Patient education and counseling · 2026
Words matter when talking about pain: A scoping review of humanistic approaches to SDM in cancer-related pain care.
СтатьяScoping ReviewНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Espinoza Suarez Nataly R, Morrow Allison S, LaVecchia Christina M, Báez Angelina Centeno, Lúcar Flores Miriam, Barwise Amelia, Ruddy Kathryn J, Tedesco Sandra, De Alcantara Izabela, Wilson Gwen, Gionffrido Michael R, Taccardi Doriana, Roy Rachel, Bilodeau Karine, Kunneman Marleen, LeBlanc Annie, Bosma Rachael, Thorsteinsdottir Bjorg
Аннотация
OBJECTIVES: To synthesize evidence on humanistic approach to SDM in cancer-related pain care and examine how communication shapes pain recognition, meaning, and management.
METHODS: We conducted a scoping review following Joanna Briggs Institute methodology and PRISMA-ScR guidelines searching six databases and additional sources from inception to January 2026. We used an integrated mixed-methods synthesis, combining inductive thematic analysis with a deductive classification of humanistic communication characteristics informed by established frameworks.
RESULTS: We included 27 studies, predominantly qualitative. Humanistic approaches to SDM most frequently emphasized a supportive orientation, compassion, and attention to individual perspectives. We identified five themes presenting pain as a negotiated, relational, and communicative phenomenon rather than a purely biomedical symptom: (1) pain as a site of contestation and negotiation; (2) pain education as a missing element of care; (3) pain treatment as influenced by biases; (4) pain as emotionally unseen; and (5) pain as best supported through empathetic and collaborative care.
CONCLUSIONS: Cancer pain communication is a relational and moral process that shapes whether and how pain is recognized, legitimized, and effectively managed. While the literature emphasizes compassionate and patient-centered practices, less attention is given to reflexive and structural dimensions influencing communication.
PRACTICE IMPLICATIONS: We propose a mnemonic (WORDS) to support clinically competent cancer pain communication and provide actionable clinical guidance for validation, open dialogue, relational presence, tailored education, and shared decision-making. Integrating these practices into clinician training, patient education, and intervention designs may enhance engagement among people living with pain, reduce stigma, and improve pain outcomes.
METHODS: We conducted a scoping review following Joanna Briggs Institute methodology and PRISMA-ScR guidelines searching six databases and additional sources from inception to January 2026. We used an integrated mixed-methods synthesis, combining inductive thematic analysis with a deductive classification of humanistic communication characteristics informed by established frameworks.
RESULTS: We included 27 studies, predominantly qualitative. Humanistic approaches to SDM most frequently emphasized a supportive orientation, compassion, and attention to individual perspectives. We identified five themes presenting pain as a negotiated, relational, and communicative phenomenon rather than a purely biomedical symptom: (1) pain as a site of contestation and negotiation; (2) pain education as a missing element of care; (3) pain treatment as influenced by biases; (4) pain as emotionally unseen; and (5) pain as best supported through empathetic and collaborative care.
CONCLUSIONS: Cancer pain communication is a relational and moral process that shapes whether and how pain is recognized, legitimized, and effectively managed. While the literature emphasizes compassionate and patient-centered practices, less attention is given to reflexive and structural dimensions influencing communication.
PRACTICE IMPLICATIONS: We propose a mnemonic (WORDS) to support clinically competent cancer pain communication and provide actionable clinical guidance for validation, open dialogue, relational presence, tailored education, and shared decision-making. Integrating these practices into clinician training, patient education, and intervention designs may enhance engagement among people living with pain, reduce stigma, and improve pain outcomes.