Perspectives of clinicians on shared decision making in hospice care for advanced cancer patients in Nanjing: a descriptive qualitative study.

IF 2.5 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

BMC Palliative Care Pub Date : 2025-05-22 DOI:10.1186/s12904-025-01770-x

Tianyu Pang, Kairan Yan, Yujie Zhou, Lulu Sun, Ligui Wu, Ling Yuan, Zhi Zhou

{"title":"Perspectives of clinicians on shared decision making in hospice care for advanced cancer patients in Nanjing: a descriptive qualitative study.","authors":"Tianyu Pang, Kairan Yan, Yujie Zhou, Lulu Sun, Ligui Wu, Ling Yuan, Zhi Zhou","doi":"10.1186/s12904-025-01770-x","DOIUrl":null,"url":null,"abstract":"Background: As the cancer burden increases in China, the need for hospice care is escalating. The right of informed consent to hospice care for patients with advanced cancer is still at the experimental stage, and patients still face numerous obstacles when it comes to participating in hospice care decision-making. In this context, we conducted a qualitative study to explore perspectives of clinicians on shared decision making (SDM) in hospice care for advanced cancer patients.Methods: This study employed a descriptive phenomenological research method. We conducted semi-structured interviews with clinicians recruited from 4 hospital in Nanjing, Jiangsu Province, China from January to March 2023. Two researchers used Colaizzi 7-step analysis method to analyze, summarize, integrate and refine the data.Results: A total of 17 clinicians participated. Three main themes were extracted: (1) Clinician attitudes regarding SDM; (2) Influencing factors are multidimensional; (3) Recommendations for implementing SDM in hospice care decision-making.Conclusion: SDM in hospice care for advanced cancer patients was affected by multiple factors in medical practice. It is highly desirable to focus on improving the decision support system, optimizing the SDM model of hospice care to ensure the informed choice of patients with advanced cancer.","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"145"},"PeriodicalIF":2.5000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100774/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Palliative Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12904-025-01770-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: As the cancer burden increases in China, the need for hospice care is escalating. The right of informed consent to hospice care for patients with advanced cancer is still at the experimental stage, and patients still face numerous obstacles when it comes to participating in hospice care decision-making. In this context, we conducted a qualitative study to explore perspectives of clinicians on shared decision making (SDM) in hospice care for advanced cancer patients.

Methods: This study employed a descriptive phenomenological research method. We conducted semi-structured interviews with clinicians recruited from 4 hospital in Nanjing, Jiangsu Province, China from January to March 2023. Two researchers used Colaizzi 7-step analysis method to analyze, summarize, integrate and refine the data.

Results: A total of 17 clinicians participated. Three main themes were extracted: (1) Clinician attitudes regarding SDM; (2) Influencing factors are multidimensional; (3) Recommendations for implementing SDM in hospice care decision-making.

Conclusion: SDM in hospice care for advanced cancer patients was affected by multiple factors in medical practice. It is highly desirable to focus on improving the decision support system, optimizing the SDM model of hospice care to ensure the informed choice of patients with advanced cancer.

Abstract Image

查看原文本刊更多论文

南京市晚期癌症患者临终关怀共享决策的临床医生视角：一项描述性质的研究。

背景：随着中国癌症负担的增加，对临终关怀的需求也在不断上升。晚期癌症患者安宁疗护的知情同意权尚处于实验阶段，患者在参与安宁疗护决策时仍面临诸多障碍。在此背景下，我们进行了一项质性研究，探讨临床医生对晚期癌症患者安宁疗护中共同决策（SDM）的看法。方法：本研究采用描述现象学研究方法。我们于2023年1月至3月对从中国江苏省南京市4家医院招募的临床医生进行了半结构化访谈。两位研究者采用Colaizzi七步分析法对数据进行分析、总结、整合和细化。结果：共有17名临床医生参与。提取了三个主要主题：(1)临床医生对SDM的态度；(2)影响因素是多维的；(3)安宁疗护决策实施SDM之建议。结论：晚期癌症患者安宁疗护的SDM受医疗实践中多种因素的影响。需要重点完善决策支持系统，优化SDM临终关怀模式，确保晚期癌症患者的知情选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

9.70%

发文量

201

审稿时长

21 weeks

期刊介绍： BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.