Seminars in Oncology Nursing最新文献

{"title":"The Relationship Between Perceived Comfort Level with Moral Sensitivity and Moral Distress Among Oncology Nurses: A Descriptive Correlational Study","authors":"Samira Beiranvand ,&nbsp;Kourosh Zarea ,&nbsp;Shahram Molavynejad ,&nbsp;Simin Madhooshi ,&nbsp;Parisa Sheini Jaberi","doi":"10.1016/j.soncn.2024.151742","DOIUrl":"10.1016/j.soncn.2024.151742","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between perceived comfort level with moral distress and moral sensitivity among oncology nurses</div></div><div><h3>Methods</h3><div>This is a descriptive-correlational study on 210 oncology nurses. The samples were selected through the convenience method from September 2020 to February 2022 in the oncology centers of Ahvaz, Iran. Data were collected via a demographic form, Lutzen's Modified Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, and Kolcaba's Nurses Comfort Questionnaire (NCQ). Data were analyzed using SPSS V24, descriptive statistics, Independent t, Mann-Whitney-U, Kruskal-Wallis, Pearson's correlation coefficient, ANOVA, and linear regression tests.</div></div><div><h3>Results</h3><div>Nurses experienced a moderate level of perceived comfort (67.91 ± 8.75), moral sensitivity (58.4 ± 13.3), and moral distress (57.54.8 ± 8.9). Moral sensitivity was significantly inversely related to the intensity of moral distress (<em>P</em> &lt; .001). A statistically significant relationship was found between nurses' perceived comfort level with frequency of distress (<em>P</em> &lt; .001) and moral sensitivity (<em>P</em> = .046). Moral distress explained 13.8% of changes in perceived comfort level (R2 = 0.138, F = 6.51, sig &lt; 0.001, R = 0.371).</div></div><div><h3>Conclusion</h3><div>Nurses’ perceived comfort level, moral sensitivity, and moral distress were at a moderate level and intercorrelated. It is suggested that factors contributing to moral distress should be eliminated. Also, moral sensitivity should be refined as a decisive factor.</div></div><div><h3>Implication for Nursing Practice</h3><div>Oncology nurses are exposed to morally distressing situations that may be a source of discomfort. This study guides nurses, managers, planners, and policymakers to identify the contributing factors and use strategies and solutions to enhance nurses' perceived comfort level.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151742"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Index Conditions: Applying a Multimorbidity Approach to Renal Cancer Nursing","authors":"Chris McParland ,&nbsp;Muzeyyen Seckin ,&nbsp;Bridget Johnston","doi":"10.1016/j.soncn.2024.151743","DOIUrl":"10.1016/j.soncn.2024.151743","url":null,"abstract":"<div><h3>Objective</h3><div>This article aims to describe the key components of renal cancer nursing and multimorbidity nursing, and reflects on how adopting a multimorbidity approach to renal cancer nursing can help nurses provide holistic patient care.</div></div><div><h3>Methods</h3><div>This is a discussion paper drawing on relevant evidence and theory.</div></div><div><h3>Results</h3><div>Renal cancer nurses have a highly specialised knowledge base and are able to use this expertise to deliver excellent care to people with cancer. However, lots of people with cancer have other conditions as well. Adopting a multimorbidity approach to nursing care provides a more holistic framework for care delivery.</div></div><div><h3>Conclusions</h3><div>Cancer nurses are ideally placed to support patients in this way, so they are able to deliver care which accounts for factors such as treatment burden and how this impacts on patients and carers.</div></div><div><h3>Implications for nursing practice</h3><div>Nurses who care for people with renal cancer should view their patients through the lens of multimorbidity. This involves screening for other chronic conditions, considering polypharmacy, providing emotional support and continuity of care, and coordinating care in a way that accounts for the potentially burdensome nature of the patient's interactions with health care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151743"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Characteristics of the Quality of Oncology Nursing Care Scale (QONCS): A Validation Study","authors":"Ilaria Marcomini ,&nbsp;Roberta Pendoni ,&nbsp;Mattia Bozzetti ,&nbsp;Maria Mallio ,&nbsp;Francesca Riboni ,&nbsp;Valerio Di Nardo ,&nbsp;Rosario Caruso","doi":"10.1016/j.soncn.2024.151751","DOIUrl":"10.1016/j.soncn.2024.151751","url":null,"abstract":"<div><h3>Objectives</h3><div>Quality care in healthcare settings shortens hospitalization, reduces infection rates and complication risks, and improves patients’ ability to manage their symptoms. Due to the absence of tools for assessing care quality in Italian oncology settings, this study aimed to evaluate the psychometric properties of the Italian version of the Quality of Oncology Nursing Care Scale (QONCS).</div></div><div><h3>Methods</h3><div>The study comprised 4 phases. Phase I involved cultural adaptation of the QONCS following Brislin's model. In phase II, 6 external experts assessed the instrument's face and content validities. In phase III, a cross-sectional study was conducted at 3 hospitals from February to September 2023. In phase IV, factor analyses were performed using exploratory structural equation modeling.</div></div><div><h3>Results</h3><div>The 5-dimensional structure of the adapted QONCS showed a good fit based on the following statistics: χ² (324, N = 219) = 704.690, <em>P</em> &lt; .001; root mean square error of approximation = 0.059 (90% confidence interval [CI] = 0.52-0.66), <em>P</em> &lt; .001; comparative fit index = 0.935; Tucker–Lewis index = 0.908; standardized root mean square residual = 0.026. McDonald's ω (0.968) indicated satisfactory internal consistency. The test-retest reliability demonstrated a high and significant positive correlation. Correlation analysis revealed that age, marital status, and employment status were significantly and positively associated with the QONCS score.</div></div><div><h3>Conclusion</h3><div>This study confirms the validity and reliability of the QONCS. We recommend using the QONCS to thoroughly assess nursing care quality and identify factors that influence the delivery of high-quality care in oncology settings.</div></div><div><h3>Implications for Nursing Practice</h3><div>Our findings highlight the value of the QONCS in helping nurses assess and improve perceived care quality among patients with cancer. Valid and reliable tools, such as the QONCS, are crucial for guiding policies to enhance patient care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151751"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Renal Cancer: Room for Optimism and a Key Role for Oncology Nursing","authors":"Daniel Kelly","doi":"10.1016/j.soncn.2024.151754","DOIUrl":"10.1016/j.soncn.2024.151754","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151754"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonpharmacological Interventions for the Fatigue–Pain–Sleep Disturbance Symptom Cluster in Lung Cancer Patients: Best Evidence Summary","authors":"Le Zhang ,&nbsp;Yuanyuan Luo ,&nbsp;Dongmei Mao ,&nbsp;Benxiang Zhu ,&nbsp;Zhihui Yang ,&nbsp;Jingxia Miao ,&nbsp;Lili Zhang","doi":"10.1016/j.soncn.2024.151727","DOIUrl":"10.1016/j.soncn.2024.151727","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to summarize the most effective evidence on nonpharmacological interventions for the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster in lung cancer patients and to provide evidence-based management methods for clinical team and lung cancer patients.</div></div><div><h3>Methods</h3><div>Guided by the \"6S\" pyramid model, we retrieved evidence on fatigue, pain, and sleep disturbance management from relevant websites and databases, and unpublished gray literature was also searched. The time frame of the search ranged from database establishment to September 30, 2023. Two researchers independently evaluated the literature quality using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) for guidelines, and the Assessment of Multiple Systematic Reviews II (AMSTAR II) for systematic reviews. Two people independently extracted and summarized the evidence according to the first principle of high-quality evidence and newly published evidence. The included evidence was graded by the JBI Evidence Pre-Grading System.</div></div><div><h3>Results</h3><div>A total of 52,238 articles were retrieved, of which 60 articles, including 18 guidelines, 18 JBI best practice recommendations, one Up To Date clinical practice, and 23 systematic reviews, were included. Overall, 49 pieces of evidence from six dimensions—screening, assessment, management, education, referral, and follow-up—were summarized. Forty-three pieces of evidence were level 1, three pieces of evidence were level 4, and three pieces of evidence were level 5.</div></div><div><h3>Conclusions</h3><div>The best 49 pieces of evidence on nonpharmacological interventions for the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster in lung cancer patients were summarized in this study, and these nonpharmacological interventions are scientific and comprehensive.</div></div><div><h3>Implications for Nursing Practice</h3><div>This study can provide guidance for clinical team to improve the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster management. These evidence items can be implemented by clinical team to reduce the symptom burden and improve the self-management ability of symptoms in lung cancer patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151727"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Validation and Cultural Adaptation of the Family Care Ability Assessment Scale for Pediatric Oncology Caregivers","authors":"Derya Akdeniz Uysal ,&nbsp;Rana Yigit ,&nbsp;Nezaket Bilge Uzun","doi":"10.1016/j.soncn.2024.151726","DOIUrl":"10.1016/j.soncn.2024.151726","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the psychometric properties of the Turkish version of the \"Caring Ability of Family Caregivers of Patients with Cancer Scale\" in parents of children with cancer\".</div></div><div><h3>Methods</h3><div>The current study has a methodological design. The study group consisted of 493 parents of children with oncological problems who were followed in the pediatric hematology-oncology departments of three university hospitals. Data were collected between January and December 2021 through convenience sampling. The face, content construct validity, internal consistency, and scale stability were evaluated. SPSS 26.0 and LISREL 8.80 package programs were used to analyze the data.</div></div><div><h3>Results</h3><div>In the confirmatory factor analysis; root mean- mean square error of approximation, comparative fit index, normed fit index, and non-normed fit index were determined to be 0.08, 0.93, 0.91, and 0.92, respectively. Cronbach's alpha reliability coefficient obtained from the entire scale was calculated to be 0.88, the stability correlation coefficient was 0.84 (<em>p</em> &lt; .005) and the item-total correlation coefficient was calculated between 0.249 and 0.716.</div></div><div><h3>Conclusions</h3><div>The scale adapted to Turkish culture can be considered a valid and reliable tool for the assessment of the caring ability of family caregivers of patients with cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>The scale can be used to assess parents' caregiving abilities, to determine their strengths and weaknesses. In this respect, it can contribute to the creation of an education plan, the development of parents' caregiving abilities and the increase in the quality of care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151726"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I thought I was Probably Going to Die due to People Looking at me with Pity”: A Phenomenological Qualitative Study on the Lived Cancer Stigma Experiences of Breast Cancer Patients","authors":"Tuğba Pehlivan Sarıbudak ,&nbsp;Esra Mertek ,&nbsp;Dilara Kadriye Korkmaz ,&nbsp;Gülsüm Duygu Acar ,&nbsp;İrem Doğan","doi":"10.1016/j.soncn.2024.151747","DOIUrl":"10.1016/j.soncn.2024.151747","url":null,"abstract":"<div><h3>Objectives</h3><div>It has been stated that there is a need for more recognition of the “stigma concept,” which negatively affects the lives of patients with breast cancer during the diagnosis and treatment process. There are no recent studies on the experiences of Turkish women with breast cancer about stigmatization that employ qualitative methods. This study aims to examine in depth the lived stigma experiences of women with breast cancer during the diagnosis and treatment process.</div></div><div><h3>Methods</h3><div>In total, 18 phenomenological semistructured in-depth individual interviews were conducted with patients with breast cancer between December 2023 and March 2024. Data were analyzed using Collaizzi's 7-step descriptive analysis approach.</div></div><div><h3>Results</h3><div>Four main themes and 8 subthemes developed from the phenomenological analysis of the interviews: (1) Cancer Metaphors: “A dark journey,” “A bomb falling on the house!” and “Cancer = death!”; (2) Social Stigma: “Cancer = an infectious disease,” “Negative and Disturbing Attitudes/Approaches of People”; (3) Internalized Stigma, and (4) Coping: “Acceptance” and “Social support.”</div></div><div><h3>Conclusion</h3><div>It was determined that the patients experienced social stigmatization due to negative attitudes of people toward cancer, perceiving it as infectious and approaching them with pity or demonstrating disturbing expressions. In addition, their social interactions were negatively affected due to the internalized stigma, and they were in an effort to cope with all the problems they experienced.</div></div><div><h3>Implications for Nursing Practice</h3><div>The study highlighted the psychological needs of patients with breast cancer related to “stigmatization.” Cancer nurses should monitor the stigmatization experiences of women with breast cancer, reveal their perceptions of internalized stigma, and implement programs to cope with stigma. It is also recommended that interventional studies, including coping programs with “stigma” for patients with breast cancer, should be conducted in future research.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151747"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faith, Meaning, and Quality of Life: Unveiling the Spirituality of Muslim Patients with Advanced Cancer Undergoing Active Treatment in the Gaza Strip, Palestine","authors":"Hammoda Abu-Odah ,&nbsp;Khawla El-Nems ,&nbsp;Ka-Yan Ho ,&nbsp;Katherine-Ka-Wai Lam ,&nbsp;Shahenaz Najjar ,&nbsp;Engle Angela Chan","doi":"10.1016/j.soncn.2024.151741","DOIUrl":"10.1016/j.soncn.2024.151741","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to identify the level of spirituality, faith and meaning, and quality of life (QOL) among Muslim advanced cancer patients undergoing active treatment and to enhance the understanding of the relationships among clinical and socio-demographic factors, spirituality, and QOL of patients in the Gaza Strip.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted on a convenience sample of 298 advanced cancer patients. The Arabic versions of the Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT–Sp) and the Functional Assessment of Cancer Therapy–General (FACT–G) were used for data collection. Descriptive statistics and generalized linear regression were utilized for data analysis, performed using SPSS 25.0.</div></div><div><h3>Results</h3><div>Participants reported high spirituality well-being scores (Mean = 31.25, SD = 6.25) and relatively high scores on the subscales of meaning/peace (Mean = 19.15, SD = 4.11) and faith (Mean = 12.03, SD = 3.50). Most patients indicated that their faith and spiritual beliefs increased due to their illness. Furthermore, a significant positive relationship was found between spirituality (including its subscales of faith and meaning in life) and QOL. Despite the generally high level of spirituality, special attention should be paid to patients with lung, bladder, and thyroid cancer, lower education levels, and higher cancer grades.</div></div><div><h3>Conclusions</h3><div>The Gazan Muslim patients with advanced cancer exhibit high levels of spirituality and faith. We acknowledged that spiritual well-being is a protective factor for QOL. The strong positive correlation between spirituality and QOL emphasizes the need to integrate spiritual care into cancer care.</div></div><div><h3>Implications for Nursing Practice</h3><div>It is imperative to incorporate spirituality into health practice and the daily routines of cancer treatment for patients whose spirituality is an important aspect of their identities. The incorporation of spirituality can contribute to the improvement of the quality of patients’ life and quality of cancer care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151741"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Value of Renal Clinical Nurse Specialists: Future Potential and Current Challenges in the United Kingdom","authors":"Shievon Smith ,&nbsp;Michelle Greenwood","doi":"10.1016/j.soncn.2024.151750","DOIUrl":"10.1016/j.soncn.2024.151750","url":null,"abstract":"<div><h3>Objectives</h3><div>The renal clinical nurse specialist (CNS) should be the main source of support and information for people affected by kidney cancer. The CNS is best placed to offer holistic care and often gets to know the patient, especially well as they progress on second- or third-line therapies. We discuss future potential and current challenges in the United Kingdom based on our health professional experiences.</div></div><div><h3>Methods</h3><div>This is a discussion paper based on clinical expertise and informed by current literature.</div></div><div><h3>Results</h3><div>The CNS role for uro-oncology in many centers covers a large patient population and all 5 tumor sites: prostate, bladder, renal, testis, and penile. Urology has a decreasing workforce and increasing difficulty in recruiting to the role in these services. A number of renal CNSs are new to post due to the recruitment crisis without dedicated CNS competencies. Renal CNSs can be proven to reduce costs through managing patients’ side-effect profile, ensuring people affected by cancer continue their maintenance therapies.</div></div><div><h3>Conclusions</h3><div>Therapies for kidney cancer have revolutionized treatment for patients and improved their overall survival in recent years. With longer prognoses and specialist therapies that include targeted and immunotherapy drugs, people affected by kidney cancer need dedicated renal CNSs to support them throughout the cancer pathway.</div></div><div><h3>Implications for nursing practice</h3><div>Educational projects and resources, such as the aspirant cancer career and education (ACCEND) project and RCC4Nurses, will be key to support both new and longer serving CNSs to pursue successful roles in uro-oncology while providing excellent patient care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151750"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Experiences of Older Adults and Their Caregivers in Home-Based Palliative Care Setting: A Systematic Review and Meta-Synthesis","authors":"Hua Lin Ng ,&nbsp;Xi Vivien Wu ,&nbsp;Siat Yee Yap ,&nbsp;Seo Ngee Brian Yeo ,&nbsp;Michael Joseph Dino ,&nbsp;Ying Jiang","doi":"10.1016/j.soncn.2024.151753","DOIUrl":"10.1016/j.soncn.2024.151753","url":null,"abstract":"<div><h3>Objectives</h3><div>While Home-based palliative care might be the preferred choice of many, there has been little research exploring the experiences of older adults and caregivers in this setting. This systematic review aims to explore and synthesize the experiences of home-dwelling older adults (aged 60 and above) and their caregivers with Home-based palliative care.</div></div><div><h3>Methods</h3><div>A Systematic Review and Meta-Synthesis of qualitative and mixed-methods studies was conducted and reported in accordance with PRISMA guidelines. A systematic search across nine electronic databases, as well as grey literature, reference lists and citation lists were conducted. Studies were included with the following criteria: older adult palliative patients and/or their informal caregivers with the primary setting of palliative care delivery at home. Quality appraisal was conducted by two researchers independently using the Critical Appraisal Skills Programme Qualitative Research Checklist and Mixed Methods Appraisal Tool. Data analysis was facilitated by Braun and Clark's thematic analysis, and meta-synthesis was underpinned by Sandelowski and Barroso's guidelines.</div></div><div><h3>Results</h3><div>A total of 4,931 records were yielded through the electronic database search. After duplicate removal and screening of titles/abstracts and full-texts, a total of 25 studies were included. Five main themes and 11 sub-themes emerged: 1) Living in a diminishing world due to immobility, 2) Bittersweet caregiving process, 3) Navigating a fragmented healthcare system, 4) Maintaining normalcy amongst disruption, 5) Indispensable aspects of Home-based palliative care needed by families.</div></div><div><h3>Conclusions and Implications for Nursing Practice</h3><div>This meta-synthesis highlights the fundamental significance of embracing a dyadic approach to fully comprehend the intricate dynamics of Home-based palliative care. By recognising the older adult-caregiver dyad as an interconnected unit, future research, therapeutic interventions, and policy initiatives can integrate this dyadic perspective, resulting in more holistic and inclusive Home-based palliative care programs.</div></div><div><h3>Registration</h3><div>The protocol was registered on PROSPERO (Registration No. CRD42022376864).</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151753"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}