We have identified hematologists' and palliative care specialists' perceptions of the HPCT's roles and the barriers to their collaboration. A better understanding of such barriers may lead to effective collaboration between hematologists and the HPCT.

Antenatal fear of childbirth (FOC) is associated with negative effects, such as postnatal traumatic symptoms. As the birth-related culture of East Asian countries differs from that in Western countries, the aim of the present qualitative, descriptive study was to explore FOC, perceptions for Caesarean section (CS), and obstetric analgesia (OA) among Japanese primiparas. The qualitative, descriptive study included focus group interviews with 11 primiparous women, which were conducted in a birth house and a maternity hospital in a metropolitan area of Japan in 2013. As a result, seven categories emerged from the analysis: Maternal and child risk, pain, losing control, uncertainty, prolonged labor, poor family support and loneliness before hospitalization. All participants denied having a preference for CS birth due to fear. Opposing values of OA were identified in women who chose OA and those who did not.In conclusion, it is necessary to increase clinical awareness that the objects of fear are diverse. Furthermore, diverse values regarding OA should be understood and equally respected by health-care professionals. K E Y W O R D S caesarean section, fear of childbirth, Japanese primiparas, obstetric analgesia, qualitative study

IntroductionTerminally ill patients with cancer experience a variety of symptoms, and their families experience certain caregiver burdens. Most studies on this topic have focused on the symptoms experienced by patients with cancer. There is little established evidence to show how nursing support affects these symptoms and burdens. Nurses provide support by extrapolating their clinical experience, practical knowledge and insights gained from the treatment phase of patients with cancer, regardless of the existence or degree of evidence. This study presents a scoping review protocol with the aim of categorising the feasibility of nursing support from the initial to the terminal phases in the trajectory of cancer care.Method and analysisThis review will be guided by Arksey and O’Malley’s five-stage scoping review framework and Levac’s extension. Our research project team will focus on the pain, dyspnoea, nausea and vomiting, constipation, delirium, fatigue and skin disorders experienced by patients with cancer as well as the burdens experienced by caregivers of such patients. All available published articles from database inception to 31 January 2022 will be systematically searched using the following electrical databases: PubMed, CINAHL, CENTRAL in the Cochrane Library and Ichushi-Web of the Japan Medical Abstract Society databases. In addition, we will assess relevant studies from the reference list and manually search each key journal. The formula creation phase of the literature search involves working with a librarian to identify relevant keywords. At least two reviewers will independently screen and review articles and extract data using a data chart form. Results will be mapped according to study design and analysed for adaptation in the field of terminal cancer.Ethics and disseminationThis review does not require ethical approval as it is a secondary analysis of pre-existing, published data. The findings will be disseminated through peer-reviewed publications and conference presentations.

Purpose This study clarified the roles of hematologists and expected roles of other professionals in providing decision support to patients with relapsed or refractory leukemia and malignant lymphoma. Methods Semi-structured interviews were conducted with 11 hematologists regarding the role of physicians in providing decision support and the expected roles of other professionals. Interview data were then subjected to a content analysis. Results Hematologists were tasked with gathering information about the patient prior to discussions; specifically, they would select required information, communicate issues in a way that patients and their families could easily understand, respect the wishes of the patients and their families, and pay attention to any emotional needs. They were also expected to alter the way information was conveyed in cases of particular severity, while explaining the options they believed were best. Regarding multidisciplinary collaboration, roles included valuing communication, managing entire teams, and encouraging active participation among other professionals. On the other hand, hematologists expected other professionals to actively participate in discussions, express opinions, share information about the patient’s situation and related discussions, and provide emotional support. Conclusions During interviews, hematologists conveyed information that physicians keep in mind when providing decision support to patients and explained how they prioritized treatment options. Information must be organized not only in terms of the patient’s image and hematologist’s perspective, but also in terms of the patient’s priorities and values. As such, a multidisciplinary professional team is needed to share patient information and provide multifaceted support.