The experiences and perspectives of family surrogate decision-makers: A systematic review of qualitative studies

•Scant evidence has examined family surrogates’ role in varied decision making.•We employed a qualitative systematic review and thematic synthesis of the research.•Six themes encompassed surrogates’ roles; e.g., communication with healthcare teams.•Family surrogates require preparation and education regarding decision making.•Elucidating these experiences with more cultural and racial nuances is necessary.