Pediatric oncology nurses' perceptions of prognosis-related communication. Nurs Outlook 2019;67(1):101-114
Date
12/12/2018Pubmed ID
30527513Pubmed Central ID
PMC6538266DOI
10.1016/j.outlook.2018.11.001Scopus ID
2-s2.0-85057880564 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
BACKGROUND: Disclosure of prognosis-related information is an essential aspect of communication with pediatric patients with cancer and their families. The nurse is believed to play an important role in this process, but nurse perceptions and experiences have not been well-described.
PURPOSE: Provide an exploration of pediatric oncology nurses' experiences with prognosis-related communication (PRC).
METHOD: Mixed-methods, multiphase design. This paper highlights the qualitative portion of the study.
FINDINGS: Three themes were identified: Importance of collaboration, impact of PRC, and delivery of prognostic information.
DISCUSSION: Collaboration is a critical element of PRC. Nurses are often not included in the disclosure process, which limits the ability of nurses to fully function in their roles, compromising patient, family, and nurse outcomes. A paradigm shift is required to empower nurses to be more active participants. More education of physicians and nurses is necessary to consistently engage nurses in PRC and prepare nurses for critical conversations.
Author List
Newman AR, Haglund K, Rodgers CCAuthors
Amy R. Newman PhD, RN, CPNP-PC, CPHON Assistant Professor in the Marquette University College of Nursing department at Marquette UniversityAmy R. Newman NP APP Hybrid in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAged
Attitude of Health Personnel
Child
Communication
Female
Humans
Male
Middle Aged
Oncology Nursing
Pediatric Nursing
Prognosis
Young Adult