Evidence-Based Pediatric Oncology (Evidence-Based Medicine)

Description. Using the available systematic reviews and Standard Options Recommendations (SORs) which are evidence-based treatment recommendations.
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Nurses with EBP experience can lead teams through a systematic review, implementation and evaluation of projects, and dissemination of findings. Expert nurses should provide mentorship to others and advocate for implementation of best practices within the institution. Expect nothing less than excellence within our profession!

Clinical nurse specialist and evidence-based practice: Journal of Pediatric Oncology, 22 5 , Reducing central venous catheter-related bloodstream infections in children with cancer. Oncology Nursing Forum, 36 2 , Evidence-Based Practice in Nursing and Healthcare, third edition. Improving adherence to evidence-based guidelines for chemotherapy-induced nausea and vomiting. Journal of Pediatric Oncology Nursing, 32 4 , Jami Gattuso Cheryl and Marilyn, your wonderful blog post about EBP made me reflect about how the evidence has gotten so much easier to access.

As I sit here at my computer I am able to get any article I want almost instantaneously. This brings me back to the days of going to the hospital's library which I realize I was extremely fortunate to have! I would look through the key words to see if there were any articles published in that year. How many nickels did I waste on the wrong sized paper or copying half-way off the paper? I wish I had a nickel for every time I did that!!

I did find a good rhythm of feeding those nickels into the machine! All of this to say, that most every nurse has access to the evidence at their fingertips--their desk or their ipad or their phone. I am thankful to be part of an organization that values evidence--and helps support generation of that evidence. Skip to main content Press Enter. Skip auxiliary navigation Press Enter. Using multiple interventions during the program and approaching systematically about the issue could improve the well-being of children with cancer.


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Primary nursing is a care model that supports the professional nursing practice. Within primary nursing, a therapeutic relationship is established between a nurse and an individual child and the family. In recent studies, physical patterns such as nutrition, sleep, and rest of care in children with cancer were evaluated with current treatment protocols and cancer types.

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For example, the prevalence of undernutrition was found higher in children with solid tumors than children with hematological malignancies. They found that nighttime sleep was less than that required for healthy school-age children and awakenings during night time were frequent.

On the other hand, symptoms and symptom clusters in children who have been receiving cancer treatment are closely monitored in care in recent years. Children could be experienced multiple symptoms during the treatment. Therefore, these aspects, especially, were investigated and given importance in care. A study was conducted to explore the children's experiences of comfort in their drawings. The findings showed that children found comfort, especially from their family and hospital staff. The children also described that they comforted family members and comforting others also comforted children.

The results showed that impulsivity, mistrust, and anger were observed higher than healthy children's drawings. Patient outcomes improve when care is based on empirical evidence. There is, however, a recognized need for more evidence and specific recommendations related to caring for special populations of patients such as children undergoing treatment for cancer. Studies about pediatric oncology nurses and cost containment contribute the literature for outcomes of care. Challenging issues were found as truth-telling, symptom management, communication with families, the emotional effect of the withdrawal of treatment, and sibling support.

Program was included presentations, group discussions, and relaxation activities for pediatric oncology nurse. Empowerment the nurses will improve the quality of care by reducing the feelings of exhaustion and incompetence in care. The roles of the pediatric hemato-oncology nurses are expanding within holistic care settings, and well-trained specialized nurses provide safe, effective, and quality care to children with health problems. The number of cancer survivors has been increasing, and the health-care issues of survivors also became more obvious because of the increasing risk for long-term morbidity and mortality.

They found the most common physical problems and symptoms as respiratory system infections Concerns were increasing in female survivors, younger survivors, and survivors who received more intensive treatment. It was found that physical activity decreased after diagnosis and quality of life was higher when the physical activity was high.

They found that self-esteem and hopefulness are positively related and contribute to the quality of life among young adult female survivors.

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Primary physical problems that were found after discharge from the hospital were fever Survivors and transplant patients have many problems and symptoms related to disease and treatment. Therefore, planning and implementation of nursing interventions to develop health status in children are important.

Nursing interventions should include the providing information about potential problems and care to patients and families to increase the quality of life. The success of cancer therapy is improving due to invasive treatments. Furthermore, significant side effects including pain, nausea, fatigue, and distress could be seen in children with cancer. Therefore, primarily holistic approaches and focus on wellness and healing powers are going to increase using complementary and alternative medicine CAM. In one study, CAM usage among parents of children with cancer was found They stated that CAM usage did not affect the 5-year survival rate.

Hypnotherapy could be advisable, especially during painful procedures in pediatric oncology settings. It is also recommended to use art therapy and music therapy as distraction and imagery. These CAM methods showed potential to improve the well-being of patients. It is believed that evaluating the efficacy and safety and then counseling the family about the usage of CAM in children will make a significant contribution for nursing care. A key component of a successful and effective pediatric cancer treatment is the delivery of care by skilled professional nurses.

Collectively, nursing care including screening, prevention, promotion, research, advocacy, education, and care coordination is keys to moving quality of care forward. In this review manuscript, it was aimed to search the new nursing care trends, especially the past 5 years in the pediatric hemoto-oncology field. However, some new developments could not be mentioned or not reached because of the variety in the literature.

In the field of pediatric oncology, it appears that many current topics for care of children and their parents have entered in the literature.

New Trends and Recent Care Approaches in Pediatric Oncology Nursing

Following current approaches in care and implementing innovations will increase the quality of life of the children and their families who are followed or watched with the diagnosis of cancer. National Center for Biotechnology Information , U. Asia Pac J Oncol Nurs. Received Mar 21; Accepted Jan Abstract Increased incidence of children diagnosed with cancer and survivors was an impact on changes in pediatric hemato-oncology nursing care. Cancer, care, evidence-based practices, nursing, oncology, pediatric. Open in a separate window.

Introduction The incidence of cancer in childhood is increasing.


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What are the recent evidence-based practices for children with cancer in their complex nursing care. What are the common key topics and concepts influencing the development of new care approaches to understand the underlying mechanisms facilitating an effective care to children with cancer? Family-Centered Care In the past decades, it has seen significant changes in the way of care in pediatric oncology wards. Technology-Based Care Since the technology usage increases in worldwide, pediatric oncology nurses are in a unique position to collect data, monitor, and design specific educational and psychosocial support with technology-based interventions for children and their families.

Program Development Recently, working with a vision and mission for development and quality improvement of pediatric oncology settings is required to extend the implementations of programs.

Evidence-Based Pediatric Oncology, 2nd Edition

Primary Care of Children Primary nursing is a care model that supports the professional nursing practice. Health-Care Providers-Cost Containment Studies about pediatric oncology nurses and cost containment contribute the literature for outcomes of care. Survivors and Home Care The number of cancer survivors has been increasing, and the health-care issues of survivors also became more obvious because of the increasing risk for long-term morbidity and mortality.

Nonpharmacological Approach The success of cancer therapy is improving due to invasive treatments. Conclusion A key component of a successful and effective pediatric cancer treatment is the delivery of care by skilled professional nurses. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. Cancer Facts and Figures. Milestones in the curability of pediatric cancers. Standards, guidelines, and consensus reports. Factors affecting the delivery of family-centered care in pediatric oncology.


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Children's participation in shared decision-making: Eur J Oncol Nurs. Information-seeking behaviours and decision-making process of parents of children with cancer. Child Care Health Dev. Cultural and religious considerations in pediatric palliative care. The lived experience of fathers who have children with asthma: A rapid structured review of the literature.

Evidence-Based Pediatric Oncology

Parenting a child with cancer: Perceptions of adolescents and parents of adolescents and younger children following completion of childhood cancer treatment. Determination of social support needs and expectations of mothers of children with cancer. J Pediatr Oncol Nurs. Care burden of parents having children with cancer at the hospital and at home. Resilience and psychosocial outcomes in parents of children with cancer.

Impact of a parent-based interdisciplinary intervention for mothers on adjustment in children newly diagnosed with cancer. Predictors of parenting stress in patients with haematological cancer. Comparing longitudinal assessments of quality of life by patient and parent in newly diagnosed children with cancer: Bereavement follow-up after the death of a child as a standard of care in pediatric oncology. Involving parents in managing their child's long-term condition-a concept synthesis of family-centered care and partnership-in-care.

Usability testing of an online self-management program for adolescents with cancer. Results of a nurse-led intervention: Connecting pediatric cancer patients from the hospital to the school using videoconferencing technologies. Development of a heuristics-based iPad app, the computerized symptom capture tool C-SCAT to the explore symptom experiences of adolescents and young adults with cancer.

A computer-based animated tool to elicit symptoms and psychosocial concerns from children with cancer. Improving the care of children with advanced cancer by using an electronic patient-reported feedback intervention: Facebook ads recruit parents of children with cancer for an online survey of web-based research preferences. Childhood cancer survivor care: Development of the passport for care.

Nat Rev Clin Oncol. Reproductive health in the adolescent and young adult cancer patient: An innovative training program for oncology nurses. Effect of a new social support program by voluntary organization in pediatric oncology department in a developing country. Development of an in-home standardized end-of-life treatment program for pediatric patients dying of brain tumors. J Spec Pediatr Nurs. The effect of drawing and writing technique on the anxiety level of children undergoing cancer treatment. A pilot study to examine the feasibility and effects of a home-based aerobic program on reducing fatigue in children with acute lymphoblastic leukemia.

Development of a respite care program for caregivers of pediatric oncology patients and their siblings. Facilitation of school re-entry and peer acceptance of children with cancer: A review and meta-analysis of intervention studies. Eur J Cancer Care Engl ; Nutritional status among pediatric cancer patients: A comparison between hematological malignancies and solid tumors.

Determination of nutritional problems in children with cancer and information needs of their families. Nighttime sleep characteristics of hospitalized school-age children with cancer.