Is there scope to do better? Clinical communication with adolescents and young adults with cancer-A scoping review.

Autor: Critoph DJ; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Cable M; Institute of Clinical Sciences, College of Medical and Dental School, University of Birmingham, Birmingham, UK., Farmer J; Haematology & Oncology Department, Sheffield Children's NHS Foundation Trust, Sheffield, UK., Hatcher HM; Department of Oncology, Addenbrooke's Hospital, Cambridge University Hospital NHS Trust, Cambridge, UK., Kuhn I; Isla Kuhn, Head of Medical Library Services, University of Cambridge Medical Library, Cambridge, UK., Taylor RM; Centre for Nurse, Midwife and Allied Health Profession Led Research (CNMAR), University College London Hospitals NHS Foundation Trust, London, UK., Smith LAM; Department of Oncology, Addenbrooke's Hospital, Cambridge University Hospital NHS Trust, Cambridge, UK.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2024 Apr; Vol. 33 (4), pp. e6317.
DOI: 10.1002/pon.6317
Abstrakt: Introduction: How to communicate effectively with adolescent and young adults with cancer (AYACs) is a research priority. In a UK-wide survey of young people with cancer's research priorities, communication was a striking cross-cutting theme. It is increasingly recognised that AYACs have experiences and communication needs that differ significantly from those of younger children and older adults. The purpose of this review is to explore the features of effective clinical communication with AYACs.
Methods: A literature search was undertaken to identify and map the available evidence using a broad scope to get an overview of the pertinent literature, identify knowledge gaps and clarify concepts. The searches yielded 5825 records, generating 4040 unique articles. These were screened and 71 full articles were read by four researchers with disagreements resolved by discussion leaving 29 included articles. Narrative synthesis was undertaken in relation to each of the research questions.
Results: Three key themes were identified: being an adolescent/young adult, supporters, and healthcare professionals (HCPs). AYACs need to feel that HCPs understand their unique perspective. They want to be involved, this changes over time and in different contexts. Supporters are a central tenet, are most often parents and undertake several roles which are not always universally supportive. HCPs enable involvement of AYACs, and this needs to be actively promoted. AYACs preference for their level of involvement requires continual assessment. The three themes are interlinked and exist within the wider scope of the triadic encounter and cancer experience.
Conclusion: Supporters, most often parents were a key feature across the data and were seemingly paradoxical in nature. Triadic communication, the presence of a third person, is a central tenet of communication with AYACs and we propose a conceptual model to represent the nuances, components, and facets of this complex communication.
(© 2024 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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