The Patient-Healthcare Professional Relationship and Communication in the Oncology Outpatient Setting: A Systematic Review
- PMID: 28753191
- PMCID: PMC6259679
- DOI: 10.1097/NCC.0000000000000533
The Patient-Healthcare Professional Relationship and Communication in the Oncology Outpatient Setting: A Systematic Review
Abstract
Background: Today, cancer care and treatment primarily take place in an outpatient setting where encounters between patients and healthcare professionals are often brief.
Objective: The aim of this study was to summarize the literature of adult patients' experiences of and need for relationships and communication with healthcare professionals during chemotherapy in the oncology outpatient setting.
Methods: The systematic literature review was carried out according to PRISMA guidelines and the PICO framework, and a systematic search was conducted in MEDLINE, CINAHL, The Cochrane Library, and Joanna Briggs Institute Evidence Based Practice Database.
Results: Nine studies were included, qualitative (n = 5) and quantitative (n = 4). The studies identified that the relationship between patients and healthcare professionals was important for the patients' ability to cope with cancer and has an impact on satisfaction of care, that hope and positivity are both a need and a strategy for patients with cancer and were facilitated by healthcare professionals, and that outpatient clinic visits framed and influenced communication and relationships.
Conclusions: The relationship and communication between patients and healthcare professionals in the outpatient setting were important for the patients' ability to cope with cancer.
Implications for practice: Healthcare professionals need to pay special attention to the relational aspects of communication in an outpatient clinic because encounters are often brief. More research is needed to investigate the type of interaction and intervention that would be the most effective in supporting adult patients' coping during chemotherapy in an outpatient clinic.
Conflict of interest statement
The authors have no funding or conflicts of interest to disclose.
Figures
Similar articles
-
Living with cancer and perception of care: Icelandic oncology outpatients, a qualitative study.Support Care Cancer. 2008 May;16(5):515-24. doi: 10.1007/s00520-007-0333-9. Epub 2007 Sep 20. Support Care Cancer. 2008. PMID: 17899216
-
Palliative care experiences of adult cancer patients from ethnocultural groups: a qualitative systematic review protocol.JBI Database System Rev Implement Rep. 2015 Jan;13(1):99-111. doi: 10.11124/jbisrir-2015-1809. JBI Database System Rev Implement Rep. 2015. PMID: 26447011
-
Patients' Experience of Communication During Their Course of Treatment in an Oncology Outpatient Clinic: Qualitative Study.Cancer Nurs. 2022 Jan-Feb 01;45(1):E187-E196. doi: 10.1097/NCC.0000000000000891. Cancer Nurs. 2022. PMID: 33038098
-
The measurement of patients' expectations for health care: a review and psychometric testing of a measure of patients' expectations.Health Technol Assess. 2012 Jul;16(30):i-xii, 1-509. doi: 10.3310/hta16300. Health Technol Assess. 2012. PMID: 22747798 Review.
-
Experiences and perspectives of healthcare professionals implementing advance care planning for people suffering from life-limiting illness: a systematic review and meta-synthesis of qualitative studies.BMC Palliat Care. 2023 May 6;22(1):55. doi: 10.1186/s12904-023-01176-7. BMC Palliat Care. 2023. PMID: 37149560 Free PMC article.
Cited by
-
Quality indicators of outpatient palliative care: A systematic review.Asia Pac J Oncol Nurs. 2025 May 10;12:100718. doi: 10.1016/j.apjon.2025.100718. eCollection 2025 Dec. Asia Pac J Oncol Nurs. 2025. PMID: 40496976 Free PMC article. Review.
-
The Impact of COVID-19 on Clinical Nurse Specialists and Patients With Cancer: A Pan-Specialty Cross-sectional Survey.Clin Nurse Spec. 2022 Sep-Oct 01;36(5):272-277. doi: 10.1097/NUR.0000000000000691. Clin Nurse Spec. 2022. PMID: 35984980 Free PMC article.
-
Patients' satisfaction with cancer pain treatment at adult oncologic centers in Northern Ethiopia; a multi-center cross-sectional study.BMC Cancer. 2024 May 27;24(1):647. doi: 10.1186/s12885-024-12359-7. BMC Cancer. 2024. PMID: 38802773 Free PMC article.
-
Positive Psychology Approaches to Interventions for Cancer Dyads: A Scoping Review.Int J Environ Res Public Health. 2022 Oct 19;19(20):13561. doi: 10.3390/ijerph192013561. Int J Environ Res Public Health. 2022. PMID: 36294142 Free PMC article.
-
When investigator meets large language models: a qualitative analysis of cancer patient decision-making journeys.NPJ Digit Med. 2025 Jun 5;8(1):336. doi: 10.1038/s41746-025-01747-3. NPJ Digit Med. 2025. PMID: 40473767 Free PMC article.
References
-
- McKenzie H, Hayes L, White K, et al. Chemotherapy outpatients’ unplanned presentations to hospital: a retrospective study. Support Care Cancer. 2011;19(7):963–969. - PubMed
-
- Sandrik K. Oncology: who’s managing outpatient programs? Hospitals. 1990;64(3):32–37. - PubMed
-
- Lubell AS. Inpatient versus outpatient chemotherapy—benefits, risks, and costs. Cancer Therapy Advisor. 2012. http://www.cancertherapyadvisor.com/general-oncology/inpatient-versus-ou.... Accessed July 20, 2017.
-
- Cameron J, Waterworth S. Patients’ experiences of ongoing palliative chemotherapy for metastatic colorectal cancer: a qualitative study. Int J Palliat Nurs. 2014;20(5):218–224. - PubMed
-
- Hjörleifsdóttir E, Hallberg IR, Gunnarsdóttir ED. Satisfaction with care in oncology outpatient clinics: psychometric characteristics of the Icelandic EORTC IN-PATSAT32 version. J Clin Nurs. 2010;19(13–14):1784–1794. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources