Experience of end-stage patients and their families participating in shared decision-making for hospice care:a Meta-integration
ZHANG Qian
LU Yulin
LU Yan
CAO Mingrui
WANG Xiaoqin
SHI Shuyu
Abstract：Objective:To systematically evaluate the qualitative study of end-stage patients and their families participating in shared decision making in hospice care,and to provide evidence-based evidence for the application of shared decision making in hospice patients.Methods:Relevant qualitative studies were retrieved from PubMed,Web of Science,the Cochrane Library,CNKI,VIP,WanFang Database,etc.The retrieval time was from the establishment of each database to May 2023.The included literature was evaluated according to the Joanna Briggs Institute(JBI)qualitative research quality evaluation criteria,and the results were integrated using a pooled integration method.Results:A total of 7 articles were included,and 28 research results were extracted and summarized into 8 categories.It is further integrated into three major themes,including the prerequisite for sharing decision-making between terminal patients and their families,the influencing factors for sharing decision-making between terminal patients and their families,and the troubling factors for sharing decision-making between terminal patients and their families.Conclusion:In the future,we should promote the implementation of shared decision making in hospice care from many aspects,such as patient autonomy,doctor-patient relationship,intermediary role,ACP and psychological support.
Keywords：palliative careshared decision-makingend stageMeta-integrationevidence-based nursingqualitative research
Publication Date：2024-07-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 2505-2510 )