Journal of Pediatric Hematology-Oncology Nursing最新文献

Beyond the Bundle: Reducing Central Line-Associated Bloodstream Infections on a Pediatric Hematology, Oncology, and Bone Marrow Transplant Unit. 超越捆绑：减少儿童血液学，肿瘤学和骨髓移植单位的中央静脉相关血流感染。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-16 DOI: 10.1177/27527530251346733

Mindy Bibart, Emily A Eisel, Kimberly Taylor, Randal Olshefski, Cheryl Camacho, Micheal Welty, Robert Gajarski, Terri Guinipero

{"title":"Beyond the Bundle: Reducing Central Line-Associated Bloodstream Infections on a Pediatric Hematology, Oncology, and Bone Marrow Transplant Unit.","authors":"Mindy Bibart, Emily A Eisel, Kimberly Taylor, Randal Olshefski, Cheryl Camacho, Micheal Welty, Robert Gajarski, Terri Guinipero","doi":"10.1177/27527530251346733","DOIUrl":"https://doi.org/10.1177/27527530251346733","url":null,"abstract":"BackgroundPediatric patients with cancer or undergoing hematopoietic stem cell transplantation (HSCT) are at an increased risk for central line-associated bloodstream infections (CLABSIs). Previous reports show that while primary prevention bundle elements have resulted in clinically important reductions in CLABSI events, they have not eliminated events in this patient population.MethodThe quality improvement (QI) project team implemented four interventions to reduce CLABSI in a pediatric inpatient combined hematology/oncology/bone marrow transplant (PHOB) unit, using the Plan-Do-Study-Act improvement model. (a) In situ simulation provided a practical application to bedside nurses to practice skills and critical thinking without disrupting care. (b) Interdisciplinary proactive safety huddles provided an opportunity to generate patient-specific strategies for patients with unique risks. (c) Prevantics® Device swabs for catheter hub disinfection, replacing single agent isopropyl alcohol. (d) Levofloxacin prophylaxis was expanded to a broader scope of patients.ResultsDuring the 30-month project period, the inpatient PHOB unit experienced a reduced nonmucosal barrier injury (non-MBI) CLABSI rate from a baseline of 2.19 infections per 1,000 catheter days to 0.52 infections per 1,000 catheter days. MBI CLABSI rates remained unchanged.DiscussionWhile traditional prevention bundle elements play an essential role in CLABSI prevention efforts, pediatric patients with cancer or undergoing HSCT may require additional targeted strategies to achieve desired results. Our QI project, implemented at a large, freestanding pediatric academic center effectively reduced CLABSI rates during a 30-month project. We believe the interventions may be effective in other PHOB programs.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251346733"},"PeriodicalIF":1.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Weighted Blankets on Anxiety for Pediatric Oncology Patients During Outpatient Chemotherapy Infusions. 加重毛毯对儿科肿瘤患者门诊化疗输液时焦虑的影响。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-15 DOI: 10.1177/27527530251342163

Jennifer Olson, Leanne Adamson, Cassie Lang, Kelly Miller, Elizabeth Phillips, Flori Legette, Figaro L Loresto

{"title":"Effects of Weighted Blankets on Anxiety for Pediatric Oncology Patients During Outpatient Chemotherapy Infusions.","authors":"Jennifer Olson, Leanne Adamson, Cassie Lang, Kelly Miller, Elizabeth Phillips, Flori Legette, Figaro L Loresto","doi":"10.1177/27527530251342163","DOIUrl":"https://doi.org/10.1177/27527530251342163","url":null,"abstract":"BackgroundAnxiety is highly prevalent among pediatric oncology patients. Weighted blankets are a potential intervention to address anxiety for pediatric oncology patients. The goal of this work is to assess the effectiveness of weighted blankets in reducing anxiety for pediatric oncology patients. Method: A randomized 2 × 2 cross-over design was utilized. Newly diagnosed pediatric oncology patients between the age of 4 and 17 were included. All participants also needed to pass seriation screening to be able to eligible for the study. Participants were randomized to one of two arms: weighted blanket on first infusion visit after enrollment then usual care on second visit (WB:UC) or usual care on first infusion visit after enrollment then weighted blanket (UC:WB) on second visit. Anxiety via Children's Anxiety Meter-State (CAM-S) was collected pre- and postinfusion visit. Descriptive statistics were conducted to describe the data. A linear mixed model with interaction effects was conducted to assess the treatment effect of the weighted blanket. Results: There were 26 participants who were enrolled in the study. Twenty-four with complete information were included in the analysis. Regression models revealed that CAM-S measure reduced by -0.71 (95% CI: [-1.25 to -0.19], p = .02). WB had more impact on the second visit (<math><mi>β</mi></math> = -0.51, -1.92 to 0.88, 0.97). Discussion: There was significant reduction in anxiety postinfusion. While further research is needed, this study highlights not only the impact of weighted blankets, but of nursing care on anxiety for pediatric oncology patients.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251342163"},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Parental Resilience in the Context of Childhood Leukemia: A Comparative Examination of Mothers and Fathers. 在儿童白血病的背景下理解父母的弹性：母亲和父亲的比较检查。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-09 DOI: 10.1177/27527530251337031

Gözde Önal, Meral Huri

{"title":"Understanding Parental Resilience in the Context of Childhood Leukemia: A Comparative Examination of Mothers and Fathers.","authors":"Gözde Önal, Meral Huri","doi":"10.1177/27527530251337031","DOIUrl":"https://doi.org/10.1177/27527530251337031","url":null,"abstract":"Background: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer, causing significant emotional, physical, and mental strain on families. This strain can affect parental resilience, which is crucial in maintaining family functioning and supporting the child's needs during diagnosis and treatment. This study aimed to examine resilience levels in parents of children with ALL, focusing on differences between mothers and fathers and exploring sociodemographic factors influencing these levels. While specific ALL subtypes were not considered, different risk levels within ALL can affect coping and resilience differently. Method: Parent resilience was assessed using the Resilience Scale for Parents of Children with Cancer. Multiple linear regression was used to analyze how factors such as parents' age, child's age, time since diagnosis, employment status, family size, education level, and income level predict parental resilience. Results: A total of 48 parents participated. Resilience was significantly lower in mothers compared to fathers (p < .01). Sociodemographic factors influencing resilience included the mother's age, number of children, education, and income, F(9, 38) = 66.852, p < .001, and the father's age, child's age, time since diagnosis, number of children, education, and income, F(7, 40) = 245.567, p < .001. Discussion: This study provides insight into the resilience levels of parents of children with ALL. Exploring the differences between mothers and fathers and the influencing factors can improve healthcare services and support programs. Tailored interventions, such as psychosocial support targeting lower income or lower education families, could address parental stress and improve treatment adherence for children with ALL.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251337031"},"PeriodicalIF":1.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Juggling Compassion and Competing Demands: A Grounded Theory Study of Pediatric Nurses' Experiences. 兼顾同情心和竞争需求：儿科护士经验的基础理论研究。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-07 DOI: 10.1177/27527530251342164

Päivi Ventovaara, Margareta Af Sandeberg, Klas Blomgren, Pernilla Pergert

{"title":"Juggling Compassion and Competing Demands: A Grounded Theory Study of Pediatric Nurses' Experiences.","authors":"Päivi Ventovaara, Margareta Af Sandeberg, Klas Blomgren, Pernilla Pergert","doi":"10.1177/27527530251342164","DOIUrl":"https://doi.org/10.1177/27527530251342164","url":null,"abstract":"Background: Not being able to provide high-quality care has been recognized as one of the major occupational stressors among nurses. Compromised care quality can prolong hospital stays, risk patient safety, and increase the suffering of children with cancer who often have comprehensive care needs. The purpose of this study was to explore pediatric oncology nurses' experiences of situations when they have not been able to provide the best care to children with cancer. Method: A qualitative study was conducted with a classic grounded theory approach. After purposive sampling followed by theoretical sampling, individual and focus group interviews were performed. Simultaneously with data collection, analysis was carried out in accordance with classic grounded theory. Results: Twenty-five nurses from three different pediatric units were interviewed between September 2021 and May 2023. Nurses' main concern was to uphold children's best interests. Lack of time was one of the major barriers to the best possible care, but even different views on children's best interests hindered nurses from practicing care as they wished. Nurses handled challenging situations by juggling compassion and competing responsibilities, which included prioritizing, shifting up a gear, settling for good enough, acquiescing, and pulling together. Discussion: This study suggests ensuring practical support during busy work shifts and creating opportunities for interdisciplinary discussions on care issues and on children's best interests.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251342164"},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences and Needs of Turkish Fathers of Children With Cancer: A Descriptive Qualitative Study. 癌症儿童的土耳其父亲的经验和需求：一项描述性质的研究。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-06-30 DOI: 10.1177/27527530251336209

Seray Afacan Güler, Neslihan Partlak Günüşen, Özgü Serçe Yüksel, Deniz Kizmazoğlu

{"title":"Experiences and Needs of Turkish Fathers of Children With Cancer: A Descriptive Qualitative Study.","authors":"Seray Afacan Güler, Neslihan Partlak Günüşen, Özgü Serçe Yüksel, Deniz Kizmazoğlu","doi":"10.1177/27527530251336209","DOIUrl":"https://doi.org/10.1177/27527530251336209","url":null,"abstract":"BackgroundThe purpose of this study was to investigate the experiences and needs of Turkish fathers with children undergoing cancer treatment.MethodThis descriptive qualitative study was conducted in a university hospital in Türkiye. The sample of the study consisted of 23 fathers of children with cancer selected with purposive sampling. Semistructured interviews were analyzed by using the thematic analysis method.ResultsFour themes emerged from these data. These themes were emotional experiences, changes, role of social support in coping, and support needs. Fathers experienced fear of death, helplessness, uncertainty, loneliness, and hope. They assumed the role of caregiver in addition to the role of father, spouse, and employee. Their family relationships improved for the sick child and spouse but did not for siblings. It was found that fathers hid their feelings from their families to look strong. Moreover, they had information needs at the beginning and ongoing housing and financial needs. Fathers needed psychological support, and they did not know how to access psychological support services.DiscussionFathers whose children have cancer experience many emotional difficulties and changes. They have difficulty in expressing their feelings and getting help. Nurses may encourage fathers to express their feelings, recognize their changing roles, relationships, and needs, and provide psychosocial support based on holistic care to help them cope with emotional burdens.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251336209"},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parent Resolution of Their Child's Cancer Diagnosis: Associations With Parent Stress and Quality of Life. 父母对孩子癌症诊断的解决：与父母压力和生活质量的关系。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-06-12 DOI: 10.1177/27527530251342155

Marcia A Winter, Jessica Greenlee, Nour Al Ghriwati, Megan Carlson, Olle Jane Z Sahler, Thomas G O'Connor

{"title":"Parent Resolution of Their Child's Cancer Diagnosis: Associations With Parent Stress and Quality of Life.","authors":"Marcia A Winter, Jessica Greenlee, Nour Al Ghriwati, Megan Carlson, Olle Jane Z Sahler, Thomas G O'Connor","doi":"10.1177/27527530251342155","DOIUrl":"https://doi.org/10.1177/27527530251342155","url":null,"abstract":"BackgroundTrauma or profound distress has been reported in parents responding to their child's cancer diagnosis. Parent resolution of their child's medical diagnosis reflects acceptance and forward movement from the initial shock, grief, and intense emotionality. This short-term, longitudinal study examined the stability of resolution over the first 3 months from cancer diagnosis and whether parents' resolution of their children's diagnosis was associated with concurrent mood and illness-related stress and subsequent quality of life (QOL).MethodForty-one parents/guardians (77% mothers) of children newly diagnosed with cancer or malignant tumor were recruited from pediatric oncology clinics. Parent semistructured interview responses at 2 weeks and 3 months postdiagnosis were coded as resolved or unresolved with respect to child diagnosis. Parents reported their mood and stress at 2 weeks postdiagnosis and their QOL at 6 months postdiagnosis.ResultsResolution was stable over time: parents' resolution status stayed the same from diagnosis to the 3-month follow-up. Unresolved status was associated with greater concurrent parent mood problems (p = .05, Mdifference = 7.512) and stress about their own physical and emotional problems (p = .04, Mdifference = 0.537), and poorer subsequent physical (p = .00, Mdifference = -33.11) and emotional (p = .03, Mdifference = -21.11) QOL.DiscussionParents' resolution of their child's diagnosis was evident soon after diagnosis, remained stable, and was associated with parent health and QOL. Further research is needed to examine if the manner in which parents adapt to, and make meaning of, their child's diagnosis predicts long-term functioning for children with cancer and their parents.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"27527530251342155"},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Process Evaluation of Sickle Stroke Screen: A Patient Educational Initiative to Improve Transcranial Doppler Screening in Sickle Cell Anemia. 镰状细胞性贫血经颅多普勒筛查的发展和过程评估：提高镰状细胞性贫血患者教育主动性。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-04-27 DOI: 10.1177/27527530251319294

Alyssa M Schlenz, Shannon M Phillips, Jeanine Dumas, Julie Kanter

{"title":"Development and Process Evaluation of Sickle Stroke Screen: A Patient Educational Initiative to Improve Transcranial Doppler Screening in Sickle Cell Anemia.","authors":"Alyssa M Schlenz, Shannon M Phillips, Jeanine Dumas, Julie Kanter","doi":"10.1177/27527530251319294","DOIUrl":"10.1177/27527530251319294","url":null,"abstract":"Background: Effective education is an important component of optimal care for sickle cell anemia. The purpose of this article is to describe the development and process evaluation of an educational initiative for stroke risk screening, including perspectives from providers, coordinators, and caregivers as well as lessons learned for future initiatives. Method: A new term, \"Sickle Stroke Screen,\" and an infographic for stroke risk screening were developed using patient/family input and branding expertise. A pamphlet and poster were developed via iterative feedback with hematological providers. Thirteen sites implemented the educational initiative as part of a multicomponent intervention study over 2 years. Evaluation included surveys and interviews with 13 site providers and six coordinators and surveys with 80 caregivers. Descriptive statistics were used for survey results, and content analysis was used for interviews. Results: Providers and coordinators commented on processes, successes, and barriers to the intervention. Key process themes included methods of delivering information and refining processes. Key successes included intervention impact, helpfulness, and ease of use. Inconsistency was a core barrier reported across the study with some improved success over time. Caregivers felt positively about the educational materials, including liking, understanding, and feeling motivated to act based on the new education. Discussion: Patient/family feedback and branding expertise were critical to developing an educational initiative that was well received by providers, coordinators, and other families. Inconsistency was a barrier worsened by healthcare complexity and the pandemic, though flexible delivery methods and commitment to education helped sites to be successful over time.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"5-18"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Patient Experiences Using Medical Cannabis in Cancer Symptom Management as Reported by Parents of Children and Adolescents and by Young Adults. 儿童和青少年的父母以及年轻人报告的在癌症症状管理中使用医用大麻的儿科患者经验。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-05-29 DOI: 10.1177/27527530251318606

Mary Langevin, Teresa Herriage, Mary C Hooke

{"title":"Pediatric Patient Experiences Using Medical Cannabis in Cancer Symptom Management as Reported by Parents of Children and Adolescents and by Young Adults.","authors":"Mary Langevin, Teresa Herriage, Mary C Hooke","doi":"10.1177/27527530251318606","DOIUrl":"10.1177/27527530251318606","url":null,"abstract":"Background: Children, adolescents, and young adults (YAs) with cancer are using cannabis for therapeutic effects. A systematic review of cannabis in pediatric cancer patients found most studies focused on chemotherapy-induced nausea and vomiting with some including general symptom management. The purpose of this study was to explore the experiences of pediatric cancer patients using cannabis obtained from a medical cannabis program to manage cancer-related symptoms. Method: Parents of children and adolescents under age 18, and YAs age 18 and older who were certified for a medical cannabis program were invited to participate. Using a 12-item anonymous survey, participants reported on what symptoms they hoped cannabis would improve, what symptoms were helped, and side effects experienced. Results: Fifteen parents and nine YAs responded. The symptoms participants were seeking help with were: nausea/vomiting, n = 20; appetite, n = 15; pain, n = 13; sadness/anxiety, n = 7; sleep, n = 7; and treat cancer, n = 5. Most (n = 17) reported they thought cannabis helped. The specific symptoms helped were: nausea/vomiting, n = 15; appetite, n = 13; pain, n = 9; sadness/anxiety, n = 10; sleep, n = 9; and treating cancer, n = 3. Five reported side effects of mental changes. Discussion: Results provide insight into experiences of pediatric oncology patients referred to the medical cannabis program. Medical cannabis pharmacies can provide an effective adjuvant intervention for pediatric cancer symptoms. Most reported that medical cannabis helped ease some distressing symptoms with minimal side effects, but not all experienced benefits.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"37-43"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Workforce Recommendations to Address Distress and Burnout in Australian Children's Cancer Nurses. 解决澳大利亚儿童癌症护士的痛苦和倦怠的劳动力建议。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-05-19 DOI: 10.1177/27527530251318981

Natalie Bradford, Elyce Pate, Jane Templeton, Rachel Edwards, Donna Drew, Jayne Harrison, Karin Plummer

{"title":"Workforce Recommendations to Address Distress and Burnout in Australian Children's Cancer Nurses.","authors":"Natalie Bradford, Elyce Pate, Jane Templeton, Rachel Edwards, Donna Drew, Jayne Harrison, Karin Plummer","doi":"10.1177/27527530251318981","DOIUrl":"10.1177/27527530251318981","url":null,"abstract":"Background: Pediatric cancer nursing is a deeply fulfilling yet highly stressful profession as nurses support families during times of intense emotional distress. This study examined the factors influencing job satisfaction among pediatric cancer nurses across Australia and their recommendations to address workplace challenges. Method: A cross-sectional survey was conducted between November 2021 and February 2022, targeting cancer nurses across Australia. The survey included 68 items assessing various aspects of job satisfaction, work environment, and professional development as well as free-text responses. Both quantitative and qualitative responses from nurses who self-identified as pediatric cancer nurses were analyzed to identify significant predictors of job satisfaction and thematic insights from free-text comments. Results: The analysis included responses from 113 pediatric cancer nurses. Key predictors of job satisfaction included opportunities for professional development, the ability to utilize full skill sets, organizational leadership, and intent to remain in the profession. Thematic analysis of free-text comments supported the quantitative findings. Respondents highlighted the need for better leadership, recognition of the high workload, and greater support for professional development. Discussion: Addressing organizational leadership and providing opportunities for professional growth are critical to improving job satisfaction among pediatric cancer nurses. Developing evidence-based interventions and policy initiatives that focus on these areas will enhance the well-being of nurses and the quality of care provided to patients.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"25-36"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Blueprint for Care: Adapting and Implementing Standardized Triage in Pediatric Hematology and Oncology. 护理蓝图：适应和实施儿科血液学和肿瘤学的标准化分类。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-05-30 DOI: 10.1177/27527530251319285

Matt Davis, Sherry Johnson, Jonathan Burlison, Jeremy Slone

{"title":"A Blueprint for Care: Adapting and Implementing Standardized Triage in Pediatric Hematology and Oncology.","authors":"Matt Davis, Sherry Johnson, Jonathan Burlison, Jeremy Slone","doi":"10.1177/27527530251319285","DOIUrl":"10.1177/27527530251319285","url":null,"abstract":"BackgroundIn pediatric hematology and oncology (PHO), standardized care pathways are pivotal for high-quality and efficient patient care. The institutional acute care clinic identified a critical gap in standardized triage processes, which leads to variability in patient assessment and care. Recognizing the necessity for a streamlined approach, a structured, evidence-based triage pathway was developed to improve consistency and quality of care.MethodA systematic review of institutional triage operations was initiated, pinpointing significant discrepancies and reliance on outdated practices. A multidisciplinary team formulated a set of electronic medical record (EMR)-integrated triage templates derived from established triage resources. These templates structured the documentation process and facilitated real-time patient information access, and comprehensive nurse training on these new protocols was conducted through simulations to ensure adept use of the system.ResultsThe new triage system standardized patient assessment by using a color-coded algorithm to prioritize care based on severity, replacing inconsistent practices with a unified approach. The integrated EMR templates enhanced documentation accuracy and streamlined the assessment process, although the exact impact on workflow efficiency cannot be quantified without supporting data.DiscussionImplementation of this standardized triage pathway is a significant advancement in acute care for PHO patients, promoting consistent and reliable patient assessments. This approach underscores the importance of uniform care delivery and sets a foundation for continuous improvement and potential adoption by other institutions.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"44-50"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0