Academic Journal

Experiences of death preparedness among family caregivers of terminal patients: a systematic review and meta-synthesis.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Experiences of death preparedness among family caregivers of terminal patients: a systematic review and meta-synthesis.
Συγγραφείς: Ju X; Jiangxi Cancer Hospital, Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China.; School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, China., Zhang Y; Jiangxi Cancer Hospital, Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China.; School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, China., Wang X; Jiangxi Cancer Hospital, Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China., Lu Q; Jiangxi Cancer Hospital, Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China., Li Y; School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, China., Hong J; Jiangxi Cancer Hospital, Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China.
Πηγή: Frontiers in public health [Front Public Health] 2026 Aug 28; Vol. 14, pp. 1921838. Date of Electronic Publication: 2026 Aug 28 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article; Systematic Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: Lausanne : Frontiers Editorial Office
Ιατρικοί όροι (MeSH): Caregivers*/psychology , Terminal Care*/psychology , Family*/psychology , Terminally Ill*/psychology , Attitude to Death*, Humans ; Qualitative Research ; Adaptation, Psychological ; Hospice Care
Περίληψη: Background: Death preparedness is an important component of hospice care, yet research focusing on family caregivers of terminally ill patients remains in its early stages, with few studies systematically synthesizing the death preparedness experiences of this group. The study aimed to integrate the experiences of death preparedness among family caregivers of terminally ill patients and provide a reference for developing family-centered supportive care interventions for this population.
Methods: A systematic review and meta-synthesis of qualitative studies were conducted. Six databases (PubMed, Web of Science, Embase, CINAHL, PsycINFO, and Cochrane Library) were searched for relevant qualitative studies published from database inception to January 31, 2026. We utilized the Australian JBI Quality Assessment Criteria for Qualitative Research to evaluate the quality of the included studies and utilized thematic analysis approach for data analysis. Presentation of this synthesis adhered to the PRISMA guideline.
Results: A total of 13 studies were included. Ten new categories were generated and synthesized into four integrated findings, including reconstructing the spiritual meaning of death, information communication for death preparation, coping with multidimensional pressures of reality, and internal and external resources to support caregivers.
Conclusion: Death preparedness among family caregivers of terminal patients is a complex and multidimensional psychosocial process. Its complexity and challenges need to be fully assessed and understood through the authentic experiences of family caregivers themselves. This meta-synthesis may help healthcare professionals develop family-centered clinical support measures, thereby promoting the development of hospice care practice and improving the quality of care.
(Copyright © 2026 Ju, Zhang, Wang, Lu, Li and Hong.)
Competing Interests: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References: Syst Rev. 2012 Feb 09;1:2. (PMID: 22587842)
Eur J Cancer Care (Engl). 2022 Nov;31(6):e13716. (PMID: 36169179)
Support Care Cancer. 2025 Jan 17;33(2):111. (PMID: 39831911)
Psychooncology. 2017 Apr;26(4):484-492. (PMID: 26661137)
J Hosp Palliat Care. 2021 Mar 1;24(1):46-55. (PMID: 37675053)
Psychooncology. 2022 Mar;31(3):450-459. (PMID: 34549848)
PLoS One. 2022 Nov 29;17(11):e0278271. (PMID: 36445887)
J Am Geriatr Soc. 2020 Oct;68(10):2288-2296. (PMID: 32602571)
Palliat Med. 2015 Jun;29(6):496-507. (PMID: 25634637)
J Gerontol Soc Work. 2011 Jan;54(1):92-115. (PMID: 21170781)
BMC Palliat Care. 2020 Mar 17;19(1):33. (PMID: 32183803)
Palliat Med. 2018 Apr;32(4):861-869. (PMID: 29235421)
Gerontologist. 2017 Nov 10;57(6):1093-1102. (PMID: 27342441)
J Pain Symptom Manage. 2022 Feb;63(2):199-209. (PMID: 34563630)
Death Stud. 2024;48(4):407-416. (PMID: 37441803)
J Palliat Med. 2021 Mar;24(3):405-412. (PMID: 32790487)
BMC Palliat Care. 2021 Oct 18;20(1):162. (PMID: 34657623)
BMC Med Res Methodol. 2012 Nov 27;12:181. (PMID: 23185978)
J Pain Symptom Manage. 2018 May;55(5):1408-1419. (PMID: 29366913)
Psychooncology. 2015 Nov;24(11):1471-6. (PMID: 25655038)
Clin Psychol Rev. 2016 Mar;44:75-93. (PMID: 26796738)
Am J Hosp Palliat Care. 2012 Feb;29(1):64-9. (PMID: 22310706)
J Palliat Med. 2015 Feb;18(2):127-33. (PMID: 25469737)
BMC Med Res Methodol. 2008 Jul 10;8:45. (PMID: 18616818)
Front Med (Lausanne). 2025 Jun 06;12:1573314. (PMID: 40547909)
Omega (Westport). 2024 Nov;90(1):404-419. (PMID: 35695555)
Res Nurs Health. 2007 Feb;30(1):99-111. (PMID: 17243111)
Rev Esp Cardiol (Engl Ed). 2021 Sep;74(9):790-799. (PMID: 34446261)
PLoS Med. 2015 Oct 27;12(10):e1001895. (PMID: 26506244)
Cancer Nurs. 2003 Aug;26(4):267-75. (PMID: 12886117)
Psychooncology. 2017 Dec;26(12):2048-2056. (PMID: 28271588)
J Pain Symptom Manage. 2021 Sep;62(3):503-511. (PMID: 33561490)
Palliat Med. 2018 Jan;32(1):216-230. (PMID: 29020846)
Support Care Cancer. 2022 Mar;30(3):2631-2638. (PMID: 34817692)
JAMA Intern Med. 2025 Feb 01;185(2):162-170. (PMID: 39621341)
J Pain Symptom Manage. 2018 Jun;55(6):1473-1479. (PMID: 29499235)
Support Care Cancer. 2024 Aug 13;32(9):586. (PMID: 39136780)
Palliat Med. 2024 Dec;38(10):1184-1193. (PMID: 39340161)
Am J Nurs. 2014 Apr;114(4):53-6. (PMID: 24681476)
J Pain Symptom Manage. 2009 Jan;37(1):3-12. (PMID: 18538977)
Palliat Med. 2025 Mar;39(3):401-412. (PMID: 39927610)
Asia Pac J Oncol Nurs. 2019 Apr-Jun;6(2):151-153. (PMID: 30931359)
J Palliat Med. 2006 Oct;9(5):1164-71. (PMID: 17040154)
Arch Gerontol Geriatr. 2021 May-Jun;94:104353. (PMID: 33516076)
Gerontologist. 2019 Sep 17;59(5):e584-e596. (PMID: 30597058)
Contributed Indexing: Keywords: death preparedness; family caregivers; meta-synthesis; systematic review; terminal patients
Entry Date(s): Date Created: 20260912 Date Completed: 20260912 Latest Revision: 20260914
Update Code: 20260914
PubMed Central ID: PMC13561909
DOI: 10.3389/fpubh.2026.1921838
PMID: 42729174
Βάση Δεδομένων: MEDLINE