意味着门诊科室需要进行组织变革，例如临终讨论采用更结构化的方法，以预定的方式提供，并邀请家属护理人员参加。
