Objective: To analyse the concept of death preparedness in patients with cancer.Methods: Rodgers' evolutionary method was used for the concept analysis.We systematically searched CNKI, Wanfang database, VIP database, CBM, PubMed, Web of Science, Embase, PsycINFO online databases for studies related to death preparedness in patients with cancer.The relevant literature published between 2000 and April 2024 was thoroughly examined.Two researchers independently extracted data, with discrepancies resolved through discussion.Results: A total of 21 articles were included, and the findings were categorized into antecedents, attributes, and consequences.Death preparedness in patients with cancer included five conceptual attributes: acceptance of death, emotional adaptation, interactive communication, expression of personal wishes, and end-of-life planning; antecedents included individual, interpersonal, and social factors; and consequences included patient-related consequences, family-related consequences, and social-related consequences.Conclusion: This analysis elucidates the evolving characteristics of death preparedness J o u r n a l P r e -p r o o f in patients with cancer, clarifying its key attributes, antecedents, and consequences.The study provides a theoretical foundation for future research and clinical tool development.For clinical practice, this conceptual clarity can guide healthcare professionals in assessing and facilitating death preparedness, thereby improving patient-centered communication, advance care planning, and the overall quality of endof-life care.
Zhang et al. (Sun,) studied this question.