TY  - GEN
A1  - Kühne, Franziska
A1  - Hermann, Myriel
A1  - Preisler, Martina
A1  - Rohrmoser, Amy
A1  - Letsch, Anne
A1  - Goerling, Ute
T1  - Prognostic Awareness in Advanced Disease
BT  - A Review Update and Concept Analysis
T2  - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - Purpose: Although subjective knowledge about the prognosis of an advanced disease is extremely important for coping and treatment planning, the concept of prognostic awareness (PA) remains inconsistently defined. The aims of the scoping review were to synthesize a definition of PA from the most recent literature, describe preconditions, correlates and consequences, and suggest a conceptual model.

Methods: By using scoping review methodology, we searched the Web of Science and PubMed databases, and included publications, reviews, meta-analyses or guidelines on all physical diagnoses, as well as publications offering a conceptual or an operational definition of PA. The data were analyzed by means of content analysis techniques.

Results: Of the 24 included publications, 21 referred exclusively to cancer, one to patients with hip fractures and two to palliative care in general. The deduced definition of PA comprised the following facets: adequate estimation of chances for recovery, knowledge of limited time to live, adequate estimation of life expectancy, knowledge of therapy goals, and knowledge of the course of the disease. Further content analysis results were mapped graphically and in a detailed table.

Conclusion: There appears to be a lack of theoretical embedding of PA that in turn influences the methods used for empirical investigation. Drawing on a clear conceptual definition, longitudinal or experimental studies would be desirable.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 745 
KW  - prognosis
KW  - advanced disease
KW  - cancer
KW  - oncology
KW  - palliative care
KW  - patient-centered care
KW  - systematic review
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-542829
SN  - 1866-8364
ER  -