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Article: Chinese perspective on end-of-life communication: a systematic review

TitleChinese perspective on end-of-life communication: a systematic review
Authors
Keywordscancer
communication
end of life care
terminal care
Issue Date2020
PublisherBMJ Group. The Journal's web site is located at http://spcare.bmj.com/
Citation
BMJ Supportive & Palliative Care, 2020, Epub 2020-07-09 How to Cite?
AbstractBackground: Palliative care providers serving Chinese patients lack a culture-specific model of communication, a strong evidence base for this and clear guidance on its application. Thus, providers find it challenging to address patients’ dignity, and determine their priorities and preferences for treatments and care, at the patients’ final stage of life. Aim: This study explores the culture-specific influences and current understanding of end-of-life (EOL) communication in the Chinese context. Methods: A qualitative systematic review of qualitative studies was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PsycINFO, PubMed and ERIC databases were searched for studies between January 1994 and July 2019, using keywords ‘end of life’, ‘terminal care’, ‘communication’ and ‘Chinese’. Included studies were appraised with Critical Appraisal Skills Programme criteria. Results: The search strategy yielded 982 entries and 13 studies were included. Six themes were identified in EOL communication in the Chinese context: (1) Chinese philosophies on the meaning of ‘good death’. (2) Negative attitudes towards communication on dying. (3) EOL communication as a taboo topic. (4) Clinician-centred approaches to treatment-decision making. (5) Family expectations being prioritised over patient self-autonomy in prognosis disclosure. (6) Care-providers expressing puzzlement over cultural preferences regarding EOL communication. Conclusions: The review detailed the complexity of EOL communication in the Chinese context, urging for a communication model distinct from Western-based practices. Future research could explore a validated communication framework that addresses the local culture, thus enabling an understanding of patients’ priorities and interpreting EOL encounters from a cross-cultural perspective.
Persistent Identifierhttp://hdl.handle.net/10722/288049
ISSN
2023 Impact Factor: 2.0
2023 SCImago Journal Rankings: 0.631

 

DC FieldValueLanguage
dc.contributor.authorPun, JKH-
dc.contributor.authorCheung, KM-
dc.contributor.authorChow, JCH-
dc.contributor.authorChan, WL-
dc.date.accessioned2020-10-05T12:07:06Z-
dc.date.available2020-10-05T12:07:06Z-
dc.date.issued2020-
dc.identifier.citationBMJ Supportive & Palliative Care, 2020, Epub 2020-07-09-
dc.identifier.issn2045-435X-
dc.identifier.urihttp://hdl.handle.net/10722/288049-
dc.description.abstractBackground: Palliative care providers serving Chinese patients lack a culture-specific model of communication, a strong evidence base for this and clear guidance on its application. Thus, providers find it challenging to address patients’ dignity, and determine their priorities and preferences for treatments and care, at the patients’ final stage of life. Aim: This study explores the culture-specific influences and current understanding of end-of-life (EOL) communication in the Chinese context. Methods: A qualitative systematic review of qualitative studies was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PsycINFO, PubMed and ERIC databases were searched for studies between January 1994 and July 2019, using keywords ‘end of life’, ‘terminal care’, ‘communication’ and ‘Chinese’. Included studies were appraised with Critical Appraisal Skills Programme criteria. Results: The search strategy yielded 982 entries and 13 studies were included. Six themes were identified in EOL communication in the Chinese context: (1) Chinese philosophies on the meaning of ‘good death’. (2) Negative attitudes towards communication on dying. (3) EOL communication as a taboo topic. (4) Clinician-centred approaches to treatment-decision making. (5) Family expectations being prioritised over patient self-autonomy in prognosis disclosure. (6) Care-providers expressing puzzlement over cultural preferences regarding EOL communication. Conclusions: The review detailed the complexity of EOL communication in the Chinese context, urging for a communication model distinct from Western-based practices. Future research could explore a validated communication framework that addresses the local culture, thus enabling an understanding of patients’ priorities and interpreting EOL encounters from a cross-cultural perspective.-
dc.languageeng-
dc.publisherBMJ Group. The Journal's web site is located at http://spcare.bmj.com/-
dc.relation.ispartofBMJ Supportive & Palliative Care-
dc.rightsBMJ Supportive & Palliative Care. Copyright © BMJ Group.-
dc.rightsThis article has been accepted for publication in [Journal, Year] following peer review, and the Version of Record can be accessed online at [insert full DOI eg. http://dx.doi.org/10.1136/xxxxx]. [© Authors (or their employer(s)) OR © BMJ Publishing Group Ltd ( for assignments of BMJ Case Reports)] <year>-
dc.subjectcancer-
dc.subjectcommunication-
dc.subjectend of life care-
dc.subjectterminal care-
dc.titleChinese perspective on end-of-life communication: a systematic review-
dc.typeArticle-
dc.identifier.emailChan, WL: winglok@hku.hk-
dc.identifier.authorityChan, WL=rp02541-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1136/bmjspcare-2019-002166-
dc.identifier.pmid32647031-
dc.identifier.scopuseid_2-s2.0-85088499206-
dc.identifier.hkuros314714-
dc.identifier.volumeEpub 2020-07-09-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl2045-435X-

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