Nursing practice in cancer treatment decision making among older adults: A scoping review on behalf of the International Society of Geriatric Oncology Nursing, Allied Health, and Scientists Interest Group

IF 2.9 3区医学 Q3 GERIATRICS & GERONTOLOGY

Journal of geriatric oncology Pub Date : 2026-04-01 Epub Date: 2026-03-02 DOI:10.1016/j.jgo.2026.102906

Fay J. Strohschein , Hanneke van der Wal-Huisman , K. Alix Hayden , Kristen R. Haase , Michelle Hannan , Cindy Kenis , Juan Li , Nikita Nikita , Sophie Pilleron , Tracy Ruegg , Heike Schmidt , Anke Steckelberg , Cassandra Vonnes , Martine Puts

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引用次数: 0

Abstract

Introduction

Cancer treatment decision making (CTDM) presents important challenges among older adults due to variation in health and functional status, presence of comorbidities, differing goals/values, quality and quantity of life considerations, and limited inclusion in clinical trials. Nursing standards and guidelines call for competence in supporting CTDM and nurses advocate for greater involvement. However, clear understanding of the existing evidence to inform nursing practice is lacking.

We aimed to map and synthesize evidence that provides insight into nursing practice in CTDM among older adults, with attention to nursing roles, required skills and competencies, potential barriers and facilitators, and outcomes studied.

Materials and Methods

Following JBI (formerly Joanna Briggs Institute) methodology for scoping reviews, we included empirical articles that describe nursing contribution, individually or as part of a multidisciplinary team (MDT), related to CTDM for active (curative or non-curative) treatment among adults aged ≥60 years diagnosed with cancer. Nine databases were searched systematically from inception to January 2024, no limits applied. Two independent reviewers screened identified records and full texts, then systematically extracted data from included articles. Basic qualitative content analysis was conducted on charted data.

Results

Of the 9582 records screened, 980 full texts were assessed for eligibility; 84 reports describing 78 studies were included. Conducted primarily in the United States or United Kingdom, studies described nursing interventions, nursing involvement in geriatric assessment and MDT meetings/clinics, and the perspectives of patients, family, and/or healthcare professionals. Although seldom the primary focus, researchers have highlighted the important roles of nurses in the CTDM process, before, during, and after consultations with physicians and MDT meetings, which require disease-specific knowledge and relational skills. MDT collaboration, training, dedicated time and space, adequate resources, and support from leadership are critical to promoting involvement, with potential impact on decision satisfaction and optimal treatment decisions. The value of nurses' involvement is endorsed by patients, family, and other healthcare professionals.

Discussion

Nurses play a vital role in CTDM among older adults, particularly in the MDT context. However, rigorous studies demonstrating the impact of nursing practice on CTDM outcomes among older adults are lacking. Further research is needed to inform nursing practice and interventions.

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老年人癌症治疗决策中的护理实践：代表国际老年肿瘤护理学会、联合健康和科学家兴趣小组进行的范围审查。

导言：由于老年人健康和功能状态的变化、合并症的存在、不同的目标/价值观、对生活质量和数量的考虑以及临床试验的有限纳入，癌症治疗决策（CTDM）在老年人中提出了重要的挑战。护理标准和指南要求有能力支持CTDM，护士提倡更多的参与。然而，缺乏对现有证据的清晰理解，以告知护理实践。我们的目的是绘制和综合证据，为老年人CTDM的护理实践提供见解，关注护理角色，所需的技能和能力，潜在的障碍和促进因素，以及研究的结果。材料和方法：采用JBI（原乔安娜布里格斯研究所）的方法进行范围审查，我们纳入了描述护理贡献的实证文章，这些文章单独或作为多学科团队（MDT）的一部分，与CTDM在60岁以上诊断为癌症的成年人中的积极（治愈或非治愈）治疗有关。从成立到2024年1月，系统检索了9个数据库，没有限制。两名独立审稿人筛选确定的记录和全文，然后系统地从纳入的文章中提取数据。对图表数据进行了基本的定性内容分析。结果：在筛选的9582份记录中，980份全文被评估为合格；纳入了84份报告，描述了78项研究。主要在美国或英国进行的研究描述了护理干预、护理参与老年评估和MDT会议/诊所，以及患者、家庭和/或医疗保健专业人员的观点。虽然很少是主要焦点，但研究人员已经强调了护士在CTDM过程中的重要作用，在与医生和MDT会议会诊之前，期间和之后，这需要特定疾病的知识和关系技能。MDT合作、培训、专门的时间和空间、充足的资源以及领导层的支持对于促进参与至关重要，对决策满意度和最佳治疗决策具有潜在影响。护士参与的价值得到了患者、家属和其他医疗保健专业人员的认可。讨论：护士在老年人CTDM中起着至关重要的作用，特别是在MDT的背景下。然而，缺乏严谨的研究证明护理实践对老年人CTDM结果的影响。需要进一步的研究来为护理实践和干预提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of geriatric oncology ONCOLOGY-GERIATRICS & GERONTOLOGY

CiteScore

5.30

自引率

10.00%

发文量

379

审稿时长

80 days

期刊介绍： The Journal of Geriatric Oncology is an international, multidisciplinary journal which is focused on advancing research in the treatment and survivorship issues of older adults with cancer, as well as literature relevant to education and policy development in geriatric oncology. The journal welcomes the submission of manuscripts in the following categories: • Original research articles • Review articles • Clinical trials • Education and training articles • Short communications • Perspectives • Meeting reports • Letters to the Editor.