Evidence map›Paper›PMID 41684612›Full record

ReviewInternational journal of nursing sciences2026

Healthcare professionals' perspectives on disclosure of diagnosis and related issues in childhood cancer: A mixed methods systematic review.

Run Xie, Xiaoyan Huang, Yiran Du, Ying Gu, Qiongfang Kang, Hongsheng Wang, Daqian Zhu

Abstract readReview
In one paragraph

Review in International journal of nursing sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Run XieSchool of Nursing, Fudan University, Shanghai, China.
Xiaoyan HuangSchool of Nursing, Fudan University, Shanghai, China.
Yiran DuSchool of Nursing, Fudan University, Shanghai, China.
Ying GuDepartment of Nursing, Children's Hospital of Fudan University, Shanghai, China.
Qiongfang KangDepartment of Surgical Oncology, Children's Hospital of Fudan University, Shanghai, China.
Hongsheng WangDepartment of Hematology Oncology, Children's Hospital of Fudan University, Shanghai, China.
Daqian ZhuDepartment of Psychology, Children's Hospital of Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals, with the goal of informing the optimization of disclosure processes and meeting the communication needs of affected families. Methods: In accordance with the Joanna Briggs Institute (JBI) methodology for mixed methods systematic reviews, the convergent segregated approach was used in this review. Articles were retrieved from 11 databases, including PubMed, Web of Science, CINAHL, CENTRAL, Embase, Ovid/Medline, PsycINFO, PsycArticles, Scopus, ERIC, and China National Knowledge Infrastructure (CNKI). The quality of the selected articles was assessed using the Mixed Method Appraisal Tool (MMAT). The review protocol was registered on PROSPERO (CRD42024542746). Results: A total of 21 studies from 10 countries were included. Their methodological quality was generally medium to high, with MMAT scores ranging from 60 % to 100 %. The synthesis yielded three core themes: 1) the spectrum of professional and societal attitudes toward disclosure; 2) the dynamic practices of navigating disclosure amid uncertainty, including timing and environment, stakeholders, and content of disclosure; and 3) factors influencing disclosure, including children's, parental, healthcare professionals', and socio-cultural factors. Conclusions: This review synthesized the perspectives and experiences of healthcare professionals regarding disclosure in childhood cancer, highlighting the complexity and multidimensional nature of this process in clinical practice. Future research should further investigate the experiences and needs of children and their parents, explore cultural variations in disclosure practices, develop context-appropriate assessment tools, and construct multidimensional intervention strategies to enhance the humanistic care and professional effectiveness of the disclosure process.

Indexed as

CancerCommunicationDisclosureHealthcare professionalsMixed methodsPediatricSystematic review

Identifiers

PMID41684612
PMCPMC12891790

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.