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Communicating is analogous to caring: A systematic review and thematic synthesis of the patient–clinician communication experiences of individuals with ovarian cancer

Published online by Cambridge University Press:  18 May 2022

Rachel A. Pozzar Open the ORCID record for Rachel A. Pozzar [Opens in a new window]  and
Donna L. Berry
Rachel A. Pozzar*
Affiliation:
Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA Department of Medicine, Harvard Medical School, Boston, MA
Donna L. Berry
Affiliation:
Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA
*
Author for correspondence: Rachel A. Pozzar, Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, 450 Brookline Ave., LW517, Boston, MA 02215, USA. E-mail: rachel_pozzar@dfci.harvard.edu
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Abstract

Objective

To systematically review and synthesize the patient–clinician communication experiences of individuals with ovarian cancer.

Methods

The CINAHL, Embase, MEDLINE, PsycINFO, and Web of Science databases were reviewed for articles that described (a) original qualitative or mixed methods research, (b) the experiences of individuals with ovarian cancer, and (c) findings related to patient–clinician communication. Relevant data were extracted from study results sections, then coded for descriptive and analytical themes in accordance with Thomas and Harden's approach to thematic synthesis. Data were coded by two authors and discrepancies were resolved through discussion.

Results

Of 1,390 unique articles, 65 met criteria for inclusion. Four descriptive themes captured participants’ experiences communicating with clinicians: respecting me, seeing me, supporting me, and advocating for myself. Findings were synthesized into three analytical themes: communication is analogous to caring, communication is essential to personalized care, and communication may mitigate or exacerbate the burden of illness.

Significance of results

Patient–clinician communication is a process by which individuals with ovarian cancer may engage in self-advocacy and appraise the extent to which they are seen, respected, and supported by clinicians. Strategies to enhance patient–clinician communication in the ovarian cancer care setting may promote patient perceptions of patient-centered care.

Keywords

CommunicationOvarian neoplasmsPhysician–patient relationsQualitative researchSystematic review
Type
Review Article
Information
Palliative & Supportive Care , Volume 21 , Issue 3 , June 2023 , pp. 515 - 533
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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