Communication Between Black Patients With Cancer and Their Oncology Clinicians: Exploring Factors That Influence Outcome Disparities.
Elizabeth Guimond, Berhan Getachew, Timiya S Nolan and 3 others
PMID 36413731WHAT IT FOUND
Black patients with cancer reported needing more information, trust, psychosocial support, pain discussion, and end-of-life conversations.
The review identified communication themes, not tested nursing interventions.
Key findings
01Across 24 included studies, quality communication was described through five themes: relationship building, trust, shared decision-making, addressing patient concerns, and including family.
02In one included study, Black patients received significantly less information about lung cancer treatment options than White patients.
03In one included study, 25% of Black participants reported difficulty receiving opioid prescriptions and nearly 50% reported difficulty talking to providers about pain.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The evidence is low: most included studies were qualitative or cohort, and two were expert opinion, so findings describe experiences rather than tested nursing effects. The review was intended to focus on nurse-patient communication, but too few studies existed, so it included all oncology clinicians and most included articles were about physician-patient communication. The authors acknowledged that their identities and experiences may have shaped interpretation; the first and senior authors are White nurses. Included studies used different cancer diagnoses, locations, sample sizes, and racial labels, so results may not apply to every patient group. The review did not give a total number of participants across studies, only sample sizes from 14 to 1572.
Declared interests
The supplied metadata lists NIH extramural research support. The provided article text does not include an author conflict-of-interest declaration.
The easy way to misread this
Do not read the five communication themes as evidence that changing communication will reduce cancer disparities. The review synthesized mostly qualitative and observational studies and tested no intervention.