Journal of Pediatric Hematology-Oncology Nursing最新文献

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

COG KidsCare App Improves Caregivers' Perceived Education and Support During Their Child's Cancer Journey. COG KidsCare应用程序改善照顾者在孩子癌症旅程中的感知教育和支持。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-05-13 DOI: 10.1177/27527530251318597

Meghan Pike, Katrina MacDonald, April Connolly, Bilal Marwa, Melissa Hum, Stephanie Villeneuve

{"title":"COG KidsCare App Improves Caregivers' Perceived Education and Support During Their Child's Cancer Journey.","authors":"Meghan Pike, Katrina MacDonald, April Connolly, Bilal Marwa, Melissa Hum, Stephanie Villeneuve","doi":"10.1177/27527530251318597","DOIUrl":"10.1177/27527530251318597","url":null,"abstract":"Background: The Children's Oncology Group (COG) KidsCare App (App) is an mHealth tool that contains educational materials for pediatric oncology caregivers. While the usability of the App has been studied, the effects of the App on the experience of caregivers have not been examined. The objective of this study was to evaluate the impact of the App on education and support of pediatric oncology caregivers. Method: A 23-item multiple-choice questionnaire was developed using Opinio software and disseminated via hyperlink embedded in the App and on paper. Parents/caregivers participated in a virtual, semi-structured focus group hosted by a parent/caregiver. Participants were identified by nurse investigators using convenience sampling. Data were analyzed using descriptive statistics. Results: Twenty-five caregivers completed the questionnaire; six participated in interviews. The App provided valuable educational materials for 88% of respondents; 60% agreed it helped them feel better supported. All participants in the focus groups unanimously agreed that the App would have been helpful at the beginning of their treatment. Discussion: Results demonstrate that the COG KidsCare App improves caregivers' education and positively impacts their perception of support. It is likely most impactful for families who are within 6 months of a cancer diagnosis and should be provided to families as early as possible. Revisiting the App with families throughout their treatment journey and into follow-up is also recommended.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"19-24"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019041","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

Ocular Toxicity in GD-2 Antibody Therapy: A Case Study. GD-2抗体治疗的眼毒性：一个案例研究。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-01-01 Epub Date: 2025-04-18 DOI: 10.1177/27527530251318685

Brooke Fraser

{"title":"Ocular Toxicity in GD-2 Antibody Therapy: A Case Study.","authors":"Brooke Fraser","doi":"10.1177/27527530251318685","DOIUrl":"10.1177/27527530251318685","url":null,"abstract":"Background: Ocular toxicities in children with neuroblastoma receiving GD-2 antibody therapy such as dinutuximab are uncommon. The objectives of this case study are to highlight the presentation and treatment of two ocular toxicities: pupillary palsy affecting visual acuity and photophobia, along with emphasizing the role of care providers in recognition and reporting of ocular adverse effects. Method: A 6-year-old boy with high-risk neuroblastoma presented to the outpatient clinic 4 days after completion of dinutuximab therapy stating that he was \"going blind\" and \"the light hurt his eyes.\" He was treated with 1% pilocarpine drops and sunglasses for comfort after evaluation by ophthalmology. Results: The boy was diagnosed with bilateral mydriasis. The use of pilocarpine reportedly made him less photosensitive and provided some improvement to his pupillary palsy. His visual acuity did not appear to return to baseline; however, baseline examination was never performed. Further treatment with dinutuximab was not modified nor withheld, as providers were unable to fully determine degree of toxicity without baseline screening, and risk of dose modification or deletion was greater than current ocular toxicity. Discussion: Measuring a change in visual acuity and pupillary response is impossible without a baseline screening before commencing GD-2 antibody therapy. Although there is significant literature and reports on the identification and management of common side effects of GD-2 antibody therapy, less common ocular toxicities are possibly underreported with little guidance on management, thus making recognition and subsequent treatment challenging for nurses and providers.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"51-53"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050703","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

Canadian Pediatric Oncology Nurses' Perspectives on Implementation of the Children's Oncology Group KidsCare Customized App. 加拿大儿科肿瘤护士对实施儿童肿瘤集团 KidsCare 定制应用程序的看法。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2024-11-01 DOI: 10.1177/27527530241300092

Sue Zupanec, Rachel Hamilton, Alia Petropolous, Chantal Campbell, Angela Punnett, Cailey Riggs, Meera Rahim, Wendy Landier, Denise Mills

{"title":"Canadian Pediatric Oncology Nurses' Perspectives on Implementation of the Children's Oncology Group KidsCare Customized App.","authors":"Sue Zupanec, Rachel Hamilton, Alia Petropolous, Chantal Campbell, Angela Punnett, Cailey Riggs, Meera Rahim, Wendy Landier, Denise Mills","doi":"10.1177/27527530241300092","DOIUrl":"10.1177/27527530241300092","url":null,"abstract":"Background: Canada represents half of the Children's Oncology Group (COG) sites that have opted to customize content for families within the COG KidsCare app. It was unclear how many sites proceeded with developing and inputting customized content and how well the app and customized content were implemented into practice. This raised concerns that Canadian families were unaware of this new digital resource and did not have equitable access to customized content. This qualitative study aimed to understand nursing site leads' experiences including perspectives on facilitators and barriers to customization and implementation of the COG's KidsCare app. Method: Semi-structured interviews with clinicians who self-reported expertise in patient and family education local practices were conducted. Transcripts were independently coded by two team members using an iterative hybrid inductive/deductive approach, and analyzed using the Consolidated Framework for Implementation Research (CFIR), to summarize results. Results: The facilitators and barriers to implementing the COG KidsCare app with customization were categorized by five overarching CFIR-related themes: (a) features of the customized COG KidsCare app, (b) external environment, (c) institutional environment, (d) implementation team, and (e) the process of implementing and customizing the COG KidsCare app. Discussion: Nurses expressed feelings of tension between support and perceived value of the COG KidsCare app with customization, and their ability to successfully create, refine, implement content and disseminate to families. Using our RoadMap of recommended implementation strategies to integrate use of the app into practice may provide opportunity for successful implementation in a variety of contexts.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":"41 6","pages":"377-390"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829614","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

Sepsis Education and Successful Implementation of a Sepsis Recognition and Management Workflow in an Inpatient Pediatric Hematologic Oncologic Unit. 败血症教育和败血症识别和管理工作流程在住院儿科血液肿瘤科的成功实施。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2024-11-01 DOI: 10.1177/27527530241282318

Lindsey Blankenship, Kathleen Demmel, Tammy Otis

{"title":"Sepsis Education and Successful Implementation of a Sepsis Recognition and Management Workflow in an Inpatient Pediatric Hematologic Oncologic Unit.","authors":"Lindsey Blankenship, Kathleen Demmel, Tammy Otis","doi":"10.1177/27527530241282318","DOIUrl":"10.1177/27527530241282318","url":null,"abstract":"Sepsis is a leading cause of morbidity, mortality, and healthcare utilization for children worldwide. Forty-nine percent of pediatric sepsis patients have an underlying condition rendering them more susceptible to infection. One in six severe sepsis patients has an underlying neoplastic disease and has a 30% higher risk of death compared to other severe sepsis patients. Consequently, focus on pediatric sepsis management is paramount. In a 42-bed pediatric hematology-oncology unit, a Sepsis Algorithm was implemented aimed to improve nurses' ability to recognize, manage, and treat suspected and early sepsis and septic shock over a 4-year period. This algorithm consisted of various elements including ongoing educational offerings, quality improvement methodologies, and sepsis prevention interventions. The sepsis workflow provided targeted care guidelines and aligned interventions previously proven to improve patient outcomes. Pre- and posttests were administered with each educational offering to monitor effectiveness. Nurses demonstrated higher levels of understanding of sepsis recognition and prevention efforts following educational activities. Consequently, a 10.7% Sepsis Algorithm compliance and a 24.7% antibiotic administration within 1 hr compliance improvement was realized. Utilization of the Sepsis Algorithm contributed to maintaining a mortality rate of zero related to sepsis and/or septic shock while patients were in the hematology-oncology unit. Bedside nurses' sepsis management knowledge improved. The Sepsis Algorithm implementation was successful and improved patient outcomes.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":"41 6","pages":"425-431"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829949","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

Caregiver Medication Information Needs and Medication Management Challenges in Pediatric Cancer: A Systematic Review. 儿童癌症护理人员用药信息需求和用药管理挑战：系统综述。

IF 1 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2024-11-01 DOI: 10.1177/27527530241300056

Micaella Sotera Hansen, Ronald Lynel Castelino, Raymond Li, Neevika Manoharan, Jacqueline Bloomfield, Connie Van

{"title":"Caregiver Medication Information Needs and Medication Management Challenges in Pediatric Cancer: A Systematic Review.","authors":"Micaella Sotera Hansen, Ronald Lynel Castelino, Raymond Li, Neevika Manoharan, Jacqueline Bloomfield, Connie Van","doi":"10.1177/27527530241300056","DOIUrl":"10.1177/27527530241300056","url":null,"abstract":"Background: The objective of this systematic review was to identify the medication information needs and preferences of caregivers of children with cancer and explore the medication management challenges these caregivers experienced. Method: We conducted a systematic search of three databases (Cumulative Index to Nursing and Allied Health Literature, Embase, and Medline) for studies published from database inception to February 27, 2024, and assessed the medication information needs of caregivers of children with cancer. The methodological quality of qualitative studies was assessed using the Critical Appraisal Skills Programme Qualitative Research Checklist. Quantitative and mixed-methods studies were appraised using the Mixed Methods Appraisal Tool. Results: A total of 813 articles were retrieved using our search criteria, of which 13 met the eligibility criteria. Three overarching categories were identified: caregiver medication information needs and preferences, medication management concerns and challenges, and medication management strategies. Most studies focused on the needs and concerns of mothers of children with acute lymphoblastic leukemia in high-income countries, leaving a knowledge gap in relation to the perspectives of other caregivers across a broader range of malignancies. Discussion: This systematic review underscores the critical medication information needs of caregivers managing chemotherapy for children with cancer. Caregivers require tailored, accessible information throughout the treatment trajectory to effectively manage medication regimens and mitigate potential errors. Addressing these needs through comprehensive education strategies is essential for enhancing caregiver self-efficacy and improving overall patient outcomes in pediatric oncology.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":"41 6","pages":"432-447"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829946","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