Communication in the transition from cancer patient to palliative care: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14302

Keywords:

Medical oncology; Communication; Palliative care.

Abstract

The objective was to investigate the evidence about the communication in the transition from cancer patient to palliative care. An integrative review was carried out through the PICo strategy, whose guiding question was "What are the evidences about communication in the transition from the cancer patient to the palliative care? The databases were MEDLINE, LILACS and BDENF through the Virtual Health Library; Pubmed, Scopus and Web of Science. A total of 14 articles were published in the period 2014-2018. The thematic analysis classified two thematic categories: 1- Communication barriers in the transition to palliative care. 2- Strategies for effective communication in the transition to palliative care. The thematic categories discussed showed that communication in the transition to palliative care is still a difficult and complex time for health professionals, favoring communication barriers between the team-patient-family triad. However it is a strategic time to plan and redesign treatment goals, where strategies such as honest, brief and continuous communication are important for effective communication.

References

Abreu, W. C. (2017). De uma síndrome a condição social: cuidados paliativos a pessoas com demência avançada. Rev Rene, 18(1),1-2. https://doi.org/10.15253/2175-6783.2017000100001

Afonso, S. B. C., & Minayo, M. C. S. (2017). Relações entre oncohematopediatras, mães e crianças na comunicação de notícias difíceis. Ciência Saúde Coletiva, 22(1),53-62.https://doi.org/10.1590/1413-81232017221.14592016

Almeida K. L. S., & Garcia D. M. (2015). Use of communication strategies in palliative care in Brazil: integrative review. Cogitare enferm, 20(4), 720-727. http://dx.doi.org/10.5380/ce.v20i4.3950

Anderson, W. G., Kools, S., & Lyndon, A. (2013). Dancing around death: hospitalist-patient communication about serious illness. Qualitative Health Research, 23(1), 3-13.https://doi.org/10.1177/1049732312461728

Andrade, C. G., Costa, S. F. G., & Lopes, M. E. L. (2013). Cuidados paliativos: a comunicação como estratégia de cuidado para o paciente em fase terminal. Ciência & Saúde Coletiva, 18(9), 2523-2530. https://doi.org/10.1590/S1413-81232013000900006

Brom, L., Pasman, H. R., Widdershoven, G. A., Van der Vorst, M.J., Reijneveld, J.C., Postma, T.J., & Onwuteaka-Philipsen, B.D. (2014). Patients' preferences for participation in treatment decision-making at the end of life: qualitative interviews with advanced cancer patients. PloS one, 9(6), e100435.http://dx.doi.org/10.1371/journal.pone.0100435

Butler, A., Hall, H., & Copnell, B. (2016). A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews on Evidence-Based Nursing, 13(3), 241–249. https://doi.org/10.1111/wvn.12134

Desantis, C. E., Lin, C. C., Mariotto, A. B., Siegel, R. L., Stein, K. D., Kramer, J. L.,... & Jemal, A. (2014). Cancer treatment and survivorship statistics. A Cancer Journal for Clinicians, 64(4), 252-271. https://doi.org/10.3322/caac.21235

Enzinger, A. C., Zhang, B., Schrag, D., & Prigerson, H.G. (2015). Outcomes of Prognostic Disclosure: Associations With Prognostic Understanding, Distress, and Relationship With Physician Among Patients With Advanced Cancer. Journal of clinical oncology, 33(32), 3809-3816. http://dx.doi.org/10.1200/JCO.2015.61.9239

Epstein, A. S., Prigerson, H. G., O'Reilly, E. M., & Maciejewski, P.K. (2016). Discussions of life expectancy and changes in illness understanding in patients with advanced cancer. Journal of Clinical Oncology, 34(20):2398-2403. http://dx.doi.org/10.1200/JCO.2015.63.6696

Galvão, M. I. Z., Borges, M.D.S., & Pinho, D. L. M. (2017). Comunicação interpessoal com pacientes oncológicos em cuidados paliativos. Revista Baiana de Enfermagem, 31(3), e22290. http://dx.doi.org/10.18471/rbe.v31i3.22290

Gramling, R., Fiscella, K., Xing, G., Hoerger, M., Duberstein, P., Plumb, S., … & Epstein, R. M. (2016). Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Onco, 2(11), 1421-1426. http://dx.doi.org/10.1001/jamaoncol.2016.1861

Instituto Nacional de Câncer José Alencar Gomes da Silva. (2017). Estimativa 2018: incidência de câncer no Brasil. Rio de Janeiro: INCA

Kawaguchi, S., Mirza, R., Nissim, R, & Ridley, J. (2017). Internal medicine residents' beliefs, attitudes, and experiences relating to palliative care: a qualitative study. American Journal of Hospice and Palliative Medicine, 34(4):366-372. http://ascopubs.org/doi/pdf/10.1200/JCO.2016.68.5651

Kumata, C. S., Aparecida Borges, A., & Dupas, G. (2015). Communicating bad news to family of hospitalized child. Ciencia, Cuidado e Saude , 14(4), 1411-1418.http://dx.doi.org/10.4025/cienccuidsaude.v14i4.25894

Lima, M. P. O., & Oliveira, M. C. X (2015). Significados do cuidado de enfermagem para familiares de pacientes em tratamento paliativo. Rev Rene, 16(4), 593-602. https://doi.org/10.15253/2175-6783.2015000400017

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: a guide to best practice. 3° ed. Philadelphia: Lippincot.

Minayo, M. C. S., Deslandes, S. F., & GOMES, R. (2016). Pesquisa social: teoria, método e criatividade. Petrópolis: Vozes.

Minayo, M. C. S., Deslandes, S. F., & GOMES, R. (2016). Pesquisa social: teoria, método e criatividade. Petrópolis: Vozes.

Munhoz, B. A., Paiva,H.S., Abdalla, B. M. Z., Zaremba, G., Rodrigues, A. M. P., Carretti, M. R., … & Giglio, A. (2014). From one side to the other: what is essential? Perception of oncology patients and their caregivers in the beginning of oncology treatment and in palliative care. Einstein, 12(4),485-491.http://dx.doi.org/10.1590/S1679-45082014RC3091

Oostendorp, L. J., Ottevanger, P. B., Van de Wouw, A. J., Honkoop, A. H., Los, M., Van der Graaf, W. T., & Stalmeier, P. F. (2016). Patients' preferences for information about the benefits and risks of second-line palliative chemotherapy and their oncologist's awareness of these preferences. Journal of Cancer Education, 31(3), 443-448. http://dx.doi.org/10.1007/s13187-015-0845-9

Pacheco, L. S. P., Santos, G. S., Machado, R., Granadeiro, D. S., Melo, N. G. S., & Passos, J.P. (2020) The nurse’s effective communication process with the patient in palliative care. Research, Society and Development, 9(8), e747986524. https://doi.org/10.33448/rsd-v9i8.6524

Pfeil, T. A., Laryionava, K., Reiter-Theil, S., Hiddemann, W., & Winkler, E. C. (2015). What keeps oncologists from addressing palliative care early on with incurable cancer patients? an active stance seems key. The Oncologist , 20(1), 56. http://dx.doi.org/10.1634/theoncologist.2014-0031

Rodenbach, R .A., Brandes, K., Fiscella, K., Kravitz, R. L., Butow, P. N., Walczak, A., ... & Epstein, R. M. (2017). Promoting end-of-life discussions in advanced cancer: effects of patient coaching and question prompt lists. Journal of Clinical Oncology, 35(8): 842.

Salins, N., Patra, L., Rani, M. R. U., Lohitashva, S. O., Rao, R., Ramanjulu, R., & Vallath, N. (2016). Integration of early specialist palliative care in cancer care: survey of oncologists, oncology nurses, and patients. Indian journal of palliative care, 22(3), 258. http://dx.doi.org/10.4103/0973-1075.185030

Sawada, N. O., Paiva, B. S. R., Paiva, C.E., Sonobe, H. M., García-Caro, M. P., & Cruz-Quintana, F. (2017). Transcultural approach to the health-related quality of life of cancer patients. Rev Rene, 18(3), 368. https://doi.org/10.15253/2175-6783.2017000300012

Souza, M. T., Silva, M. D., & Carvalho, R. (2010) Revisão integrativa: o que é e como fazer? Einstein, 8(1 pt 1), 102-106. http://www.scielo.br/pdf/eins/v8n1/pt_1679-4508-eins-8-1-0102.pdf

Visser, M., Deliens, L., & Houttekier, D. (2014). Physician-related barriers to communication and patient- and family-centred decision-making towards the end of life in intensive care: a systematic review. Critical Care, 18(6), 1-19 .http://dx.doi.org/10.1186/s13054-014-0604-z

Wittenberg, E., Ferrell, B., Goldsmith, J., Ragan, S. L., & Buller, H. (2018). COMFORT™ SM communication for oncology nurses: Program overview and preliminary evaluation of a nationwide train-the-trainer course. Patient education and counseling, 101(3), 467-474. https://doi.org/10.1016/j.pec.2017.09.012

Published

15/04/2021

How to Cite

SILVA, J. L. R. da .; SOUZA, S. R. de .; ALCÂNTARA, L. F. F. L. de .; MACEDO, E. C. .; LUCAS, D. M. da S. .; CARDOZO, I. R. .; BARBOSA, M. C. T. .; CÂMARA, L. de S. . Communication in the transition from cancer patient to palliative care: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 4, p. e38210414302, 2021. DOI: 10.33448/rsd-v10i4.14302. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14302. Acesso em: 22 nov. 2024.

Issue

Section

Review Article