Experiences of Health Care Professionals in Navigating Challenges of Pediatric Cancer Recurrence.

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Hülya Dalkılıç Bingöl, Ayfer Aydın, Rejin Kebudi, Merve Ertunç Soycan, Ülkü Miray Yıldırım, Başak Koç Şenol, Osman Bülent Zülfikar
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Abstract

Background: The recurrence of cancer in pediatric hematology-oncology is a distressing event for patients, families, and health care professionals (HCPs). Despite advances in treatment, cancer recurrence poses significant emotional and communication challenges for nurses and physicians. Objectives: This qualitative study explores the experiences of nurses and physicians in pediatric hematology-oncology when faced with children's cancer recurrence, focusing on their emotions, communication strategies, and approaches to patient care. Design: A descriptive, in-depth interview approach was used. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed using Braun and Clarke's six-phase thematic analysis. Setting/Subjects: Eleven physicians and 11 nurses from various pediatric hematology-oncology units in Türkiye. Measurements: Data were collected with sociodemographic information form and semi-structured interview form that developed based on the literature. Results: Three themes emerged: (1) Challenge of handling feelings, (2) Challenge of communication with children and families, and (3) Need to change treatment and care practices. HCPs reported a range of emotions, including sadness, helplessness, failure, guilt, fear, and hopelessness. Communication strategies were adapted based on the child's age and developmental level, focusing on maintaining hope while being realistic. Empathetic and flexible approaches to treatment were emphasized, often involving more patient-centered care and considerations for palliative care. Conclusions: The recurrence of cancer in pediatric patients significantly impacts HCPs, who experience profound emotional challenges and adapt their communication and care strategies to support the child and family. The study highlights the need for tailored interventions and training to enhance HCPs' emotional coping and communication in pediatric oncology.

卫生保健专业人员应对儿童癌症复发挑战的经验。
背景:儿童血液肿瘤学癌症的复发对患者、家庭和卫生保健专业人员(HCPs)来说是一个令人痛苦的事件。尽管治疗取得了进步,但癌症复发给护士和医生带来了重大的情感和沟通挑战。目的:本定性研究探讨儿科血液肿瘤学护士和医生在面对儿童癌症复发时的经验,重点关注他们的情绪,沟通策略和患者护理方法。设计:采用描述性、深度访谈的方法。通过半结构化访谈收集数据,逐字记录,并使用Braun和Clarke的六阶段主题分析进行分析。背景/对象:来自 rkiye不同儿科血液肿瘤科的11名医生和11名护士。测量方法:采用社会人口学信息表和基于文献开发的半结构化访谈表收集数据。结果:出现了三个主题:(1)处理情感的挑战;(2)与儿童和家庭沟通的挑战;(3)需要改变治疗和护理做法。HCPs报告了一系列的情绪,包括悲伤、无助、失败、内疚、恐惧和绝望。沟通策略根据孩子的年龄和发展水平进行调整,重点是在保持希望的同时保持现实。强调移情和灵活的治疗方法,通常涉及更多以患者为中心的护理和姑息治疗的考虑。结论:儿科患者的癌症复发显著影响了HCPs,他们经历了深刻的情感挑战,并调整了他们的沟通和护理策略来支持儿童和家庭。该研究强调了在儿科肿瘤学中需要量身定制的干预措施和培训,以增强医护人员的情绪应对和沟通。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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