Experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer: A mixed methods systematic review

IF 7.5 1区 医学 Q1 NURSING
Sheeja Perumbil Pathrose , Kerry Sutcliffe , Esther Davis , Pandora Patterson , Jane Ussher , Lucie Ramjan
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引用次数: 0

Abstract

Background

Providing developmentally appropriate cancer services for adolescents and young adults is a challenge for the health sector. Current service approaches are fragmented and diverse, with amalgamation of adolescents and young adults' perspectives lacking in the literature. Whilst there has been progress in delivering care focused on adolescents and young adults, contemporary evidence is warranted to understand their experience to establish sustainable developmentally focused cancer care.

Objective

To examine the experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer.

Design

This systematic review was conducted in accordance with the Joanna Briggs Institute methodology for mixed methods systematic reviews using a convergent integrated approach. Studies focused on the care experiences of adolescents and young adults with a cancer diagnosis between the ages of 15 to 39 years were included in the review. A key word search of six relevant databases identified 2513 records and 57 full text records were screened for eligibility.

Results

16 qualitative studies, 12 quantitative studies and two mixed method studies were included in the analysis. Four synthesised findings were generated from 10 categories. Findings were conceptualised as: Developmentally appropriate information and communication, Decision-making process, Relationship, emotions and comfort, and Care environment. Findings highlighted information provided was inappropriate at the time of diagnosis and inadequate during treatment period and survivorship. They desired direct, open communication with healthcare providers and expected guidance in certain instances, however, also sought autonomy in decision-making. The support of family, peers and care-providers was considered invaluable to effectively cope with stressors. The need for cultivating an empathetic healthcare environment suitable for young people was also identified as a significant need.

Conclusions

This review affirmed that although significant effort has been invested, further work is needed to improve the cancer care experiences of adolescents and young people. The findings emphasise many preferences regarding how cancer services should be delivered, suggesting that services should be evaluated against these preferences. Ensuring developmental appropriateness is critical for the delivery of supportive cancer care.

Registration number

CRD42023413864 (PROSPERO).
针对青少年和青年癌症患者的发展适宜性癌症服务的经验和观点:一项混合方法的系统综述
为青少年和青壮年提供与发展相适应的癌症服务是卫生部门面临的一项挑战。目前的服务方法是碎片化和多样化的,与青少年和年轻人的观点缺乏文献的合并。虽然在提供以青少年和年轻人为重点的护理方面取得了进展,但有必要利用当代证据了解他们的经验,以建立可持续的以发展为重点的癌症护理。目的探讨青少年和青年癌症患者发展适宜性癌症服务的经验和观点。设计本系统评价是按照乔安娜布里格斯研究所的混合方法系统评价方法进行的,采用融合的综合方法。研究集中在15岁至39岁之间的青少年和年轻成人癌症诊断的护理经历。通过对6个相关数据库的关键词检索,筛选出2513条记录和57条全文记录。结果共纳入16项定性研究、12项定量研究和2项混合方法研究。从10个类别中产生了4个综合结果。研究结果被概念化为:发育适宜的信息和沟通,决策过程,关系,情绪和舒适度,以及护理环境。研究结果强调,在诊断时提供的信息不恰当,在治疗期间和生存期间提供的信息不充分。他们希望与医疗保健提供者进行直接、公开的沟通,并在某些情况下期望得到指导,然而,他们也寻求决策的自主权。家庭、同伴和护理人员的支持被认为是有效应对压力源的无价之宝。还确定需要培养适合年轻人的移情保健环境,这是一项重要需求。结论本综述肯定,尽管已经投入了大量的努力,但需要进一步的工作来改善青少年和年轻人的癌症护理体验。研究结果强调了关于如何提供癌症服务的许多偏好,表明应该根据这些偏好来评估服务。确保发育的适宜性对于提供支持性癌症治疗至关重要。注册号crd42023413864(普洛斯彼罗)。
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来源期刊
CiteScore
15.00
自引率
2.50%
发文量
181
审稿时长
21 days
期刊介绍: The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).
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