Communication Between Black Patients With Cancer and Their Oncology Clinicians: Exploring Factors That Influence Outcome Disparities

• Published in: Oncology nursing forum Vol. 49; no. 6; pp. 509 - 524
• Main Authors: Guimond, Elizabeth, Getachew, Berhan, Nolan, Timiya S, Miles Sheffield-Abdullah, Karen, Conklin, Jamie L, Hirschey, Rachel
• Format: Journal Article
• Language: English
• Published: United States Oncology Nursing Society 01.11.2022
• Subjects: African Americans; Black or African American; Black people; Breast cancer; Cancer; Care and treatment; Clinical outcomes; College students; Communication; Communication in medicine; Decision making; Demographic aspects; Empowerment; Evaluation; Health aspects; Health care disparities; Health disparities; Humans; Literature reviews; Medical diagnosis; Medical Oncology; Neoplasms; Nurse patient relationships; Nurses; Nursing; Oncology; Patient education; Patients; Physician patient relationships; Racism; Verbal communication; Womens health; United States; cancer; Black; health communication; patient education; oncology; African American
• ISSN: 0190-535X; 1538-0688
• DOI: 10.1188/22.ONF.509-524

Significant cancer disparities exist between Black and White patients. One important contributor to patient outcomes disparities is patient-clinician communication. Conversations between clinicians and Black patients are often shorter and less detailed compared to White patients. A systematic literature search was conducted. Databases were searched to identify studies that included (a) participants with a cancer diagnosis, (b) information specific to Black or African American participants, and (c) information on patient-clinician communication. A total of 67 articles underwent full review; 24 studies met inclusion criteria. Each included study was scored for level of evidence, and common themes were identified across studies using the Matrix Method. The following themes were identified: relationship building, building trust, empowering patients for shared decision-making, addressing topics of patient concern, and consideration of community and family. Results identify several ways that nurses can improve communication with Black patients. Research aimed at identifying interpersonal strategies to mitigate cancer disparities is needed.