Table 2.
Tabulation of Articles with Emerging Concepts of Experiences and Preferences
Study | Sample | Research findings | Concepts for experience | Concepts for preference |
---|---|---|---|---|
Almack et al.35 | 18 cases made of patients, relatives, and healthcare professionals; 9 patients with cancer, 4 with heart failure, 2 with multiple sclerosis, and 3 with stroke and comorbidities | Reluctance to discuss end-of-life issues; assumption that healthcare professionals will initiate the conversations; professionals hesitant to initiate the conversations as they perceived this as taking away the patient's hope | No end-of-life discussions | Healthcare professionals to initiate end-of-life discussions |
Barling et al.29 | 26 informal carers who had experienced the death of an adolescent or young adult with cancer | Negative impact of hospitalization; importance of place and space; treatment environment not appropriate for adolescents and young adults; hospital environment not conducive to healing; young adults do not fit within system; hospitalization is like a death sentence | Confinement of hospitalization; space not conducive to healing; not fitting in | Age-appropriate environment |
Brom et al.37 | 28 advanced care patients | Desire for doctor to play a role in decision-making process; considered doctor's expertise, knowledge, and experience in treatment decisions; other patients want to participate in decisions; other patients preferred the physicians to play a decisive role; others wanted to maintain control by having a more decisive role; role in decision-making changed with the fluctuating status of illness and aim of the treatment; want more active role when disease progressed | Involvement in decision-making | Doctors to share expert voice; desire to maintain control |
Cataudella and Zelcer32 | 24 bereaved parents of children diagnosed at less than 18 years of age with a brain tumor | Emotional and cognitive changes; awareness of death; desire to be treated as normal; to remain connected with others; and post-traumatic growth | Emotional changes; cognitive changes; | Normalcy; connection with others |
Dahlin and Heiwe33 | 17 patients with advanced cancer | Physical therapy clear and satisfactory; therapists viewed as good listeners; may feel a burden; time-limited improvement; lack of information; independence is important for patients; preserve autonomy | Confidence from therapy | Independence; control; assistance to gain motivation |
Doumit et al.25 | 10 patients. Lived experience of cancer between 2–21 years | Distress from being dependent; dislike of pity; worry for family and family worry; reliance on God and divinity; dislike of hospital; need to be productive; fear of pain; need to communicate | Distress; worry for others; pain | Rely on God; being productive |
Gaab et al.34 | 19 primary caregivers of a child receiving palliative care aged 3–18 years | Support from family both physically and emotionally; support with decision-making aspects; feelings of regret and blame; parental roles; disability discrimination; use of the internet to seek and offer help | Support from family/friends; feelings of regret; blame; disability discrimination | Use of internet; need for information |
Hoff et al.45 | 12 patients; 7 with malignant hematological disease, 5 with nonoperable lung cancer | Well informed initially; less information with disease progression; information dependent and accepting of the news; information dependent but denying; medically informed and accepting and medically informed but denying | Less information with disease progression; information dependent; acceptance; denial; medically informed | Need information on bad news |
Milberg et al.28 | 12 patients, and 14 unconnected informal carers | Palliative home care as a secure based; having a sense of control; experiencing inner peace; having trust in the staff; being recognized as an individual; family being relieved of the burden of responsibility being informed, feeling welcome; and the ability to continue with everyday life at home; loss of self; loneliness; death anxiety | Security; death anxiety | Security; a sense of control |
Montel et al.42 | 38 parents of adolescents and young adults aged 15–25 who died at Institut Curie | Children aware of imminent death; obstacles to talking about death; regrets of not talking about dying; parents concerned about child's place of death and home care; need for psychological support; none of the parents used the bereavement services after the child's death | Representation of death; awareness of death; not talking about dying; feelings of regret | Need for information; psychological support; bereavement support |
Philip et al.31 | 10 patients with primary malignant glioma grade 3–4 | Loss of self; feelings of vulnerability; fear of being a burden to others; feelings of loneliness and isolation; lack of openness by healthcare professionals; all about waiting and uncertainty | Uncertainty; lack of openness from professionals; being a burden | |
Rydahl-Hansen24 | 12 patients with incurable cancer with a Folstein's Mini-Mental State Examination score of 24 points or more, born in Denmark by Danish parents | Suffering from increasing powerlessness; loneliness and isolation; struggle to maintain or regain control | Increasing powerlessness; loneliness; isolation; control | Maintain control |
Sand et al.27 | 15 patients with advanced incurable cancer and a short life expectancy | Fear of losing control; worry and confusion over medication; fear of becoming addicted to medication; gain control by not taking medication; patients wanted to self-manage rather than comply | Loss of control | Self-management; shared decision-making with professionals |
Nedjat-Haiem36 | 9 triads of patient, informal carer, and provider, and one patient–provider pair | Lacking understanding of severity of illness; hope to be cured; end-of-life discussions deferred by professionals; patients informed of progression at time of crisis; gaps in end-of-life communication; omission of vital information | Hope; severity of illness; gaps in communication | Open and honest communication; information on prognosis |
Nilmanat et al.23 | 15 patients with life expectancy of less than 6 months | Living with suffering; distress caused by physical symptoms; alienation; sense of worthlessness, sense of being a burden to others; a desire to hasten death | Living with suffering; being a burden; alienation | Desire to hasten death |
Volker and Wu 26 | 20 patients with advanced cancer | Wanting control; higher power exists with overall control of cancer and death | Control; belief in higher power | Control of everyday life; involvement in treatment decisions |
Worth et al.30 | 32 patients with advanced cancer; ranged from those receiving palliative treatment to the terminally ill | Reluctance to call out of hours services; anxiety about the importance of their need; did not want to bother the doctor; perceived triage as a blockade to access to care; received effective planning; empathic responses from staff | Effective planning; triage as blockade to care | Effective planning; confidence to access care; empathic professionals |
Williams40 | 33 outpatients from an oncology clinic of a public hospital aged 20–70+ | Terminal illness career; changes of inner self; changes in outer interactions; Emotional labor; managing own and others feelings | Emotional labor; external physical changes | Normalcy; maintain interactions; social networks |