Abstract B010: Systematic review to identify how nurses may improve communication with Black patients living beyond a cancer diagnosis

Abstract

Compared to White patients, Black patients are more often diagnosed with several types of cancer, experience more treatment related complications and worse outcomes. Multi-level factors influence these disparities. At the interpersonal level, disparities in patient-clinician communication exist for patients of different races. For example, patient clinician conversations are often shorter for Black as compared to White patients. The purpose of this literature review is to examine factors that impact communication between Black patients and their oncology nurse clinicians and consider how communication can be improved. A systematic literature review was conducted following PRISMA guidelines. PubMed, CINAHL with Full Text (EBSCOhost), and Scopus were used to locate studies that met the following inclusion criteria: (1) focused on individual living beyond a cancer diagnosis, (2) contained results specific to Black or African American participants, and (3) focused on patient-clinician communication. Two researchers independently reviewed 935 title/abstracts, then 71 full-text articles, to identify a final 24 studies that met inclusion criteria. Each included study was evaluated for level of evidence strength to inform nursing practice. The Matrix Method was used to identify common themes across studies. Five themes were identified: (1) relationship building, (2) trust, (3) shared decision-making, (4) topics of patient concern, and (5) consideration of family. Results indicate several ways in which nurses can work to improve communication for Black patients. Citation Format: Rachel Hirschey, Elizabeth Guimond, Berhan Getachew, Karen Miles Sheffield-Abdullah, Jamie Conklin, Timiya S. Nolan. Systematic review to identify how nurses may improve communication with Black patients living beyond a cancer diagnosis [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B010.