Experiences and Perceptions of People With Advanced Cancer and Their Family Caregivers of Shared Decision-Making in Palliative Cancer Care.

All participants were from Norway's majority ethnic population, so the findings may not apply to people from other cultural backgrounds. Most participants were still receiving active treatment, so the study says less about care decisions where nurses may be more involved. The researchers could not record how many potential participants declined or their characteristics, which limits transferability. The findings are participants' perceptions and may not match what actually happened in practice. The study was conducted in Norway, where most cancer treatment and care options are available and free and care pathways are standardised, so expectations may differ in other systems. The sample came from two hospitals and was small for qualitative work, so it cannot describe all people with advanced cancer.

The authors declared no conflicts of interest.

Do not conclude that nurses have no role in shared decision-making. Most participants could not identify nurses' contribution to treatment decisions, but some described nurses as liaising, providing continuity, and helping with everyday care.